NGT Insertion and Feeding

COLLEGE OF NURSING
LEVEL II
Name: _________________________________Year & Section: ____________Score: _________

Subject: _______________________________Date: __________________
NASOGASTRICTUBEINTUBATIONANDADMINISTERING
ENTERALNUTRITIONVIANASOGASTRICTUBE
RUBRICS
PROCEDURE CRITERIA
PROFICIENT APPROACHING DEVELOPING BEGINNING

Independently performs PROFICIENCY Performsskillswith Performsskillswith
all skills fluentlyand Performsskills with assistance offaculty3 - assistance offaculty
withoutdifficulty. assistanceoffaculty 1- 4times during greaterthan4times
2timesduring simulation. duringsimulation.
simulation. 1
4 3 2
ATTITUDE
1. Displays readiness in performing the
procedure
2. Accepts criticism by showing effort
to correct mistakes
3. Shows enthusiasm and interest in
performing the procedure.
4. Employs professionalism, reliability,
and confidence in performing the
procedure.
5. Answer rationale questions correctly.
KNOWLEDGE & SKILLS

A. NASOGASTRIC TUBE INTUBATION
1. Verifies the patient’s need for enteral

tube feedings.
2. Assesses for presence of skin
breakdown and patency of nostrils:
Ask the patient to breathe, occluding
one nostril at a time.
3. Reviews patient’s medical history
(gag reflex, nostril surgery, unusual
nostril bleeding, bowel sounds,
mental status).
4. Explains the procedure to the patient
5. Informs the patient on how to

communicate during intubation
(hand signal or raise index finger for
discomfort).
6. Prepares the equipment.
7. Positions patient in sitting or

high-Fowler’s position.
If patient is comatose: semi-Fowler’s
position with head propped forward
using pillow
8. Covers the patient’s chest with a
towel.
9. Washes hands and puts on clean
gloves.
10. Determines the length of the tube to
be inserted and mark with a
tape.
11. Lubricates the first 4 inches of the
tube with water-soluble lubricant.
12. Asks the patient to slightly flex the

neck backward.
13. Gently insert the tube into the naris.

14. Asks the patient to flex head
forward once the tube reaches the
nasopharynx.
15. Advances the tube several inches at
a time as the client swallows.
Withdraw the tube immediately if
there are signs of respiratory
distress.
16. Advances the tube until the taped
mark is reached.
17. Secure the tube to the nose with a
tape.
18. Checks the placement of the tube:
a. Injects 10 cc of air and auscultate.
b. Aspirates gastric content and
measures pH.
c. Prepares the patient for x-ray
check-up, if prescribed.
19. Caps or clamps the distal end of the
tube or connects to suction machine
or drainage bag.
20. Fastens the tube to the patient's
gown with a tape.
21. Removes gloves, disposes used
materials appropriately, and washes
hands.
22. Assists patients to a comfortable
position.
23. Documents procedure.
B. ADMINISTERING ENTERAL
NUTRITION VIA NASOGASTRIC
TUBE
1. Assesses patient’s need for enteral

tube feedings, food allergies.
2. Auscultates bowel sounds.
3. Obtains baseline weight and reviews
laboratory values. Assesses patients
for fluid volume excess or deficit,
electrolyte abnormalities and
metabolic abnormalities such as
hyperglycemia.
4. Verifies the health care provider’s
order.
5. Explains the procedure to the patient
6. Prepares feeding and the materials
needed.
7. Positions patient in high-fowler’s
position.
8. Washes hands and applies gloves.
9. Check tube placement.
10. Check gastric residual volume.

Measure residual volume if present.
11. Irrigates tube.
12. Start tube feeding.

13. When feeding is done, irrigate the
tube.
14. Caps or clamps the distal end of the
tube.
15. Maintains patient in high-fowler’s
position for 30 minutes to1 hour
after feeding.
16. Documents procedure.
TOTAL POINTS: 176
____________________________________________
Signature over Printed name of the Student
____________________________________________
Signature over Printed name of the Clinical Instructor
Prepared:
Marie Christine N. Mercado, RN, MAN, Ed.D
Level II – RLE Coordinator
Noted:
Jill Marie C. Hermogenes, RN, MAN, Ed.D
Approved:
Michelle B. Yu, RN, MAN, DM
Dean
Assistant Dean

NGT Insertion and Feeding

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COLLEGE OF NURSING

Name: _________________________Year & Section: Score: _

PROFICIENT APPROACHING DEVELOPING BEGINNING

KNOWLEDGE & SKILLS

1. Verifies the patient’s need for enteral

4. Explains the procedure to the patient

5. Informs the patient on how to

6. Prepares the equipment.

7. Positions patient in sitting or

12. Asks the patient to slightly flex the

13. Gently insert the tube into the naris.

1. Assesses patient’s need for enteral

10. Check gastric residual volume.

11. Irrigates tube.

12. Start tube feeding.

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