dislodged G-tubes - page 3
Looking for anyone who knows about reinserting g-tubes after they become dislodged or pulled out.Can Rn/LPN's reinsert them and are you aware of a policy for it? Is it legal? How is it done? We had... Read More
Mar 29, '05 by dbsn00On my unit we have a couple of residents that have MD orders to reinsert if pulled out or dislodged, otherwise we insert a foley & send them to the hospital. We have a couple of residents who really like to play with their tube so we use abdominal binders as a preventative measure which seems to be working well, last time I had to reinsert a GT was at least 3 months ago.
Mar 29, '05 by LPNerQuote from dbsn00Our med/surg units use abd binders for htis purpose also. Last time I ran into it up there I found putting the abd binder on backwards provided even more security after I walked in and found she liked playing with the binder as much as playing with the g-tube. (works with baby diapers too, I have put many a diaper on my grandbabies backwards to keep them from being un-velcroed and tossed aside.)On my unit we have a couple of residents that have MD orders to reinsert if pulled out or dislodged, otherwise we insert a foley & send them to the hospital. We have a couple of residents who really like to play with their tube so we use abdominal binders as a preventative measure which seems to be working well, last time I had to reinsert a GT was at least 3 months ago.
Apr 21, '05 by pediatriclpnI have worked many LTC's where every gtube, was a foley, so if it came out we (LPN's and RN's ) changed them. Working in homecare, esp. with the kids they mainly these days have mic-keys, not much to changing them, we change them every month, and teach the parents to do it if something should happen when nursing isn't around. I always check for placement, etc., etc., etc. There are lots of things that happen in home care that never would happen in the hospital. Parents are taught to do TPN's change dressings on central lines, change trachs, run ventilators, etc. etc. etc. I do have a problem with untrained personnel given more and more responsibility in higher acuity settings just so that the facility can save a buck or two, but in home care where insurance will only pay for maybe 8 hours of care of day for a vent dependent child, and the family has to do the other 16 by themselves, there isn't much else to do.
Jul 22, '07 by DanishQuote from SpeculatingI believe it to be beyond the Scope of Practice for LPN's and lower. It's pushing the profession of RN to place a new G-tube.[/quote]i respectfully disagree with unlicensed staff inserting g-tubes.
it is definitely a skilled procedure and should not be delegated to nsg. assts. or anyone that's not licensed.
Im an LPN student and at clinicals last week we had PEG tube pulled out. We called the physician and he came in to reinsert it. The nurse was told to NOT touch it. (She was an LPN)