Policy Manual sample

MDT Home Health Care Agency, Inc. 53 5. Slowed gastric motility may be an anticipated side effect of medications, especially anticholinergics, some antibiotics, preparations in acidic or oil –based solutes and narcotics. Hypertonic or hypotonic feedings may also slow motility. 6. Jejunostomy tubes are not aspirated routinely because the proximal end is located within the intestine, which is emptied by gravity and peristalsis rather than by the sphincters. PATIENT AND FAMILY EDUCATION: 1. Educate the patient and caregivers of the complications and risks that may indicate signs of gastric residual problems. 2. Advise that they report these to the appropriate physician or MDT Home Health Care Agency, Inc. nursing staff. PROCEDURE: 1. Wash hands. Gather equipment. 2. Prepare patient with explanation. Include family or caregiver as appropriate. 3. Stop feeding at prescribed time. 4. Insert syringe snugly into tube and aspirate stomach contents gently. 5. If acceptable residual amount is aspirated, return it to stomach. 6. If residual is more than acceptable amount, return only the limit, according to physician's order. 7. Resume feeding only when residual amount is acceptable or when modifications are made in feeding program as ordered. DOCUMENTATION: Document the amount of residual, any unusual appearance and subsequent actions or interventions on the Clinical Visit Note. Document any physician contact and orders received as applicable. ____________________________________________________