General considerations for patients receiving enteral nutrition into the jejunum:
- Maintain head of bed > 30 degrees at all times or in reverse Trendelenburg position if spine not cleared.
- Obtain portable abdominal X-ray within12 hours of any aeromedical movement or transfer to confirm feeding tube location is within jejunum.
- Enteral nutrition administered into the jejunum (past the ligament of Treitz) does NOT need to be stopped prior to going to the operating room, diagnostic tests, CCATT/AE transport, lying flat for procedures, etc.
- Keep OG tube on intermittent low wall suction while initiating and advancing tube feeds via NJFT.