Can a licensed nurse replace a peg tube that becomes dislodged?
The appropriately prepared registered nurse or licensed practical nurse may replace a gastrostomy tube provided: • The licensed nurse is educated and competent in the procedure. This education and competence must be documented initially and on an ongoing basis; • There is a medical order for the procedure, including the type tube to be used for replacement; • There are no contraindications related to the patient’s condition; • The licensed nurse practices according to accepted standards of practice; • There is a well-healed tract without sign/symptoms of infections; and • The facility has policies procedure in place addressing all aspects of the issue.
