Had a pt the other day who's PEG came out on the shift before mine. The nurse called the doctor, and he said to insert a foley into the hole in the abd wall, then to resume the tube feeding through the foley, and he would be in tomorrow to insert a new PEG. She wasn't comfortable putting a foley in, so she tried (not very hard), and said she felt resistance, so the foley was not put in. She wasn't able to get a hold of the doctor (community hospital, no residents or anything, just the attending who doesn't always call back). I wasn't comfortable with it either, so I didn't even try. The doctor was very angry when he came in and there was no foley in. Any of you ever heard of putting a foley in a PEG hole? Is this even within our scope of practice? Sounds kinda invasive to me, and I don't like the idea of infusing the tube feeding when we dont have any kind of test to show where the catheter would reside. Honestly, I'm not even sure how that setup would work.
