5-16. TAPE THE TUBE TO THE PATIENT'S NOSE
Center the length of the tape under the nasogastric tube; the adhesive side of the
tape should be up. Cross the ends of the adhesive over the top of the tube. Press
down to secure the tape to the skin. Finally, connect the tube to the suction apparatus,
if ordered. (The doctor may order continuous or intermittent (off-and-on) suction.)
5-17. PROVIDE FOR THE PATIENT'S COMFORT
A patient who requires nasogastric intubation is often quite ill and apprehensive.
For that reason, the patient's environment must be kept quite, clean, tidy, and well-
ventilated. Remove any soiled linen or equipment. Adjust the patient's pillows and
bedding for comfort and neatness. Place the bed in a low position. Raise the siderails
if used and place the call bell in easy reach.
5-18. REPORT AND RECORD THE PROCEDURE
Note the completion of the treatment with a description of the stomach contents.
Record other information as necessary in accordance with local unit procedure.
5-19. PROVIDE HYGIENE CARE
Help the patient maintain good personal hygiene. The teeth should be brushed
three or four times a day to stimulate the flow of saliva, to keep the mouth moist and
clean, and to prevent parotitis (inflammation of the parotid gland). Change the position
of the nasogastric tube from one side of the nose to the other and be sure to lubricate
the intubated nostril. Changing tube placement and lubricating the nostrils help prevent
either side of the nose from becoming sore, tender, and/or cracked. Change the
adhesive tape whenever necessary. Finally, provide reassurance to the patient.
Section III. PROCEDURE FOR REMOVING THE NASOGASTRIC TUBE
5-20. PEEL OFF THE TAPE FROM THE NOSE AND NOSTRIL
This is the procedure to follow:
a. Approach and identify the patient. Explain what you are going to do. For
example, "The tube is being disconnected because you are doing so well."
b. Wash your hands.
c. Turn the patient's head away from you in case the patient vomits. Be
prepared by having an emesis basin near to give to the patient. Place the basin under
his chin to catch vomitus, if necessary.