dobhoff guidelines

[justjude60]

i am doing a travel contract and i was asked to check residual for a dobhof. i did it once and today i did not. the pt asked me during report rounds if i forgot. i told in front of the nurse i was reporting off to that i was not going to do it as i did not feel comfortable. they can get clogged and dislodged. i probably should not have said that in front of the patient but she asked and she was aaox3. i gave my opinion. does anyone support that?

[opensesame]

I believe when you say Dobbhoff that means a small bore nasal feeding tube, correct?

If that is what we are talking about, at my current place of employment, we don't check residuals on SBFTs as typically the lumen of the tube is so small that you can't really get much volume out, so it would be an inaccurate residual.

If you truly want a residual, you need to have a larger bore tube in place (like a Salem sump) or a PEG.

[justjude60]

thanks for the affirmative. i was told never to check residuals also. the dobhoff is the yellow one that has a guidewire in it when placed and placement is checked by xray only. thanks for the heads up.