Elderly female - while attempting to remove ng tube for patient, the distal end became lodged in patients nasal passages.Rn informed md and charge rn, who also tried to assist without success.Rn obtained an order for ng tube removal via fluoroscopy.Under fluoroscopy, the ng tube was successfully moved.Patient arrived in xray for ng tube removal after multiple attempts on the floor.Viscous lidocaine was used to help numb the right nostril and with fluoro guidance they were able to remove the ng tube.Patient tolerated procedure well with no pain after the removal.The iris tube was removed with the lidocaine jelly and then fluoroscopy utilized to confirm the patient did not experience damage to her tissues.Manager states that according to the radiology practitioner the iris tube tips are larger than others making it more difficult to remove in some patients due to smaller size, sinus concerns.Of note the patient stated to bedside rn that she does have a deviated septum.There is no documentation of a deviated septum in the patient's record.*size and length of iris feeding tube is not documented and unknown.* manufacturer response for tubes, gastrointestinal (and accessories), kangaroo (per site reporter).There have been discussions about this concern with national representatives from cardinal health prior to this report.
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