"If an infant is expected to require long term gastric feeding the parents need to be taught care and insertion techniques prior to discharge. See Parent information. 1. Prior to tube insertion the tube must be lubricated with water. 2. Measure length of tube as for short term gastric tubes. 3. Ensure that the cap is on the medication port of the Corpak long term feeding tube. 4. Insert long term feeding tube as for short term tubes. 5. Remove stylet once inserted. 6. Establish gastric placement by aspirating stomach contents and testing on pH strips. A reading of 5 or less should be apparent when touched with stomach fluid. 7. If unable to aspirate fluid then push 1-2 ml of air with a 50 ml syringe. Listen with a stethoscope on the baby's stomach. You should hear a 'whoosh' of air. 8. Secure tube to face with duoderm base and hypafix on top. 9. Flush tube with 3 ml of water using 50 ml syringe. 10. Rinse stylet with warm soapy water and save for future use."