Nursing Responsibilities

TONGCO, Jamie Luz P.

BEFORE

1.

Validate the order for the type and specific amount of formula and water; as well as the rate at which they are to be administered and the method of formula delivery to be used; specific times may also be indicated if the formula is not to be administered on a continous basis

BEFORE

2.

Check the patients record - for information regarding tolerance of previous feedings and any complications. Critically think through your assesment data,carefully evaluating each aspect and its relation to other data. Do medical handwashing.

3.

4.

BEFORE

5.

Draw the curtains, or close the door of the patients room. Explain the procedure to the patient

6.

DURING 1. Position the patient in semi-Fowlers position

2.
3.

Check bowel sounds.

Put on clean gloves

4.

Check the gastrostomy site for drainage, skin irritation or breakdown

DURING 5. Validate correct placement of the tube. Aspirate stomach contents,examine contents,and test pH, and return contents to stomach. Allow the feeding/formula to empty into the stomach by gravity

6.

AFTER

1.

Flush tubing with 3060mL of water Ensure proper plugging or capping of the tube Remind the patient to remain in position for at least 30 minutes Do aftercare Do medical handwashing

2.

3.

4. 5.

AFTER

6.

Document the following: Date of feeding Time started Time ended Type of feeding solution Amount of feeding Any untoward reactions