AN 14 Prepare for and carry out extended feeding techniques

1. Understand legislation and agreed ways of working when using extended feeding techniques

• 1.1 Explain legislation, protocols and agreed ways of working that affect working practices related to extended feeding
• 1.2 Explain the importance of following procedures exactly as specified

2. Understand anatomy and physiology in relation to extended feeding

• 2.1 Explain the anatomy and physiology of the gastrointestinal tract in relation to extended feeding
• 2.2 Explain the importance of fluid and nutritional balance to the health of individuals
• 2.3 Describe conditions where feeding may be undertaken by extended methods

3. Understand extended feeding techniques

• 3.1 Explain techniques for extended feeding
• 3.2 Describe equipment and materials that may be used for extended feeding
• 3.3 Describe ways to support an individual to prepare for extended feeding in a way that meets their individual needs and preferences
• 3.4 Describe how to recognise and deal with adverse reactions which may occur: • during procedures • following procedures

4. Be able to manage risks relating to extended feeding

• 4.1 Identify potential risks associated with extended feeding
• 4.2 Describe the potential sources and consequences of contamination related to extended feeding
• 4.3 Explain why it is important to: • maintain the correct level of cleanliness • pack up used equipment and materials and cover receptacles containing body fluids prior to leaving the immediate area
• 4.4 Apply standard precautions for infection prevention and control and other measures to minimise risks before, during and after the procedure
• 4.5 Dispose of: • used equipment, materials and feeds • body fluids including those aspirated prior to feeding in accordance with legislation and agreed ways of working

5. Be able to prepare for extended feeding

• 5.1 Ensure that adequate and relevant fluids, feeds and equipment are available
• 5.2 Confirm the identity of the individual prior to carrying out the activity
• 5.3 Obtain valid consent from the individual prior to carrying out the planned activity
• 5.4 Confirm equipment and materials are: • appropriate to the procedure • fit for purpose
• 5.5 Position the individual to ensure safety and comfort and to facilitate the method of extended feeding

6. Be able to carry out and complete extended feeding techniques

• 6.1 Attach and position feeding tubes correctly and securely in a manner that prevents discomfort and promotes the dignity of an individual
• 6.2 Carry out extended feeding safely and according to the individual’s plan of care
• 6.3 Observe the individual throughout the activity and respond to any adverse reactions
• 6.4 Ensure the comfort of the individual following extended feeding

7. Be able to maintain records and report on extended feeding

• 7.1 Complete required records
• 7.2 Identify others who may be involved in reviewing the nutritional and fluid intake of an individual
• 7.3 Report any findings about the process and the individual which may have an impact on the care plan