Fine bore Nasogastric tube insertion is the new skill introduced in the OSCE exam. It is a skill in which a tube is inserted into the esophagus through the nose to facilitate oral intake.
The timing for the skill is about 8 minutes.
In order to complete this station successfully, candidates are expected to perform the following procedures promptly;
- Introduce self and explain the procedure to the patient (Manikin will be replacing patient, so explain this to to the assessor)
General station procedures
- Assemble equipments
- Assists the patient to sit in a semi-upright position
- Arranges a signal with the patient so that they can communicate if they wish to halt/stop, e.g. raising hand.
- Measures the distance on the tube from the patient’s earlobe to the bridge of nose, plus the distance from the earlobe to the bottom of the xiphisternum, taking note of the measurement marks on the tube.
- Checks the nostrils are patent by asking the patient to sniff with one nostril closed. Repeat with other nostril.
- Lubricate the end of the tube
- Ensures a receiver is placed beneath the end of the tube.
- Insert the tube using the correct procedures
- Confirm the tube is in position by using pH indicator strip, and confirm the presence of acid
- Ensures patient is comfortable post procedure.
- States additional checks that may be undertaken to check tube positioning before commencing feeding
Now, watch the below video carefully.