Evaluation of community nurse-led traumatic tube displacements.

Evaluation of community nurse-led traumatic tube displacements.

Publication date: Apr 02, 2024

Home enteral tube feeding (HEF) has many benefits and is largely safe practice. Some complications have historically required intervention in the acute setting, including traumatic displacement of feeding tubes (i. e. internal bumper/balloon removed intact), and evidence to support the safe replacement of these tubes in the community is lacking. To address this, a service enabling community homecare nurses (CHN) to replace traumatically displaced feeding tubes was designed and evaluated. Adult patients presenting with a traumatically displaced feeding tube over 29 months were included in the service evaluation. Baseline characteristics and outcomes at day 1, 7 and 6 months post-replacement were recorded. A total of 71 tube replacements were performed by CHNs in 60 patients. No clinical complications were recorded at any follow-up points. A simple cost analysis estimated savings of lb235 754. 40. These results suggest that nurse-led replacement of traumatically displaced feeding tubes in adults in the community is low-risk and offers potential cost savings.

Concepts Keywords
Balloon Balloon gastrostomy tube
Homecare community homecare nurses
Nurses COVID-19
Traumatically enteral tube feeding

Semantics

Type Source Name
disease MESH complications
disease IDO intervention
disease MESH COVID-19

Original Article

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