Sunday, March 7, 2010

Enteral Feeding

Enteral Feeding - From Excelsior College Flash Cards - 2005
  1. Complies with established guidelines
  2. For all feedings:
    • selects the prescribed feeding
    • positions the patient to promote feeding
    • delivers the prescribed feeding
  3. When assistance with feeding is designated:
    • chooses an appropriate feeding device
    • burps an infant under 6 months of age periodically as necessary
  4. Administers the feeding at room temperature unless otherwise designated
  5. When intermittent tube feeding is designated
    • determines the amount of feeding to be administered
    • calculates the drops per minute
    • verifies the location of a nasogastric feeding, unless contraindicated by
      • aspirating gastric contents and
      • instilling 10-20 ml of air into the stomach while auscultating (5 ml for children under 2 years of age)
    • measures gastric residual before initiating feeding
    • reinstills gastric residual unless contraindicated
    • initiates the prescribed feeding within +/- 30 minutes of scheduled time
    • regulates the feeding rate to be delivered within the specified time when required by either
      • adjusting the flow rate to within +/- 5 gtts/min of the calculated number of gtts or
      • adjusting the flow rate of the enteral feeding pump to the exact number required to deliver the prescribed volume
  6. When continuous tube feeding is designated:
    • Within twenty minutes after beginning the Implementation Phase
      • Verifies the accuracy of the flow rate by either
        • counting the gtts/min currently flowing or
        • documenting the flow rate setting on the enteral feeding pump on the PCS Recording Form
      • Regulates the flow rate when required by either
        • adjusting the flow to within +/- 5 gtts/min of the calculated number of gtts/min or
        • adjusting the flow rate of the enteral feeding pump to the exact number required to deliver the prescribed volume
      • Verifies the location of the nasogastric tube at least once during the PCS by the following methods, unless contraindicated by
        • aspirating gastric contents AND
        • instilling 10 - 20 ml of air into the stomach while auscultating (5 ml for children under 2 years of age)
      • When measurement of gastric residual is designated
        • measures gastric residual
        • reinstills gastric residual unless contraindicated
        • determines the amount of feeding to be administered
  7. Records the kind of oral feeding administered
  8. Records name and strength of the feeding product for a patient receiving a tube feeding
  9. Records the amount of feeding administered
Mneumonic

RAT FEVER

Record
Amount of formula AND
Type of formula
Fowler's position to receive tube feeding
Examine gastric tube/abdomen
Verify placement - Verify G-Tube placement by aspirating gastric contents OR instilling 20 cc air bolus and listenting
Expiration date of formula
Record rate in 20 MINUTES!! - a pt theat has running tube feeding IS PART OF YOUR 20 MINUTE CHECKS!

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