Read the illustrated guide to nasogastric tube on ClinicalSkills.net here:
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Inserting a nasogastric tube in infants, children and young people
Administering an enteral feed via a nasogastric tube in infants and young children
What happens when my child needs a Nasogastric tube?
This is a short clip from the Glasgow children's hospital charity (oncology department).
Further information on tube insertion can also be found by watching the video below (please note that this is an example of insertion on an adult, but many of the same principles apply. Be sure to watch this alongside reading the paediatric guide above.
Always follow local trust policy for insertion and care of nasogastric tubes
Click on the button below to navigate to the 'Take a Test' area of ClinicalSkills.net. Please make sure you're logged into ClinicalSkills.net already, otherwise you may not be able to open and take the test. Once you have reached the 'Take a Test' area, select 'Local Tests' and then click on the test called 'Nasogastric (NG) Tube Insertion - Child' to begin. You will need to score 80% or more to pass. Make sure you've read the ClinicalSkills.net procedure thoroughly before taking the test as many of the answers will be found within there!
Here you can open the step by step virtual checklist, which you can use on a smartphone or tablet:
Alternatively, you may wish to use the paper version of this, which you can open here (and print if required):
Access the following link for patient safety alert
NHS England Patient Safety Alert-Published in 2016 and updated 2022
Access the link below for further resources for children and families living with tube feeding
This resource is the Geeky Medics website and contains a step by step guide to insertion and aspiration of a NG tube. This is supported with images and descriptions of the procedure as well as an interactive checklist to support you in ensuring all steps are complete.
Whilst this link focuses on NG insertion in an adult there are enough similarities across the age ranges that this is still be of use
The Royal Marsden Manual of Clinical Nursing Procedures is a text giving guidance and information on a wide range of clinical skills and procedures including step by step guidance with associated images and text. For the guidance on NG tubes please start at page 148.
Whilst this link focuses on NG insertion in an adult there are enough similarities across the age ranges that this is still be of use
Royal Marsden Manual of Clinical Nursing Procedures (9th Edition): Insertion of Nasogastric tube- Page 4-7 & 149-156
(Page updated September 2023 Kate Heaton-Stockton)
Date reviewed: September 2023
Next review: September 2024