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Hull University Teaching Hospitals NHS TrustJEJUNOSTOMY Feeding Tube PASSPORT (JET) TubeINFORMATION ABOUT MY JEJUNOSTOMY FEEDING TUBE Affix AddressographHas a tube How inserted? Site of bowel insertion:

How to fill out jejunostomy feeding tube passport

How to fill out jejunostomy feeding tube passport

1. Gather all necessary information: You will need the patient's name, date of birth, and medical history.
2. Obtain the passport form: Contact the healthcare provider or hospital where the jejunostomy feeding tube was inserted to request the appropriate form.
3. Fill out the personal information: Write the patient's name, date of birth, and any other required personal details on the form.
4. Provide medical history: Include information regarding the reason for the jejunostomy feeding tube placement, any underlying medical conditions, and any allergies or medications that the patient is currently taking.
5. Add contact information: Write the name and contact details of the healthcare provider who inserted the jejunostomy feeding tube.
6. Update emergency contacts: Include the names, phone numbers, and relationship of at least two emergency contacts.
7. Review and sign the form: Ensure that all information provided is accurate and legible. Sign the form to authorize its use as a passport.
8. Keep multiple copies: Make several copies of the filled-out passport form to have on hand. Keep one in the patient's medical records and provide others to the patient, caregivers, and healthcare professionals involved in the patient's care.

Who needs jejunostomy feeding tube passport?

1. Jejunostomy feeding tube passports are needed by individuals who have a jejunostomy feeding tube in place or are at risk of needing one. This includes individuals with medical conditions or situations that require long-term enteral nutrition, such as those with gastrointestinal disorders, certain types of cancer, or those who have undergone extensive surgeries involving the digestive system. The passport helps ensure that the patient's feeding tube needs are accurately communicated and addressed in emergency situations or when seeking medical care outside of their regular healthcare facilities.

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What is jejunostomy feeding tube passport?

Jejunostomy feeding tube passport is a document that contains important information about a patient's jejunostomy feeding tube, including the type of tube, placement details, and care instructions.

Who is required to file jejunostomy feeding tube passport?

Medical professionals, caregivers, or family members responsible for the care of a patient with a jejunostomy feeding tube are required to file the passport.

How to fill out jejunostomy feeding tube passport?

To fill out a jejunostomy feeding tube passport, one must provide information such as the patient's name, date of birth, medical history, type of feeding tube, placement details, care instructions, and emergency contact information.

What is the purpose of jejunostomy feeding tube passport?

The purpose of a jejunostomy feeding tube passport is to ensure that essential information about a patient's feeding tube is easily accessible to healthcare providers in case of emergencies or when the patient requires medical care.

What information must be reported on jejunostomy feeding tube passport?

Information such as the patient's name, date of birth, medical history, type of feeding tube, placement details, care instructions, and emergency contact information must be reported on the jejunostomy feeding tube passport.