Pre‐procedure

ActionRationale

1. 1.Show
   Introduce yourself to the patient, explain and discuss the procedure with them, and gain their consent to proceed.
   To ensure that the patient feels at ease, understands the procedure and gives their valid consent (NMC [178], C).
2. 2.Show
   Assist the patient to sit in a semi‐upright position in the bed or chair. Support the patient's head with pillows.
   To allow for easy removal of the tube. E
3. 3.Show
   Wash hands with soap and water or an alcohol‐based handrub, and assemble the equipment required. Apply personal protective equipment.
   Hands must be cleansed before patient contact to minimize the risk of cross‐infection (NHS England and NHSI [161], C).

Procedure

1. 4.Show
   Remove any tape securing the nasogastric tube to the nose.
   To assist in the removal of the nasogastric tube. E
2. 5.Show
   Using a steady and constant motion, gently pull the tube until it has been completely removed.
   To remove the nasogastric tube. E
3. 6.Show
   Place the used nasogastric tube directly into the contaminated waste bag, as per local policy.
   For infection prevention and control (Fraise and Bradley [81], E).
4. 7.Show
   Using warm water and wipes, clean the nose and face to remove any traces of tape.
   To ensure patient comfort and dignity. E
5. 8.Show
   Assist the patient to find a comfortable position.
   To ensure comfort following the procedure. E

Post‐procedure

1. 9.Show
   Remove gloves and apron and dispose of all equipment safely. Decontaminate hands.
   For infection prevention and control (NHS England and NHSI [161], C).
2. 10.Show
   Document the removal of the nasogastric tube in the patient's care plan and notes.
   To ensure adequate records and to enable continued care of the patient (NMC [178], C).