I have been working home health and have a 14 month old patient with a gtube. Her gtube was recently replaced and now I notice a distinctly fishy, tuna like smell from the abdominal fluids. The insertion site is red but no pus is present. I notified the patient's father and will notify the day nurse (I work nights). Do I still need to notify the doctor as well or is notifying the parent and day nurse enough? Thanks!