What is the first step when inserting a feeding tube?

The first step when inserting a feeding tube involves assessing the abdomen for bowel movements and sounds. This assessment is critical because it helps to establish the condition of the gastrointestinal tract before any intervention. Checking for bowel sounds can indicate whether the intestines are functioning properly and whether there are any potential complications that should be addressed before inserting the tube.

By determining the presence or absence of bowel sounds, the healthcare provider can make informed decisions regarding the feeding tube placement and subsequent feeding administration. This step helps to ensure patient safety and the effectiveness of the feeding plan.

Initiating feeding immediately could lead to complications if the gastrointestinal tract is not functioning well. Flushing the tube with water is important but typically occurs after the tube is correctly placed and verified. Ensuring the tube is large bore pertains more to the type of feeding and the patient's needs rather than being a preparatory step for the procedure itself.