Tube Feeding Setup: Essential Checks for Patient Safety

Before a tube feeding, you should perform the following checks:

1. Confirm the correct equipment and supplies are available. Use a standardized checklist. Check the tube feeding bag and tubing for leaks, cracks or damage. Confirm the feeding pump is functioning correctly. Confirm the correct prescribed formula, medications, and infusion flow rates.

2. Confirm patient identity. Before starting an enteral feeding, confirm the identity of the patient according to agency policy and procedure.

3. Assess for risk of aspiration. Check for signs of aspiration risk such as recent extubation, gastrointestinal or esophageal ulcers, or altered level of consciousness. Assess respiratory status, including respiratory rate, depth, and the presence of cough reflex.

4. Confirm the correct tube placement after each tube feeding. Use a stethoscope to auscultate for air over the epigastrium. Verify placement using radiological confirmation every 2-4 weeks.

5. Assess the patient's condition. Note the patient's abdomen for signs of distension or discomfort. Evaluate the patient for bowel motility, and any complaints of nausea, diarrhea or vomiting. Listen to the patient's breath sounds. If signs or symptoms of distress occur during the feeding, stop the infusion and assess.