Scribd
Upload
741 views1 page

Tube Feeding Checklist

1. This document provides a checklist for administering a tube feeding with 11 key procedures. It includes assessing bowel sounds, preparing the feeding, positioning the patient, checking the tube placement, administering the feeding through the tube, and providing aftercare. 2. The evaluator rates the student on a scale of 3-0 for performing each procedure and provides an overall evaluation on a scale of 5-1 for mastery, orderliness, proper attitude, ability to answer questions, and proper reporting. 3. The student and evaluator sign the checklist and the evaluator provides comments.

Uploaded by

Danica Padilla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
741 views1 page

Tube Feeding Checklist

1. This document provides a checklist for administering a tube feeding with 11 key procedures. It includes assessing bowel sounds, preparing the feeding, positioning the patient, checking the tube placement, administering the feeding through the tube, and providing aftercare. 2. The evaluator rates the student on a scale of 3-0 for performing each procedure and provides an overall evaluation on a scale of 5-1 for mastery, orderliness, proper attitude, ability to answer questions, and proper reporting. 3. The student and evaluator sign the checklist and the evaluator provides comments.

Uploaded by

Danica Padilla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Name: ____________________________________ Date: _________Section/Group: ______

Administering a Tube Feeding


CHECKLIST
Legend:
3-Very Satisfactory 0- Did not perform the procedure
2- Satisfactory 1- Needs Improvement

PROCEDURES 3 2 1 0
1. Explain procedure to the patient. Use stethoscope to assess bowel
sounds.
2. Assemble equipment. Check amount, concentration, type, and frequency
of tube feeding on patient’s chart. Check expiration date of formula.
3. Perform hand hygiene. Don disposable gloves.
4. Position patient with head of bed elevated at least 30 degrees or as near
normal position for eating as possible.
5. Unpin tube from patient’s gown and check to see that NGT is properly
located in the stomach as explained in the previous checklist.
6. Aspirate all gastric contents with syringe and measure. Return
immediately through the tube, saving small amount to measure gastric ph.
Flush tube with 30 ml of sterile water for irrigation. Proceed with feeding if
amount of residual does not exceed policy of agency or physician’s
guideline. Disconnect syringe from tubing.
7. Remove plunger from 30-60 ml syringe.
8. Attach syringe to feeding tube, pour premeasured amount of tube feeding
into syringe, open clamp, and allow feeding to enter tube. Regulate the rate
by raising or lowering height of the syringe. Do not push feeding with syringe
plunger.
9. Add 30-60 ml of water for irrigation to syringe when feeding is almost
completed and allow it to run through the tube.
10. When syringe has emptied, hold the syringe high and disconnect from
the tube. Clamp the tube and cover end with a sterile gauze secured with a
rubber band or apply a cap.
11. Place the patient on such position for 1-2 hours or when food has been
down. Do the after care. Document the procedure.

For the next items, evaluate the students in general according to the criteria. (5 as the
highest score)
5 4 3 2 1
Mastery
Orderliness
Proper attitude in assessing the client followed.
Ability to answer questions
Proper reporting observed.

Student’s Name and Signature: _____________________________________

Evaluator’s Name and Signature: _____________________________________

Comments:___________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy