Removing a NG (Nasogastric) Tube

  1. Check physician’s order for removal of nasogastric tube.
  2. Explain procedure to patient and assist to semi-Fowler’s position.
  3. Gather equipment.
  4. Perform hand hygiene. Don clean disposable gloves.
  5. Place towel or disposable pad across patient’s chest. Give tissues to patient.
  6. Discontinue suction and separate tube from suction. Unpin tube from patient’s gown and carefully remove adhesive tape from patient’s nose.
  7. Attach syringe and flush with 10 mL normal saline solution or clean with 30 to 50 cc of air. (optional).
  8. Instruct patient to take a deep breath and hold it.
  9. Clamp tube with fingers by doubling tube on itself. Quickly and carefully remove tube while patient holds breath.
  10. Place tube in disposable plastic bag. Remove gloves and place in bag.
  11. Offer mouth care to patient and facial tissues to blow nose.
  12. Measure nasogastric drainage. Remove all equipment and dispose according to agency policy. Perform hand hygiene.
  13. Record removal of tube, patient’s response, and measure of drainage. Continue to monitor patient for 2 to 4 hours after tube removal for gastric distention, nausea, or vomiting.

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22 thoughts on “Removing a NG (Nasogastric) Tube

  1. when my daughter had one (4yrs) the nurse said ” let me have a little look hunny” and whip! out it came haha perhaps with children the suspense and explaination of what’s about to happen worse than the actual thing!!

  2. Most of all, Turn off suction.! I had one removed and RN left the suction on. Strange and a bit painful. But not as bad as going in. Use good tape too because I bent down to pick up a blanket and it just come out, couldn’t beleive it. Had to go thru having it put back in.

  3. Knock @ door, check pt id , explain procedure ,standard precaution(no longer universal procedure)before & after procedure good hand washing!!discard red pt x 72 hrs

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