@@hexmaterialgworl well, the patient had severe Down Syndrome, so he was unable to follow the swallowing command. Unfortunately the tube ended up in his lungs, which my nurse told me was not uncommon. But we tried again while putting his straw in his mouth which got him to swallow, and it went right in!!
@@mollyharrison6860 Thank you for sharing! I have yet to insert my first NG tube in clinicals and am slightly nervous, I'm glad you had a good nurse help you out with that!
@@hexmaterialgworl if the patient is alert/ oriented, recommend some lidocaine jelly for them to snort down their nose and swallow prior to the NG insertion. This helps immensely with the discomfort. You can also use leftover jelly to lube the tube. If you don't have this, use lube of some type. Really helps with insertion and prevent any trauma to the tissues. Also, it is helpful to look into the nostrils with an otoscope before insertion to see which nostril is bigger and how the passageway angles towards the throat. Everyone's anatomy is different and sometimes there are dead ends in the nose, but if you look down the nostrils first you can see how to angle your tube and avoid this. Just shoving straight in is kind of a gamble.
Here in the US Minnesota always do an x-ray after insertion and no suction prior to x-ray no measuring a pH, you stated don't pass any through the tube until you got an x-ray you drew back gastric content measured the pH and then you re-injected 60ml of gastric content back to the patient not wise to do could cause the patient to aspirate if not in the right location.
yes I thought as much too... it wasn't so healthy to push it back into the patient... and I think even if the xray is done and ng tube confirmed in right position, the gastric aspirate done equally it shouldn't be sent back... it's like patient having a taste of his vomitus again...
@@momeforatenkeng9642You need to inject the gastric juice back for several reasons but including the biggest reason; to continue their digestion- especially for those who are emaciated or extremely injured/burned. When you're injecting the gastric juice back they're not tasting their own vomit. That's silly.
Wow! I am a nurse jn Germany and at the hospital i work at, we don’t do an xray. We just do an air bolus and aspirate. We don’t check the ph-level either.
In Australia you have to do X-ray after ng insertion and the Dr has to confirm the ngt placement my documentation . If ngt is dislodged then the pt needs to have X-ray done again
Theres actually another way to check without doing Ph level or X-ray, In my hospital They pump the syringe and use an stethoscope, If you hear a sound from the stomach that means its there Im not a nurse or doctor, but an patient had over 3 or 2 NG tube replacements and thats what they do
Listening for air in the stomach is very inaccurate. 1) it can be very difficult to hear, especially in larger patients, and 2) you can still hear an air bolus in the lungs and mistake placement. You should always get a bedside abdominal x-ray to confirm placement regardless if you do the aspiration or air bolus technique that way you avoid putting fluid in the lungs.
at my facility, we do a safety check when we give blood, two nurses must verify the patient name, DOB, ID number on the wrist band, blood type, expiration date, then we look at the bag to make sure the blood is all good. we use gloves and wash hands before starting the procedure, we also call the blood bank right as we are ready to hang the blood, because we have to hang it within 20 minutes. we also are in the patient's room for 15 minutes at the beginning of the transfusion in case of any reaction. VS before the transfusion, 5 minutes, then 15 minutes. if all is well, then the infusion goes from 75ml/hr to 125 ml's per hour for the transfusion duration. some good points here, but skipped a lot of steps. thanks.
![Female Foley Insertion (Urinary Catheter) [How to Insert Nursing Skills]](http://i.ytimg.com/vi/Mq4Yh0-iozY/mqdefault.jpg)
I am a doctor doing my internship year, and let me tell you nurses are my heroes, I learned a lot from them ❤❤
am a doctor doing my final week of internship but i can testify nurses are really the best
Inserting my first NG tube tomorrow in clinicals. Great refresher video!
How did it go??
@@hexmaterialgworl well, the patient had severe Down Syndrome, so he was unable to follow the swallowing command. Unfortunately the tube ended up in his lungs, which my nurse told me was not uncommon. But we tried again while putting his straw in his mouth which got him to swallow, and it went right in!!
@@mollyharrison6860 Thank you for sharing! I have yet to insert my first NG tube in clinicals and am slightly nervous, I'm glad you had a good nurse help you out with that!
@@hexmaterialgworl if the patient is alert/ oriented, recommend some lidocaine jelly for them to snort down their nose and swallow prior to the NG insertion. This helps immensely with the discomfort. You can also use leftover jelly to lube the tube. If you don't have this, use lube of some type. Really helps with insertion and prevent any trauma to the tissues.
Also, it is helpful to look into the nostrils with an otoscope before insertion to see which nostril is bigger and how the passageway angles towards the throat. Everyone's anatomy is different and sometimes there are dead ends in the nose, but if you look down the nostrils first you can see how to angle your tube and avoid this. Just shoving straight in is kind of a gamble.
@@aaronreeder5753 Thank you so much for the tips I appreciate it!!
Beautiful presentation! Thank you!
Here in the US Minnesota always do an x-ray after insertion and no suction prior to x-ray no measuring a pH, you stated don't pass any through the tube until you got an x-ray you drew back gastric content measured the pH and then you re-injected 60ml of gastric content back to the patient not wise to do could cause the patient to aspirate if not in the right location.
yes I thought as much too...
it wasn't so healthy to push it back into the patient...
and I think even if the xray is done and ng tube confirmed in right position, the gastric aspirate done equally it shouldn't be sent back... it's like patient having a taste of his vomitus again...
@@momeforatenkeng9642You need to inject the gastric juice back for several reasons but including the biggest reason; to continue their digestion- especially for those who are emaciated or extremely injured/burned. When you're injecting the gastric juice back they're not tasting their own vomit. That's silly.
@@momeforatenkeng9642They need every bit of that digestion for proper healing.
Wow! I am a nurse jn Germany and at the hospital i work at, we don’t do an xray. We just do an air bolus and aspirate. We don’t check the ph-level either.
RIP all your patients
Thats the old school method. They started doing ph and xray many years ago
In Australia you have to do X-ray after ng insertion and the Dr has to confirm the ngt placement my documentation . If ngt is dislodged then the pt needs to have X-ray done again
Some things happen just in theory lol 😛
We do xray here in America
Thank you from Ethiopia nurse 2nd year❤❤
Love from india . ..l start learning from your videos
Thank you for the help.
Theres actually another way to check without doing Ph level or X-ray, In my hospital They pump the syringe and use an stethoscope, If you hear a sound from the stomach that means its there
Im not a nurse or doctor, but an patient had over 3 or 2 NG tube replacements and thats what they do
Listening for air in the stomach is very inaccurate. 1) it can be very difficult to hear, especially in larger patients, and 2) you can still hear an air bolus in the lungs and mistake placement. You should always get a bedside abdominal x-ray to confirm placement regardless if you do the aspiration or air bolus technique that way you avoid putting fluid in the lungs.
@@nived8476 ive used 3 NG tubes and it worked perfectly fine
@@nived8476in the army we don’t have X-rays out in the field. It all Depends where you work and their policies
Thank you, NURSINGcom! ❤️
its good i am Ethiopian bsc nursing 3rd year student
Inserting my Ngt today!
Thanks from Brazil
it that the xiphoid process where you marked it? it looks like the stomach
In Guyana they do not do X ray to confirm the placement of the NG tube and they have patient care assistant doing this process which is wrong
What position should the patient be in to pass NG tube
What’s the extra blue hose extending from the NG tube and is it capped or open to air??
Do you have tips for the insertion if the patient is intubated?
straight back, chin tuck them, go slow. hook up to suction and see the color of the aspirate. watch the o2. get an X-ray. shoot for 60cm.
Lube it up.
And place an orogastric instead of NG.
the U stands for ureter not uterus. Thanks for such an informative video, always helpful
She said ureter
Thanks for the informative and educational 5 minute video. I just subscribed. ♥️♥️
How do I make sure that NG tube Ryles tube is in gastritis when the patient is under General anesthesia? In abdominal surgery
Great video, thank you
at my facility, we do a safety check when we give blood, two nurses must verify the patient name, DOB, ID number on the wrist band, blood type, expiration date, then we look at the bag to make sure the blood is all good. we use gloves and wash hands before starting the procedure, we also call the blood bank right as we are ready to hang the blood, because we have to hang it within 20 minutes. we also are in the patient's room for 15 minutes at the beginning of the transfusion in case of any reaction. VS before the transfusion, 5 minutes, then 15 minutes. if all is well, then the infusion goes from 75ml/hr to 125 ml's per hour for the transfusion duration. some good points here, but skipped a lot of steps. thanks.
This video is not on blood administration
They're not giving blood though
Thank you
Thanks❤❤😊
thank you! 8.6
You should have stressed about that blue pigtail. Many people will try connecting that to the syringe to aspirate fluid from.
Thanks!
it's nice
Thank you....good video..
thank you
thx
792 Lehner Plains
OK thanks
is it sterile?
Clean but not sterile
Isn't the ngtube insertion a sterile procedure ?
We were told no, just use regular gloves.
No because nose and throat are full of bacteria anyway
Nope! Stomach acid usually kills most, but anything with the mouth and nose, pretty much impossible to be sterile!
No, because the NG passage itself is not sterile and is full of bacteria.
Negative.
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Patient does not feel uncomfortable?
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Schroeder Circle
COMMENT 666, Break the streak so I don't end up needing a NG tube.
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I don't think she has good hands. I pity her live patients
its good i am Ethiopian bsc nursing 3rd year student
its good i am Ethiopian bsc nursing 3rd year student