Great information Iam registered nurse for 4 years and just started picking up shift in a long term care unit and had no idea about tube feeling. Thanks!
My dad got a gtube and nobody told me to I had to check for residual...he aspirated after and had to go back to the hospital. I literally got a 10 min course so this is helpful
My mom got a gtube and I got no course. They told me to look at CZcams. But I can't even find out how much she needs. She seems to still be losing weight. They only giving 30ml/hr for 12 hrs. That's it. She's at a rehab
It’s still used and in some cases policy. Know your facility is your best bet. I’ve been a nurse for 24 years as well as a nursing instructor. I continue to teach both as I work in several different settings and rarely see pH check past initial placement but ALWAYS see air bonus no matter what
@@autumnroberts3086 if nursing practice becomes outdated it’s means evidence based practice (EVP) has seen the dangers & have come up with better practice. Therefore, it should be stopped.
RN here. Just use gentle pressure. If you feel any amount of suction/pullback and it's only air you're good to go. A residual will slide right back into the tube with the gentlest pullback.
Isn't it that when checking the residual you should not use the plunger of syringe and allow the flow of gravity, once there's a residual you shouldn't put it back as it will create disequilibrium. Or there's new update and the residual needs to return into the stomach?
I not trying to be abrupt / incorrect, I feel there's no need to check for residual pH levels. I have had a g-tube since birth *(Different versions and also different feeds throughout life) and the feeding tube itself has worked ever-so-well. In the recent yr and a half the g-tube site is very hurt/irritant. I think my family / doctors are not comfortable doing anything to the issue due to the fact I have had numerous procedures in my life.
Does anyone have reliable links to research articles that show why the first method for checking placement ( pulling back syringe) is preferred? This is my employer's ( home health care) policy for checking placement, however it seems like some providers and families are unaware this is a method for checking placement.
But is that better for demonstration, since you are showing to the class how to do it right by using the right equipment of PPE. Not only to protect yourself but also to protect the patient safety as well. Who knows, by touching so much the g-tube you possibly transfer any pathogens that can infect the patient.
20mls of gastric contents isn’t going to throw off your electrolytes😂 my PEG tube is in place specifically for draining gastric contents. Most of your electrolytes are in your intestinal bile. God they really do be letting anyone give educational videos.
We are still taught in nursing school that the contents should not be thrown away, as it can negatively affect the patient, and can affect electrolyte levels.
Great information Iam registered nurse for 4 years and just started picking up shift in a long term care unit and had no idea about tube feeling. Thanks!
Thank you for this video. As a patient sent home w a J tube, and very little instructions on how to care for it, this was so helpful and informative.
My dad got a gtube and nobody told me to I had to check for residual...he aspirated after and had to go back to the hospital. I literally got a 10 min course so this is helpful
I not trying to be incorrect or rude, I feel there's no need to check for residual pH levels.
My mom got a gtube and I got no course. They told me to look at CZcams. But I can't even find out how much she needs. She seems to still be losing weight. They only giving 30ml/hr for 12 hrs. That's it. She's at a rehab
Thank you!
What do you clean the medicine crusher with!!,
FYI: Instilling air for proper tube placement is outdated & discontinued.
@kobbya8735 tell us which one to use
@Biba Kamel probably ✔️ for residual feeding
It’s still used and in some cases policy. Know your facility is your best bet. I’ve been a nurse for 24 years as well as a nursing instructor. I continue to teach both as I work in several different settings and rarely see pH check past initial placement but ALWAYS see air bonus no matter what
@@autumnroberts3086 if nursing practice becomes outdated it’s means evidence based practice (EVP) has seen the dangers & have come up with better practice. Therefore, it should be stopped.
excellent explanation !
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If a person using feeding pipe
By unfortunately the patient taken water directly mouth what happens
How will you give Ecosprin to the patient on the tube? If we can't crush it then what is the available option? Thanks in advance
With a 24 hour feed. When you check for residual is it normal to pull up air before you see gastric contents
RN here. Just use gentle pressure. If you feel any amount of suction/pullback and it's only air you're good to go. A residual will slide right back into the tube with the gentlest pullback.
Isn't it that when checking the residual you should not use the plunger of syringe and allow the flow of gravity, once there's a residual you shouldn't put it back as it will create disequilibrium. Or there's new update and the residual needs to return into the stomach?
I not trying to be abrupt / incorrect, I feel there's no need to check for residual pH levels.
I have had a g-tube since birth *(Different versions and also different feeds throughout life) and the feeding tube itself has worked ever-so-well. In the recent yr and a half the g-tube site is very hurt/irritant.
I think my family / doctors are not comfortable doing anything to the issue due to the fact I have had numerous procedures in my life.
You have a lot of experience. Stay healthy.thx.
Does anyone have reliable links to research articles that show why the first method for checking placement ( pulling back syringe) is preferred? This is my employer's ( home health care) policy for checking placement, however it seems like some providers and families are unaware this is a method for checking placement.
Is Air still recommended..??
I can't extract the gastric juice content. Is it normal for it having bubbles instead?
Those bubbles are air.
Brendan to NEEX
Brendan to
you don't check residue anymore...
What? That makes no sense.
Ertyiop😅❤
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Ccccccccccf thanks
Miss Turner failed nutrition class!
What?
where is her gloves and why did she not wash her hands, and provide privacy lol i know its a fake manican but lord.....
Wear gloves
No gloves hoooo noooo
I have a feeding tube since birth and I also don't wear medical gloves. I sanitise hands and tube prior to using it and after using it.
Why should gloves be wasted on a demonstration? We all know that hand hygiene would be done first, then gloves donned before doing any of this.
But is that better for demonstration, since you are showing to the class how to do it right by using the right equipment of PPE. Not only to protect yourself but also to protect the patient safety as well. Who knows, by touching so much the g-tube you possibly transfer any pathogens that can infect the patient.
First wash your hands and dry
Secondly sterile gloves on
Sterile workspace
The sound quality is poor at intervals. Thanks for the video. Very helpful.
the gut aint sterile
You don't need sterile gloves. it isn't a sterile procedure.
This IS NOT A STERILE procedure
Julie
Agree sterile gloves
20mls of gastric contents isn’t going to throw off your electrolytes😂 my PEG tube is in place specifically for draining gastric contents. Most of your electrolytes are in your intestinal bile. God they really do be letting anyone give educational videos.
We are still taught in nursing school that the contents should not be thrown away, as it can negatively affect the patient, and can affect electrolyte levels.
@@heidih3048 not that little amount and if you replace larger amounts with pedalyte or body armor you’ll be fine
@@Livingtheinvisiblelife That may be true-- I am just saying what we were taught in nursing school when I was there (2020-2021).