Hi, I'm a new nurse (9 months on a med surg floor). I had a pt the other night who came in with a SBO (he had a history of them since his cystectomy many years ago). Anyway, he had an NG tube hooked up to low wall suction and fluids running. Throughout most of my shift the drainage was green and bilous and totalled about 50-100ccs. Toward the end of my shift, he called me into the room and said he thinks the tube moved when he got up in the bed. He tried to push it back a little. I listened as a syringed some air into his tube and could hear a very faint sound. I secured the tape a little better to his nose and for the remainder of the shift (2 more hours) the drainage was thicker and more yellowish brown and very foul smelling, like stool, In the 2 hours I think another 200ccs drained. The tube kept clogging too. I was still trying to unclog it when the day nurse came on shift. She listened and could not really hear anything when she shot air in the tube so I told the doc who ordered a KUB. I'm not sure what happened after that because it was time for me to go home.
I'm questioning my assessment skills as I probably should have had the doc order KUB when the pt called me into the room. I also feel bad for dumping that situation on the day nurse but it was my last night shift in a big stretch of being on and off days and nights and I was pretty exhausted.
Do you think the tube ended in the duodenum when it was moved? Is this bad to have a tube in the duodenum attached to suction?
Any advice would help