NG tube placement - page 2

I was just wondering how many nurses here have had the opportunity to place an NG tube on a patient? At my hospital, usually the interns/residents insert NG tubes. I did ask my manager awhile back... Read More

  1. by   ldh
    It is done every day in our NICU.....I would be surprised to see a physician inserting an NG tube.
  2. by   rn/writer
    Quote from Tweety
    Yes, many many times. I hate doing it because it's so uncomfortable for the patient.
    My ten-year-old grandson has spina bifida and has had too many hospitalizations to count. Any time he is post-op, he usually has to deal with a sluggish bowel/ileus, and that often means an NG tube. He has also reached a point of "treatment fatigue" where he has just about had it with being poked and probed and stuck and all the rest.

    This last time, when he was told he needed the NG, he was NOT happy. Finally, he was able to express that he didn't mind the tube so much once it was in, but he didn't like having it inserted. A very creative nurse asked if he wanted to put it in himself and he jumped at the chance. She, of course, stood by and watched every second of the procedure and did all the proper checks afterward, but he did the insertion and advancement himself. This gave him a bit of control over his life and saved him the huge amount of stress and energy that it would have cost him to resist.

    I was dumbfounded when I heard about it, but this is a kid who can cath himself. I'm grateful that the nurse saw what he really needed and was able to give it to him. My daughter was thrilled that the tube went in so easily. And my grandson was proud of himself instead of being traumatized once again.

    Obviously, this is not something that would be appropriate very often, but in this situation, it was a great example of treating the whole patient.
  3. by   Ortho_RN
    Quote from meandragonbrett
    We drop them all the time....I love dropping a NGT probably my "favorite" skill.
    Nice to know I'm not the only one.. People at work think I'm crazy... I would much rather drop a NG tube than start a foley any day... Most of my co-workers are quite happy to trade out
  4. by   TazziRN
    I'm good at dropping NGs but I hate doing it....mostly because I would hate having it done to me. I would rather insert foleys.
  5. by   nursemelani
    When I was in school I never volunteered when the opportunity came up to drop an NG. I was always so afraid of making the patient gag, or just doing something wrong with the instructor watching. Fortunately in home health, my patients usually have a g-tube with a mickey button. Much easier to re-insert or change when needed.
    Last edit by nursemelani on May 15, '07 : Reason: wording wasn't clear
  6. by   carol72
    I inserted my first one a few weeks ago - it was a salem sump & it was my first time.
  7. by   meandragonbrett
    Quote from Ortho_RN
    Nice to know I'm not the only one.. People at work think I'm crazy... I would much rather drop a NG tube than start a foley any day... Most of my co-workers are quite happy to trade out

    There is just something about it that I love doing. Everybody i work with hates dropping them and they always find me to do it because they know I will drop it and not think twice about it.
  8. by   Rach101
    I practiced inserting NG tubes on my fellow nursing student buddies and they practiced on me. Wasnt the most pleasant experience but not as scary as doing it first time on a patient. And now, whenever i have to do one in the hospital i can empathise with the pt cos ive had it done to me! :spin:
  9. by   vamedic4
    Quote from TazziRN
    Scatty, the OP works at a teaching hospital, and interns and residents do things at teaching hospitals that nurses usually do everywhere else. I've seen interns drawing blood and starting IVs, something you would never find anywhere else.
    ...I work at a teaching hospital also...and I've NEVER seen an intern or resident drop an NG tube, or start an IV. It's usually delegated to the nurse or a tech like myself.
    Oh, and I'm a foley hater myself. I hateto do foley's or I/O caths after having had one after my last surgery. And those baby girls hide their urethras all too well!
    Last edit by vamedic4 on May 15, '07
  10. by   Hoozdo
    I insert them all the time and like it. Even more challenging is a duotube which I do even more often. It is fairly obvious when you have inserted an NG tube correctly. You never know with the duotube until the KUB comes back!

    I enjoy this task 100% more than inserting a foley in a woman :uhoh21:
  11. by   nursemary9
    Hi

    At my previous Hospital--a teaching Hosp I might add, we dropped N/G tubes all the time. I think I've done hundreds over the years. It is my LEAST favorite job of all time, mainly cause pt's seem to have such a difficult time.

    When my hospital closed, we all moved to another Hospital run by the same organization--this is also a teaching hospital--only residents pass N/G's.
    Well, I can't say that I'm sorry about that, actually, but it is kind of strange. Most of them are actually pretty good at it, if I must say so.
  12. by   nursemary9
    Quote from rn/writer
    My ten-year-old grandson has spina bifida and has had too many hospitalizations to count. Any time he is post-op, he usually has to deal with a sluggish bowel/ileus, and that often means an NG tube. He has also reached a point of "treatment fatigue" where he has just about had it with being poked and probed and stuck and all the rest.

    This last time, when he was told he needed the NG, he was NOT happy. Finally, he was able to express that he didn't mind the tube so much once it was in, but he didn't like having it inserted. A very creative nurse asked if he wanted to put it in himself and he jumped at the chance. She, of course, stood by and watched every second of the procedure and did all the proper checks afterward, but he did the insertion and advancement himself. This gave him a bit of control over his life and saved him the huge amount of stress and energy that it would have cost him to resist.

    I was dumbfounded when I heard about it, but this is a kid who can cath himself. I'm grateful that the nurse saw what he really needed and was able to give it to him. My daughter was thrilled that the tube went in so easily. And my grandson was proud of himself instead of being traumatized once again.

    Obviously, this is not something that would be appropriate very often, but in this situation, it was a great example of treating the whole patient.



    What a MARVELOUS Nurse this was!! I thank God that there are so many of us who can "see" what some of our patient's need!!! WOW
  13. by   ayla2004
    Quote from scattycarrot
    I am surprized to hear that nurses over here don't regularly pass NGT's! Is that normal everywhere or is it just this one hospital? I am from the UK and good luck trying to find a doctor to pass an NGT.Stictly a nursing job unless its during a code or trauma call!
    NGT where placed by the SHO(resident) while i was in ent(placement)

    though elsewhere its a nurses job

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