PROCEDURE CHECKLIST

Chapter 26: Removing a Nasogastric or Nasoenteric Tube

Check (9) Yes or No

PROCEDURE STEPS Yes No COMMENTS

1. Assists the patient to a sitting or high Fowler’s position.
2. Places disposable plastic bag on the bed or within reach.
3. Drapes a linen-saver pad across the patient’s chest.
4. Dons procedure gloves.
5. Attaches the a 60 mL syringe to the proximal end of the
tube and flushes with 10 mL of air.
6. Unpins the tube from the patient’s gown and then
untapes the tube from the patient’s nose.
7. Pinches the proximal end of the tube.
8. Asks patient to hold his breath.
9. Quickly and gently withdraws the tube and places it in
the plastic bag.
10. Hands the patient a tissue.
11. Provides mouth care.
12. Removes gloves and disposes of gloves and tube in the
nearest receptacle, according to facility policy.

Recommendation: Pass ______ Needs more practice ______

Student: Date:

Instructor: Date:

Copyright © 2007, F. A. Davis Company, Wilkinson & Van Leuven/Procedure Checklists for Fundamentals of Nursing