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Percutaneous Endoscopic Gastrostomy Feeding Tube – MND Pathway

Attributed To Manchester. Percutaneous Endoscopic Gastrostomy Feeding Tube – MND Pathway. Patient and team decision for gastrostomy feeding tube. FVC>50%. Julie takes pink endoscopic Request form to Endoscopy. PEG. Books patient onto C1 (Tuesday). JULIE. Endoscopy confirm

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Percutaneous Endoscopic Gastrostomy Feeding Tube – MND Pathway

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  1. Attributed To Manchester Percutaneous Endoscopic Gastrostomy Feeding Tube – MND Pathway Patient and team decision for gastrostomy feeding tube FVC>50% Julie takes pink endoscopic Request form to Endoscopy PEG Books patient onto C1 (Tuesday) JULIE Endoscopy confirm Suitable time/date slot Notifies Sam Holden – via email Notifies patient CI ensures PEG set on Ward Patient sent appropriate Info re procedure Notifies Anne Betteley – via email Liaise with DN’s as necessary Liaison with community dietician: . Appropriate food . Equipment . Teaching . Decision re who will administer feed/flushes TUESDAY WEDNESDAY Patient admitted to Ward CI . Routine bloods obtained . Full explanation of procedure and consent form signed . Discussion re bowel habits . Ward Pharmacist review of medications – where possible change to liquids . Confirm with Endoscopy . NBM from 12 Midnight (if early PEG) . Review prior to procedure . Safe transfer to Endoscopy department – with PEG kit . PEG INSERTED . Return to Ward . Nil by PEG, feed at 12 hrs . Observations . Ensure comfort . Feed prescribed THURSDAY . Confirm feeding arrangements at home – set up and ready to be initiated? . Carer/patient assessed on flushes and care of PEG . Ward staff happy with technique . Is patient well enough for Friday discharge? . Transport . TTOS . DN referral . Wound site check . Patient given name and nos for troubleshooting . Tube info . Feeding regime YES NO Seek bed elsewhere via bed Manager. ? H1 – when patient ready Follow YES route GNDH/29.12.05

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