Get the free Inserting an NJ Tube - Lane Medical Library - Stanford University - lane stanford

Lucile Salter Packard Children's Hospital STANFORD UNIVERSITY MEDICAL CENTER 725 Welch Road Palo Alto, CA 94304 Medical Record Number Patient Name ORDERS NJ TUBE PLACEMENT Addressograph or Label Patient

How to fill out inserting an nj tube

How to fill out inserting an NJ tube:

1. Prepare the necessary equipment: Gather the supplies needed for inserting an NJ tube, such as the tube itself, lubricant, syringe, water-soluble contrast medium (if required), and adhesive tape.
2. Position the patient correctly: Ensure that the patient is in a comfortable and appropriate position for the procedure. Generally, a semi-upright position is preferred.
3. Explain the procedure to the patient: Communicate the steps involved and reassure the patient about the process. Address any concerns or questions they may have.
4. Wash hands and put on gloves: Prioritize infection control and put on sterile gloves to maintain a clean and safe environment.
5. Measure the insertion length: Measure the distance from the patient's nose to the earlobe, then from the earlobe to the xiphoid process or the abdomen. Mark this length on the NJ tube with a soft pen or adhesive tape.
6. Lubricate the NJ tube: Apply a water-based lubricant to the distal end of the tube. This helps ease insertion and reduces discomfort for the patient.
7. Insert the NJ tube into the patient's nostril: Gently insert the tube into the larger nostril and advance it through the nasal passage. Encourage the patient to swallow or take sips of water to aid in the progression of the tube.
8. Confirm the tube placement: Use the appropriate method to confirm correct tube placement, such as aspirating gastric contents, observing for characteristic pH/color changes, or performing imaging studies like X-ray or fluoroscopy.
9. Secure the tube: Once the NJ tube is properly placed, secure it to the patient's cheek or nose using adhesive tape or specialized tube holders. This prevents accidental movement or dislodgment.
10. Connect the tube to the necessary equipment: Depending on the purpose of the NJ tube, connect it to an appropriate device. For example, if the tube is for enteral feeding, attach it to a feeding pump or gravity feeding set.

Who needs inserting an NJ tube?

1. Patients with gastrointestinal issues: NJ tubes are commonly used in patients who require enteral feeding or medication administration directly into the small intestine. This includes individuals with dysphagia, gastric or esophageal obstruction, gastroparesis, or malnutrition.
2. Post-operative patients: After certain surgeries, such as certain gastrointestinal or bariatric procedures, an NJ tube may be inserted to bypass the stomach and aid in the healing process.
3. Patients requiring decompression: In cases of gastrointestinal obstruction, ileus, or bowel surgeries, an NJ tube can help remove excess air or fluid from the stomach and intestines, relieving discomfort and preventing complications.
4. Diagnostic purposes: NJ tubes are occasionally utilized for diagnostic procedures, such as contrast-enhanced imaging studies to detect abnormalities in the gastrointestinal tract.

Remember, the insertion of an NJ tube should always be performed by a healthcare professional trained in the procedure to ensure patient safety and optimal outcomes.

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