SATIS- UNSATIS-
PROCEDURE FACTORY FACTORY COMMENTS
MAITENANCE OF A CONTINUOUS
PEG FEEDING
1. Check health care provider’s order.
2. Head of bed must be maintained at
45 degrees elevation.
3. Assemble equipment.
4. Turn off pump.
5. Assess patient for nausea and
abdominal distention. Assess
bowel sounds.
6. Wash hands. Put on clean gloves.
7. Place clean protective pad on work
area.
8. Disconnect G-tube from continuous
feeding. Kink G-tube to prevent
backflow.
9. Aspirate stomach contents with bulb
or Toomey syringe.
10. If stomach contents are greater than
100cc do not re-instill them, notify
doctor and discontinue feeding. If
stomach contents are less than
100cc. re-instill stomach contents
noting color, consistency and
amount.
11. Flush tube with 30cc of tap water.
12. Reconnect G-tube to feeding tube
and turn on pump. Resume feeding
at ordered rate of flow.
13. Wash bulb or Toomey syringe, and
irrigation set and store in clean area
for next procedure.
14. Remove gloves and wash hands.
15. Add feeding to enteral bag if
necessary. (ENTIRE SYSTEM
NEEDS TO BE REPLACED EVERY
24 HOURS.)
16. Record on I&O and nurses notes.
Can be delegated to LPN after tube placement is verified (p. 1309)
PROCEDURE FACTORY FACTORY COMMENTS
MAITENANCE OF A CONTINUOUS
PEG FEEDING
1. Check health care provider’s order.
2. Head of bed must be maintained at
45 degrees elevation.
3. Assemble equipment.
4. Turn off pump.
5. Assess patient for nausea and
abdominal distention. Assess
bowel sounds.
6. Wash hands. Put on clean gloves.
7. Place clean protective pad on work
area.
8. Disconnect G-tube from continuous
feeding. Kink G-tube to prevent
backflow.
9. Aspirate stomach contents with bulb
or Toomey syringe.
10. If stomach contents are greater than
100cc do not re-instill them, notify
doctor and discontinue feeding. If
stomach contents are less than
100cc. re-instill stomach contents
noting color, consistency and
amount.
11. Flush tube with 30cc of tap water.
12. Reconnect G-tube to feeding tube
and turn on pump. Resume feeding
at ordered rate of flow.
13. Wash bulb or Toomey syringe, and
irrigation set and store in clean area
for next procedure.
14. Remove gloves and wash hands.
15. Add feeding to enteral bag if
necessary. (ENTIRE SYSTEM
NEEDS TO BE REPLACED EVERY
24 HOURS.)
16. Record on I&O and nurses notes.
Can be delegated to LPN after tube placement is verified (p. 1309)
