Question

ario:

• You begin your career in an acute care hospital as a newly licensed RN. During your orientation, you observe your preceptor checking gastric feeding tube placement by injecting air and auscultating the abdomen, stopping continuous enteral tube feedings before a patient is turned or repositioned, and instilling normal saline solution before endotracheal suctioning. You know that ALL three (3) of these practices are currently NOT supported by nursing evidence. When asked, your preceptor responds, “This is the way we have always cared for patients with tube feedings and diarrhea.” You prepare to talk to this peer about necessary changes in nursing practice.

Initial Discussion Post:

Address the following:

• Choose ONE (1) of the practices described in the scenario.
• Describe how you will address this gap in nursing practice with your preceptor. Write out exactly what you might say to this RN to professionally address the current evidence for the nursing care of patients.
• Include when and where you would communicate this information.
• Consider any additional information you might provide to your preceptor to support changing nursing practice.

Answer 1

1)Checking gastric tube placement by injecting air and ausculating the abdomen.

2) Addressing this gap in nursing practice with evidence-based nursing practice will helps out.Injecting air through gastric tube causes to filling the stomach with air and dvvelops the discomfort to the client.
-So this can be discussed by following steps,
-Attach 60 cc syringe to the end of the gastric tube and pull the plunger of the syringe which helps to see the gastric contents/juices with yellow-green colour gives the conformation that tube is in stomach.Then push back the gastric contents which was pulled through plunger,because those fluid contains necessary nutrients,then continue the feeding.

3) This information will be communicated at the continuous nurses education (CNE)program if there is a facility to conduct.

4)additional information to support changing nursing practice like research articles and recommendations on particular topic will help to change the professional practice.