Any ideas on what to do?

[bright sparks]

For me this is not about the actual feed as with proper instruction it's not difficult, even remotely. Let me give you a couple of scenarios of when this child's "special need" will take you away from the other kids. When the tube gets pulled out and she is extremely upset because it hurt and/or uncomfortable.... Whether she pulls it a little, a lot, or all the way out you will have to console this child, clean up the mess and have to call the parents. How are you going to deal with this potentially common occurrence and still provide adequate care and attention to the others?

I also wonder if in a few weeks or a couple of months time there will be resentment based on how much extra time you have to give the child and the reoccurring times you are calling the parents to come and collect because another child has pulled the tube, or it has become caught? If it becomes regular, there's every chance the parents are going to become frustrated with you for not "paying enough attention" to their child in preventing the tube from being pulled or caught.

It's very different if the ratio is smaller but you have four other children who demand a lot of your attention which means the extra attention this child needs, is at the expense of the other children or even the special needs child's best interests and regardless of how nice this family is, if anything should happen big or small, the fingers will all be pointed at you. Walk away for goodness sakes. This isn't a reflection of your ability to safely and adequately feed the child, but the reality of the logistics of providing adequate care for all the children in your care. Just my two cents...