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This guideline is applicable to all medical, nursing and midwifery staff working in neonatal units in the West of Scotland. All staff should complete a competency based training programme to ensure passage of a nasogastric or orogastric feeding tube will be standardised throughout the neonatal service. Staff should also familiarise themselves with the Wospghan document entitled “Enteral tube feeding Information pack for healthcare professionals”
NB - If a chest or abdominal x-ray is being performed in a baby who is likely to need a feeding tube it is best practice to ensure that the tube is passed prior to the x-ray being performed. The x-ray will confirm the position of a tube even if you are unable to obtain an aspirate.
Anderton, A (1999) Microbial Contamination of Enteral Tube Feeds – How can we reduce the risk? Nutricia Clinical Care.
Beckstrand, J., Ellett, M. L.C., & McDaniel, A. (2007). Predicting the internal distance to the stomach for positioning nasogastric and orogastric feeding tubes in children. Journal of Advanced Nursing, 59 (3), 274-289.
Ellett M.L.C., et al (2011). Predicting the length for gastric tube placement in neonates. Journal of Obstetric, Gynecologic and Neonatal Nursing, 40 (4), 412-421.
Ellett M.L.C., et al (2012) Comparing the methods of determining insertion length for placing gastric tubes in children 1 month to 17 years of age. Journal of Specialists in Pediatric Nursing.17, 19-32.
Husband, S and Trigg, E (2002) Practices in children’s nursing : guidelines for hospital and community. Edinburgh: Churchill Livingston.
NHS QIS (2003) Nasogastric and Gastrostomy Tube Feeding for children being cared for in the community. Best Practice Statement. Edinburgh NHS QIS.
Spence, K (2003) Nutritional management of the infant in the NICU in Boxwell, G ed Neonatal Intensive Care Nursing 3rd ed. Routledge: London. Ch.11.
Last reviewed: 14 October 2019
Next review: 01 October 2022
Author(s): Andrena Kelly – Nurse Educator - Neonatal Surgical Department, RHC
Approved By: West of Scotland Neonatal Managed Clinical Network