NMBA Legislated Registration Standards for Nursing- myassignmenthelp

Question: Discuss about theNMBA Legislated Registration Standards for Nursing. Answer: The nasogastric tube is inserted through the patients nose into the stomach for either feeding, administration of drugs or any other oral agent. For the small quantities of liquid feeding, a syringe is injected into the tube, but for the continuous feeding, a system based on gravity is used with a solution put at a point above the patients stomach (Chiarella, et al., 2008). However, at times the tube can block due to a variety of factors such as bacteria colonization, poor flushing methods, tiny internal space of the tube lung tubes as well as the interaction between medications, formula plus gastric acid to mention just a few. When this happens, nursing personnel can be used to remove or replace the tube from the patients body (Corry et al., 2009). Although it has been a while after completing my studies and have never performed the replacement or insertion of nasogastric tube or witnessed the skill in a patient before, I will not proceed with the procedure because it is against the ethics of nursing. Besides, the NMBA postulates that a health officer should have competency, skills, and professionalism on the task at hand when it comes to attending the patients. Therefore, my immediate action would be to inform the supervisor that I have never executed the procedure before. At this point, I will witness the process for the first time and second time if necessary. After grasping the knowledge of what needs to be done or how the replacement or removal of the tube is performed, I will carry out the third procedure applying the skills and techniques learned in the first and second procedures. When doing this, I will ensure to be under the supervision of a registered and a competent health professional for clarifications and guidanc e to ensure certainty of the procedure. All in all, before performing the procedure I would check the patients medical as well as nursing notes for any potential complications. For instance, anatomical variations as a result of surgery like cancerous tumor or flap repair might prevent the tube from passing swiftly into the stomach hence causing pain/discomfort to the client which can also lead to further complications Learning needs Apart from the necessary skills and knowledge learned in school on how to safely replace or insert the nasogastric tube you need to have other skills which include; providing both oral plus skin car. You should give rinses as well apply oil to the patient's nostrils lips. Using any lubricant that is soluble in water lubricates the catheter until it touches the nostril. The reason for doing this is because the patients nose can become dry plus irritated (Garnett et al., 2008). Next will be to verify the nasogastric tube placement by checking if the tube is in the stomach. I can aspirate a small amount of the stomach content. Besides, the x-ray will be ideal to verify such replacement. Gloves will also be essential when starting the nasogastric procedure since any contact with the client's blood/body fluids raises particularly with inexperienced enrolled nurses (Gumaste et al., 2014). Both face eye protection will be of great importance if the risk for vomiting is high. The nursing and midwifery board in Australia calls for every team member doing the Nasogastric procedure to wear gowns, face protection plus gloves. The learning activities Prior to nasogastric tube insertion, it should be measured starting from the edge of a clients nose, loop near the ear as well as downwards roughly 4.5 cm beneath the Xiphoid processes (Homer et al., 2009). Besides, the tube is noted at that point to ascertain that it is inserted deep enough into the clients stomach. Although the majority of the commercial duodenal plus stomach tubes have varying depth markings e.g. 18-inch, 22-inch, 26-inch from the distal edge, the infant nasogastric tubes usually comes with depth markings of 1 cm . The end of the tube is lubricated and inserted into the patient nare. The tube needs to be pushed straight to the posterior of the client as if it glides towards the nasal cavity and down the throat(Jacob et al., 2012). The moment the tube enters the oropharynx slides down the backside of the pharyngeal wall, a patient might gag. Once the nasogastric tube has passed has passed the pharynx into the esophagus its easily inserted into the patient's stomac h after which it is secured to prevent it from gliding. Precaution should be taken to ascertain the tube does not enter the trachea via the larynx and down the bronchus. A reliable technique is to aspirate a small amount of liquid from the tube using a syringe. The fluid is then tested to determine its acidity, and if its below 4, then it is in a correct position. Notably, only smaller tubes are ideal for long term feeding so as to prevent irritation plus erosion of the nasal sub mucosa (Lin et al., 2017). Conclusion In the entire paper, it has been pointed out that the NMBA assumes a key function set by the national law. The body puts forth registration standards that must be met by every nurse/midwife to ensure competency and professionalism in the heath field. Besides, the body postulates that a registered nurse should have certain skills, competency, knowledge, and educational opportunities to perform certain procedures such as the replacement or exchange of nasogastric tubes. References Chiarella, M., Thoms, D., Lau, C., McInnes, E. (2008). An overview of the competency movement in nursing and midwifery. Collegian, 15(2), 45-53. Cole, E. (2015). 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