Ok....so I get a patient tonight who is having probs with his PEG tube that was just replaced yesterday. I got in report that he kept throwing up his feeding (which was going at 20cc/hour). Kept throwing it up out of his NOSE no less. So I go into assess him and I decide to verify placement with an airbolus.....guess what happened? Feeding shot out of his nose! So I turn off the feeding and page the GI doctor, who of course didnt return my call. So I call the primary, who is SUCH and ******, and tell him what happened....hes like, "I cant do anything about it! Turn off the feeding." Well DUH.....so I say to him, "Can I order an abdominal xray at least?" He says, "Fine. Go ahead." and hangs up on me.
So guess what the xray said? PEG tube is laying above the upper abdomen.
I call the primary (because GI is STILL not returning my calls) and he says, "You need to tell GI!" I holler back, "I know that! Hes not answering my calls, so I have to tell someone!" He says, "Fine!" and hangs up again.
