The use of nasogastric tube in healthcare
Anchor tube Discussion Overall, this study explored the perspectives of auxiliary and professional nurses on the extent to which they adhere to standard nursing protocols on NG tube feeding and the possible barriers that constrain them in their efforts to adhere to these standard practices.
Nasogastric tube sizes and color
To date, there has not been one study that has conclusively stated the best practice for NGT reinsertion verification. The length of the feeding tube at the nostrils or mouth at the time of x-ray, as confirmed by NG documentation. Provide patient with drinking water and a straw if the patient is not fluid restricted. If either nostril is equally suitable, select the nostril closest to the suction. These methods included auscultation, checking pH, and using the previous tube measurements. Ensure appropriate checks are made before any fluid is inserted into any line. The x-ray must be interpreted by clinicians who have been deemed competent in assessing the position of feeding tubes by x-ray. This helps prevent biomechanical injury to the health care provider. Professional nurses are further taught the procedure for insertion of the NG tube and are permitted to perform this procedure especially in rural areas where there are no medical doctors to perform this role. Tube markings should be used for all babies to enable accurate measurement of depth and length and the position of the tube documented Managing blocked feeding tubes The same safety principles apply to managing blocked tubes: If aspirate cannot be obtained because the tube is blocked, fluid SHOULD NEVER be injected into the tube to unblock it. Use of medication to reduce stomach acid. Children may need an NGT placed daily, or at a scheduled interval i. Expires June 04,
NG tube feeding, which is a type of enteral tube feeding, involves the delivery of nutritionally complete feed via a tube into a gut [ 2 ]. Do not give the patient anything to eat or drink without knowing that the patient has passed a swallowing assessment.
This feeding approach is used for patient who are unable to meet their nutritional requirements orally due to reasons stated earlier. A review of this document reveals these published guidelines follow the same procedures and warnings as are currently practiced in the United States.
When to remove ng tube
Verify tube placement according to agency policy. Therefore, these practices could vary from agency to agency, thus patient education will vary. There is currently paucity of empirical data on NG tube feeding and related challenges at clinical settings in Ghana. Prior to being discharged from an acute care setting, nurses generally work with one or two primary family members who will assume this responsibility. Moreover, adherence to standard protocols in NG tube feeding has not been explored from the perspectives of nursing staff who play a critical role in NG tube feeding, hence the need for this study. Ask the patient about previous injuries or history of a deviated septum. Professional nurses are further taught the procedure for insertion of the NG tube and are permitted to perform this procedure especially in rural areas where there are no medical doctors to perform this role. These methods included auscultation, checking pH, and using the previous tube measurements. The home healthcare nurse may or may not have had the benefit of participating in the teaching process for the family member. Seven independent variables were used to predict staff probability of adherence using a Univariate Ordered Logistic Regression OLR proportional odds model. This aids in timely recognition and identification of tube displacement or migration.
Even though a number of studies have been conducted on NG tube feeding in the reviewed literature [ 913141516 ], there remain dearth of literature on the comparative differences in adherence by professional and auxiliary nurses particularly within the context of low resourced countries such as Ghana.
Questionnaires were administered randomly to eligible respondents who were available and willing to respond.
The use of nasogastric tube in healthcare
This will allow for sharing of information and teaching points. The home healthcare nurse may or may not have had the benefit of participating in the teaching process for the family member. The feed may need to be stopped to allow time for the stomach to empty and the pH to become acidic. Prior to discharge from the hospital, they must also demonstrate administration of feedings and medications, along with the care of the NGT. These may vary from agency to agency, thus providing inconsistencies in teaching and techniques. Also, Wilcoxon Mann-Whitney test was used to determine differences among professional and auxiliary nurses in ten 10 key Likert scale items on standard practices in NG tube feeding. As at a total of 13, registered general nurses i. Unlike their counterparts in the acute care setting where an x-ray can be easily obtained, home healthcare nurses must use agency policy and procedures coupled with their own education, knowledge, experience, and skills when performing this procedure. This revelation either suggests perhaps professional nurses were more honest in their responses as compared to auxiliary nurses or indeed the professional nurse knew the standards but for one reason or the other they are unable to follow them to the latter on routine basis. Any tubes identified to be in the lung are to be removed immediately, whether in the x-ray department or the clinical area. Aspirate a small amount of stomach contents using a 20ml or 50ml syringe in infants and children Inject ml air into the tube using the same syringe as mentioned above to remove a blockage at the end of the line or move the end of the tube away from the lining of the stomach. This could include emergency numbers or a "back-up" trained person, for example. DO NOT test correct tube positioning by monitoring for bubbling at the end of the tube. Recognizing this, the goal of the NOVEL project is to work toward effective, practical solutions to the challenge of safe initial placement of NGTs and ongoing placement verification.
based on 78 review