Skill 23[1]..nasogastric Tube Lavage
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SKILL 23
Nasogastric Tube Lavage
EQUIPMENT 60 cc catheter tip syringe Warmed NS for irrigation (body temperature) Emesis basin Towels Gloves, nonsterile PROCEDURE
16. Remove gloves. Wash hands. Reduces transmission of microorganisms. DOCUMENTATION 1. Time, type, and amount of solution used. 2. Character and amount of returned fluid. 3. Child’s response to the procedure and how tolerated.
1. Check for physician’s order to obtain type and amount of irrigation solution and length of time of irrigation. 2. Gather equipment. Promotes organization and efficiency. 3. Wash hands. Reduces transmission of microorganisms. 4. Prepare child and family for procedure. Enhances cooperation and participation and reduces anxiety and fear. 5. Position child in high Fowlers position or on left side with head elevated 15°. 6. Put on nonsterile gloves. Protects nurse from contact with gastrointestinal fluids. 7. Insert nasogastric tube and check placement per procedure as described under Insertion of a Nasogastric Tube. 8. Attach syringe to NG tube and pull back on the plunger to aspirate stomach contents. Aspirate contents until there is no more continual return. Empties stomach before beginning lavage. 9. Fill the syringe with the prescribed solution and slowly inject it into the stomach. The volume of each infusion should be about 20 cc. Minimizes child’s discomfort and reduces risk of vomiting. 10. Pull back on plunger of syringe to aspirate lavage solution via the nasogastric tube. Discard in emesis basin. 11. Monitor amount of solution infused and amount removed. Verifies good return of lavage solution and permits monitoring of intake and output. 12. Repeat process until results are clear or the prescribed amount of fluid has been delivered. 13. During the procedure monitor the child for airway patency, cramping, nausea and vomiting, comfort level, and obstructions in the tube. Promotes the safety of the child. 14. Remove nasogastric tube, attach to suction, or clamp as ordered. 15. Dispose of equipment and returned irrigation solution in appropriate containers. Follows prescribed precautions.
Copyright © 2007 by Thomson Delmar Learning, a division of Thomson Learning, Inc. All rights reserved.
SKILL 23
Nasogastric Tube Lavage
EQUIPMENT 60 cc catheter tip syringe Warmed NS for irrigation (body temperature) Emesis basin Towels Gloves, nonsterile PROCEDURE
16. Remove gloves. Wash hands. Reduces transmission of microorganisms. DOCUMENTATION 1. Time, type, and amount of solution used. 2. Character and amount of returned fluid. 3. Child’s response to the procedure and how tolerated.
1. Check for physician’s order to obtain type and amount of irrigation solution and length of time of irrigation. 2. Gather equipment. Promotes organization and efficiency. 3. Wash hands. Reduces transmission of microorganisms. 4. Prepare child and family for procedure. Enhances cooperation and participation and reduces anxiety and fear. 5. Position child in high Fowlers position or on left side with head elevated 15°. 6. Put on nonsterile gloves. Protects nurse from contact with gastrointestinal fluids. 7. Insert nasogastric tube and check placement per procedure as described under Insertion of a Nasogastric Tube. 8. Attach syringe to NG tube and pull back on the plunger to aspirate stomach contents. Aspirate contents until there is no more continual return. Empties stomach before beginning lavage. 9. Fill the syringe with the prescribed solution and slowly inject it into the stomach. The volume of each infusion should be about 20 cc. Minimizes child’s discomfort and reduces risk of vomiting. 10. Pull back on plunger of syringe to aspirate lavage solution via the nasogastric tube. Discard in emesis basin. 11. Monitor amount of solution infused and amount removed. Verifies good return of lavage solution and permits monitoring of intake and output. 12. Repeat process until results are clear or the prescribed amount of fluid has been delivered. 13. During the procedure monitor the child for airway patency, cramping, nausea and vomiting, comfort level, and obstructions in the tube. Promotes the safety of the child. 14. Remove nasogastric tube, attach to suction, or clamp as ordered. 15. Dispose of equipment and returned irrigation solution in appropriate containers. Follows prescribed precautions.
Copyright © 2007 by Thomson Delmar Learning, a division of Thomson Learning, Inc. All rights reserved.
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