Halyard MIC J FEEDING TUBE WITH ENFit CONNECTOR, Patient Care Instructions

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Patient Care Instructions
The MIC* Jejunal (J) Feeding Tube is a single unit feeding device.
It enters the stomach through a gastric stoma. A balloon inside
the stomach holds the tube in place on the inside and the
external retention ring holds the tube in place on the outside.
The access port is labeled Jejunal and is used to deliver nutrients
to the small intestine. It contains an ENFit® connector that fits
with ENFit® feeding sets and syringes. A second port labeled Bal.
is used to inflate and deflate the balloon.
Key Terms
(A) Jejunal Access Port (B) Balloon Inflation Port
(C) External Retention Ring (D) Retention Balloon
(E) Radiopaque Stripe (F) Exit Port
Tube Flushing
Flush the feeding tube with water every 4–6 hours during
continuous feeding, anytime the feeding is interrupted, at least
every 8 hours if the tube is not being used, or per clinician’s
instructions. Flush the feeding tube before, after, and in between
medication administration. Avoid using other liquids such as
cranberry juice and cola beverages to flush feeding tubes.
• Use a 30 to 60 ml ENFit® syringe. Do not use smaller size
syringes as this can increase pressure on the tube and
potentially rupture smaller tubes.
• Use room temperature water for tube flushing.
• Always flush the tube with the amount of water prescribed
by the clinician.
• Do not use excessive force to flush the tube. Excessive force
can perforate the tube and may cause injury.
Jejunal Feeding
Warning: Never connect the Jejunal access port to
suction. Do not measure residuals from the Jejunal access
port. Never attempt to bolus feed through the jejunal
lumen.
1. Assemble the equipment: Formula; Feeding set; ENFit®
syringe; Enteral feeding pump; Water for flushing the tube.
2. Wash your hands with soap and water. Rinse and dry them
thoroughly.
3. Before starting the feeding, it is important to verify that
your tube is in the correct position. Look at the centimeter
numbers on the tube. Compare them to the numbers
recorded in the information section. If they are different,
adjust the tube and the ring. Refer to the tube care section
for more detail.
4. Shake the formula and wipe the container tops before
opening. If you do not use all the formula, cover the open
container, record the date and time, and store it in the
refrigerator. Throw away formula more than 24 hours old.
Do not mix new formula with old formula. There is always a
chance it will spoil.
5. Pour the formula into the feeding bag.
6. Run formula through the feed set tubing to reduce the
amount of air entering the stomach. Attach the tubing to the
enteral feeding pump. Follow the manufacturer’s directions
to set the pump.
7. Open the cap to the Jejunal access port of the MIC* J Feeding
Tube.
8. Use an ENFit® syringe to flush the tube through the Jejunal
access port with the prescribed amount of water (see the
Tube Flushing section above).
9. Securely connect the ENFit® feed set connector from the feed
set to the Jejunal access port of the MIC* J Feeding Tube.
Take care not to over-tighten the feed set connector to the
access port.
10. If the feed set tubing has a clamp, open it.
11. Start the feeding pump.
12. Disconnect the ENFit® feed set connector from the Jejunal
access port.
13. Use an ENFit® syringe to flush the tube through the Jejunal
access port with the prescribed amount of water (see the
Tube Flushing section above).
14. Close the cap to the Jejunal access port of the MIC* J Feeding
Tube.
Note: If you see formula in the gastric drainage, stop the
feeding and notify the specialist.
Medication Administration
Use liquid medication when possible and consult the pharmacist
to determine if it is safe to crush solid medication and mix
with water. If safe, pulverize the solid medication into a fine
powder form and dissolve the powder in warm water before
administering through the feeding tube. Never crush enteric
coated medication or mix medication with formula.
1. Assemble the equipment: Medication; ENFit® syringe; Water
for flushing the tube.
2. Wash your hands with soap and water. Rinse and dry them
thoroughly.
3. Before administering medication, it is important to verify
that your tube is in the correct position. Look at the
centimeter numbers on the tube. Compare them to the
numbers recorded in the information section. If they are
different, adjust the tube and the ring. Refer to the tube care
section for more detail.
HALYARD* MIC
*
Jejunal Feeding Tube (J-Tube)
with ENFit
®
Connector
e
A