Clinical Pathway for Management of Gastrostomy Tube Complications
Identify the tube type and maturity of stomal tract in LDA
Verify that the info in LDA is up to date and accurate- Local resources for support include:
- CNS
- Skin Champion
- APP
Bedside Team Completes the Following Steps
- Clean the stoma and site
- Perform comprehensive assessment
- Check the tube fit (tight vs. loose)
- Document the site assessment in LDA
- Document the site with images in Media tab






If no improvement following bedside treatments, contact the appropriate service
PHL | ||
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Type of Tube | Contact via Epic Secure Chat | |
Initial and Replacement G Tubes/ J Tubes Placed by General Surgery |
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Initial G Tubes Placed by IR and All GJ Tubes |
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Replacement G Tubes That Were Initially Placed by IR |
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Replacement G Tubes That Are Currently Followed by GI | ||
All Tubes Placed Outside of CHOP and Not an Established Patient with General Surgery or GI |
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KOPH | ||
---|---|---|
Type of Tube | Contact via Epic Secure Chat | |
Initial G Tubes Placed by IR and All GJ Tubes |
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Replacement G Tubes Placed by IR | Consult KOPH Gen Surg Cnslt 1st Contact via Epic Chat | |
All Tubes Placed by General Surgery | ||
All Tubes Placed Outside of CHOP |