Skill 25[1]..Administration of NG, NJ, Gastrostomy and.pdf

SKILL 25

Administration of NG, NJ, Gastrostomy and

Continuous Feeding

EQUIPMENT

Catheter tip syringe

Formula pump

Bag and tubing for pump

Formula

Water

Gloves, nonsterile

DOCUMENTATION

1. Type of formula.

2. Rate of administration.

3. Intake and output.

4. How feeding tolerated.

PROCEDURE

1. Check order for type, amount, and frequency of feed-

ing.

2. Gather equipment. Promotes organization and effi-

ciency.

3. Explain procedure to child and family. Enhances cooper-

ation and participation and reduces anxiety and fear.

4. Wash hands. Reduces transmission of microorganisms.

5. Warm formula to room temperature. Promotes comfort.

6. Position child on right side or supine with head ele-

vated. Have assistant hold/comfort child as necessary.

Reduces risk of reflux or vomiting.

7. Put on nonsterile gloves. Protects from contact with

body fluids.

8. Check tube placement and residual as specified by

agency policy.

9. Place up to 4 hours of formula in bag. Label with date

and time. Prevents accumulation of microorganisms.

NOTE: Do not add new formula to old formula already

in bag.

10. Hang feeding bag on IV pole.

11. Prime delivery tubing with formula and thread through

formula pump according to manufacturer’s instructions.

12. Attach tubing to end of NG/NJ/gastrostomy tube.

13. Turn on formula pump and set at prescribed rate.

14. Remove gloves. Wash hands. Reduces transmission of

microorganisms.

15. Flush tubing every 4–6 hours during feeding and at the

completion of feeding. Prevents tubing from becoming

clogged.

a. Neonates and fluid restricted children flush with 1–2

cc of air or water.

b. Other children flush with 10–15 cc of water.

16. Replace disposable feeding bag and tubing every 24

hours. Prevents accumulation of microorganisms.

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