General considerations for patients receiving enteral nutrition into the jejunum:

  1. Maintain head of bed > 30 degrees at all times or in reverse Trendelenburg position if spine not cleared.
  2. Obtain portable abdominal X-ray within12 hours of any aeromedical movement or transfer to confirm feeding tube location is within jejunum.
  3. 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.
  4. Keep OG tube on intermittent low wall suction while initiating and advancing tube feeds via NJFT.