Jejunostomy Tube Feeding Continuous Drip – Things to consider: Be sure to take to ensure patient privacy when performing procedure The unlikely risk with jejunostomy tube feedings is aspiration of formula into the lungs, be sure the student is positioned properly with head elevated at least 30 degrees Encourage the student to assist in the procedure as much as he/she is able to help student learn self-care skills Needed supplies: Adaptor with tubing and clamp Feeding solution in container (bag) at room temperature 60 ml catheter-tipped syringe Pump Warm tap water, if prescribed Pole to hold feeding container Student’s Individualized Health Plan (IHP) and/or healthcare provider’s orders Procedure: Review healthcare provider’s order including: the type of formula amount of formula infusion type and rate frequency and timing of administration amount of water used to flush the tube Explain the procedure to child at his/her level of understanding Wash hands Assemble equipment and place on a clean surface Position child either sitting or supine with head up at least 30 degrees Ensure that the clamp is not resting on the student’s skin Put on gloves Observe abdomen for signs of tube malposition or obstruction/clogging of jejunostomy tube such as difference in external tube length compared to baseline measurements or abdominal distention If student has abdominal distention do not administer feeding and contact parent/guardian and healthcare provider Pour feeding/fluids into feeding container, run feeding through tubing to the tip and clamp tubing Hang container on pole at height required to deliver prescribed flow If pump is used, place tubing into pump and set flow rate Open safety plug and insert tubing into the J-tube Open clamp on tubing Turn on pump to prescribed rate When prescribed volume of feeding is completed, clamp feeding bag tubing and remove Attach catheter-tipped syringe and flush tubing with 5ml of water or prescribed amount
Jejunostomy Tube Feeding – Continuous Drip Things to consider: Be sure to take to ensure patient privacy when performing procedure The unlikely risk with jejunostomy tube feedings is aspiration of formula into the lungs, be sure the student is positioned properly with head elevated at least 30 degrees Encourage the student to assist in the procedure as much as he/she is able to help student learn self-care skills Needed supplies: Adaptor with tubing and clamp Feeding solution in container (bag) at room temperature 60 ml catheter-tipped syringe Pump Warm tap water, if prescribed Pole to hold feeding container Student’s Individualized Health Plan (IHP) and/or healthcare provider’s orders Procedure: Review healthcare provider’s order including: the type of formula amount of formula infusion type and rate frequency and timing of administration amount of water used to flush the tube Explain the procedure to child at his/her level of understanding Wash hands Assemble equipment and place on a clean surface Position child either sitting or supine with head up at least 30 degrees Ensure that the clamp is not resting on the student’s skin Put on gloves Observe abdomen for signs of tube malposition or obstruction/clogging of jejunostomy tube such as difference in external tube length compared to baseline measurements or abdominal distention If student has abdominal distention do not administer feeding and contact parent/guardian and healthcare provider Pour feeding/fluids into feeding container, run feeding through tubing to the tip and clamp tubing Hang container on pole at height required to deliver prescribed flow If pump is used, place tubing into pump and set flow rate Open safety plug and insert tubing into the J-tube Open clamp on tubing Turn on pump to prescribed rate When prescribed volume of feeding is completed, clamp feeding bag tubing and remove Attach catheter-tipped syringe and flush tubing with 5ml of water or prescribed amount