Tube Feeding Monitoring Checklist Date: Mon. Tues. Wed. Weight Amount of Formula Taken: Volume Calories Rate Oral Intake, Food and Liquid Amount of Water Taken Through the Tube Urine: Color/Odor Stool Consistency: Liquid (#/day) Soft (#/day) Hard (#/day) Constipated (Yes/No) Nauseous Notes Date: Mon. Tues. Wed. Stoma Site Care Skin: Redness Drainage Granulation tissue Skin breakdown Daily Site Care 26