Name: ______________________________
Time Started:_________________________
Date:_________________________
Time Ended:___________________
NGT FEEDING CARE
AREAS OF EVALUATION
SKILLS 70%
ASSESSMENT
1. Check the physicians order.
2. Read any observation about
previous feeding noted on the
patients chart
3. Wash your hands.
PLANNING
4. Gather any equipment/supplies
you will need:
● feeding formula - warm as
indicated
(note
the
expiration
date
&
characteristics including
the concentration)
● water for flushing
● stethoscope
● towel
IMPLEMENTATION
5. Identify the patient.
6. Expalin what you are going to
do.
7. Place the patient in semi-fowler’s
position.
8. Drape chest with towel.
RATING
5
4
3
2
1
0
9. Test the placement of the tube:
● attach the asepto syringe,
place stethoscope on the
epigastric area. Instill air
about 30ml and listen for
swooshing sound.
● Aspirate
for
gastric
contents & check for pH
Xray can be done to
check placement
● Check
for
residual
formula:
○ Aspirate
for
possible residual
content
○ 50ml proceed with
prescribed feeding
amount
○ 50-100ml-proceed
feeding
but
subtract
the
equivalent amount
from the actual
feeding amount
○ if 100 hold feeding
temporarily & notify
AP
10. Asepto syringe method: When
using this method, hold the
syringe manually, and fill and
refill. Do not allow the water or
formula to to below the
narrowing at the bottom of the
syringe
11. Flush with prescribed amount of
water: 50ml water for irrigation
before & after feeding or as
prescribed/policy.
● neonate/fluid
restricted
(1-2ml H₂O)
● other children (10-15ml
H,0)
NOTE: the gravity flow to move the
formula through the tube Control rate of
feeding by raising/ lowering the syringe.
If the flow slows down or stops, gentle
pressure on the asepto bulb or
"milking" the tubing may help. if the
patient gags during the feeding, stop
the procedure.
12. After the feeding, clamp the
tube or plug it.
13. Reposition the patient in low or
semi Fowler's position. If the
patient is comatose, the head
should be turned to one side.
14. Wash your hands.
EVALUATION
15.
Return to the patient in
approximately 30 minutes and
observe for any untoward
Incident
DOCUMENTATION
16. Document the following:
● Record on the medication
sheet or progress notes.
● Your notes should include
the date, time, type, and
amount
of
formula,
amount of water, amount
residual and patient's
response if formula was
tolerated
KNOWLEDGE 20%
1. Gives rationale of the procedure.
2. Explain the elements and
mechanics of the procedure
3. Knows the element of
nursing process as applied.
the
4. States principles
nursing procedure
in
applied
ATTITUDE 10%
1. 1. Is well groomed.
2. Wears prescribed, neat, and
clean uniform.
3. Arrives on time for the RD.
4. Speaks to Cl and client tactfully.
5. Minimizes use of energy, time
and effort.
6. Utilizes supplies efficiently
7. Considers client's safety, privacy.
and comfort.
8. Is well organized
9. Keep working area clean at all
times.
10. Gives high value of aesthetics.
COMPUTATION:
SKILLS:
_______ x 70% =
90
KNOWLEDGE:
_______ x 20% =
20
ATTITUDE:
_______ x 10% =
50
CI’s Name and Signature