Enteral Feeding Tube De-Clogger 

Purpose: 

To safely and effectively de-clog enteral feeding tubes. 

Procedure: 

1. Preparation: 

• Select the right de-clogger (they are color coded for size and type). 

2. Insertion: 

• Insert the de-clogger carefully into the feeding tube until it reaches the blockage. 

• Slowly rotate the de-clogger clockwise to dislodge the blockage. 

3. Removal: 

• Gently remove the de-clogger from the feeding tube. 

4. Disposal: 

• Discard the de-clogger after use as it is intended for single resident use only. 

5. Documentation: 

• Document the resident’s response to the procedure. 

• Note the time of the procedure, the result, and any complications or observations in the resident's medical record. 

Compliance and Documentation: 

• Adhere to CMS guidelines and Requirements of Participation for Long-Term Care Facilities. 

• Document the de-clogging procedure, including the resident’s response and any observations, in their medical record. 

• Note any abnormalities or difficulties encountered during the procedure. 

• Regularly review and update techniques for de-clogging enteral feeding tubes according to the latest clinical best practices and regulatory standards. 

• Provide training to staff on proper de-clogging procedures to ensure resident safety and comfort. 

• Conduct regular audits to ensure compliance with this policy and address any gaps in practice or documentation. 

References: 

• Centers for Medicare & Medicaid Services (CMS). State Operations Manual (SOM), Appendix PP - Guidance to Surveyors for Long-Term Care Facilities. 

• CMS Requirements of Participation for Nursing Homes.