Dear nurses, I need to get some facts checked. For a person in bolus g-tube feeding, shouldn't there be a written physician's order/instruction for holding the feeding for certain amount of residual?
For the place I work, they only have instruction for how much bolus to administer @ what time. We just go off of nursing judgment in case we get lots of residual, which makes me little uncomfortable because with this particular pt. I do not know how much is too much residual, and what would be the best thing to do in case I get a lot of returns?
Not just that, granted that pt. is very stable. But who is to take guarantee that he/she will digest food properly at all times. Isn't that one of the reason to check residual in the first place?
Now I talked to the parents, that they feel fine not having any orders for holding feeding because thats what they have been doing for years.
I feel worried because I feel like with g-tube feedings, such orders are usually placed.
Or is there certain things I can do as nurse in case I get tons of residual?
Thank you in advance!!!