Considerations:
- Venting can be helpful to try if student complains of cramping or gassiness during or after feedings
- Encourage the student to assist in the procedure as much as he/she is able to help student learn self-care skills
Supplies:
- 60 ml syringe
- Tape
- Gloves
- Gauze/paper towel/tissue
- Explain the procedure to the student at a level he/she will understand
- Position child either sitting or supine with head up at least 30 degrees
- Wash hands
- Gather supplies and place on clean surface
- Put on gloves
- Remove cap or plug from G-tube
- Connect a 60 ml catheter-tip syringe to the G-tube
- Tape a piece of gauze/paper towel/tissue over the syringe to keep fluids from splashing out
- Vent until gassiness relieved
- Disconnect syringe
- Put cap or plug into G-tube
- Remove gloves
- Clean syringe with warm water and mild soap
- Place on clean surface to air dry
- Wash hands
- Document assessment, interventions, and outcomes in student’s healthcare record
- Follow up with parents/guardian and healthcare provider, as needed
Resources:
MIC—KEY LOW–PROFIILE GASTROSTOMY FEEDIING TUBE: YOUR GUIDE TO PROPER CARE
http://www.mic-key.com/media/40679/r8201b_mic-key_care_guide_english.pdf
MIC-KEY Button Reference card
http://www.mic-key.com/media/78579/ref_card.pdf
MIC Transgastric-Jejunal Feeding Tubes http://www.halyardhealth.com/media/128697/u5918_brochure.pdf
MIC Enteral Feeding Tubes and Accessories
http://www.halyardhealth.com/media/128695/u4850_mic_enteral_tubes.pdf
Guidance and support to help you manage your gastrostomy tube (g-tube) Capsule Non-Balloon Mini ONE® Buttons
http://www.amtinnovation.com/pdf/AMT_NonBalloonPatientCare.pdf
Guidance and support to help you manage your gastrostomy tube (g-tube) Balloon Mini ONE® Buttons
http://www.amtinnovation.com/pdf/AMT_BalloonPatientCare.pdf
References:
Children’s Hospitals and Clinics of Minnesota. (2011). A Guide for Parents G-J tube Care at Home. Available at: http://www.childrensmn.org/Manuals/PFS/HomeCare/196857.pdf
Children’s Hospitals and Clinics of Minnesota. (2011). A Guide for Parents G tube Care at Home. Available at http://www.childrensmn.org/manuals/pfs/homecare/196854.pdf
Exit Care. (2012). Mosby’s Nursing Consult. Gastrostomy Tube, Child.
Acknowledgment of Reviewers:
Lori A. Duesing, MSN, RN, CPNP-AC
Advanced Practice Nurse
Department of Gastroenterology
Children’s Hospital of Wisconsin
Kathy Leack, MS, RN, CNS
Advanced Practice Nurse
Children’s Hospital of Wisconsin
Page last updated: April 8, 2015