Congenital Harmony

Many of you have special kiddos who have feeding tubes. The kind my kiddo has is called a low profile gastrostomy tube: Mic-key button. Typically they are to be changed every 3-4 months. This is variable on insurance, coverage, and doctor’s orders.

Instructions:

1. Gather supplies: Mic-key kit, water, lube, trash pile, bowl
2. Wash hands
3. Open Mic-key supplies/place everything within reach
4. Don gloves (if preferred)
5. Take small syringe place in white or side port, pull on plunger to take out water from balloon
6. Empty water into bowl
7. Get at least 3ml of fresh water (sterile water preferred) back into same syringe
8. Pull out new Button from set
9. Put liberal amount of lube on it
10. Take out old Button and replace with new (may have to push a little to encourage replacement)
11. The syringe with water place into white side port and push in contents to fill balloon. 3ml will hold in place, verify with box of manufacturer what the specifications are required for filling. My daughters is 5ml.
12. Wipe of lube or gastric contents that leaked while replacement occurred.

During these times the ability to have a medical professional change it is limited. I found a lovely assistant who is on her way to med school to help assist me in this video. As a nurse…I’ve trained or guided many doctors as to duties such as these. I hope this helps alleviate some of the additional strain ya’ll are facing during these times. Good luck to you and stay safe.