The director of nurses or designated quality assurance representative will perform the following systemic changes: randomly checking, weekly, three residents who are receiving tube
feeding to ensure that the feedings and equipment are working properly.
When researchers reviewed the charts of 50 patients receiving tube
feedings through nasogastric tubes, they found that residual volumes were recorded as recommended by hospital protocol only 55% to 60% of the time (Breach & Saldanha, 1988).
Thus far, the study has shown no differences in measures of speech, language, learning ability or behavior at ages three years and four years between the children who had received ear tubes promptly and those in the watchful waiting group, most of whom escaped receiving tubes
In prospective studies of patients receiving tubes
for recurrent acute otitis media and otitis media with effusion, measures of quality of life--physical suffering, emotional distress, activity limitation, hearing loss, speech development, caregiver concern/worry, parental post-tube satisfaction, (4,5,6) and an ear symptom score (6)--improved after tube placement.