This particular solution used a Laerdal Nursing Anne manikin but could be modified for use on a variety of moderate fidelity manikins. The salem sump tube was inserted through the nose down into the thoracic cavity of the manikin. The chest was removed and the end of the NG tube inserted into an empty enema bag. This allows the students to incorporate most aspects of medication, nutrition, and fluid administration via gastric tube. By using a manikin compared to a task trainer, the use of the NG tube can be incorporated into a more complex simulation scenario to enhance the students' critical thinking skills.