Home Care: Meds and flushes via g-tube

  1. When giving several meds via g-tube and two 60cc water filled syringes, I alternate meds with water flush. How would you document this? I document: "Meds given via g-tube alternating with 120cc of water flush.
    •  
  2. 11 Comments

  3. by   KelRN215
    I simply document "G-tube" as the medication route and then record the flush volume as enteral water on the I&O flow sheet.
  4. by   nurse4sale
    Quote from KelRN215
    I simply document "G-tube" as the medication route and then record the flush volume as enteral water on the I&O flow sheet.
    We have to write everything in home care nursing where I work, but thanks anyway.
  5. by   Fedide
    Our eMAR has a spot for documenting water given pre and post med. I bypass it if I am giving a water bolus at the same time, because that is the water I am using for the meds. Can you add it to your MAR, or do you have to write a progress note?
  6. by   ckh23
    Quote from nurse4sale
    When giving several meds via g-tube and two 60cc water filled syringes, I alternate meds with water flush. How would you document this? I document: "Meds given via g-tube alternating with 120cc of water flush.
    To me it reads as if you are giving 120 ml flush each time.
  7. by   morte
    If you are doing a narative, step by step.. because ckh23 is correct, it looks like a 120 flush for ea med..
  8. by   twopurpleskittles
    If you want to be clear with the volume of water given I would write it something like this.. Meds given via g-tube mixed with 120cc of water. The word alternating implies that you gave the patient 120cc of water more than once.
  9. by   akulahawkRN
    Quote from nurse4sale
    When giving several meds via g-tube and two 60cc water filled syringes, I alternate meds with water flush. How would you document this? I document: "Meds given via g-tube alternating with 120cc of water flush.
    I might document that like this: "Meds given via g-tube with total flush volume 120cc water, medication alternated with small volume water flush" or like this, "Meds given via g-tube alternating with a small volume water flush, total water flush 120cc."
  10. by   edmia
    Quote from nurse4sale
    When giving several meds via g-tube and two 60cc water filled syringes, I alternate meds with water flush. How would you document this? I document: "Meds given via g-tube alternating with 120cc of water flush.
    I'm not sure why you have to document so much detail as it is just meds flushed with water, but how about:

    Medications given via g-tube with water flushes in between each medication. Total of 120 ml water given.

    (Always use ml as cc is not an approved abbreviation anymore.)

    Sent from my iPhone using allnurses.com
  11. by   nurse4sale
    Quote from ckh23
    To me it reads as if you are giving 120 ml flush each time.
    So, it would sound better if I documented "alternating with 60ml of water flush"? Hmm, it does sound ambiguous.
  12. by   ckh23
    Quote from nurse4sale

    So, it would sound better if I documented "alternating with 60ml of water flush"? Hmm, it does sound ambiguous.
    Yes, it sounds better that way. I would add the total at the end. "Alternating with 60ml water flush for a total of 120ml."
  13. by   justicereign
    Meds given via g--tube, followed by 120 h2o flush

close