Tubey101

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Pictorial instructions on how to flush and feed a j-tube.

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Tubey101

  1. 1. Tubey Tutorial <br />Or, how to plug the kid in for the night<br />
  2. 2. 1. Gather 3 cans of formula and 1 pump bag.<br />
  3. 3. 2. Gently invert the cans to mix, but don’t shake (avoid bubbles.)<br />
  4. 4. 3. Measure 125 mLs (half a can) because the total volume required is 2.5 cans.<br />
  5. 5. 4. Open the bag and remove the pump bag. Remove the clear cap from the end of the tubing.<br />
  6. 6. 6. Open the lid of the bag. <br />
  7. 7. 6. Pour the formula in slowly to avoid bubbles. Close the lid firmly.<br />
  8. 8. 7. Use Press-And-Seal to close up the half-can remaining and stick it in the fridge. Tomorrow you can use this.<br />
  9. 9. 8. Hang the bag on the IV pole.<br />
  10. 10. 9. Find the teal tubing on the pump bag. Gently squeeze at the teardrop symbol.<br />
  11. 11. 10. Simultaneously squeeze the bag to prime the formula into the tubing.<br />
  12. 12. 11. Behold the pump.<br />
  13. 13. 12. Open the white door.<br />
  14. 14. 15. The teal tubing and plastic cartridge will go in the door.<br />
  15. 15. 14. Stretch the teal tubing over the black wheel on the left.<br />
  16. 16. 15. Snap the plastic cartridge into the compartment until it clicks in.<br />
  17. 17. 16. Close the door securely.<br />
  18. 18. 17. Press the On/Off button.<br />
  19. 19. 18. After it beeps and displays random numbers, it will show this (rate is 60.)<br />
  20. 20. 19. Press the Rate/Dose button.<br />
  21. 21. 20. You will see this screen (dose is 600.)<br />
  22. 22. 21. Press the Vol/Total button.<br />
  23. 23. 22. You will see this (Volume 600.) This tells you how much formula went in the previous night.<br />
  24. 24. 23. Press the Clear button.<br />
  25. 25. 24. Now the volume is 0 (e.g. she has received 0 of the 600 mLs she needs tonight.)<br />
  26. 26. 25. Press Pause to silence the alarm if it gets impatient during your next step.<br />
  27. 27. 26. Get a large syringe and some clean drinking water (tap is fine.)<br />
  28. 28. 27. Draw up about 15 mLs (1/2 oz.)<br />
  29. 29. 28. Insert the water-filled syringe into the extension set.<br />
  30. 30. 29. Push water into the extension set until it’s primed (drops come out.)<br />
  31. 31. 30. Close the clamp at the end of the extension.<br />
  32. 32. 31. Expose button.<br />
  33. 33. 32. Open the button (like a beach ball valve.) <br />
  34. 34. 33. Insert the extension so the black hash marks line up. Push in until it clicks.<br />
  35. 35. 42. Rotate extension clockwise. <br />
  36. 36. 35. Open the clamp.<br />
  37. 37. 36. Flush the water in.<br />
  38. 38. 37. Close the clamp again.<br />
  39. 39. 38. Remove the syringe from the extension.<br />
  40. 40. 39. Insert the red end of the pump bag into the extension. Not TOO tight or it will never come out! About this far in.<br />
  41. 41. 40. Get the “AMT Clamp” ready. <br />
  42. 42. 41. Wrap the smaller half around the extension and close the band.<br />
  43. 43. 42. Do the same with the larger side under the red part. This keeps the two pieces snugly together overnight.<br />
  44. 44. 43. Open the clamp back up!<br />
  45. 45. 44. Press and hold the Prime button.<br />
  46. 46. 45. Watch the formula flow through the extension.<br />
  47. 47. 46. When the white formula reaches the button, let go of the Prime button.<br />
  48. 48. 47. Press Run/Pause to start the feed.<br />
  49. 49. 48. If you press Vol/Total, it will show you how much formula has infused so far.<br />
  50. 50. 49. See? So far, 1 mL. (it should say “run” in the corner.)<br />
  51. 51. 50. Make sure she has an overnight diaper (sleeping Mickey.) Velcro the tube under the diaper tab like this.<br />
  52. 52. This way if she rolls over, it won’t yank her tummy.<br />
  53. 53. 52. Pull down her shirt, cover with blankie, and kiss good night!<br />

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