HomeGrown Solution: Use What You Have for Medication Administration/Enteral Feeding by Gastrostomy Tube
Use what you have for Medication Administration/Enteral Feeding by Gastrostomy tube
HomeGrown Solution Number
Identification of the Problem
Very common in the pediatric in-hospital setting is the use of gastronomy tubes for medication administration and enteral feeding. It is important that students have as much hands-on practice with skills that are unique to certain populations as possible. We recently initiated g-tube medication administration practice in our BSN pediatric practicum skills day, which is where this solution was created. A lot of times manikins are designed for specific skills which can limit their uses, and that is where we found ourselves. We were without a pediatric manikin that could be used for g-tube medication administration. I’d research different simulator options, but could not justify purchasing a simulator that would be used only twice a year & would cost from $500-$800.
The goals/objectives were to: 1. Utilize equipment we already had to meet the goals set forth by the faculty for their practicum 2. Make the solution as realistic and practical as possible. Utilizing equipment/supplies you already have reduces the expenses needed to meet the goals of your lab experiences as well as providing a solution that is readily available. This solution can be used for pediatrics or adult manikins as well.
- Any manikin with corresponding abdominal plate with interchangeable stoma sites
- Gastronomy tube (Used: MIC-KEY low profile gastrostomy feeding tube)
- Primary IV tubing (that allows fluid to flow back into the bag)
- Empty IV fluid bag (your preference in size, just consider how much will fluid be administered & how often the bag might need to be emptied)
Steps to Creating the Solution
- Use a manikin (no internal electronic parts) that has an abdominal plate with interchangeable stoma sites
- Remove one of the blank abdominal plugs from the abdominal plate.
- Connect your empty IV fluid bag to your primary IV tubing.
- Take the other non-connected end of the primary IV tubing and feed it into the opening of the urinary reservoir black connector.
- Use the hemostat to grab the tubing and pull it out through the colostomy hole – a little over an inch of the primary IV tubing should be in the g-tube.
- Push the gastrostomy tube over the end of the primary IV tubing
- Store drainage bag inside abdominal cavity or under manikin (I prefer in the abdominal cavity for a more realistic experience).
- Make sure to un-clamp the primary IV tubing's roller-clamp before administering fluids through g-tube.
- * Note: Periodically check connection between the g-tube and Primary IV tubing to make sure it has not been pulled apart and liquid is now leaking inside your manikin.