PEG Tube Care Audit

PEG tube care audit template to assess staff competency in enteral feeding, flushing protocols, infection prevention, equipment safety, and stoma site management.

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PEG Tube Care Audit



Staff Competence & Local Guidance

1. Is a current policy for enteral and PEG tube feeding available and easily accessible to staff?


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2. Have all staff providing PEG tube care received appropriate training in the preparation, administration, and management of enteral feeding?


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3. Has staff competency in PEG tube care been formally assessed and evidenced in their records?


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4. Are staff familiar with the individual’s specific prescribed feeding regimen, including feed type, volume, rate, and flush requirements?


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5. Do staff clearly understand how and when to escalate concerns or complications related to PEG tube care?


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Storage, Labelling & Expiry Controls

1. Is the enteral feed stored strictly according to the manufacturer’s instructions?


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2. Is enteral feed checked and confirmed to be within its expiry date prior to use?


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3. Is the opened enteral feed clearly labelled with the person’s details and the date and time of opening?


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4. Are single pre-packaged enteral feeds discontinued and disposed of within 24 hours of opening?


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5. Is sterile water, where clinically indicated, labelled with the person’s details and the date and time of opening?


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6. Is open sterile water discarded after 24 hours?


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7. Are single-patient-use enteral feeding syringes visibly clean and stored in a lidded container labelled with the person’s name and date of first use?


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Infection Prevention & Handling Practice

1. Is hand hygiene performed both before and after any manipulation of the enteral feeding system?


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2. Are disposable aprons and disposable gloves worn whenever handling the enteral feeding system?


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3. Are gloves removed first, followed immediately by hand hygiene after the removal of each item of PPE?


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4. Is an aseptic technique used when connecting or disconnecting enteral giving sets?


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5. Is the enteral feeding system handled in a manner that minimises the risk of contamination?


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6. Is freshly drawn water used for flushing unless sterile water is clinically indicated?


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Equipment Use, Cleaning & Time Limits

1. Is the correct feed verified against the care plan before administration?


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2. Are feeding pumps visibly clean, intact, and ready for use?


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3. Are pump settings confirmed to accurately reflect the prescribed rate and volume?


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4. Are giving sets changed following the completion of each feed?


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5. Are single-use items, such as giving sets and medicine pots, disposed of immediately after use?


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6. Are reusable single-patient syringes washed with warm water and detergent, rinsed, and dried after each use?


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Administration Of Feed, Flush & Medication

1. Is the individual positioned at a minimum of 30–45 degrees during feeding unless otherwise specified?


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2. Is tube patency checked and confirmed prior to starting the feed?


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3. Is flushing carried out using the prescribed volume of water before and after feed, and between medications?


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4. Is the correct type of water used in accordance with clinical guidance and the care plan?


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5. Is the feed administered at the prescribed rate and within safe time limits?


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6. Is resistance during flushing handled correctly by not forcing the flush and escalating appropriately?


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7. Are medicines administered via the PEG tube confirmed as suitable for enteral use and prepared correctly?


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8. Is the individual monitored during and after feeding for signs of intolerance, aspiration, or distress?


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Stoma Site Care & Monitoring For Complications

1. Is the gastrostomy site inspected daily for redness, swelling, leakage, discharge, or pain?


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2. During the first 48 hours following insertion, is an aseptic technique used with sterile dressings applied?


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3. Is the gastrostomy site washed daily with soap and water and dried thoroughly?


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4. Are non-sutured gastrostomy tubes rotated 360 degrees weekly (after the initial 48-hour period) unless contraindicated?


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5. Is the tube secured appropriately to prevent tension or accidental displacement?


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6. Are signs of infection, blockage, displacement, or aspiration recognised promptly and escalated?


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7. Are microbiological swabs obtained whenever there is evidence of infection, in line with local guidance?


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8. Are feed volumes, flushes, site condition, refusals, and incidents documented accurately and contemporaneously?


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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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