Hi all. There seems to be some controversy on how to flush a g-tube at my facility. One supervisor says flushes should be bolus, another says injected with plunger. Floor nurses have varying opinions on the subject. I found a patient education pamphlet for discharge which shows injection for a flush, but since it seems to be an ongoing debate here, I was wondering how all of the nurses that visit this site felt about it. Just an FYI, no one debates that feedings should be bolus if not using a pump, we all agree on that!
May 26, '09
We use a kangaroo syringe when flushing peg tube with water or giving medicine. I was told never to use syringe plunger to inject water or medication becuase if its injected too fast patient it will cause nause and patient can vomit and I've seen it. When the state surveyors are watching giving meds via peg tube, we are always to let it flow in by gravity, never use plunger which is frustrating when water wont flush when mixture of medication clogs the peg tube and it wont flush. But if we use plunger to inject anything into a peg tube we will be sited by the state. :redlight::redlight::redlight:
We flush peg tube with bolus of water. The order states to flush peg tube with 200cc of water q shift, and we pour 200cc of water.
Last edit by Ms.RN on May 26, '09