lOMoARcPSD|50131128
Chapter 19 - 26 - Introduction to Radiologic & Imaging
Sciences & Patient Care, 8th Edition.
Radiologic Technology I (Delgado Community College)
, lOMoARcPSD|50131128
Chapter 19 Transporting Patient with
NG Tube
Nonaseptic Techniques When NG tubes are used for gastric decompression,
they are typically connected to an intermittent gastric
Nonaseptic Technique - nonsterile suctioning device.
-Often these patients are embarrassed and self- *Confirm that the physician has given an order allowing
conscious, injury due to trauma, great discomfort the transfer and interruption of suctioning.
-Very ill with GI/GU issues *Length of time of allowed suction interruption must be
Requires special nonsterile procedures known and charted.
Typically involves tubes and lines into the digestive tract
(enteral) Transporting Patient with NG Tube
● Body wastes *Suction must be reestablished in the radiology
● Enemas department if the patient is allowed to be disconnected
● Enemas for contrast examination for a short amount of time.
● Nasogastric (NG) Tubes
NG tubes are plastic or rubber tubes inserted through Be aware of double-lumen NG tube considerations when
the nasopharynx into the stomach. discontinuing suction.
*They are used for administration of medications and *Double lumen NG tube– DO NOT CLAMP tube closed
gastric decompression or removal of flatus (gas) and or can ruin double lumen effect on tube. To prevent
fluids from the stomach after intestinal obstruction or leaking, insert syringe with barrel upright and pinned to
major trauma or Enteral feeding gown
NG Tubes NG Tube Care and Removal
Most common is Levin tube*** Confirm patient ID.
May be single- or double-lumen type Obtain informed consent.
Patients with an NG tube in place usually experience Wash hands and turn off suction apparatus if being
some discomfort. used.
Care must be taken to prevent accidental withdrawal of Gently remove tape from around the patient’s nose and
the tube after it has been inserted. make sure it’s free from skin attachment.
In most cases, a physician or nurse is responsible for
inserting an NG tube. NG Tube Care and Removal
**Put on clean gloves and ask patient to take a deep
NG Tube Insertion breath as the tube is gently withdrawn.
Done by physician or nurse Wrap tube in paper toweling and discard.
Consent signed Any resistance to withdrawal is cause for immediate
Patient in high Fowler position stoppage and the attention of supervision or nurse.
Measure distance from nose to stomach.
Use lots of lubricant. Urinals
Tubes kept cool are easier to insert. Disposable or reusable
Instruct patient to swallow water or air. Male urinal is plastic or metal and shaped so that it can
DO NOT force. be used by a patient who is supine, lying on his right or
Tube placement can be verified by fluoroscopy or left side, or in Fowler position.
radiograph. Typically used for ambulatory male patients
Auscultation also used to verify position Ensure patient privacy
Checking NG Tube Placement Urinals
-Try pulling back syringe of gastric fluid. ● Confirm urine volume if urinary output is being
-Inject air and listen with stethoscope for “whooshing” tracked.
sound. ● Wash your hands and provide for patient hand
-Tape in place. washing.
-Perform x-ray fluoroscopy. ● Female urination devices can permit standing to
urinate
, lOMoARcPSD|50131128
Bedpans Colon Preparation
-Used for defecation and urination Typical preps include:
-Hand washing and gloves are extremely important and -Stool softener - Oil-based solution
should be performed both before and after assisting the -Always include some dietary restrictions - Low-residue
patient with a bedpan. -Purgation - Includes laxatives
-Respect patient privacy and comfort. -Hydration
-Two designs - standard and fracture ● Plenty of clear liquids required 24 hours before
-Disposable/reusable procedure
● Important to maintain the body’s fluid levels and
Fracture Bedpan Placement blood pressure
-Fracture bedpan has a unique wedge-shaped design. ● Can provide a small degree of nutrition
-Allows patient to elevate hips only slightly for placement
-Convenient handle for placement and removal, but Cleansing Enemas
spills easily Typically used to relieve constipation*
Enema kits commercially available and effective
Enemas **Diabetic patients present unique variations to prep.
Prepare patient mentally regarding prep. In some departments, technologists may administer
Used for bowel cleansing and to promote defecation cleansing enemas to patients the morning of the
Typically given to patients as outpatients and can be examination to ensure a good preparation.
self-administered *Giving enemas until clear means that the enema fluid is
**Required for contrast barium enema examination expelled with no fecal matter present.
Imaging the Colon Enema Types
Colonoscopy ● Tap water (hypotonic)
Performed by physician -GI doctor ● Hypertonic (Fleet enema)
Diagnostic and therapeutic ● Saline (safest—used on infants)
Requires colon preparation ● Oil retention
**>95% sensitivity for colon lesions** ● Soapsuds solution
Virtual colonoscopy Self-Administered Enema
**CT procedure** ● Dietary restrictions, usually in the form of a
Gaining popularity minimal- or low-residue diet
Diagnostic only ● Purgation
● Overhydration
Sigmoidoscopy ● Cleansing water enema
Performed by physician using a sigmoidoscope
Diagnostic and therapeutic Barium Enema
Barium enema is administered in an examination used to
Barium enema diagnose pathologic conditions of the colon or lower
Performed by radiologist with contrast material in colon gastrointestinal tract.
**Diagnostic only
Barium enema catheter may have a plain tip or an
**Barium contrast colon examinations are being replaced inflatable cuff attached.
in many cases by other studies that are more effective After the tip is inserted, the cuff is inflated to hold the
catheter in place and to prevent involuntary expulsion of
Colon Preparation barium. (can only pump once so it doesn’t explode in
Prepare patient mentally regarding prep. patient)
Be sure to provide contact information in case of
questions Barium Enema Tips
Used for bowel cleansing and to promote defecation - With cuff or without cuff
Typically given to patients as outpatients and can be
self-administered
Required for contrast barium enema examination as well
as endoscopy
Chapter 19 - 26 - Introduction to Radiologic & Imaging
Sciences & Patient Care, 8th Edition.
Radiologic Technology I (Delgado Community College)
, lOMoARcPSD|50131128
Chapter 19 Transporting Patient with
NG Tube
Nonaseptic Techniques When NG tubes are used for gastric decompression,
they are typically connected to an intermittent gastric
Nonaseptic Technique - nonsterile suctioning device.
-Often these patients are embarrassed and self- *Confirm that the physician has given an order allowing
conscious, injury due to trauma, great discomfort the transfer and interruption of suctioning.
-Very ill with GI/GU issues *Length of time of allowed suction interruption must be
Requires special nonsterile procedures known and charted.
Typically involves tubes and lines into the digestive tract
(enteral) Transporting Patient with NG Tube
● Body wastes *Suction must be reestablished in the radiology
● Enemas department if the patient is allowed to be disconnected
● Enemas for contrast examination for a short amount of time.
● Nasogastric (NG) Tubes
NG tubes are plastic or rubber tubes inserted through Be aware of double-lumen NG tube considerations when
the nasopharynx into the stomach. discontinuing suction.
*They are used for administration of medications and *Double lumen NG tube– DO NOT CLAMP tube closed
gastric decompression or removal of flatus (gas) and or can ruin double lumen effect on tube. To prevent
fluids from the stomach after intestinal obstruction or leaking, insert syringe with barrel upright and pinned to
major trauma or Enteral feeding gown
NG Tubes NG Tube Care and Removal
Most common is Levin tube*** Confirm patient ID.
May be single- or double-lumen type Obtain informed consent.
Patients with an NG tube in place usually experience Wash hands and turn off suction apparatus if being
some discomfort. used.
Care must be taken to prevent accidental withdrawal of Gently remove tape from around the patient’s nose and
the tube after it has been inserted. make sure it’s free from skin attachment.
In most cases, a physician or nurse is responsible for
inserting an NG tube. NG Tube Care and Removal
**Put on clean gloves and ask patient to take a deep
NG Tube Insertion breath as the tube is gently withdrawn.
Done by physician or nurse Wrap tube in paper toweling and discard.
Consent signed Any resistance to withdrawal is cause for immediate
Patient in high Fowler position stoppage and the attention of supervision or nurse.
Measure distance from nose to stomach.
Use lots of lubricant. Urinals
Tubes kept cool are easier to insert. Disposable or reusable
Instruct patient to swallow water or air. Male urinal is plastic or metal and shaped so that it can
DO NOT force. be used by a patient who is supine, lying on his right or
Tube placement can be verified by fluoroscopy or left side, or in Fowler position.
radiograph. Typically used for ambulatory male patients
Auscultation also used to verify position Ensure patient privacy
Checking NG Tube Placement Urinals
-Try pulling back syringe of gastric fluid. ● Confirm urine volume if urinary output is being
-Inject air and listen with stethoscope for “whooshing” tracked.
sound. ● Wash your hands and provide for patient hand
-Tape in place. washing.
-Perform x-ray fluoroscopy. ● Female urination devices can permit standing to
urinate
, lOMoARcPSD|50131128
Bedpans Colon Preparation
-Used for defecation and urination Typical preps include:
-Hand washing and gloves are extremely important and -Stool softener - Oil-based solution
should be performed both before and after assisting the -Always include some dietary restrictions - Low-residue
patient with a bedpan. -Purgation - Includes laxatives
-Respect patient privacy and comfort. -Hydration
-Two designs - standard and fracture ● Plenty of clear liquids required 24 hours before
-Disposable/reusable procedure
● Important to maintain the body’s fluid levels and
Fracture Bedpan Placement blood pressure
-Fracture bedpan has a unique wedge-shaped design. ● Can provide a small degree of nutrition
-Allows patient to elevate hips only slightly for placement
-Convenient handle for placement and removal, but Cleansing Enemas
spills easily Typically used to relieve constipation*
Enema kits commercially available and effective
Enemas **Diabetic patients present unique variations to prep.
Prepare patient mentally regarding prep. In some departments, technologists may administer
Used for bowel cleansing and to promote defecation cleansing enemas to patients the morning of the
Typically given to patients as outpatients and can be examination to ensure a good preparation.
self-administered *Giving enemas until clear means that the enema fluid is
**Required for contrast barium enema examination expelled with no fecal matter present.
Imaging the Colon Enema Types
Colonoscopy ● Tap water (hypotonic)
Performed by physician -GI doctor ● Hypertonic (Fleet enema)
Diagnostic and therapeutic ● Saline (safest—used on infants)
Requires colon preparation ● Oil retention
**>95% sensitivity for colon lesions** ● Soapsuds solution
Virtual colonoscopy Self-Administered Enema
**CT procedure** ● Dietary restrictions, usually in the form of a
Gaining popularity minimal- or low-residue diet
Diagnostic only ● Purgation
● Overhydration
Sigmoidoscopy ● Cleansing water enema
Performed by physician using a sigmoidoscope
Diagnostic and therapeutic Barium Enema
Barium enema is administered in an examination used to
Barium enema diagnose pathologic conditions of the colon or lower
Performed by radiologist with contrast material in colon gastrointestinal tract.
**Diagnostic only
Barium enema catheter may have a plain tip or an
**Barium contrast colon examinations are being replaced inflatable cuff attached.
in many cases by other studies that are more effective After the tip is inserted, the cuff is inflated to hold the
catheter in place and to prevent involuntary expulsion of
Colon Preparation barium. (can only pump once so it doesn’t explode in
Prepare patient mentally regarding prep. patient)
Be sure to provide contact information in case of
questions Barium Enema Tips
Used for bowel cleansing and to promote defecation - With cuff or without cuff
Typically given to patients as outpatients and can be
self-administered
Required for contrast barium enema examination as well
as endoscopy
