Student _________________________________
Item
Task
Verify Order
OEWIPES
Hand Hygiene
PPE
PT ID and Privacy
PT Teaching
Body Mechanics and side rails
Assess VS, bowel, and lung sounds prior to
insertion
Have suction available and set up
Place PT in high Fowler’s position
Assess nares/deviated septum/prior surgery
Re-explain procedure: PT teaching. Cover PT with
towel or disposal absorbent pad. Explain water.
Reassurance. Emesis basin.
Measure NG tube for placement and mark for
length with tape or permanent marker
Coat tip with water-based lubricant
Instruct PT chin to chest technique while sipping
water
NG Insertion
Prompt
Comment
Student _________________________________
Slowly insert tube into the naris. Stop if resistance
is met.
Advance the tube with each swallow until reaching
marked spot
Auscultate for breath sounds
Using syringe, withdraw gastric content, assess,
and test pH. Reinsert gastric content.
Anchor tubing at the nose and chest
Hook-up to suction. Assess amount of collection.
HOB must remain at 30 degrees or higher
Clean up
Patient comfort: call light, side rails, items, pain
Pass/Fail
NG Insertion