RNSG 1140 – NURSING SKILLS
MODULE III – GASTROINTESTINAL PROCEDURES
A. BOWEL
Behavioral Objectives
Skill Content
1.
Describe the physiology of bowel elimination.
Berman and Snyder Text:
2.
Identify variables that influence bowel
elimination.
1.
Administering an Enema, pgs. 1361 – 1364.
Checklist in Study Guide.
3.
Demonstrate how to promote regular bowel
habits: use laxatives and antidiarrheals, empty
the colon of feces, design and implement bowel
retraining programs, and use comfort measures
to ease defecation.
2.
Removing a Fecal Impaction Digitally, pgs. 1365
– 1366.
3.
Skill 49 2, Changing an Ostomy Appliance.
4.
Discuss different types of enemas and how they
are administered.
5.
Describe nursing care of a client with an
ostomy.
6.
Describe similarities and differences in
ostomies by location, function, and drainage
characteristics.
7.
Identify ostomy care appliances and products
and describe the rationale for their use.
8.
Demonstrate the measurement of stoma size
and select an appropriate appliance for the
stomal opening.
9.
Identify actions which aid in odor control of
ostomy appliances.
10. Identify the purpose of ostomy irrigation and
describe two methods of irrigation.
11. Explain the reasons for skin breakdown and
identify nursing actions to reduce excoriation.
Learning Opportunities
1.
Read:
a. Berman and Snyder, Chapter 49.
b. Applicable pages in McKinney, page 1107.
c. Applicable pages in Lewis, pages 1042 - 1045.
2.
View:
a. MyNursingLab:
http://www.prenhall.com/mynursinglab/
Real Nursing Skills 2.0: Physical and Health
Assessment : Bowel Elimination
4. Care and Irrigation of Ostomies. Pgs. 1368 –
1372. ).
. b. TVCC Library – Nursing Education in Video
http://tvcc.ent.sirsi.net/client/tvcclibraries
 Elimination, Specimen Collection and Urinary Care
in New Nursing Assistant (Medcom Inc., 2009)
 Cleansing Enema in Basic Clinical Skills (Medcom
Inc., 2005)
 Enterostomal Therapy Nursing in Caring for the Stoma,
Caring for the Patient (Medcom Inc., 2002
3.
Practice administration of enemas using simulators in skills
lab.
4.
Have a peer review your technique for enema administration
via prepackaged disposable container.
5. Have a peer review your ability to perform a cleansing
enema.
6. Practice #2 – 4 with a peer using simulator in Skills Lab.
7. Have a peer review your ability to do # 2 – 4.
RNSG 1140 – NURSING SKILLS
MODULE III – GASTROINTESTIONAL PROCEDURES
B. NASOGASTRIC TUBES
Behavioral Objectives
1.
Describe the uses and rationales behind
nasogastric tubes.
Skill Content
Learning Opportunities
Berman and Snyder Text:
1.
Read applicable pages in Berman and Snyder, Chapter 47,
pgs. 931 – 935.
2.
View:
a. MyNursingLab:
http://www.prenhall.com/mynursinglab/
Real Nursing Skills 2.0: Physical and Health
Assessment : Nutritional Support
b. TVCC Library – Nursing Education in Video
http://tvcc.ent.sirsi.net/client/tvcclibraries
 A Guide for Nurses, Part 1: Tube Identification in
Enteral Feeding Tubes Episode 1 (Medcom Inc.,
2006)
 A Guide for Nurses, Part 2: Administering Formula
and Medication in Enteral Feeding Tubes Episode 2
(Medcom Inc., 2006)
 A Guide for Nurses, Part 3: Daily Care and
Troubleshooting in Enteral Feeding Tubes Episode 3
(Medcom Inc., 2006)
3.
Practice nasogastric intubation and skills related to
nasogastric decompression.
4.
Have a peer review your ability to perform nasogastric
intubation.
5.
Practice gavage techniques using the bolus and continuous
techniques for NG and gastrostomy tubes.
6.
Have a peer review your ability to give a feeding via feeding
tube utilizing bolus method, or an enteral feeding pump,
irrigate a NG tube connected to suction, and remove a NG
tube.
1. Skill 47 - 1: Inserting a Nasogastric Tube.
2.
Discuss nursing interventions necessary to
maintain patency of a nasogastric tube.
3.
Demonstrate insertion and proper maintenance
of a nasogastric tube.
4.
Describe nursing measures to alleviate
discomfort associated with a nasogastric tube.
5.
Describe various types of feeding tubes
including nasogastric, gastrostomy and
jejunostomy.
6.
Compare and contrast bolus, intermittent, and
continuous techniques for tube feeding.
7.
Identify basic principles of enteral feeding
pumps.
8.
Describe data to assess for patients receiving
tube feedings.
Transition RNSG 1140 Skills Module III
2.
Skill 47 – 4: Giving Enteral Feedings.
3.
Skill 47 – 2: Removing a Nasogastric Tube..
4.
Irrigating a nasogastric tube connected to suction.
(See Checklist)
Revised 04/13