PEG and NG feeding
Percutaneous Endoscopic Gastrostomy (PEG) and Nasogastric (NG) feeding are essential methods of providing enteral nutrition to individuals who are unable to meet their nutritional requirements through oral intake. These feeding methods support patients with a variety of medical conditions, including neurological disorders, swallowing difficulties (dysphagia), head and neck cancers, gastrointestinal disorders, and other illnesses that affect safe eating and drinking. Safe management of enteral feeding tubes requires healthcare professionals to possess appropriate knowledge, practical skills, and a thorough understanding of patient safety principles.
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Learning Outcomes
What you'll learn
- Explain the principles and purpose of PEG and NG enteral feeding.
- Differentiate between Percutaneous Endoscopic Gastrostomy (PEG) and Nasogastric (NG) feeding tubes and identify their clinical indications.
- Demonstrate safe preparation and administration of enteral nutrition using existing PEG and NG feeding tubes.
- Perform routine tube and stoma care while maintaining infection prevention standards.
- Safely administer medications via PEG and NG feeding tubes following organisational policies.
- Recognise common complications including blockage, leakage, infection, aspiration, and tube displacement, and identify when escalation to medical staff is required.
- Contribute to safe, high-quality, person-centred enteral feeding through evidence-based practice and ongoing professional development.
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Learning Outcomes
What you'll learn
- Explain the principles and purpose of PEG and NG enteral feeding.
- Differentiate between Percutaneous Endoscopic Gastrostomy (PEG) and Nasogastric (NG) feeding tubes and identify their clinical indications.
- Demonstrate safe preparation and administration of enteral nutrition using existing PEG and NG feeding tubes.
- Perform routine tube and stoma care while maintaining infection prevention standards.
- Safely administer medications via PEG and NG feeding tubes following organisational policies.
- Recognise common complications including blockage, leakage, infection, aspiration, and tube displacement, and identify when escalation to medical staff is required.
- Contribute to safe, high-quality, person-centred enteral feeding through evidence-based practice and ongoing professional development.
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Training Overview
- Introduction to PEG and NG Feeding
- Anatomy, Indications, Equipment, Types of Feeding Tubes, and Enteral Feeding Preparation
- Safe Administration of PEG and NG Feeding
- Routine Tube Care, Infection Prevention, and Troubleshooting Common Problems
- Patient Monitoring, Nutrition, Hydration, Medication Administration, and Patient Education
- Professional Responsibilities, Documentation, Clinical Governance, and Quality Improvement
- Summary
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Frequently asked questions
A PEG tube is inserted directly into the stomach for long-term enteral feeding, while an NG tube passes through the nose into the stomach and is generally used for short-term nutritional support.
A PEG site should be inspected daily for redness, swelling, leakage, pain, discharge, or signs of infection according to organisational policy.
Routine flushing helps maintain tube patency, prevents blockages, supports hydration, and reduces medication residue within the tube.
No, some medications such as modified-release or enteric-coated formulations should not be crushed or administered through feeding tubes without pharmacist or prescriber guidance.
Feeding should be stopped immediately, the issue should be assessed according to local procedures, and medical staff should be informed if the blockage or displacement cannot be safely resolved.
No, this course focuses only on the safe care and management of existing PEG and NG feeding tubes and does not cover tube insertion, replacement, or removal.
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