What do you if a gastrostomy and jejunostomy tube becomes dislodged?

If a gastrostomy or jejunostomy tube becomes dislodged, it is important to take immediate action to prevent any complications. Here's what you can do:

1. Stay Calm:

- Don't panic. It is essential to remain calm and focused to handle the situation effectively.

2. Assess the Situation:

- Check if you can safely put the tube back in its place. If the tube is only slightly dislodged and you have the necessary training, you may be able to reposition it. However, if the tube is completely out or there is resistance when trying to insert it, do not attempt to put it back in.

3. Stop Feeding:

- If the dislodgement occurs while the person is receiving nutrition or medication through the tube, stop the feeding or infusion immediately. This helps to prevent any complications, such as aspiration or leakage of the substance into the surrounding tissues.

4. Cover the Stoma Site:

- If you are unable to replace the tube, cover the stoma site (the opening where the tube was inserted) with a sterile dressing or gauze. This helps to protect the stoma and prevent infection.

5. Contact Healthcare Provider:

- Inform the patient's healthcare provider, nurse, or doctor immediately. They will assess the situation and provide further instructions. If necessary, they may schedule an appointment for tube reinsertion or provide guidance on managing the situation until the tube can be replaced.

6. Document the Incident:

- Record the date, time, and details of the tube dislodgement, including the circumstances and any actions taken. This information will be helpful for the healthcare provider's assessment and future management.

7. Monitor for Complications:

- Keep an eye out for any signs and symptoms of complications, such as abdominal pain, nausea, vomiting, distension, or fever. If any of these symptoms occur, seek immediate medical attention.

8. Follow Instructions:

- Follow the instructions provided by the healthcare provider regarding tube care, feeding schedules, and any necessary precautions.

9. Preventive Measures:

- In the future, take extra care to secure the tube and prevent dislodgement. This may include using proper anchoring devices or dressings to keep the tube in place, especially during activities or movements that could cause accidental pulling.

Remember that handling a dislodged gastrostomy or jejunostomy tube requires proper training and assessment by a qualified healthcare professional. While you can take immediate steps to manage the situation, always seek professional guidance to ensure the person's safety and appropriate treatment.