In response to two sentinel events in the adult hospital, I
have been part of a group reviewing our policy for confirming the placement of
feeding tubes both at the initial time of placement and on an ongoing basis (q
shift, before initiating feedings, or before giving medications).
The PICU will be doing a pilot for the CH on how to label feeding
tubes. I have placed a roll of stickers
at the charge nurse desk (see photo below).
After placing a feeding tube and confirming placement via Xray, this
label needs to be placed on the distal (farthest from the nare) end of the
feeding tube. You need to measure in cm the
distance from where the tube enters the nare to the bottom edge of this label
and record the distance on the label.
Then during your assessment each shift, the tube should be measured
again to ensure it has remain in place (externally – it still may have moved
internally and you would assess that in your usual way).
Please let me know if you have questions or concerns. Feedback is needed to see if the labels
remain intact and are easy to use.
Thanks so much,
Melinda
J. Melinda Rauton Biller, MSN, MSW, RN, CCRN
Nurse Manager
Pediatric Intensive Care Unit
Pediatric Intermediate Care Unit (7C)
MUSC Children’s Hospital
165 Ashley Avenue
Charleston, SC 29425
843-792-8639
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