N2

G-tube site healthy, feeding tolerated

Skilled assessment of a gastrostomy tube. The stoma is clean and intact without leakage, hypergranulation, or erythema; the securement disc is at the documented 4 cm mark with no migration; the tube flushed without resistance, the residual was 30 mL, and the prior feeding was tolerated without nausea or distension. The healthy site, confirmed patency, and tolerated feeding, evaluated against baseline, confirm the device is functioning and the feeding plan is appropriate; stoma care, flushing, and the signs of intolerance were reinforced, with the caregiver return-demonstrating correctly.

N3

Port accessed, dressing intact, functioning

Skilled access of an implanted port for scheduled therapy. The pocket is without erythema, tenderness, or swelling; the port was accessed with a non-coring needle using sterile technique, flushed without resistance, and drew a brisk blood return; the access dressing is clean, dry, and intact. The uncomplicated pocket and confirmed function, assessed directly, confirm the port is ready for therapy; site care, the access dressing, and complication signs were reinforced, with the patient verbalizing the warning signs correctly.

N4

JP drain patent, output trending down

Skilled assessment and management of a Jackson-Pratt drain. The drain is patent and was recompressed to reestablish suction; output was 15 mL of serosanguineous fluid over the interval, decreased from 30 mL at the prior visit; the site is clean and intact without erythema. The decreasing output and intact site, compared to baseline, confirm the drain is functioning and the patient is progressing toward removal criteria; drain emptying, measurement, and site care were reinforced, with the caregiver return-demonstrating correctly.

N5

Midline site intact, infusion running

Skilled assessment of a midline catheter with a running infusion. The site is clean, dry, and intact without infiltration, coolness, or tenderness; the catheter flushed without resistance; securement is intact and the external length unchanged; the infusion is running at the ordered rate with the pump functioning and the correct solution verified. The intact site, confirmed patency, and verified infusion, evaluated against baseline, confirm safe delivery; site monitoring and the signs of infiltration were reinforced, with the patient verbalizing them correctly.

N6

Home infusion administered safely

Skilled administration of a scheduled home intravenous infusion through established access. The solution, dose, and rate were verified against the order, the line and connections checked, and the infusion delivered through a functioning pump without an infusion reaction — no flushing, dyspnea, rash, or hemodynamic change. The verified administration without reaction confirms safe therapy; the patient and caregiver were taught the signs of an infusion reaction and the pump alarms, return-demonstrating the appropriate response correctly.

N7

NG tube placement verified, patent

Skilled assessment of a nasogastric tube. Placement was confirmed by the ordered method and the external length matched the documented marking; the tube flushed without resistance and the residual was within the ordered range; the nares and securement are intact without pressure injury. The confirmed placement and patency, evaluated against baseline, confirm the tube is correctly positioned and functioning; tube securement, nares skin protection, and the signs of dislodgement were reinforced, with the caregiver return-demonstrating correctly (cross-reference Nose/Sinuses for nares skin).