![]() The measurement from marking/nare to end of tube should be documented at insertion and with each subsequent use of the NG tube Current practice dictates that at the time of radiographic confirmation of tube site location, the tube should be marked with indelible ink or adhesive tape where it exits the nares.Visual characteristics of feeding tube aspirate can be helpful in distinguishing between gastric and intestinal content but is of little value in differentiating between gastrointestinal and respiratory placement.Because the pH level of gastric aspirate is often elevated by either medication or enteral feeding formulas, pH testing is not always a reliable indicator of gastric placement and other methods to verify placement should be used.Verification should be used to verify placement prior to using NG tube for feeding or medication administration. ![]() pH monitoring, visual characteristics of gastric aspirate and observing and documenting proper location of external tube markings and comparing to tube length measurements obtained after initial placement of the NG tube.If there is no order, follow up with healthcare provider prior to using NG tube in the school setting.Orders from the healthcare provider should indicate how placement should be verified prior to feeding or medication administration.The most significant risk with tube feedings is aspiration of feeding into the lungs, be sure the student is positioned properly with head elevated at least 30 degrees.Some children may have a NG bridle to help with NG tube securement.Be sure to take steps to ensure student’s privacy when performing procedure.The most significant risk with tube feedings is aspiration of feeding into the lungs, be sure the student is positioned properly.The use of the auscultatory method to verify NG tube placement has long been proven unreliable and should not be used!.If there is any concern that tube is not in the stomach, do not feed or give medications and contact provider Note that this information does not replace clinical judgment.Children with Special Health Care Needs.Individual Healthcare Plans (IHP): An Important Tool for the School Nurse.School Nurse Considerations for Field Trips.Policy, Procedure, and Protocol: The School Nurse’s Role in Development and Review.Navigating Delegation in the School Setting.A School Nurse Tutorial on FERPA and HIPAA.The Essentials of School Nurse Documentation.Considerations for Medication Administration in the School Setting.504 Plans: What the School Nurse Needs to Know.Center for School Nurse Professional Development and Education.Such a trend is expected to promote the greater uptake of technologically advanced enteral feeding devices in the global clinical nutrition industry. Several manufacturers in the enteral feeding devices industry are increasingly adopting patient safety techniques, such as unique connection systems to avoid misconnections of feeding tubes and user friendly features such as portable feeding pumps, programming options, programmable flushing intervals, multiple languages, occlusion pressure alarm options, history of previous feed rates, and screen and program lock-out features to prevent manipulation. In addition, the enteral feeding devices market is witnessing a growing adoption of technologically advanced, user-friendly safety systems that minimize complications such as misconnections, tube dislodgements, aspiration, and tube blockage. Such a trend is expected to promote the greater uptake of technologically advanced enteral feeding devices in the global clinical nutrition industry.Īn increasing number of hospitals and ambulatory care settings are adopting enteral nutrition as an effective method of clinical nutrition. Enteral Feeding Devices Market - An increasing number of hospitals and ambulatory care settings are adopting enteral nutrition as an effective method of clinical nutrition.
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