Alice, you are so right. There of course should be a protocol. But then, if it should not be the norm and is not the norm everywhere, maybe instead, we should develop a protocol for feeding with the other types of feeders. In other words, a protocol for what should be done on a regular basis. Nasal gastric tubes are for when other feeding methods are inappropriate. Do you think it would be better to advance this proposition from this angle? Again, I am so glad you are working hard on this important issue. *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome