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Get the free Nasojejunal (NJ) and Oral Jejunal (OJ) Tube Placement

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Name of Policy: Gastrojejunal (NJ) and Oral Jejuna (OJ) Tube Placement Policy Number: 33641100517 Approving Officer: Chief Nursing Officer (CNO)Effective date: 4/8/2021Responsible Agent: Chief Nursing
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01
To fill out a nasojejunal NJ, follow these steps: 1. Wash your hands thoroughly with soap and water.
02
Gather the necessary supplies, including the nasojejunal tube, sterile water or saline solution, and syringe.
03
Position the patient in a comfortable position, with the head tilted slightly back.
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Lubricate the nasojejunal tube with water-soluble lubricant.
05
Start inserting the tube through the nostril, moving it gently towards the back of the throat.
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Have the patient swallow to help guide the tube into the esophagus and down into the stomach.
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Advance the tube further down until it reaches the jejunum.
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Confirm the tube placement by aspirating stomach contents or checking the pH level.
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Once confirmed, secure the tube in place using adhesive tape or a securement device.
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Connect the other end of the tube to the feeding pump or syringe.
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Begin feeding according to the prescribed instructions.
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To fill out oral intake, follow these steps: 1. Start by sitting in an upright position.
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Take small bites and chew your food thoroughly before swallowing.
14
Use appropriate utensils, such as a spoon or fork, to consume the food.
15
Drink plenty of fluids to aid in digestion.
16
Eat a balanced diet that includes a variety of foods.
17
Avoid eating too quickly or overeating.
18
If necessary, take any prescribed medications as directed by your healthcare provider.
19
Follow any dietary restrictions or guidelines given by your healthcare provider or dietitian.
20
Brush your teeth and maintain good oral hygiene.

Who needs nasojejunal nj and oral?

01
Nasojejunal NJ and oral feeding can be necessary for different individuals depending on their medical conditions. Some individuals who may need nasojejunal NJ feeding include:
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- Patients with severe dysphagia (difficulty in swallowing) or odynophagia (painful swallowing)
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- Individuals with advanced esophageal cancer or other conditions that obstruct the esophagus
04
- Individuals with gastroparesis (delayed stomach emptying)
05
- Patients who are unable to consume adequate nutrition orally due to illness, surgery, or other medical reasons
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Oral feeding is generally needed for individuals who can eat and swallow normally. However, there may be cases where oral feeding is contraindicated or restricted, such as:
07
- Patients with severe dysphagia or aspiration risk
08
- Individuals with conditions that require specific dietary restrictions (e.g., allergies, intolerances)
09
- Individuals undergoing certain medical procedures or surgeries where fasting is necessary
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Nasojejunal NJ refers to a feeding tube that passes through the nose into the jejunum, a part of the small intestine, while 'oral' may refer to oral intake or medications taken by mouth.
Healthcare providers and facilities that administer nasojejunal feeding or prescribe oral nutrition must file nasojejunal NJ and oral.
To fill out nasojejunal NJ and oral, include patient details, the specific type of feeding administered, duration of the therapy, and any relevant medical history.
The purpose of nasojejunal NJ and oral is to provide nutrition to patients who cannot eat by mouth or require supplemental nutrition for medical reasons.
The information that must be reported includes patient identification, type of nutrition provided, administration methods, duration of treatment, and any complications encountered.
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