silly nursing question, hope u can answer it...

  1. Okay I am starting nursing school sept 2010 and I have heard, not sure I believe this but... do we as students practice inserting nasogastric tubes into eachothers noses or just work on simulator dummys for that? I know this is a silly ques. But I am curious and a bit freaked out about having it done on me. Also, how far into your nursing clinicals do u start practicing this? Please respond if ya don't mind. Any tips on how to perform procedure is welcome too. I have a baseline idea on how it can be done, I saw my mom get one in the hospital and the nurse walked through the steps for it. Thanks.
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    About Erindel RN, ADN, BSN, RN

    Joined: May '09; Posts: 479; Likes: 114

    24 Comments

  3. by   Nurse_Diane
    At my school (university) we NEVER practiced invasive procedures on one another, nor were we allowed to, inside school or outside of school. I agree... would not be a comfortable situation at all.

    I have heard nurses who have been in practice for 20+ years talk about having to start Foleys on one another when they were in school (shudder).

    The most 'invasive' thing you may have to do is a bed bath (where the person you bathe is wearing t shirt/tank top and shorts).

    Good Luck!!
    Diane
  4. by   *ac*
    No, we did not practice it either.
  5. by   Erindel RN
    Thanks diane... appreciate your feedback.
  6. by   Nurse_Diane
    Quote from Erindel
    Thanks diane... appreciate your feedback.
    You are very welcome.

    All the best to you!!
  7. by   mom4josh
    We never did invasive procedures on each other either. We took vitals, but that was about it. Everything else was on a dummy (and, therefore, much easier because they are anatomically perfect).

    NG tubes aren't usually hard. The worst part is getting the patient to cooperate. They need to tilt their head forward, swallow as the tube goes down (it helps to have a cup of water with a straw), and not freak out when they gag (which they WILL do). Then , when you think you're down far enough, you use an oversized syringe to inject air while listening to their stomach with your stethoscope. Only if you hear air do you know you're in the right place (or if you get tons of gastric fluid in the tube when you insert it).

    This happens to be one of my favorite procedures to do, but I don't get to do it often enough.

    Good luck in your studies.

    Oh, and I think it was either first or second semester when we learned this.
  8. by   Erindel RN
    Thanks mom4josh that was helpful info....
  9. by   moonshadeau
    We had to practice starting IV's on each other. I still have the scar We never did NG's or anything else invasive. I hate to say that most of my practice was on real patients.
  10. by   nurseneedaname
    We practice using a dummy!
  11. by   Midwest4me
    Quote from diane-rn in michigan
    at my school (university) we never practiced invasive procedures on one another, nor were we allowed to, inside school or outside of school. i agree... would not be a comfortable situation at all.

    i have heard nurses who have been in practice for 20+ years talk about having to start foleys on one another when they were in school (shudder).

    the most 'invasive' thing you may have to do is a bed bath (where the person you bathe is wearing t shirt/tank top and shorts).

    good luck!!
    diane
    wow, this gives new meaning to the phrase "up close and personal"!!!! i've been practicing 24 years and when i was in school we never started foleys on each other. i cannot imagine any school permitting that. someone is pulling your leg. we gave ourselves (and other students)im injections with normal saline though after practicing on an orange. we never did the practicing of ng tubes(may have been in the second year of the rn program which i opted not to continue) but i had a friend who went through the rn program at a different school and she told me of her experience. she'd eaten a peanut butter sandwich prior to returning for class and that's when they practiced the ng tube insertion--on her---she said its removal was not a happy time!:uhoh21:
    Last edit by Midwest4me on Jun 19, '09 : Reason: Misspelling
  12. by   Acosmo27
    At my school we only did them on the dummys.. I think practicing this skill on eachother is a little outdated.. my professor told me that they used to do it on eachother (but that was about 30 years ago)... honestly if we had to do it on eachother, I would have refused... theres no way. The only major thing we did on eachother were IV insertions...
  13. by   sicushells
    Quote from mom4josh
    Only if you hear air do you know you're in the right place (or if you get tons of gastric fluid in the tube when you insert it).
    Evidence-based practice shows that only a positive KUB proves NGT placement. There are a couple cases of patients having NGT placed, + air bolus/pH test documented and then the NGT was found in the brain or lungs.
  14. by   lornasrn
    Hi, I graduated in 1985 from nursing school and we did do NG tubes but only on the people that volunteered. We did practice SQ and IM injections and started IV's on each other. I personally passed out then no one would touch me. I do believe that is no longer allowed. Someone probably sued. We did not put foleys in each other. We did it on patients. The above description of how to put in a NG was excellent. It is not hard and gives the patient a great deal of relief. You will do great. Good luck with school!

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