Certification 2: Initial Training

Certification 2: Gastrostomy & Jejunostomy (G/J Tube) Initial Training


How to Register

  1. Submit DSP and agency information using our registration form
  2. Register to reserve a seat (below)
  3. Receive confirmation and training location details
  4. DSP will attend the in-person 4-hour session
  5. DSP completes hands-on competency, and passes the 25 question, multiple choice test
  6. Agency receives a copy of the Ohio DODD issued certification via email

For multiple DSPs or agency invoicing, email:
[email protected]

Ohio DODD-Approved • In-Person Training • 4 Hours
Hands-on, RN-led competency training for DSPs who provide medication administration or nutrition support through a G-tube or J-tube.


Course Overview

Certification 2 authorizes a Direct Support Professional (DSP) to administer medications and certain nutrition or hydration through a Gastrostomy or Jejunostomy tube, as outlined in Ohio Administrative Code 5123.

This 4-hour in-person course covers the required knowledge, safety procedures, and hands-on demonstrations needed for DSPs to competently perform G/J tube procedures under the supervision of an Ohio DODD-approved RN Trainer.

DSPs must complete this training before performing any tube-related medication or feeding tasks in a service setting.


Who Needs This Certification?

This course is required for DSPs or Independent Providers who will perform any of the following tasks related to a G-tube or J-tube:

  • Administering medications through the tube
  • Providing water flushes
  • Administering enteral feedings
  • Troubleshooting common tube issues
  • Assisting individuals with device care and safety

Participants must already hold a current, active Certification 1.


What This Course Covers

Module 1 – Understanding Gastrostomy & Jejunostomy Tubes

  • Purpose and use of G-tubes and J-tubes
  • Common medical conditions requiring tubes
  • Tube types and equipment overview
  • Placement and anatomy basics

Module 2 – Medication & Fluid Administration

  • Preparing medications for tube administration
  • Dilution, crushing, and verifying suitability
  • Safe administration steps
  • Preventing clogging and complications
  • Proper water flush procedures

Module 3 – Enteral Nutrition Basics

  • Formula preparation
  • Gravity vs syringe feedings
  • Timing, documentation, and monitoring
  • Recognizing intolerance or adverse reactions

Module 4 – Infection Control & Safety

  • Hand hygiene
  • Equipment cleaning
  • Early warning signs of infection
  • When to notify the nurse or supervisor

Module 5 – Troubleshooting & Emergency Procedures

  • Tube dislodgement
  • Leakage, blockage, or redness
  • Recognizing when to stop a procedure
  • Reporting requirements and documentation

Hands-On Skills Demonstration

Each DSP will perform required tasks on simulation equipment under RN supervision, including:

  • Preparing and administering medication
  • Performing water flushes
  • Administering formula
  • Documenting correctly
  • Demonstrating safe technique

Skills must be completed competently to earn certification.


Course Format & Length

  • In-person training only (DODD requirement)
  • Duration: 4 hours
  • RN-led competency evaluation
  • All supplies and equipment provided


Certification & Documentation

Upon successful completion, the agency receives:

  • Copy of Ohio DODD issued certification for Category 2

All paperwork is compliant with Ohio DODD Medication Administration Rule 5123.


Prerequisites

  • Must hold Certification 1
  • Must meet employer background requirements

Pricing

G/J Tube Initial Certification 2
$75. per DSP
Agency group rates available.
Travel fee for on-site agency trainings may apply.