A.S.P.E.N. Clinical Nutrition Week 2011 - Parenteral and Enteral Nutrition: Examining the Role of Transition and Timing

How should guidelines be incorporated into enteral feeding protocols?

Susan Brantley , MS, RD, LDN, CNSD University of Tennessee Medical Center
Protocols are important in the enteral feeding process to ensure that patients are fed accurately and more quickly.

Conference Videos
Krishnan Sriram of the John H. Stroger Hospital of Cook County describes how a dietician can work with hospital administration to create a nutrition support team.
Marion Winkler of Alpert Medical School shares her thoughts on how to working more effectively with physicians.
Networking and observing an effective nutrition support team are key ways new dieticians can get started in nutrition support.
Identifying a nutrition “champion” in your organization can help spearhead greater awareness of nutrition support among colleagues.
In addition to ICU rounds, what other ways can we foster a team approach?
Being involved in a professional organization and having access to the latest research and literature are important practices for nutrition practitioners.
What data should the dietitian collect to demonstrate the value of a nutrition support team?
Studies have clearly shown that having a nutrition support team is beneficial to patients’ health. Dietitians can use these case studies to convince their administration of the importance of creating this team.
What data do you collect to evaluate the benefit of following guidelines?
Adequacy of intake, glycemic control and several other clinical indicators can be used to demonstrate the benefit to following established guidelines.
What are the biggest challenges you face in feeding your patients?
Susan Brantley of the University of Tennessee Medical Center describes how communication with other dieticians and physicians can be one of the biggest challenges to serving her patients.
How do you approach refeeding syndrome in your patients?
Refeeding should start very slowly, with daily physical and nutritional assessments to prevent possible malnutrition.
How should guidelines be incorporated into enteral feeding protocols?
Protocols are important in the enteral feeding process to ensure that patients are fed accurately and more quickly.

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