NGT Insertion Procedure.
1. Verify Doctor’s Order and the Patient and patient’s written consent: To make sure that the patient is
right and has the consent before the procedure
2. Gather the Equipment/presents substitute at home: NGT tube and dressing, syringe, lubricant,
gloves & apron. Water and tray.
3. Wash hands to prevent contamination
4. Don PPE to protect self and patient from contamination.
5. Introduce self to patient to establish rapport.
6. Confirm patient’s name and Date of birth. It is essential in improving the reliability of
the patient identification
7. Explain the procedure to the client. Gain/ verify given consent from the client. To elevate anxiety
At the moment you are having trouble swallowing food in the normal way. Because of this, we need to
place a fine tube through your nose going into your stomach to allow us to provide you with nutrition.
The procedure shouldn’t be painful but won’t take long. If it becomes too uncomfortable to you and you
want me to stop, just tap my arm.
8. Assess client on allergies on latex and Presence of Pain.
Do you have any allergies? Is it painful?
9. Position the client on High fowler’s position. It is often easier to swallow in this position and gravity
helps the passage of the tube.
10. Measure the insertion length from the tip of the nose to earlobe down to 5cm below the sternum.
And note the length.
11. Lubricate the tip of the tube and gently insert the NG Tube into the nostril. Advance the tube until
you reach the desired length. Lubricating the tip is to reduce friction and elevate pain.
12. Aspirate the gastric Content. To check the patency and to determine the location of the feeding t
ube.
13. Secure the NG tube. To prevent from pressing against and irritating the edge of nostril.
14. After care on the bedside. Clean the bed
15. Thank the patient for the time and cooperation. Provide paper towel for the client to clean
face/nose
16. Disposed used equipment and PPE into the yellow bin trash can. Wash hands
17. Document the procedure and patient’s response.
