Advanced Applications of Home-Based Primary Care Workshop-Gastrostomy Tube Replacement Procedure for HBPC Providers

Gastrostomy Tube Replacement Procedure for HBPC Providers

Pdf Summary

The document from the Home Centered Care Institute provides detailed procedural guidelines for home-based primary care (HBPC) providers on the replacement of gastrostomy tubes in home settings. It is intended exclusively for individual use and includes strict instructions on not copying, altering, or distributing the material.<br /><br />The recommended equipment for the procedure includes a sterile gastrostomy tube, syringes, gauze, lubricant, sterile water, and protective gear like gloves, masks, and eye protection.<br /><br />Key procedural steps involve:<br />1. Preparing and situating the patient and the necessary equipment on a clean surface.<br />2. Inspecting and testing the current gastrostomy tube and balloon.<br />3. Lubricating the new tube and adjusting the external bumper appropriately.<br />4. Removing the existing tube with or without local anesthesia, depending on the type and patient/specialist preference.<br />5. Inserting the new tube, inflating its balloon with sterile water, ensuring proper placement, and verifying tube position by listening to air or water being flushed into the stomach with a stethoscope.<br /><br />Additional considerations include checking the gastrostomy tube's size and brand before removal and ensuring documentation of the procedure and tube details.<br /><br />The document also provides information about resources available through the HCCIntelligence Resource Center, including access to webinars, virtual office hours, and downloadable tools and tip sheets.<br /><br />Billing considerations are included, noting the appropriate CPT and ICD-10 codes for the procedure. It suggests that family members or caregivers can be trained to perform routine balloon-type gastrostomy tube changes to reduce emergency department visits. It also advises ordering replacement tubes promptly and notes that balloon-type tubes may require replacement every 3-4 months, though there's no consensus on the exact frequency.<br /><br />Lastly, additional resources such as instructional videos from the New England Journal of Medicine are mentioned for further guidance.

Keywords

home-based primary care

gastrostomy tube replacement

procedural guidelines

sterile equipment

patient preparation

tube insertion

HCCIntelligence Resource Center

billing considerations

caregiver training

instructional videos