Enteral Feeding Competency -Syringe/Gravity Feed

• Staff Member:

  Select

• Date:

  Date

• Assessor:

• Location
  Address

• Have the staff completed their online training regarding Enteral Feeding?

  Yes

  No

  N/A

• Have the staff washed their hands? Are staff wearing PPE?

  Yes

  No

  N/A

• Have staff identified their equipment and prepared what they need? (Formula, Water, 2 syringes, measuring cup)

  Yes

  No

  N/A

Giving the Feed

• Do staff know how mush flush/water to draw up in syringe? (100ml)

  Yes

  No

  N/A

• Do staff correctly attach the syringe to the correct section of the tube associated with the PEG?

  Yes

  No

  N/A

• Do staff apply the correct amount of pressure to the flush to push it through?

  Yes

  No

  N/A

• Do staff use the measuring jug to correctly measure out the correct volume of feed?

  Yes

  No

  N/A

• Do staff correctly push the feed through the PEG sight allowing time and not forcing the feed through the tube? Or do staff correctly lift the tube up and connect the syringe without a plunger to the tube and slowly pour the feed in allowing time for the feed to allow gravity to flow through?

  Yes

  No

  N/A

• Do staff correctly disconnect the syringe and repeat the flush process as before?

  Yes

  No

  N/A

• Do staff correctly clamp the tube afterwards?

  Yes

  No

  N/A

• Do staff correctly dispose of waste and wash hands post procedure?

  Yes

  No

  N/A

• Are staff competent?

  Yes

  No

  N/A

• Any further training required?

• Signature of Assessor

• Date:

  Date