NGT placement - page 3

I would appreciate advice on NGT placement. On a previous shift I placed and NGT tube without difficulty, varified by asculation at the epigastrum and had clear gastric return. The ER doc then... Read More

  1. by   mshultz
    Quote from alvarea
    I had the worst experience inserting an NG tube last year. It was only my second attempt at inserting a NGT. After inserting into the right nare i kept advancing the tube. After being unable to auscultate to ensure proper placement, we ordered an xray. Before t he cxr, we decided to change the babies diaper, upon doing so we realized the tip of the NG tube was protruding throught the ANUS! What did I do wrong!
    Are you guys sure that this is not an April's Fools joke?
  2. by   NeosynephRN
    That would be a looooong NGT to make it all the way out the other end...
  3. by   Pixie.RN
    Oh good, so I'm not crazy ... trying to wrap my head around the logistics of that one was difficult. LOL
  4. by   GleeGum
    I just read an email from AACN about NGT placement confirmation that the gold standard is to confirm with a chest xray and pH test. I can't find the email now, but that is also what I recently heard at the NJ ENA conference as well. Hope that helps!

  5. by   leslie :-D
    Quote from mshultz
    Are you guys sure that this is not an April's Fools joke?
    yeah, it was indeed.
    i can just visualize the ngt advancing through that very loopy sm intestines, then colon then through the anal sphincter...

    brought a smile though.