Nasogastric tubes must be removed quickly and smoothly to prevent choking or gagging.

a. Clamp or pinch off the tube.

b. Remove tape or safety pins securing the tube.

c. Hold some tissues at the patient’s nose, and withdraw the tube quickly and smoothly, catching the end in the tissues as it emerges from the nose.

d. Immediately after removal of the tube, encourage the patient to gently blow his nose.

e. Assist the patient to rinse his mouth and wash his face.

f. Change any soiled bedding or pajamas. Position the patient for comfort.

g. Remove all unnecessary equipment from the bedside.

h. Wash your hands.

i. Document the procedure and the patient’s tolerance in the nursing notes.