Tube feeding overnight

RE: Tube feeding overnight

Robocop — Sat, 24 Jul 2021 09:56:15 GMT

This is what I say all the time. Whenever I see oral meds are to be given at 3am (for example) I will change the times :)

RE: Tube feeding overnight

V E S — Fri, 23 Jul 2021 15:10:59 GMT

I used to be a referral medicine nurse only a few years ago. Used to get a lot of patients with N-O/Oesophagostomy/PEG tubes. I don't think we ever fed them overnight if they were stable without food for that period. I think the latest was 10pm and earliest was 8am. Rest is so important in recovery, which can be hard especially in busy referral hospitals. So we wouldn't give any treatments unless absolutely necessary (e.g. analgesia) overnight, to allow them some normality.

Hope this helps :-)

RE: Tube feeding overnight

Nick Shackleton — Thu, 22 Jul 2021 22:16:11 GMT

I agree with Apache. In the past we’ve usually split tube feeding between 8am and 8pm. To enable an animal to recover they need rest. They shouldn’t really be disturbed unless absolutely necessary. We had dimmer switches in ICU to allow patients to rest. Whilst only disturbing them to repeat obs or give medications. Our dog and cat wards where less

critical patients were kept were checked every two to three hours over night whereas ICU patients where usually checked hourly depending on clinical presentation

RE: Tube feeding overnight

apache — Thu, 22 Jul 2021 22:08:54 GMT

I'd go a step further and try and split the tube feeding evenly in office hours. I'm not tube feeding anything at midnight, thanks!

RE: Tube feeding overnight

Sal the 1st — Thu, 22 Jul 2021 21:30:45 GMT

least favourite thing somebody can say to me 'that's not the way they showed us a college' -and I accept things change and I always try to embrace change, but when the person who is saying it is categorically saying I am wrong but is unable to then educate me because they either don't understand the rationale of the 'new' method themselves or there just plain isn't one I have been known to get a tad grumpy. I don't have a problem learning a different way of doing things but I need to know for certain that changes are a definite improvement to what I am already doing

RE: Tube feeding overnight

Robocop — Thu, 22 Jul 2021 20:38:10 GMT

Thank you. It's happened to me a few times in the past year, where I will do something and a younger nurse will say 'I've been taught not to do this' (padding toes in bandaging is always a discussion) and it just completely throws me. I then spend ages researching if what I'm doing is still correct :)

RE: Tube feeding overnight

Robocop — Thu, 22 Jul 2021 20:35:57 GMT

Thank you

RE: Tube feeding overnight

Nick Shackleton — Thu, 22 Jul 2021 20:18:24 GMT

Having worked in ECC practice previously we try and allow our patients to maintain their normal routine. For example unless absolutely necessary don’t disturb them at night unless you need to obtain vitals etc.

RE: Tube feeding overnight

Sal the 1st — Thu, 22 Jul 2021 20:15:57 GMT

I'm on the fossil register - so would be interested in this also - my understanding is pretty much the same as yours