Hi Tom.. For a new PEG, you would want to monitor the site to insure healing and that no infection develops. You will have monitoring and cleansing of the site on a daily basis. You will also want to assess level of consciousness, HOB elevated, bowel tones, respiratory status, c/o pain, abdominal tenderness, vomiting, I & O, bowel movements, and vital signs. You will need to document the type and amount of formula you are giving and how often. You will need weight and response to enteral feedings as well as documentation to reflect any P.O. food/fluids taken by the patient. If the patient is receiving speech therapy, document response to therapy. Determine if your patient is receiving at least 51% of daily calories or at least 26% of daily calories and 501 cc or more fluids. Documentation needs to reflect the daily skilled interventions as well as the patients' response. Winona Phelps, RN
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Wednesday, April 14, 2004 11:45 AM To: [EMAIL PROTECTED] Subject: Peg Tube Question We have a resident who was just admitted with a new PEG tube. My question is: what is it about a new PEG that actually qualifies for a skilled service? Thanks for your response to this question. Tom /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
