Removal of the nasogastric or nasointestinal tube from inside the patient.
Objective:
To remove the tube when the patient no longer needs it, it is obstructed, or in an improper position.
Equipment:
– Tray. – Clamp forceps. – Oral hygiene equipment.
Material:
– Waste bag. – Soaker. – 1 Syringe of 50 cc. – Gauze. – Disposable non-sterile gloves. – Oral hygiene material. – Cellulose wipes. – Nursing records.
Procedure:
– Perform hand washing. – Prepare the material. – Preserve the patient’s privacy. – Inform the patient of the procedure and that it may cause nasal discomfort or nausea. – Ask the patient and family to cooperate. – Place the patient in semi-fowler position. – Put on non-sterile gloves. – Place a soaker over the patient’s chest. – Disconnect the tube from the suction system or enteral nutrition equipment. – Introduce 10 cc of air or water through the tube so that it does not contain gastric contents when removed (in pediatric patients 3-5 cc of water). – Remove the fixations of the tube. – Clamp the tube. – Ask the patient to hold his/her breath so that the epiglottis closes. – Gently remove the tube without pause. – Place the tube in the waste bag. – Clean debris adhering to the nose. – Provide material for oral hygiene. – Keep the patient in the semi-fowler position for 30 minutes to prevent aspiration. – Collect material. – Remove gloves. – Wash hands. – Once the catheter has been removed, assess possible gastrointestinal alterations (vomiting, diarrhea, abdominal distension, etc.) and inform the physician. – Record in the nursing documentation: the procedure, reason, date and time, incidences, and patient’s response.
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