- Understanding NGT (nasogastric tube) and PEG/gastrostomy in infants
- NGT placement verification: marking, pH checking, when to suspect dislodgement
- Preparing formula and breast milk for tube feeding: temperature, compatibility
- Administering tube feeding: bolus vs continuous, pump vs syringe, rate control
- Flushing protocol: before and after feeds and medications
- Administering medications via feeding tube: crushing, dissolving, avoiding clogs
- Managing common complications: blockage, leakage, granulation tissue, nasal irritation
- What to do if NGT is pulled out (emergency protocol: do NOT reinsert yourself)
- PEG site care: cleaning, dressing change, infection signs
- Monitoring nutrition and hydration: weight tracking, output monitoring, signs of dehydration
- Transitioning to oral feeding: readiness cues, working with speech therapist