Considerations:
● Discuss with the student’s health care provider:
o What the procedure should be if the GJ- tube were to be dislodged while the student was at school.
● Venting can be helpful to try if a student with a GJ-tube complains of cramping or gassiness during or after feedings.
● Encourage the student to assist in the procedure as much as they are able to help student learn self-care skills.
Supplies:
● 60-mL ENFit/enteral syringe
● Extension tube
● Tape
● Gloves
● Gauze/paper towel/tissue
● Student’s Individualized Health Care Plan (IHCP) and Health care provider’s order
● Parent/Guardian authorization form
Procedure:
- Review the student’s IHCP and health care provider’s order
- Ensure proper documentation of parent/guardian authorization to perform this procedure
- Explain the procedure to the student at a level they will understand
- Position student either sitting or supine with head up at least 30 degrees
- Wash hands
- Gather supplies and place on clean surface
- Put on gloves
- Place a towel under student’s abdomen near their GJ-tube site to absorb excessive drainage
- Remove cap or plug from the port labeled “G” for gastric
- Attach Gastric/Bolus Extension Set to the port labeled “G” for gastric
- Remove plunger from 60-mL ENFit/enteral syringe
- Connect the 60-mL ENFit/enteral syringe to the Gastric/Bolus Extension Set
- Unclamp the Gastric/Bolus Extension Set
- Raise the Extension Set approximately 6″ above the stomach so gas and stomach contents can pass freely up and down the tube
- Vent until gassiness is relieved and allow any gastric contents to instill via gravity
- Flush extension tubing with 5-mL water or as recommended according to the student’s Individualized Health care Plan (IHCP)
- Disconnect the ENFit/enteral syringe
- Clamp and remove Gastric/Bolus Extension Set
- Replace plug or cap into the port labeled “G” for gastric
- Remove gloves
- Clean ENFit/enteral syringes and extension tubing with warm water and mild soap
- Place on clean surface to air dry
- Wash hands
- Document assessment, interventions, and outcomes in student’s health care record
- Follow up with parents/guardian and health care provider, as needed
References:
Applied Medical Technology, Inc. (2017). G-Jet button. Low profile gastric-jejunal enteral feeding tube. Patient education guide. Retrieved June 21, 2023, from https://www.appliedmedical.net/resources/edu-guides/G-JET_C-4418-C_English.pdf
Avanos Medical, Inc. (2018). Mic-Key* GJ feeding tube. Quick start guide. Retrieved June 21, 2023, from https://avanosmedicaldevices.com/wp-content/uploads/2019/11/C172062_MIC-KEY_GJ_Quick_Start_Guide_Bifold_Final.pdf
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Acknowledgment of Reviewers:
Angie Bulmahn, MSN, RN, NCSN
School Nurse Specialist
Missouri Department of Health and Senior Services
Marjorie Cole, MSN, RN, FASHA
State School Nurse Consultant
Missouri Department of Health and Senior Services
Renee Falkner, BSN, RN
School Nurse Supervision Specialist | Therapylog
Katherine Park, DNP, RN, NCSN
Nationally Certified School Nurse, Pierremont Elementary
Adjunct Professor, Maryville University School of Nursing
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Page last reviewed: September 17, 2021
Page last updated: September 17, 2021; February 15, 2024/no video
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The information and materials presented in this Website are intended for informational purposes only and are not designed to diagnose or treat a health problem or disease, or assist in diagnosis or treatment of the same. The information is not intended to substitute for, supplement or replace clinical judgment. If there are any concerns or questions about or relating to a nursing or medical procedure, contact the individual’s healthcare provider. The information provided on this Website is not intended to be a substitute for medical orders and persons without the proper education, training, supervision and/or licensure should not perform the procedures.
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