Tubes/Feeds
What position should a patient with a enteral feeding always be in?
minimum 35-45* semi-fowler's
How much time do you have to obtain a restraint order before it becomes a legal issue?
A sterile field is a field with no____________?
microorganisms
Documentation is considered a _______document?
How often should tube feeding tubing be changed?
q 24 hours
How high should the enteral feeding bag hang above the kangaroo pump on an IV pole?
6ft
How often do you need restraint order renewal?
24 hours
Where should hands be kept when dealing with a sterile field?
above the waistline, above the sterile field
Objective
What are the 3 NG tube insertion landmarks?
Nose
Earlobes
xyphoid process
Name 3 things to check or before starting a enteral feeding?
Placement of tubing
priming the tubing.
Name some alternatives to restraints?
Decrease stimuli
Offer distractions; TV, book, drawing,music, telephone, food, fluids, bathroom
Tolieting needs
snacks
etc
If you turn your back to a sterile field what does that indicate?
You have broken sterile technique. The sterile field is no longer sterile
When writing your documentation and an error occurs how do you properly handle the error?
1 strikethrough or line across the error. Correction above and initials of the nurse.
What should you have at bedside for the patient to help facilitate the NG tube insertion to smoothly go into the stomach?
cup of water at bedside with a straw
Your patient's residual is 300ml. Your order shows to hold feeding if residual is >200ml. What is your next step?
Inform Charge Nurse or MD.
What does CSM stand for?
sensation
movement
sterile gloves
wound care
surgical prep
etc
How does the saying go..."If you didn't document it...."
You didn't do it!
NG tube will be connected to either these 2 machines?
feeding pump
suction machine
What are some complications of NG tubes, G tubes, J tubes?
aspiration pneumonia
infection
Restraints are always the _______ resort?
LAST RESORT!!!
What is aseptic technique?
decreasing the amount of microbes in the technique
You are documenting your patient's orientation status what do you include?
PERSON, PLACE, TIME, EVENT
What will a patient develop during hospitalization if the patient is noted frequently repositioned or ambulating?
DVT
pneumonia
constipation
etc