Percutaneous Endoscopic Gastrostomy

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Professional appearance is very important in any job, especially in nursing. People judge you by your personal appearance. My scrubs is always clean, hear is neat, and shoes are clean. My badge is always on so patients and hospital personnel can see it. All that makes a clear statement that I care about myself as a person, and therefore I have the capacity to care about others.
Healthcare polices guide nurses in their practice. Recently, I had patient with percutaneous endoscopic gastrostomy (PEG) tube. My preceptor and I were initiating PEG tube feeding. The order for PEG tube feeding showed the start rate of feeding, time to increase the feeding, and the goal rate of feeding. My preceptor told me that we need to check for gastric residual volume, and if it is more than 200 milliliters, we need to delay the feeding. To find out if the patient tolerating feeding well, we need to check for gastric residual volume, but my preceptor was not sure when to do it. So we questioned a couple of nurses on the unit when should we check for gastric residual volume and one of them said that we should check it in 4 hours, the other one said in 6 hours. My preceptor wanted to be sure on when to check for it so we decided to look into …show more content…
For example, I always follow Health Insurance Portability and Accountability Act and close my patients charts every time I am away from the computer. Also, nurses act as a patient advocates and have an opportunity to prevent an error and maintain patient safety. For example, recently I had a sedated patient with NG tube, and in medication administration record it was saying that the patient receives all his medications orally. That was not true because we were giving medications through NG tube and to follow five rights of medication administration one of which is right rout, I called the pharmacy so they change the rout of medication
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