I was sent home a few hours after my daughter's PEG was placed. Thankfully a nurse took pity on me and did her best to give me a crash course in using the tube. This video has also helped a lot.
Good video...good review....for meds that don't dissolve well...you'll get to know those by doing them....but the "warmer the water added" the better the dissolution of meds...but not too hot...
Thank you so much for this video!!! I'm a new grad nurse and not very experienced in giving meds via PEG tube and after seeing this video I feel very confident to do so. :D
they teach it to us alright, its just that we never get the experience handling it on clinical days, not our fault if our patient doesn't have a G-tube.
katyavideos doesn’t matter what school taught us, if you don’t have real world experience you won’t be confident. Messing with any kind of tubing whether it be a g tube or IV is stressful for brand new nurses
Good Video. I would not have allowed AIR to go in concurrently after each med. Simply pinch it off and allow 10 of h2o to remain throughout the whole med pass......
Omg I was so nervous the whole time she was holding the tube syringe at the top like that! I always hold down where I have it inserted so it doesn't come out and everything goes everywhere!
Historically nurses verified feeding tube placement by injecting air through the tube while auscultating the stomach for a gurgling or bubbling sound or asking the patient to speak. Auscultation has repeatedly been shown to be ineffective in detecting tubes accidentally placed in the lung (Bourgault et al., 2007). Some patients are able to speak despite placement of feeding tubes in the lung (Rolandelli et al., 2005). Furthermore, auscultation is not effective in distinguishing between gastric and intestinal placement for feeding tubes (Rauen et al., 2008). The measurement of pH of secretions withdrawn from the feeding tube helps to differentiate the location of the tube (Box 44-13). At present the most reliable method for verification of placement of small-bore feeding tubes is x-ray film examination (Potter 1020-1021) Potter, Patricia, Anne Perry, Patricia Stockert, Amy Hall. Fundamentals of Nursing, 8th Edition. Mosby, 2013. VitalBook file. The citation provided is a guideline. Please check each citation for accuracy before use.
Easier way to verify tube is not in the lungs is dip the other end of the tube in a cup of water. If it bubbles while patient is breathing that means youre in the lungs.
These studies are aimed at NG tube placement not G orJ tubes. Being able to or not being able to speak with G or J tube has nothing to do with each other.
Gengar Phantom it don’t really matter it whatever doc says for each person I mix all my meds and take all at same time with 20 ml after one time and I’m doing fine
@@dorate100 Some medications can interact with each other or even block the gastric tubing if mixed together that's the reason why each med is given separately. Hopefully it won't happen to you.
Of course she does. I have been tube feeding all of my life (Past 30 years) and I even know that much.... Can I send an e-mail or something on as I have things I wish to discuss Re: Feeding tubes?
I am under the impression it is not best practice to instill air for tube verification. I agree that allowing air to go into your G tube will not serve the patient well.
I don't know why I decided to watch these videos today, just did, started with tracheostomy & now I'm here. All of my procedures were performed while I was in a coma following surgery. Just a funny share - when my nurse would 'push' the chocolate ensure (I believe it was!) very fast I swear I could taste it, has anyone heard of this?
There is a tendency that she is introducing more air into the stomach as she doesnt clamp the tube on every successful introduction of fluids/meds/feeds, and even after removing of the plunger of the syringe. Are there any guidelines that support this techniques.
3 questions (although i know video is 8 years old - exactly) 1. Why use good medicine for a video? (Isn't that a bit of waste of expensive meds)? 2. Should a Gastro feeding tube be always in one's stomach (Inside of the stomach?) As I have a G-tube past 30 years and unfortunately, over time, the tube has never been replaced. Now i'm having a lot of issues with it. a nurse's saying the tube should be re-positioned 3. During Summer months, is it a negative idea to pour absolutely freezing / ice cold h2o through the feeding tube
Yes, gastro basically means stomach... the name dictates location. And I don't know about ice cold in summer months.. doesn't sound like a good idea. Cold causes constriction, whereas heat causes dilation and is better for digestion.
@@dorate100 depending on the meds they can interact with each other and cause the tube to become clogged. This is not safe practice. Definitely wouldn't do it just cuz a doctor said it is okay.
I was sent home a few hours after my daughter's PEG was placed. Thankfully a nurse took pity on me and did her best to give me a crash course in using the tube. This video has also helped a lot.
Great video. She's clear and explains everything well. Thank you.
Paige
Lehmann l?
Good video...good review....for meds that don't dissolve well...you'll get to know those by doing them....but the "warmer the water added" the better the dissolution of meds...but not too hot...
Thank you so much for this video!!! I'm a new grad nurse and not very experienced in giving meds via PEG tube and after seeing this video I feel very confident to do so. :D
they teach it to us alright, its just that we never get the experience handling it on clinical days, not our fault if our patient doesn't have a G-tube.
katyavideos doesn’t matter what school taught us, if you don’t have real world experience you won’t be confident. Messing with any kind of tubing whether it be a g tube or IV is stressful for brand new nurses
I mix all my meds and push thru and done
Amazing vid! Extremely informative!
Good Video. I would not have allowed AIR to go in concurrently after each med. Simply pinch it off and allow 10 of h2o to remain throughout the whole med pass......
Clamp between meds admistration
THanks for the video, It gave me lots of makes sense to learn to be ready for NCLEX
Awesome video!! Just like I learned in school.
Thanks for showing great informative video. Very nice 👍
Omg I was so nervous the whole time she was holding the tube syringe at the top like that! I always hold down where I have it inserted so it doesn't come out and everything goes everywhere!
what a great video you demonstrated this very well
Historically nurses verified feeding tube placement by injecting air through the tube while auscultating the stomach for a gurgling or bubbling sound or asking the patient to speak. Auscultation has repeatedly been shown to be ineffective in detecting tubes accidentally placed in the lung (Bourgault et al., 2007). Some patients are able to speak despite placement of feeding tubes in the lung (Rolandelli et al., 2005). Furthermore, auscultation is not effective in distinguishing between gastric and intestinal placement for feeding tubes (Rauen et al., 2008). The measurement of pH of secretions withdrawn from the feeding tube helps to differentiate the location of the tube (Box 44-13). At present the most reliable method for verification of placement of small-bore feeding tubes is x-ray film examination (Potter 1020-1021)
Potter, Patricia, Anne Perry, Patricia Stockert, Amy Hall. Fundamentals of Nursing, 8th Edition. Mosby, 2013. VitalBook file.
The citation provided is a guideline. Please check each citation for accuracy before use.
Easier way to verify tube is not in the lungs is dip the other end of the tube in a cup of water. If it bubbles while patient is breathing that means youre in the lungs.
These studies are aimed at NG tube placement not G orJ tubes. Being able to or not being able to speak with G or J tube has nothing to do with each other.
sgma and the patient can accidentally breathe in the water! 😳
FRANCIQUE ERIC IRENE ARTHUR WESLEY FRANCIQUE
its 30cc before and after and 5-10cc in between meds
Gengar Phantom it don’t really matter it whatever doc says for each person I mix all my meds and take all at same time with 20 ml after one time and I’m doing fine
@@dorate100 Some medications can interact with each other or even block the gastric tubing if mixed together that's the reason why each med is given separately. Hopefully it won't happen to you.
Thank you for this video very helpful:)
i had before patient his bedridden 6 years ago! i took him great video 😘
If you were paying attention to the video, 7:16 into the video, she does give an air bolus and checks for placement
Of course she does. I have been tube feeding all of my life (Past 30 years) and I even know that much.... Can I send an e-mail or something on as I have things I wish to discuss Re: Feeding tubes?
Thanks for this video; helped a lot.
This helped alot! Thanks
Thanks for the video.
Really great thankyou!
Thank you ma’am ♥️
very helpful video
I am under the impression it is not best practice to instill air for tube verification. I agree that allowing air to go into your G tube will not serve the patient well.
Great video.
She also checks for residual before administering medication.
You separated medications into different souffle cup but used the same tongue depressor to stir the dissolving medications?
why not, its going to the patient's stomach anyway.....
Works fine to me, if u have any questions ask me I've been a nurse for over 5 years.
Good video
That was like 50cc's of water at the beginning and when stirring the medications she used the same stick!
Very good video
That is a lot of water she is flushing with.
I work in a nursing home and some of my patients have nearly 20 different medications and this could take awhile to do...suggestions please. Thanks
How did it go?
a lot of pill spilled on to table plus stayed on stick too.
Rose Ann Colon That's why I mix my medication in the syringe with warm boiled water.
great vedeo!!!
great video!!!
U never clamped it when the stuff ran right in to much air
I don't know why I decided to watch these videos today, just did, started with tracheostomy & now I'm here. All of my procedures were performed while I was in a coma following surgery. Just a funny share - when my nurse would 'push' the chocolate ensure (I believe it was!) very fast I swear I could taste it, has anyone heard of this?
Exactly what is meant by cc and how can you tell if the bed is up 30 degrees or more
3 STANHOPE ROAD NORTHAMPTON🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞🔞
You did not indicate the amount of air.
George Kamara slle
🤣🤣🤣
There is a tendency that she is introducing more air into the stomach as she doesnt clamp the tube on every successful introduction of fluids/meds/feeds, and even after removing of the plunger of the syringe. Are there any guidelines that support this techniques.
3 questions (although i know video is 8 years old - exactly)
1. Why use good medicine for a video? (Isn't that a bit of waste of expensive meds)?
2. Should a Gastro feeding tube be always in one's stomach (Inside of the stomach?) As I have a G-tube past 30 years and unfortunately, over time, the tube has never been replaced. Now i'm having a lot of issues with it. a nurse's saying the tube should be re-positioned
3. During Summer months, is it a negative idea to pour absolutely freezing / ice cold h2o through the feeding tube
Yes, gastro basically means stomach... the name dictates location. And I don't know about ice cold in summer months.. doesn't sound like a good idea. Cold causes constriction, whereas heat causes dilation and is better for digestion.
Cool music , may I know the music name or where I can download it ?
Hello Beth. Thank you for watching our video. The music track was licensed from FirstCom Music, Inc.
You are doing med administration you said “ now I am ready to do my tube feed”
It is used as a verb meaning to feed the medication into the tube. It doesn't mean food.
Why dont u kink the tube to not let air go in?
gud video
czcams.com/video/8BnTUKgK3aI/video.html
A dressing change video I also uploaded! these videos are all great by the way!
this video is not playing only audio Im so disappointed I really need to see this
There is no SE. There is SR like bupropion SR.
Way to many flushes
i see nurses pushing these
Nice video! Flush water is not measured, u r just guessing 20cc, it's way more than that. Too much air entering the tube.
cross contamination by using the same equipment to mix both medications
lisa gordon Not really, but what it can do is create a minimal reaction.
To many steps just crush pills put all meds together mix with water and put it thru tube and done
That's the short cut way. It's not the right way
This is so NOT the real world lady. Thanks for the video anyways though
nice scan my image
Um this takes way to much time I crush mine mix all of my meds together then push meds in all at once takes 20 seconds
Brenda I Burroughs you will fail a medpass for that technique. The surveyors will site for each med as an error. Happened in one of our facilities
You'll be sent home by state
@@lekishanesmith9899 my doctors said it was ok
@@tinuke-mo1ke i never get medpasses my doctors said i can mix all mine at once
@@dorate100 depending on the meds they can interact with each other and cause the tube to become clogged. This is not safe practice. Definitely wouldn't do it just cuz a doctor said it is okay.
50 cc's of water in between meds! That's what she did!🤦🏽♀️
Not good video. To much air . Didn't flush enough.
U can mix meds
Not if state surveyors are watching a lot of orders say No Coattails with meds