Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

SKILL 5-2

Administering Medications via a

Gastric Tube (Continued)

Comments

24. Note the amount of any residual. Refer to Chapter 11,
    Nutrition. Replace residual back into stomach, based on
    facility policy.


25. Apply clamp on feeding tube, if present. Alternately, pinch
    gastric tube below port with fingers, or position stopcock
    to correct direction. Remove 60-mL syringe gastric tube.
    Remove the plunger of the syringe. Reinsert the syringe in
    the gastric tube without the plunger. Pour 30 mL of water
    into the syringe. Unclamp the tube and allow the water to
    enter the stomach via gravity infusion.


26. Administer the first dose of medication by pouring into the
    syringe. Follow with a 5- to 10-mL water flush between
    medication doses. Follow the last dose of medication with
    30 to 60 mL of water flush.


27. Clamp the tube, remove the syringe, and replace the feed-
    ing tubing. If stopcock is used, position stopcock to correct
    direction. If tube medication port was used, cap port.
    Unclamp gastric tube and restart tube feeding, if appropri-
    ate for medications administered.


28. Remove gloves. Assist the patient to a comfortable position.
    If receiving a tube feeding, the head of the bed must remain
    elevated at least 30 degrees.


29. Remove additional PPE, if used. Perform hand hygiene.


30. Document the administration of the medication immediately
    after administration.


31. Evaluate the patient’s response to medication within
    appropriate time frame.

ExcellentSatisfactoryNeeds Practice