G-Tube Site Care

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G-Tube site Care Station


Changing a Gastrostomy Tube

 

Purpose

  • Ensure proper replacement of a gastrostomy tube through a gastrostomy opening with minimal discomfort.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Equipment/Supplies

  • Foley catheter (recommended size 22 to 28 Fr. with 5 to 30 ml balloon per physician�s order).
  • 1-inch paper tape.
  • Precut (split) gauze sponge.
  • Two pairs of disposable gloves.
  • 10 to 30 ml syringe.
  • 10 ml syringe catheter-tip or Y-connector.
  • One clamp.

* Note: If the physician orders a tube other than a Foley catheter, the physician is responsible for placement.

 

G-Tube Reinsertion Station

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G-Tube Reinsertion Station

Purpose

  • Maintain gastrostomy tube patency.
  • Prevent skin breakdown around site.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Equipment/Supplies

  • Bulb syringe.
  • Water in small container.
  • 4 x 4 gauze sponge and dressing supplies, if necessary.
  • Hypoallergenic tape if necessary.
  • Cotton-tipped applicators.
  • Soap and warm water, basin, wash cloth, and towel.
  • Disposable, non-sterile gloves.

 

 

 

G-Tube Feeding Station

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G-Tube Feeding Station

Administration of Enteral Feedings, Gastrostomy or Jejunostomy Tube

 

Gastric feeding by gastrostomy tube is relatively safe to administer provided gastric emptying is normal. Research has shown that aspiration rates are about the same in clients with a gastrostomy tube as with nasogastric tubes (Metheny, 2000).

 

A gastrostomy tube is inserted in surgery. The tube is placed in the stomach and the tube exits in upper left quadrant of the abdomen. An alternative is a percutaneous endoscopic gastrostomy (PEG) tube. This tube also exits through a puncture wound in upper left quadrant of abdomen but is held securely in place by design.

 

A jejunostomy tube is used when clients are at greater risk of aspiration or have delayed gastric emptying. This tube is placed in surgical procedure and advanced into the jejunum.

 

Bowel and Digital Stimulation Program

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Bowel Program and Digital Stimulation Station

Bowel Program, Digital Stimulation

Purpose

  • Manually remove stool.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Equipment/Supplies

  • Disposable gloves.
  • Water-soluble lubricant.
  • Waterproof, absorbent pads.
  • Bedpan.
  • Wash basin.
  • Washcloths, towels, soap.
  • Suppository as ordered by the physician.