g. Reconnect the nasogastric tube to the drainage tubing, leaving the clamps in
place. Unless otherwise ordered, the nasogastric tube should remain clamped for at
least one hour to allow absorption of the medication.
h. Record the time, medication type and amount, and the amount of water
administered on the I&O worksheet. Also note the time the tube was clamped and the
time it is to be unclamped.
Gavage, or tube feeding, is used to provide nourishment to a patient who is
unconscious, unable to swallow, or too weak to eat. A liquid formula is ordered by the
physician and provided by food service. Formula provided by food service must be
marked with the patient's name and the date prepared. A nasogastric tube or a small
caliber feeding tube must be in place for feedings. Local Department of Nursing
procedure will specify the frequency with which the tube must be changed when the
patient is receiving gavage feeding for a prolonged period of time.
Liquid feeding of type and amount prescribed.
Feeding set (bag or bottle).
Cup of water.
(1) Assemble the necessary equipment and prepare the feeding by pouring
the prescribed amount into the feeding set. Do this in a clean work area, never in the
dirty utility room.
(2) If permissible, position the patient in an upright sitting position or
modified Fowler's position.
(3) If clamped, unclamp the nasogastric tube and check the tube for
placement. Attach the syringe and aspirate gently to ensure that the tube is in the
stomach. Reclamp the nasogastric tube.
(4) Suspend the filled feeding set from an IV pole or irrigating stand.
Unclamp the tubing and allow the feeding to advance to the end of the tubing, expelling