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Comment on this procedure
* Enteral feeding is ordered by medical officers.
* Trained registered nurses and medical officers may insert salem sump/fine bore gastric tubes in the Richmond Health Service.
* A salem sump tube is essential to allow monitoring of absorption of feeds when first commenced.
* Radiological verification of tube position is essential before enteral feeding.
* Only eight hours enteral feed in the bottle at any one time.
* Patients must be on a fluid balance chart whilst receiving enteral feeding.
* The tube must be securely anchored to the patients nose.
* The tube should be flushed with 10-20ml of sterile H20 before and after administration of medication.
* Enteral feed giving set to be changed at 2000hrs daily.
OUTCOMES:
* Store enteral feed in refrigerator and do not use feed more than 24 hours old.
* The tube will not become malpositioned.
* The patient will attain optimum nutrition from enteral feeding by correct choice of feed type and volume.
EQUIPMENT: Enteral feeding bottle
Enteral feeding set
Enteral food solution and opener
Alcohol swabs
Label for feeding bottle
Kangaroo pump
PROCEDURE:
* Check and verify type and rate of enteral feeds to be used. Check expiry date.
* Collect all equipment at bedside.
* Assemble feeding bag and lines.
* Verify feeding tube placement.
* Fill feeding bottle with 8 hours of feeding solution.
* Prime line and connect to patients enteral feeding tube; ensure tight connection.
* Attach label to bag detailing feed type, amount, patients identification and your signature.
POST PROCEDURE: * Document procedure in nursing notes.
* Ensure adequate supply of appropriate feed.
* Follow regimen below then commence feeding.
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