Advanced Applications of Home-Based Primary Care - Virtual Workshop-Gastrostomy Tube Replacement Procedure

Gastrostomy Tube Replacement Procedure

Pdf Summary

The HCCI's Gastroscopy Tube Replacement Procedure guide is tailored for Home-Based Primary Care (HBPC) providers and practice staff, giving comprehensive steps for replacing gastrostomy tubes in home settings. The primary purpose is to ensure safe and effective execution of the procedure, preserving the patient's health and comfort.<br /><br />**Key Equipment:**<br />- Clean table and surface barrier<br />- Sterile gastrostomy tube<br />- Syringes (for balloon inflation and flushing)<br />- Gauze, towels, water-soluble lubricant<br />- Sterile or distilled water<br />- Surgical mask and eye protection<br />- Stethoscope<br /><br />**Step-by-Step Procedure:**<br />1. Hand washing is essential.<br />2. Position the patient supine comfortably.<br />3. Arrange equipment on a clean surface.<br />4. Wear gloves, mask, and eye protection.<br />5. Inspect the tube for defects and test the balloon with water.<br />6. Deflate the balloon post-test.<br />7. Lubricate the replacement tube's end.<br />8. Adjust the external bumper.<br />9. Prepare the replacement tube on a clean surface.<br />10. Place absorbing towels around the tube area to manage leakage.<br />11. Stand appropriately beside the patient.<br />12. Identify current tube specifications for accurate replacement.<br />13. Methodically remove the old tube using either traction or balloon-deflation techniques.<br />14. Insert the new tube, inflate its balloon, and ensure secure placement.<br />15. Adjust and confirm the fit of the external bumper.<br />16. Verify position by injecting air or water into the stomach and checking via stethoscope.<br /><br />Post-procedure includes cleaning, documenting the procedure, and noting the brand and type of tube.<br /><br />**Additional Notes:**<br />- Appropriate billing codes (CPT 43762, ICD-10 Z43.1) and reimbursement details included.<br />- Family training for emergency tube changes can avoid emergency department visits.<br />- It is recommended to have a replacement tube ready for emergencies.<br />- Balloon-type tubes generally require changing every 3-4 months, though there is no strict consensus on frequency.<br /><br />For further support, HCCI offers various educational resources, webinars, and a helpline. The New England Journal of Medicine's instructional video on gastrostomy tube exchange is also a valuable resource.

Keywords

Gastroscopy Tube Replacement

Home-Based Primary Care

HBPC

Procedure Guide

Patient Safety

Medical Equipment

Step-by-Step Instructions

Post-Procedure Care

Emergency Preparedness

Educational Resources