ED Pathway for Care of the Child with G-J or G-Tube Displacement

MD/CRNP/RN Assessment

Tube Information

Immature vs. Mature Tract

  Immature Mature
IR ≤ 12 wks >12 wks
Surgery ≤4 wks >4 wks

History of Dislodgement

Was the tube pulled out with the balloon inflated

Tube Size

Health Issues

Brief H&P to evaluate other acute problems
Review chronic health problems

Medications

Determine need for administration of routine medications

Hydration

Assess need for IV fluids

Nutrition

Consider need for glucose check
Assess IV needs for glucose

Sedation

Assure NPO
IR will provide sedation during procedure