Meds. via Dobhoff feeding tubes

i have never had a problem with a dobhoff clotting off when giving crushed meds and I have been able to get residuals back on dobhoffs, but yah a general rule since dobhoffs are supposed to bypass the stomach if they are placed appropriately you should NOT get residuals.

Our facility does not allow crushed meds down a dobhoff. They clog very easily and to say "so what, just sink another" is to have the patient incur needless charges for another tube, and x-ray, not to mention the discomfort of putting it down. I doubt that a dobhoff can be placed without a guide-wire, they a very soft and flexible and will just curl in the back of the throat. A guide-wire should NEVER be replaced, that is against protocol at every place I have worked--get a new tube. Also I was always taught never to pull back for residuals on a dobhoff as it may ruin the tube and if placed correctly, you shouldn't get residual.