What is the scope of practice for registered nurses in NGT placement?

• A. Only physicians may place nasogastric tubes in all settings
• B. NGT placement is not part of nursing practice anywhere
• C. It is within the scope of practice for registered nurses to insert nasogastric feeding tubes in the uncomplicated patient on the inpatient floor
• D. It is appropriate for advanced practice providers to place NGT across all units

Answer: (C)

Registered nurses may place a nasogastric tube for feeding in an uncomplicated patient on an inpatient unit when there is a physician’s order and the nurse is competent in the procedure. This reflects how RNs manage routine invasive procedures that are clearly defined by hospital policy and supported by appropriate supervision. The important caveat is that more complex cases—unstable patients, facial trauma, esophageal issues, or settings requiring specialized teams—require escalation to a physician or an advanced practice provider. The other statements misstate nursing scope or oversimplify who can perform NGT placement across all settings. After insertion, placement is verified by proper methods (usually radiographic confirmation) and the tube is secured and monitored as part of ongoing care.