peg feeds

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On Nov 15 2005 1:59PM  margaret.markey wrote: 
We are revamping our guideline for enteral feeding and in preparing prepacked feeds for peg feeding I have been asked where to prepare ie spike the bag and how clean the preparation area needs to be. Can this be done at the bedside if the table is cleaned down beforehand? remembering that almost all feeds take two bags and the first one must therefore need replenished. As was quoted to me patients don't eat their dinner in a clinical room!!! Advise please.

On Nov 16 2005 6:58PM  judy.potter wrote: 
The opportunity for microbial growth in an enteral feed that is infused over several hours is much greater than in food consumed from a plate in a few minutes. That said, clean hands, clean work surface and avoiding contaminating the spike of the admin set prior to spiking the bag can be achieved at the bed side just as easily as in a clinical room. NICE guidelines for infection control in the community include enteral feeding guidance but also check out the British Association of Parenteral and Enteral Nutrition guidance which is excellent - your dietitians are probably members and will be able to let you have a copy.

Judy Potter
Lead Nurse/DIPC
Royal Devon and Exeter NHS Foundation Trust

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