Which health care professionals can replace nasogastric or nasoduodenal tubes?

• A. Physician; Physician assistant; appropriately trained nurse
• B. Pharmacist; Dietitian; Physical therapist
• C. Family member; Nurse; Physician Assistant
• D. Surgeon; Anesthesiologist; Radiologist

Answer: (A)

Replacing a nasogastric or nasoduodenal tube is an invasive procedure that requires clinical training and the ability to assess placement and respond to potential complications. The professionals who commonly perform this task are physicians, physician assistants, and appropriately trained nurses who work under established protocols. They have the authority, skills, and supervision to verify proper tube position (often with imaging or other checks), ensure the tube is patent, secure it, and manage any displacement or issues that arise.

Pharmacists, dietitians, and physical therapists do not perform tube replacements as part of their standard roles; they focus on medication management, nutrition planning, and rehabilitation, respectively. Family members are not typically permitted to perform invasive medical procedures. Surgeons, anesthesiologists, and radiologists may place tubes in specific surgical or radiologic contexts, but routine bedside replacement is handled by the physician, PA, or trained nurse under protocol.