1. Wash your hands with soap and water.
2. Give formula/breastmilk as ordered by your doctor.
3. Gather the supplies:
- Feeding pump
- Feeding administration bag
- IV pole
- Farrell valve system bag (if ordered by your doctor)
- Formula / breastmilk
- Bottle or container to measure formula / breastmilk
- Small syringe 5-10 ml
4. Open the feeding administration set and the Farrell bag (as ordered for decompression).
- Use a new feeding administration set and Farrell bag every 24 hours.
5. Connect the bags at the “Y” junction on the Farrell bag tubing.
6. Add the formula / breastmilk to the bag.
- Formula / breastmilk that you mix or prepare can be in the bag for four hours.
- Formula that is already prepared and in a box can be in the bag for eight hours.
- o If your child is immunocompromised, only 4 hours of milk can be hung at one time.
7. Prime, or fill, the tubing of the feeding administration set with formula / breastmilk.
- Stop the formula / breastmilk just before it reaches the end of the tubing.
- This prevents formula / breastmilk from getting into the grooves on the end of the feeding tube.
8. Put the tubing into the feeding pump.
9. Turn the pump on.
10. Refer to feeding pump instructions for pump programming.
- Set the rate – how fast the feedings are to go in
- Set the dose − how much formula / breastmilk is to be given
11. Check to make sure the NG tube is in the correct place. (see above)
12. Connect the feeding administration set tubing to the feeding tube.
13. Start the feeding pump.
14. When the feeding is finished, turn off the pump, remove the feeding set and flush the NG tube with water.
15. Clean the end of the feeding tube with a toothbrush and warm water.