Enteral Feeding Competency Checklist Form
Complete the Enteral Feeding Competency Checklist Form to verify and document key skills, observations, and feedback related to enteral feeding practice.
Staff Name
*
First Name
Last Name
Staff Role/Title
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Checklist: Preparation and Equipment
*
Verifies physician order and patient identity
Gathers and checks all required equipment
Performs hand hygiene and applies gloves
Checklist: Tube Placement and Verification
*
Positions patient appropriately
Verifies tube placement per protocol
Checklist: Administration Technique
*
Checks residuals and flushes tube as required
Administers feeding at correct rate/method
Checklist: Post-Procedure Care
*
Ensures patient comfort and safety after feeding
Documents procedure and observations accurately
Assessor Name
*
First Name
Last Name
Assessor Role/Title
*
Assessor Feedback / Comments
Submit Checklist
Should be Empty: