Nasogastric Tube Insertion - NG Tube!
ฝัง
- เผยแพร่เมื่อ 25 ส.ค. 2024
- EmpoweRN.com!
Hello guys!
Thank you so much for watching this video!
I wanted to do this really quick video just to familiarize you with some equipment & a procedure that we do as nurses!!
When I first started as a nurse, I was terrified of this procedure, but just knowing the equipment & needed supplies helped me a lot.
I have come to love the relief that our patients can have from having this inserted & relieving the pressure from their abdomen.
I do have to say, I did not have the best supplies to create this video, but I still think that the tips from this video will help you out a lot as you go through nursing school or work on your own job :)
If you did indeed like this video, please let me know by giving it a "thumbs up" & posting a comment to let me know!!
I really look forward to hearing from you soon!
With much Love,
- Caroline
Thank you: Life Medical Equipment for making this video possible!!!
Disclaimer:
These videos are intended for entertainment purposes only. Please follow the policy and procedures that your institution requires.
Please note that the views, ideas & opinions expressed on this channel and in the videos on this channel are not necessarily of those of my employer or institution. The views expressed on this channel and in the videos channel do not represent medical advice. If you have specific medical concerns, please contact your physician. In order to protect patient privacy, all patient identifiers in all videos have been deleted or altered.
The views expressed on this channel and in the videos on this channel are personal opinions. I am not an expert nor do I dispense medical advice or procedural specifications. The information I present is for general knowledge and entertainment purposes only. You need to refer to your own medical director, teachers and protocols for specific treatment information. It is your responsibility to know how best to treat your patient in your jurisdiction.
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The best bedside confirmation of NG tube placement is to aspirate gastric contents and measure the pH! Just learnt this last semester :)
Kayla Edwards Hi Kayla! Thank you very much for sharing your thoughts.I appreciate it. -xoxo!!
The whoosh test (when you insert air and listen) is banned in the UK to confirm NG tube placement.
hi is it suppose to be in the earlobe when u measure
That's what we learned too, but in her defense...my instructors told us that the way she showed used to be common practice among nurses in many hospitals, but tests have shown it isn't always very accurate so now things are starting to switch over.
X-Ray should be the only definitive confirmation
Thank you for this short and straight to the point information.
We are actually doing NG tubes in lab this afternoon so this is great prep! Thanks Caroline!
Hi Amy!
Awesome!! Thanks so much for letting me know that you liked the video!!
Looking forward to seeing you on here again soon!!
Much Love,
- Caroline
Caroline Caroline Caroline! I just want to say that you are the sweetest thing and I'm so encouraged by your heart and videos. So be encouraged yourself because you are helping and touching so many lives with your heart to teach and help others. I contacted you like 2 years ago I think and you were kind enough to email me back and encourage me. I'm graduating in June and I wish I had you as a fellow classmate! Keep the videos coming because a lot of nursing school teachers do not understand what students truly need and feel. God bless!
Marylou Fulton Hi Marylou!!
Wow, I remember your email!! It has already been 2 years!!
So happy for you :)
I know you worked really hard for all your success & deserve all good things!
Thank you for taking the time to write this comment & let me know that the videos help :) You are the best!!
Please remember to keep in touch as you approach this exciting new phase of your life!!
Much Love,
- Caroline
Hello Caroline, thank you for your videos, all of them are awesome...
panchita Awe thanks so much for letting me know!
Really really appreciate it!!
Looking forward to seeing you again soon!
Much Love,
- Caroline
this video was very helpful! thank you!!
So I just found this video!! Have been looking for a person on TH-cam that is going to be a compliment my other work videos in my study book and u fit the bill! Thanks for the info! New Guy student nurse just trying to stay afloat on the sea of info!
You rock! Thanks for taking the time to make this video! I love that you add in some helpful personal tips.
Hi Jessa!
Anytime!! Thank so much for watching & I look forward to seeing you on here again soon!
Much Love,
- Caroline
Thank you, loved it. Would love to see more of these. Thanks again.
Roslyn Sambuca Roslyn!!
Will definitely do more when ever I can!!
Keep in touch!!
xoxo!!
just started watching your nursing videos, I am currently a LPN student and your videos help out a lot! keep it up :)
Nicole Hurd Welcome to my EmpoweRN :) I'm grateful to see you here. Feel free to visit more of our videos. I do hope it helped you a lot.. xoxo!!
Wow this is the first medical youtube video I have seen where all the comments arent saying "Your doing it wrong!" You got one subscriber in me!
Thanks so much for letting me know Nick!
It is honestly a little hard to show it properly...
But the thing is, I just wanted to familiarize you with the equipment :)
This way, when you get to nursing school, things will be less foreign :)
Thanks so much for subbing & letting me know!
See you soon!
- Caroline
nice thanks for sharing this video Chrissy
Youre so awrsome for these videos. We spoke a while ago. Thank u so much.
Creative1 Jaydi Awe thanks!!
I hope we speak again soon :)
xoxo
- Caroline
Thank you so much for the video!!!
Your welcome :)
Well, your videos are really helpful :) I should be going to Germany soon, to work as a nurse and I'm really glad I stumbled upon your channel. You explain thinks very well :)
XenobiaPd You are so welcome! Thank you for dropping by. I wish you all the best in your trip and plans to Germany. Keep in touch! -xoxo
I think she is a great nurse.
thanks we are doing this now
Excellent as always! I love these because I feel like you're right there precepting with me! Can you do a skills video in the future about piggybacking IV's? I watched your IV skills video before and was hoping for one about if the patient gets more than 1 IV bag. Also how to disconnect or discontinue IV's when they start beeping and just any helpful hints about IV's because they really scare me! Thank you so much Caroline!
Awe thanks so much for writing this!
You are too sweet! I love it when I have students :)
If only you were in the Miami area ;)
I will definitely create more skills videos as supplies become available!!
Looking forward to seeing you on here again soon!
Much Love,
- Caroline
great video... really helpful. we usually have CXR as protocol in Australia just to be safe.
Thank so much for letting me know!!
I think it is necessary myself!!
Looking forward to seeing you again soon!!
xoxo!!
- Caroline
0401412740 we don’t use cxr in Canada unless it’s for feeds
hello host nice video thanks for sharing this keep on watching Chrissy
Tjis is great skill for caregiver thank you for sharing..chrissy
Great skills nice sharing this video.melanie
Thank you for sharing god bless..Aivsor
I was a patient who had to have a NG Tube inserted this past June 21st due to what the ER thought was a partial small bowel obstruction, which actually was later diagnosed as my small bowel had just collapsed, there was no obstruction. I have to say Empowern, I wish you had done the procedure. They had me drink warm water, and I felt that tube going through the nasal area right as she started putting it in. I would say to patients, try ice cold water, it helps to numb the throat a little more as the tube goes in. And this is a great video, wish I can meet empower in person someday ;) what a great nurse !
Hi Jeff!
So sorry to hear that you were not feeling well!!
I hope you are better now :)
Thanks so much for the comment & positive support!
Looking forward to hearing from you again soon!
Much Love,
- Caroline
***** ya I am doing better. I had to have a x ray done this morning where I had to take Barium and they monitored the barium entering the stomach and small intestine, They said with a partial small bowl obstruction that it might take 2 or 3 hours for the test to be done, but it only took 25 minutes.... I guess that NG Tube was just another name for a Internal Roto Rooter LOL .... I am guessing everything is fine seeing as I was done so fast.
This is wonderful my clinical instructor is a little intense so I'm always on edge. At least now I have a visual before I have to actually do it. IV insertion next please.
Also thanks for the email letting me know when you post new videos your wonderful!
Awe so glad to hear that!!
Thank so much for letting me know!!
I actually already have an IV video... here is the link:
th-cam.com/video/qxZqfEudYEE/w-d-xo.html
I say "ok" like a million times in the video.... so sorry... it was before I figured out how to edit lol!
But the content is still good!!
Looking forward to hearing from you again soon!
Much Love,
- Caroline
Your welcome!!
I will do my best to keep the emails coming :)
Much Love,
- Caroline
Thank you for sharing this video..melanie
Thank for sharing great video.melanie
Very nice demo from Chrissy Rylchee
thank you :) you're an angel
+Kahlua Girl thanks love ❤
thxxx alottt madam it helped me very much....in my finals
+sofia bhagat Awe yay!!
Thank you so much for letting me know!!
xoxo
- Caroline
thank for sharing..Myrnz
Thanks you for sharing my friend..Dhez
Love your videos!!
Thank so much for letting me know!!
See you again soon, I hope!!!
xoxo!!
Loved it!
Hi Feerba!
Thanks so much for letting me know :)
Really looking forward to seeing you again soon!
Much Love,
- Caroline
Wow amazing thank you so much for sharing this vedios.chrissy
Thank you! I appreciate it...I have clinical finals tomorrow!:)
Maverick Canto You're so welcome! Thank you for letting me know :)Good luck and God bless for your clinical finals tomorrow! Keep in touch! xoxo!!
Wow! Great video! (again!) :) STILL makes me a little squeamish to think about doing this! :( I know that I will have to get over that seeing as how I am starting the LPN Nursing Program in less than a month!! I'm excited....nervous....and scared all at the same time!!! I really think that all of your videos are going to be SO helpful when I get to my stressful points. I will CONTINUE to watch you, and use you as a reference, always!!! Keep up the good work!!! :)
Hi LaVerne!!
Honestly, it is not my favorite nursing skill to perform... however, keep in mind that you are performing this for patients that are feeling terrible do to the pressure in their stomach... after the relief... they always feel a lot better :)
I hope this helps!!
And thank so much for your positive support!!
See you soon!
xoxo!
- Caroline
Watching sending support..aivsor
shout out host nice keep on watching Chrissy
Wow amazing. Aivsor
Thanks for sharing this video from Dhez
thanks for the information.support.chrissy momma
watching nice sharing..chrissy
Great demo.Can you do one on an Enema and changing a bowel Diversion Ostomy Appliance?
To verify the placement of the tube you can also mesure the pH level of the liquid with the syringe, if it's acid it's on the stomach and if it's basic it's on the lungs. Also you can look at the color of the liquid. (sorry if my english is not so good...) :)
***** Hi Jeanne! Your english is fine! Yes the PH is also a way to verify placement! I learned this in Nursing School... but the places that I have worked at seem to always want an x-ray to be sure.
Not exactly sure why that is...
Thanks for the comment though!!
xoxo
- Caroline
Yeah i learned it a few weeks ago at school :) thank you xxx
This video is great for nursing and caregiver ..melanie
Thank you so much! :)
hi..is it possible that a NG tube is improperly placed but the patient looks calm and not gasping? thanks
sending love and support..Myrnz
Watching and support here from Melanie
Watching very informative video.melanie
Haven't you forgotten about taking out the air you pushed into the stomach??
Hi Tomasz,
Honestly, I was never taught that... but maybe it is because we are usually attaching suction as soon as placement is confirmed.... either way, it does make sense to draw back the air so that you are not adding to the volume in the stomach!
Thanks for the comment!
See you soon!
xoxo!
- Caroline
Nice sharing thanks..dhez
Love and support here from Dhez
Hi Caroline!
I am wondering what scrubs you are wearing in this video and maybe what some of your favorite brands and styles are. Love your videos as always! Thanks for inspiring me to keep up the hard work through nursing school.
Mallory
Mallory Nelson Hi Mallory!
It is really nice to hear from you!
In this video I'm wearing grey's anatomy scrubs. I really like them, they are very soft & attractive.
Some other brands that I like are Jaanuu, they are a new company, but they sent me some scrubs to try out & I'm definitely a fan. They are super cute & comfy as well.
I also wear cherokee, they are reasonably priced & extremely functional.
I hope this helps!!
xoxo
- Caroline
You should also measure the NG tube from nose to ear them stomach as a guide to how far you push the tube down. Aspirate the contents and use Ph paper to check if it is stomach content
Holly Smith Absolutely Holly! Thank you for adding this info. -xoxo
***** is there anything else I can use water-soluble lubricating jelly for, besides inserting the tube? ; )
can i get some xoxo too?
thx love!
Holly Smith we don’t use ph paper or air aspiration in Canada anymore. Gastric contents are apparent
Hey Caroline! Great video as always :). I LOVE your skills videos, they make complicated things seem simple! Do you think you could make a video on your physical assessment? I'm always looking for ways to make my assessments more concise yet thorough. Thank you!!!
Hi Cozette!
So nice to see you on here again!!
I need to create that video for sure!!
I will will do it as soon as I can!!
Thanks so much for the comment!!
xoxo!!
- Caroline
nice sharing..support from Myrnz
Nice video sharing..melanie
I liked it a lot. It looks painful to me though. This is one of the skills that I feel like I will be very nervous to do on someone because I am very cautious when it comes to the nose. Having something going inside one, gets me a bit squeamish.
I feel it! But I'll have to get over it
Hey Caroline! Great video, thank you! I'm wearing a Holter Monitor right now. As a tele nurse, can you please explain the location of the right and left leads? It's hard to understand why one is not directly over the heart. Thanks!
Hola!!
That is true... I forgot about that!
Thanks so much for the request!!
xoxo!!
- Caroline
omg thanks so much for this one..can u do videos about CENTRAL lines? like for example, how to change PICC line dressings? thanks
I would love to do that!
I hope supplies become available soon!
Much Love,
- Caroline
You should a towel and emesis basin just in case they decide to vomit. ;) also having the patient on pulse ox doesn't hurt
Great tips!!
Thanks so much for sharing!!
xoxo!
- Caroline
you are amazing! thanks for the video. it has helped me to get prepared for my skills test tomorrow. i hope i ace it and have more confidence with it. btw, do u have any tips on being confident with skills? my teacher says that i am book smart, but that my brain thinks differently during skills. personally, i think i suck with skills test
Blessing Emenyonu Hi Blessing!
Honestly the only thing that helped me feel more comfortable for skill checkoffs was to practice the skill over & over again....
These skills are not common sense and every movement is important. So the more you do it, the better you will do when your professors are watching you!
I hope this helps!!
xoxo!!
- Caroline
***** thanks a lot for your feedback! Yes it totally will help.
I'm a guy, and it's my dream to be a nurse. It's been so hard getting in to school nowadays 😪
+Hussain Aziz You ever get started? Good luck
wtching nice video..Myrnz
Support from Aivsor
Do you have to test for pH? Or does the physician do that?
Sending love support from Dhez
God bless you from Melanie
I've personally have had this procedure done to me, three times, not fun! Haha. I remember once a nurse was doing the procedure and he did f give me water, when I asked for it he refused, saying something like (it was years ago) the water would not be helpful, it sends the tube down wrong. Would you know why he wouldn't give me water? I know your not psychic but maybe a coworker doesn't use water, everyone had the own technique. Great video!!!
MissGeeklyChic♥ Hi Love!
I'm sorry to hear that you had to have this procedure done!
I'm honestly not sure though... this is just the way I was taught.
I have seen other people not use water & it also works....
But my textbook from nursing school did say to use water...
I hope this helps!
xoxo
- Caroline
Sending love support from rylche Chrissy
Love and support.. Love Filipina Raquel TV..
How can you tell w/o an xray that the tube is positioned in the lung area and what can you do to fix it? Thanks
Selene0017 Hi Selene!
You should get gastric liquid... which you are supposed to test the ph to make sure that indeed it is gastric juices. But ever since I have been a nurse, the preferred confirmation route has been the x-ray.
If it is not in the right place, you have to start over from the start... unless someone else knows better than me... which is very possible :D
I hope this helps!!
xoxo!!
Watching nice video.melanie
You stated on one video that you change units all the time. Do you travel nurse? Could you do a video for tips on travel nursing if so? I will begin my travel nursing journey in March. Thank you.
Done full support. Keep in touch host. Thank you
Sending support.dhez
Sending support. Filipina Raquel TV
Thanks for sharing.. love Filipina Raquel TV..
Hi! i am new to your channel :) and loving it!. But i was just wondering if you have done a video on your experience as a new RN as i am about to finish my degree as an undergraduate and hope to do a graduate year in a hospital! and would love some tips :)
Hi Love!
Thanks so much for coming to the channel!
I do have this video that I created a while ago... Not 100% sure it it is what your looking for.... but I think you might like it :)
Here is the link: th-cam.com/video/-vW1QXFa9Gk/w-d-xo.html
Looking forward to seeing you on here again soon!
Much Love,
- Caroline
Cxr carries extra radiation. Air aspiration in Canada is no longer recommended as it has cause air embolis.
Can you share your references? I have never heard this before...
Sharp Life how would an air bolus cause an embolism? Think about what a simple burp is.
Corey C not the same thing at all. It’s actually been a proven thing sadly it’s happened. It’s artificial and going ya other way and if your not fully on the stomach it presses the air into the aorta
and a skills video for foley catheter insertion
Would love to do that!!
Hopefully supplies will become available soon!!
Much love!
- Caroline
Hi guys, I have SEVERE trouble swallowing for 2 weeks now and am losing a lot of weight and having trouble staying hydrated. I am seeing an Gastroenterologist, but my appointment is a week away and im having trouble day to day...What can I do? Will an ER put a tube in for me?
Yes, go to the ER they can do this for you and help you see a GI specialist ASAP. God Bless 🙏
Were you ever intubated with a NG tube in nursing school? I hear it's not a pleasant feeling, but that's understandable.
Hi Owen,
I agree, that this procedure is not comfortable, but you know our patients that need this, are usually feeling really really bad & this usually makes them feel better in the long run :)
xoxo
- Caroline
Can you do one on i.v insertions
lovindnaturalme Hi love!
Already did!
Here is the link: th-cam.com/video/qxZqfEudYEE/w-d-xo.html
xoxo!!
Full support your channel Chrissy/rylche
Have you ever inserted one incorrectly and had to start over?
+Shara A. Nelson
Unfortunately yes... it has happened to me twice.
It is really important for the patient to swallow the water while inserting... otherwise it is easy for it to go in the lungs. Which is why the chest x-ray to verify placement is so important.
I hope this helps!!
xoxo
- Caroline
+EmpoweRN Really? Thats the opposite of what i've ever learned. You insert, test tummy content and check for acid, no recent eating, a nurse will use a stethoscope. I have NEVER heard of a patient swallowing fluid on insertion. I could be wrong but isn't that the worst case scenario?
keep on vlogging
Filipina Raquel TV
I am the opposite I Haaaate room temp or warm water and just drinking normally it causes me to choke. My water needs to be ice cold 😆.. Is it just me or anyone else have that issue?
Wow... X-ray for just checking tube placement? Uhh...
Full support your channel rylche Chrissy
Nice sharing ❤ mhabel
It hurts!
@@@@@@
I hope you're not a cardiology nurse because you're a heart breaker.
𝐒𝐞𝐧𝐝𝐢𝐧𝐠 𝐬𝐮𝐩𝐩𝐨𝐫𝐭❤
𝐃𝐡𝐞𝐳
nice sharing video..rylche /chriissy
Hello sir esmokems.dhez