During my med surg clinicals this week my pt. had larnyx removed, stoma w/yonker (sp) & ng feeding tube. Pt was to be d/c but feeding tube came out....Dr was paged & paged & paged.....mad he had to come in to replace. Nurse tried but couldn't get it in. Dr. came in no conversation w/pt...took tube did not lubricate put it in. Then requested largest suture you can find....took this thing that looked like a great big fishing hook & put it through the middle inside part of pt's nose!!!! Did not numb it, spray anything on it, did not tell pt what was going to happen just rammed it through......finally. Then tied the suture so tight the pt's nose was indented.When I realized what had just happened I just about died........I was furious & started to cry & left the room. I feel so guilty........I can't get this pt & the look on face & eyes out of my mind. There were two nurses in the room & I gasped & looked at them, they held the pt's hands down while he did this. Iwas gone a few mins & went back, afraid what else might happen to pt. I thought if anyone touched pt again like this again they will go through me first.The Dr said to the pt...won't be going home today & walked out! I got the cold shoulder after this from the nurses...not real obvious but you could feel the chill in the air when I was around. I stayed w/pt & did everything I knew how to help after this. Is this how things are done??? As a student should I have said something when I figured out what was happening??? I feel so horrible & I have cried & cried. Don't we act in the pt's behalf & best intrest??? My instructor said there was nothing I could have done.... I am not so sure.I feel like I should have said or done something. Thanks for reading this & your input would be appreciated. I am just sick........