Nursing Skills | Nasogastric Tube Insertion

Nasogastric tube insertion is a nursing procedure used for gastric decompression, medication administration, or enteral feeding. Nurses begin by verifying the order, explaining the procedure, and assessing nasal patency. The patient is positioned upright to reduce aspiration risk. After measuring the tube from the nose to the ear to the xiphoid process, the nurse lubricates the tip and gently advances it through the nostril while encouraging the patient to swallow. Correct placement is verified using approved methods such as pH testing or radiographic confirmation. Nurses secure the tube to prevent displacement and monitor for complications such as coughing, difficulty breathing, or nasal irritation. Documentation includes tube size, insertion depth, placement verification, and patient tolerance. Proper technique ensures safe and effective gastric access.

Hints About Placement Verification

Ensures correct tube location.

Tips About Patient Positioning

Upright posture reduces aspiration risk.

Facts About Monitoring for Complications

Detects displacement or irritation.