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Placement of a Gastroesophageal or Nasogastric Tube
The Lack Procedure
An ICU×VH Policy prompted by Lack Shear, who died of
complications of an intrabronchial feeding tube
1. There will be no nasal
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How to fill out placement of a nasoesophageal

How to fill out placement of a nasoesophageal:
01
Gather the necessary equipment, including a nasogastric tube, lubricant, a cup of water, gloves, and a tape measure.
02
Explain the procedure to the patient and ensure their consent.
03
Put on gloves and measure the distance from the patient's nose to their earlobe and then to the xiphoid process. Note this measurement.
04
Lubricate the nasogastric tube and gently insert it into one nostril, directing it towards the back of the throat.
05
Instruct the patient to swallow as you advance the tube. If resistance is felt, pause and check the placement.
06
Once the tube reaches the appropriate measurement, secure it in place using tape or a special adhesive device.
07
Confirm correct placement by checking for the presence of gastric contents when aspirating, listening for a gurgling sound over the stomach, and performing a chest X-ray if necessary.
08
Document the procedure, including the measurements taken, the method used to secure the tube, and the confirmation of correct placement.
Who needs placement of a nasoesophageal:
01
Patients with gastrointestinal obstruction or ileus may require nasoesophageal placement to decompress their stomach and relieve symptoms.
02
Individuals undergoing surgery, particularly abdominal or thoracic procedures, may have a nasoesophageal tube inserted to prevent aspiration and aid in postoperative recovery.
03
Critically ill patients in the intensive care unit often require nasoesophageal placement for enteral feeding or medication administration when oral intake is not possible.
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What is placement of a nasoesophageal?
The placement of a nasoesophageal tube involves inserting a tube through the nostril and into the esophagus, typically for feeding or medication administration.
Who is required to file placement of a nasoesophageal?
Healthcare professionals such as doctors, nurses, or dietitians are typically responsible for documenting the placement of a nasoesophageal tube.
How to fill out placement of a nasoesophageal?
To fill out placement of a nasoesophageal, one must document the date and time of insertion, the indication for placement, the length of the tube inserted, and any complications that may have occurred during or after placement.
What is the purpose of placement of a nasoesophageal?
The purpose of placing a nasoesophageal tube is to provide nutrition, medications, or decompression for patients who are unable to swallow or have gastrointestinal issues.
What information must be reported on placement of a nasoesophageal?
The information that must be reported includes the date and time of insertion, length of the tube, indication for placement, any complications, and the healthcare professional responsible for the placement.
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