NGT-Feeding E-Tool

Far Eastern University
Institute of Nursing
PERFORMANCE EVALUATION TOOL FOR

NGT FEEDING
NAME: __________________________________________________ DATE: ______________ SCORE: _______________

SEC & GRP NO: ________________ CONCEPT: ______________________ FACULTY: __________________________
Direction: Rate the learners based on the competencies listed below.
NUMERICAL RATING DESCRIPTION

3 Performs expected competencies in a very consistent manner.
2 Performs expected competencies in a moderately consistent manner.
1 Performs expected competencies in a rarely consistent manner.
0 Does not perform expected competencies.
A. PREPARATION
1. Checks the doctor’s order
2. Introduces self to patient and verifies patient’s name
3. Informs patient of the procedure and its importance
4. Performs handwashing
5. Assembles articles and equipment needed at the bedside
Equipment:
 Feeding formula
 Calibrated glass
 Asepto syringe/50ml syringe
 Bowl w/ hot water
 Stethoscope
 Medicine Glass
 Towel or napkin
 30-60 mL of water (for flushing
 Gloves
 Clamp (optional)
 Feeding Solution
 Large Catheter tip syringe (30 mL or larger)
 Water
 Measuring Cup
 Feeding pump (if ordered)
 Other optional materials (disposable pad, pH indicator strips, paper towel)
6. Elevates head of bed at least 30-to-45-degree angle
7. Prepares feeding and allow to reach room temperature before feeding
B. PROCEDURE
1. Stands on patient’s left side, if right-handed and right side if left-handed.
/revised as of June 2015/
Name: _______________________________________ NGT Feeding Page | 2
2. Puts a towel on top of patient’s chest (In case of mess)

3. Puts on gloves
4. Checks for correct placement of tube by injecting 3-5 ml of air and listens for a whooshing or gurgling sound
 Unclamp NGT. Attach the tip of the syringe to the free end of the NGT and aspirate gastric contents.
 Auscultate over the LUQ for bowel sounds before each feeing by placing the diaphragm of the stethoscope over
the patient’s epigastrium and listen to the gurgling sound as slight pressure is applied at the bulb of the asepto
syringe.
Note: If no bowel sound is heard, do not feed the patient. The patient is having a hypoactive bowel sounds and might cause
bloated due to
Assess abdominal distention, tenderness and for residual feedings contents. If for follow up feeding contents and measure the
amount before administering the feeding.
Return aspirated contents to the stomach unless volume exceeds 150-250 mL.
Maintain client in semi-fowlers position and recheck residual in an hour or it depends on the physician’s order.
5. Clamps the tube and inserts the tip of the asepto syringe to end of gastric tube
6. Aspirates the tubing to check and measure amount of residual
7. Flush NGT with 15 to 30 ml water
- Kink the tube and remove the bulb of asepto syringe and pour 30 mL of water
8. Pours feeding into the asepto syringe
- Kink the tube and pour the formula into the barrel
9. Raises the syringe 12 to 18 inches above the stomach or at the level of patient’s forehead (Depends on consistency of
feeding). Opens the clamp
- Keep the barrel of the asepto syringe about 8-12 inches above the patient
- Raise the barrel a little higher or apply gentle pressure in the bulb of the syringe, if the formula fails to flow freely.
10. Allows feeding to flow by gravity into the stomach. Raise and lower the syringe to control the rate of flow
- Ask if the patient is comfortable while infusion is flowing.

- Assess for presence of fullness, abdominal; cramping, nausea, vomiting, and diarrhea as these indicates distension of the
intestines.
11. Adds feeding to the asepto syringe as it empties, not allowing the syringe to become empty until feeding is completed
12. Terminates feeding when completed and flush with appropriate amount of water (15 to 30 ml)
- Flush the NGT with 30-60 cc of water once the prescribed amount of formula is consumed
13. Kinks or closes the end of the feeding tube
- Pinch or kink the tube before it becomes completely empty and detach the asepto syringe
- Plug the end of the NGT with its own cover. If none, clamp may be used instead.
14. Removes gloves and performs hand hygiene
C. AFTER CARE
1. Keeps the patient’s head elevated for 20-30 min.
2. Performs after care of all articles and equipment used
D. DOCUMENTATION
1. Documents the procedure and all nursing assessment

Name: _______________________________________ NGT Feeding Page | 3
a. The nature of aspirate, color, amount

b. The amount of feeding and water given (type of formula)
c. The patients’ reaction to feeding (untoward reactions during and after the procedure)
- Observe for possible complications and problems
Assessment
1. Ensure the tube is located at the stomach because coughing, vomiting, and movement can move the tube out of the correct
position.
2. The location of the tube must be checked:
- Prior to each feed/medication
- Before each medication
- Ensure taping is secure
- Observe and document the position marker on NGT/OGT (compare to initial measurements)
- Observe for any signs of respiratory distress

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Far Eastern University

PERFORMANCE EVALUATION TOOL FOR

NAME: __________________________________ DATE: SCORE: _

Direction: Rate the learners based on the competencies listed below.

NUMERICAL RATING DESCRIPTION

2. Puts a towel on top of patient’s chest (In case of mess)

- Ask if the patient is comfortable while infusion is flowing.

/revised as of June 2015/

a. The nature of aspirate, color, amount

- Observe for possible complications and problems

/revised as of June 2015/

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