Nasojejunal Tube Feeding with Enteral Pump

Your child cannot eat by mouth or hold food in the stomach, so you will be giving your child's feedings through a tube that is placed just past the stomach into the small bowel (jejunum).

Nasojejunal (NJ) tubes are for feeding only with an enteral pump. 

Bolus feedings cannot be given through the NJ tube.

  • Tube feeding administration set                                                          
  • IV pole 
  • Farrell valve
  • 3-5 ml syringe and water  
  • Wash your hands with soap and water.  NJ tube.
  • The permanent mark on the tube should always be at your child's nose. Before each feeding, check to make sure the mark is in the proper place. If the mark has moved, the placement of the tube will need to be checked by an X-ray. Call your doctor or nurse to make arrangements for this to be done.
  • Set up the enteral administration set according to the directions on the side of the pump or in the instruction manual.
  • Attach the tube feeding administration set to the Farrell valve.
  • Add formula to the feeding bag and prime the tubing.
  • Only four hours of formula or breast milk may be placed in the bag at any given time.  
  • Begin the feeding by turning on the pump.
  • Set the desired rate of infusion on the pump and desired amount to be given. (Example: Rate = 50 ml, dose = 400 ml, volume to be infused).  
  • Flush NJ with ordered amount of water to check that the tube is open.
  • Attach the tubing from the Farrell valve into the nasojejunal tube.
  • Securely tape all connections. 
  • Keep the "Y" of the administration set / Farrell valve connection at the stomach level.
  • If the formula continues to back up, try irrigating the feeding tube with water.
  • Never add new formula to formula already in the feeding bag.
  • Change the entire setup every 24 hours.
  • Irrigate the feeding tube with 1-5 mls of water before and after each feeding and before and after giving medications to prevent the feeding tube from clogging.
  • It is important to allow your infant or child to have pleasant sensations during feedings: hold during feedings, suck on a pacifier, sit in a high chair, be a part of family meals.
  • Ask your doctor or nurse about therapy to help improve oral skills.
  • Your child has discomfort
  • Your child vomits or has diarrhea
  • Your child has stomach distention (swelling)
  • The feeding does not go in
  • The tube has moved or comes out

Last Updated 10/2014