Changes

* Lots of lube

* Lots of lube

* Have them tilt their head up until you hit the nasopharynx

* Have them tilt their head up until you hit the nasopharynx

* Once in the nasopharynx, patient should bend their head forward and drink water with a straw to swallow the tube while you gently push

* Once in the nasopharynx, patient should bend their head forward and drink water through a straw to swallow the tube while you gently push

* NGT should go to suction immediately, before X-ray, regardless of policy

* NGT should go to suction immediately, before X-ray, regardless of policy

* Put a towel on the patient’s chest

* Put a towel on the patient’s chest

==Troubleshooting==

==Troubleshooting==

* High output? Patient is drinking, or the tube has migrated into the right side (duodenum).  

* High output? Patient is drinking, or the tube has migrated into the right side (duodenum).  

* Low output? Occlusion: flush. Sump in esophagus: CXR. No longer needed: clamp trial or gravity.

* Low output?  

** Occlusion: flush.  

** Sump in esophagus: CXR.  

** No longer needed: clamp trial or gravity.