![]() Attach a 10-20ml oral/enteral syringe to the enteral tube in the infant/child.P&P: Standard Precautions Infection Control, RCH only) Enteral/oral syringe – 5ml – 20ml for aspiration.To check the position of the tube nursing staff members need to have prepared the following equipment: The medical team should document rationale for not obtaining gastric aspirate in the patient’s progress note as well as an alternative plan to confirm NGT placement. Instead tube position should be initially confirmed via x-ray with clear documentation of NGT position marker. Please note: patients who have a history of Liver Failure and known/or suspected oesophageal varices should not have a gastric aspirate removed from the NGT. Observe child for any signs of respiratory distress.Observe and document the position marker on NGT/OGT – compare to initial measurements.Nursing staff should perform the following observations and obtain a gastric aspirate to establish tube position. ![]() Coughing, vomiting and movement can move the tube out of the correct position.The position of the tube must be checked: Prior to accessing a NGT/OGT for any reason nursing staff members must ensure that the tube is located in the stomach. ![]() Nasogastric Tube/Orogastric Tube- Checking the Position Link for insertion of Nasogastric and Orogastric Tube Insertion policy, Nutrition on PICU Guidelines and Jejunal Feeding Guideline.
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