Hi everyone, I am an LPN who works in a group home with 8 developmentally delayed adults. Everyone who lives in the home has either a GT, JT, GT AND JT, or a G/JT. We have a guy here who is 11 months s/p JT placement. He has GERD, gastroparesis, gall stones, hiatal hernia, scoliosis, kyphosis, seizure d/o. He gets all meds and a continuos feed through the JT. He is NPO.
Recently, he has had two bouts of vomiting bile. (Within 6 weeks of each other) Both times he was dx with an illeus, but then aspirated on the emesis. We took him to the GI doc today who said to apply sx to his JT with the Gomco sx pump for two hours, TID. I can find NO info on this....is this a common practice? We were always taught to never do this.
We do have exp. with the Gomco, as one of my other pts. has it applied to his GT two hrs a day. Please help. Thanks!
The physician is absolutely aware the pt has a JT.....we are scratching our heads as well. Our facility has no policy regarding JTs being used in this manner. We are an agency consiting of several group homes housing developmentally delayed adults of all functioning levels. We are the only home in the agency with 24hr nursing, so we get the pts who would prob. have been sent to a nursing home d/t fragile medical conditions and need for nursing. This house raises the bar on what the agency handles medically. In fact, the outcome of this situation may, in fact, dictate any policy that may need to be written. Thanks for your response!
Last edit by Oceanaura on Jun 6, '08