This is the process of administering fluids, liquid foods and sometimes medications through a tube which is directly inserted from the nostril into the stomach of a child. This may be required if the child is unable to tolerate liquids or solids by mouth.
Aims
· Provide nourishment
· Provide treatment
· Promote recovery
· Diagnostic purposes
Requirements
· Feeding tube (appropriate sizes)
· Tube clamp
· Prepared feeds
· Gauze
· Syringes (various size)
· Adhesive tape
· Water for rinsing
· Protective clothing
· Drape
· Mackintosh or bed towel
· PH testing strips
· Paediatric stethoscope
· Water-based lubricant
· Receiver
Steps
1. Explain procedure to child/caregiver
2. Perform five moments of hand hygiene
3. Create a conducive atmosphere for feeding
4. Send items to bedside and provide privacy
5. Involve caregiver as and when necessary during the feeding
6. Drape the child and protect bed with a mackintosh/dressing towel or bed mat
7. Measure the correct amount of feed and warm into the desired temperature
8. Check tube placement by observing the mark on NG tube and PH testing/auscultation
9. Clamp the tube and remove stopper on NG tube
10. Remove the plunger and attach the syringe to the feeding tube
11. Pour the feed into the syringe and unclamp the tube
12. Allow feed to flow gently by gravity
13. Observe child for discomfort or aspiration while feeding
14. Rinse tube with required amount of water after feeding
15. Replace the stopper and secure the tube
16. Undrape child, remove mackintosh/dressing towel or bed mat and bed trolley
17. Appreciate the child and caregiver for their cooperation
18. Empty the tray, dispose off used syringe and clean used items
19. Document procedure and observations (manual or electronic)
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