I need help with G-tube feeding please!! PLEASE PLEASE
My company has its own policy, but just to be safe, I follow the policy as well as
what I learned from the books. I just can't exactly remember it, though. Please help mee!!!
I don't want my supervisor to know that I am not confident with what I am doing..
For bolus feeding, this is what I do in order:
1.flush with water as per doc's order
2.administer feeding as per doc's order
3.flush again with water
My problem is with checking for the placement of the G-tube. Before I
do the steps aforementioned, (please teach me please teach me...)
-I place my stet at the lower epigastric area and inject 10cc of air, and listen for THAT sound.
-I aspirate gastric contents by injecting 30cc of air and then aspirating for the gastric content.
If it's milky in color- that's the residual from the previous feeding. If it's more than 100, wait 1 hour before giving the feeding (after checking for gastric contents again)
If it's the gastric juice, inject it back and start the feeding by doing step 1.
My question is, how come sometimes when I try to aspirate for gastric content, nothing comes out? Am I doing it right? While aspirating, I lower down the tube to let the gastric content flow down by gravity.
Helllp what do I do?? I'm afraid the tube might not be in place and I am administering the feeding!!!
Also, If there is a little blood in the tube (might be due to irritation), do I aspirate it or do I flush it?
Thanks! I would really appreciate some help here...