NG Tube Placement PRINT

NG Tube Placement Protocol

I. Equipment (May vary between sites)

a. Nasogastric tube
b. Large emesis basin filled halfway with warm water
c. Lidocaine gel
d. 5mL luer lock Syringe for gel
e. HurriCaine One- Benzocaine Oral Anesthetic (if available)
f. Towel
g. Nasal attachment, silk tape or bridle (bridle requests must be included with order)
i. Scissors and hemostat needed for bridle placement
ii. Double check bridle size (match to tube)
h. Alcohol pads
i. Adhesive remover
j. Suction hooked up and ready
k. Solidifier (open if needed)

II. Personnel

a. Radiologist/RA

i. Responsible for placing tube under fluoroscopic guidance
ii. Responsible for placing bridle when ordered

b. Hospital Technologist

i. Prints order for radiologist/RA review
ii. Documents patient history and pregnancy status prior to exam
iii. Assists the radiologist/RA during procedure
iv. Provides patient and floor nurse with aftercare instructions

III. Procedure

a. Warm NG tube by placing in emesis basin + warm water
b. Inject lidocaine gel in patients nare (administer Benzocaine spray PRN)
c. Under fluoroscopic guidance- place NG tube with tip in stomach
d. If gastric fluid spills from NG tube- hook to suction immediately
e. Secure NG tube to patients nose with nasal attachment, silk tape, or nasal bridle (if ordered)

IV. Required Images

a. KUB or fluoro screen capture – NG tube placement with tip in stomach

V. Special Considerations

a. Suction should be connected and ready for use before NG tube placement
b. Nasal bridles to be placed by order only
c. Nasal bridles come in different sizes, make sure you have the correct size to match tube
d. Patients should be NPO for this exam