1. I am under the impression it is not best practice to instill air for tube verification. I agree that allowing air to go into your G tube will not serve the patient well.

  2. You separated medications into different souffle cup but used the same tongue depressor to stir the dissolving medications?

  3. Nice video! Flush water is not measured, u r just guessing 20cc, it's way more than that. Too much air entering the tube.

  4. There is a tendency that she is introducing more air into the stomach as she doesnt clamp the tube on every successful introduction of fluids/meds/feeds, and even after removing of the plunger of the syringe. Are there any guidelines that support this techniques.

  5. Omg I was so nervous the whole time she was holding the tube syringe at the top like that! I always hold down where I have it inserted so it doesn't come out and everything goes everywhere!

  6. Good Video. I would not have allowed AIR to go in concurrently after each med. Simply pinch it off and allow 10 of h2o to remain throughout the whole med pass……

  7. https://www.youtube.com/watch?v=8BnTUKgK3aI

    A dressing change video I also uploaded! these videos are all great by the way!

  8. I don't know why I decided to watch these videos today, just did, started with tracheostomy & now I'm here. All of my procedures were performed while I was in a coma following surgery. Just a funny share – when my nurse would 'push' the chocolate ensure (I believe it was!) very fast I swear I could taste it, has anyone heard of this?

  9. Thank you so much for this video!!! I'm a new grad nurse and not very experienced in giving meds via PEG tube and after seeing this video I feel very confident to do so. 😀

  10. Historically nurses verified feeding tube placement by injecting air through the tube while auscultating the stomach for a gurgling or bubbling sound or asking the patient to speak. Auscultation has repeatedly been shown to be ineffective in detecting tubes accidentally placed in the lung (Bourgault et al., 2007). Some patients are able to speak despite placement of feeding tubes in the lung (Rolandelli et al., 2005). Furthermore, auscultation is not effective in distinguishing between gastric and intestinal placement for feeding tubes (Rauen et al., 2008). The measurement of pH of secretions withdrawn from the feeding tube helps to differentiate the location of the tube (Box 44-13). At present the most reliable method for verification of placement of small-bore feeding tubes is x-ray film examination  (Potter 1020-1021)

    Potter, Patricia, Anne Perry, Patricia Stockert, Amy Hall. Fundamentals of Nursing, 8th Edition. Mosby, 2013. VitalBook file.

    The citation provided is a guideline. Please check each citation for accuracy before use.

  11. If you were paying attention to the video, 7:16 into the video, she does give an air bolus and checks for placement

  12. You may also want to " teach" your students to check GT placement prior to administering medications. yes I am serious. So its a dummy but at some point, that dummy is going to be breathing. I simply dont find this a great teaching video based on the fact that the most important thing a nurse has to do before giving meds is to check GT placement . Im glad its a dummy here!!!

  13. Id rather have an anal nurse than a nurse who doesnt know what she is doing! You may also want to " teach" your students to check GT placement prior to administering medications.

  14. ThePauligirt48….. I don't know what you are talking about?! Are you joking about paying for these meds – this is pretend!!

  15. well a few particles of the medication went flying out of the cup. Med error! no longer are the mgs correct. Call me anal but if you want to be a good nurse, you have to do your med administration the correct way, not the sloppy way!

  16. Good video…good review….for meds that don't dissolve well…you'll get to know those by doing them….but the "warmer the water added" the better the dissolution of meds…but not too hot…

  17. I was sent home a few hours after my daughter's PEG was placed. Thankfully a nurse took pity on me and did her best to give me a crash course in using the tube. This video has also helped a lot.

  18. I work in a nursing home and some of my patients have nearly 20 different medications and this could take awhile to do…suggestions please. Thanks

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