Home Care: Meds and flushes via g-tube

[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.

[KelRN215, BSN, RN]

I simply document "G-tube" as the medication route and then record the flush volume as enteral water on the I&O flow sheet.

[nurse4sale]

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.

[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?

[ckh23, BSN, RN]

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.

[morte, LPN, LVN]

If you are doing a narative, step by step.. because ckh23 is correct, it looks like a 120 flush for ea med..

[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.

[akulahawkRN, ADN, RN, EMT-P]

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."

[edmia, BSN, RN]

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.[/quote']

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.)

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[nurse4sale]

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.

[ckh23, BSN, RN]

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."

[justicereign, BSN]

Meds given via g--tube, followed by 120 h2o flush