Who must ensure and document that the person preparing tube-feeding formula is adequately trained?

• A. A registered or licensed dietitian, physician, or a registered nurse.
• B. The foster parent alone.
• C. Service planning team.
• D. The school nurse.

Answer: (A)

Ensuring and documenting that someone preparing tube-feeding formula is adequately trained falls to a qualified health professional who has the authority to assess competency and keep records. A registered or licensed dietitian, physician, or registered nurse is best equipped to provide the training, tailor it to the child's specific formula and equipment, teach safe handling and sanitation, and document the training in the medical or care records. This supervision ensures the caregiver can safely prepare and administer the formula, recognize potential problems, and know when to seek further help. The foster parent alone cannot certify training, and while the service planning team or school nurse may coordinate care, they do not have the clinical authority to validate and record training across settings.