HomeGrown Solutions is open for submissions. Submissions are reviewed in 4 time periods: January 15th, April 15th, July 15th, and October 15th. Submissions received after each of these dates will be reviewed in the next timeframe.

Creating Reservoirs in Manikins for NG and J-Tube Medication Administration

  Submitted by: Kimberly Muma on January 16, 2015
  HomeGrown Solution Number: 241
Identification of the Problem
The use of NG tubes and J-tubes is common in the clinical arena, therefore it is important that students become skilled at caring for patients with these devices and administering crushed or liquid medications through NG tubes and J-tubes. However, many manikins do not have the capability of safely allowing instillation of medications or solutions through an NG tube or J-Tube due to their electronic internal parts which would be costly to replace if damaged. Additionally, the internal manikin reservoirs can be challenging to clean out thoroughly due to the narrow openings on these reservoirs.
Unique Idea
Ordinary jumbo toy balloons and zip ties can provide a cost-effective solution that is simple to clean up after use. Tying a jumbo toy balloon to the end of a manikin’s esophagus or stoma site provides a replacement reservoir that satisfactorily mimics a stomach or intestine. Once in place, an NG or J-Tube can be accessed and medications, feedings, or solutions instilled or aspirated.
1. 36” Jumbo Toy Balloons
2. Manikin without internal electronics
3. Zip Ties
4. Towel
Steps to Creating the Solution
1. NG-Tube or Dobhoff: Remove manikin’s chest plate. Place a towel in manikin's upper abdominal cavity (underneath the jumbo balloon, just in case of a leak).
2. Place NG-tube or Dobhoff through nare, assuring tube end extends inside balloon. Secure jumbo toy balloon to stomach reservoir connector with a zip tie. Replace manikin's chest plate.
3. Properly secure Dobhoff tube. Clean up is easy. Snip the zip tie with scissors and toss out the filled balloon. Replace stomach reservoir on manikin.
4. For J-Tube: Remove manikin's lower abdominal plate. Feed a J-tube into manikin's stoma opening and pull the J-tube out of the threaded connector on the backside of the manikin's lower abdominal plate (using pliers if necessary).
5. Place a towel inside the manikin's lower abdominal cavity (just in case of a leak). Using a zip tie, secure a jumbo toy balloon to the connector (over the J-tube). Assure that the J-tube ends inside the balloon.
6. Replace the manikin's lower abdominal plate with the balloon resting on the towel. Clean up is easy. Snip the zip tie with scissors and toss out the filled balloon. Replace the bladder reservoir on the manikin.
7. HomeGrown Disclaimer: The information contained within this website is for information purposes only. While the website is monitored in an attempt to keep the information up to date and accurate, be aware that there are no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, and/or suitability being made. The sponsors of this website are not liable for any loss or damage that may result from using information contained within this website. Any reliance you place on the information contained within this website is strictly at your own risk. Please note that sections of this website include postings of individuals not associated with the website sponsors. These postings are not endorsed or warrantied by the website, and use of such information is at your own risk. Always check the user guide/manuals provided by the manufacturer of your manikin or task trainer. Using products that are not sanctioned may invalidate the product warranty. (For example: Some products could stain the skin on a manikin. Liquids used around electrical parts may cause malfunctions.)