G Tube

G TUBE & GJ TUBE & J TUBE PLACEMENT/EXCHANGE

• Confirm with MD size of tube needed
• If needed, peel away sheaths are 4Fr sizes up from size of G-tube
  • Ex: 18Fr peel away for 14Fr G-tube, 20Fr peel away for 16Fr G-tube
• Will need sterile water to fill balloon – fill with roughly ¼ contrast and ¾ with water
• Enema cocktail – Omnipaque 300 150ml with 800ml lukewarm water
• 100% Contrast (hand injection) unless the Physician states otherwise.
• Normal Saline 0.9% 1000 ml

• Angio pack
• Turtle shell cover
• 18Fr G-tube introducer kit (comes with peel away, T-fasteners and wire)
• 14Fr G-tube
• Bag (sterile core) (Vented G Tube bag – overstock cabinet)
• Slit gauze
• Hypofix tape
• 12cc syringe (extra)
• Enfit drainage bag
• Lidocaine Jelly

If patient doesn’t have NG tube

• Bernstein catheter 65cm
• 3-way stopcock
• 3J guide wire 145cm
• Blue bulb inflation (nurse cart – bottom drawer) or 60cc syringe

Bronzo

• Will stand on RT side
• 2 – 3 T Tacks with contrast syringe

Dared

• Will stand on LT side
• 2 – 3 T Tacks with contrast syringe
• No enema except in select cases

Raj

• Stand on Lt side
• Yueh needle
• Will use wire in the kit (Amplatz guide wire 75cm- standby)
• 2 T-TACS with K-50 and contrast syringe
• Stand on LT side

Brittany

• Stand on LT side
• 2 x t Tacks w/ K50 tubing & contrast syringe
• 1G Ancef (RN)
• 1mg Glucagon (RN)
• Telescoping peel away sheath

Lynne

• 2 T-TACS with K-50 and contrast syringe
• Stand on LT side

Bronzo

• Inflation device
• Conquest balloon
• Slide G-tube over Conquest balloon
• Bronzo will inflate balloon inside tract and slide G-tube over as balloon is deflating
• Will stand on RT side or Lt side

Dare

• Will stand on LT side
• Amplatz 180cm
• Berenstein

Raj

Will stand on LT side

Brittany

• Will stand on LT side
• Amplatz guidewire 75cm

Lynne

• Will stand on LT side

GJ TUBE PLACEMENT/ J EXCHANGE

• Angio pack
• Turtle shell cover
• 12cc syringe
• GJ-Tube Introducer kit
• GJ Tube
• J Tube (for J Tube exchange)
• Bernstein catheter 65cm
• Stiff Glide wire 180cm
• Torque device (if needed)
• Slit Gauze
• Hypofix tape