October 24, 2019 @ 10:00 am – 12:00 pm
Meghan Jones


“G-Tube Clients- Best Practices And Care Planning in IDD Waiver Programs”  (HCS/TxHmL/ICF)

Date:  October 24th, 2019    (rescheduled from Oct. 1st, 2019)

Time:  10 AM-12:00 PM

Cost: $65/person

For:  Nursing Staff, Quality Assurance Staff, Program Managers, Administrators

Presenter:  Gina Peterson, RN Consultant


-How do I assess an individual with a G-Tube/Peg Tube?  (What am I looking for?)

– Ideas for G/T Care Planning Outcomes and/or Nursing Goals (includes some samples of different nursing guidelines in these areas)

-Things The Nurse Really Needs To Know:

-What Is The Difference Between The Following: Catheter, Peg Tube, J-Tube, G-Tube, a Mickey Button-with Detachable Feeding and Med Tube only?

-When Is A G/T Needed? 

-Pre and Post Op Considerations

-Is The Tube Temporary or Permanent?  Can the Process Be Reversed if No Longer Necessary?

-How Often Should The Tube Be Changed- Monthly, Quarterly, Annually, Only As Needed?

-Who Can Change The Individual’s Tube- Surgeon, Gastroenterologist, PCP, FNPC, Nurse (LVN or RN?)  

-Enteral Feedings and Nutritional Supplements

-What Needs To Be On Physician’s Orders in Relation To The Individual’s G/T- Type of Tube, Size of Tube (if Applicable), Frequency of Changing Tube and Who Does it, Specifying Route of Medications, Requesting Liquid Meds. When Available, How often H20 flushes occur, etc….?

Best Practices To Address Common G/T Issues- example: prevention of aspiration during G/T feedings, trouble-shooting device malfunctions, monitoring bowel movements 

G-T Issues Needing Immediate or Emergency Attention


-What resources are available for training the Nurses & The UAP’s (Staff)Previous Provider and Family, HHSC, PCP, Gastroenterologist, Title IX/DME Provider, MCO RN Case Manager, University Libraries, On-Line Videos/Webinars, etc..?

-What kind of training needs should be addressed with UAP’s, the Individual, and/or Family?

-Ideas for training and training tools for the following: (What to Observe and What to Report to The Nurse (ex:blocked tube excoriation of the stoma area, bowel movements), How To Perform Feedings and Flushes, Options on How To Administer Medications (ex: Liquids vs. Pills), and much more. 

– Nurse & Provider ensuring UAP’s and other people involved in individual’s care, have received special needs training



We would be glad to invoice you if you prefer.  Please indicate how you will paying when you register with Meghan Jones.

invoice: payment using a credit card, debit card, or PayPal account or payment by check.

Online Payment:  You may pay directly through your PayPal invoice, or you may pay on the website on the “payment” page.  Her is the direct link to the “payment” page.   http://twogetherconsulting.com/payments/

If you have any problems, please ask Meghan Jones to walk you through when you call to register.  Please contact us directly about group rates.

Remember to enter in total $ amount for # of attendees.  Ex:  2 people want to attend x $125 =$250 total.



To complete registration and for any additional information or to arrange payment by check you must contact:

Meghan Jones at: meghanjones.tx@gmail.com 

You may contact Meghan by phone at: (361) 649-5104   

Mailing address for checks:  Twogether Consulting  P.O. Box 90426 Austin, TX 78709