E.N : Tubal Feeding Systems ; Closed vs. Open
|
|
- Prudence Bradford
- 6 years ago
- Views:
Transcription
1 E.N : Tubal Feeding Systems ; Closed vs. Open Dr:Enas Mogawer, MD Head Of Clinical Nutrition Department,AFSH Professor Of Internal Medicine Kasr El Aini Medical Consultant Of Clinical Nutrition And Obesity
2 Introduction NUTRITION SUPPORT REFERS TO ENTERAL OR PARENTERAL PROVISION OF Calories Protein Electrolytes Minerals Vitamins Trace elements Fluids
3 How do we Select Patients for Nutrition Support? Critically ill patients are selected for nutrition support on the basis of whether they have contraindication to EN, as well as whether the patient is adequately nourished or malnourished. Patient EN Contraindication? Malnourished? No Yes Yes No Start early EN
4 Malnourished? Yes No < 1 week 1 week Do not start early P.N Do not start P.N Start P.N
5 EN as a Primary Nutritional Modality Three criteria must be fulfilled to consider EN as a primary nutritional modality:- Safe and free of serious side effects. Capable of being modified Capable of fulfilling all macro and micronutrients
6 So, what do we Mean by Enteral Nutrition ( EN )? Nutrition provided through the GIT via a tube, catheter or stoma that delivers nutrients distal to the oral cavity
7 Is EN a Totally Innocent Process when Used to Provide Nutrition Support? While the process of EN may appear less complex compared to PN, serious harm can occur Adverse events might occur through out the process of ordering, administering and monitoring Adverse events reported include:- GIT intolerance esp. due to contamination Misconnections Device misplacement and displacements Metabolic errors Aspiration Mechanical tube errors
8 So, What do we Need to do? Promote Patient Safety in the Enterally Fed Patient through:- Applying a multidisciplinary process Implement policies and procedures Continuous surveillance Delineate potential points for Contamination Recognizing areas of potential human errors
9 Potential Points for Contamination During EN Feeding Process Figure 1 Order Formula, Delivery Site, Administration Method, Rate Sterile Formula In Closed System Sterile Liquid Formula Non-Sterile Powder Formula Non-Sterile Additives HBM Preparation Pour, reconstitute, Mix place in an administration container Patient Care Unit Store or take to patient Contamination points Beside Connect delivery container To administration set And to patient
10 EN Formula Safety Contamination Can occur at any point as seen in fig.1 Poses a significant risk esp. if patient is immunocompromized Sterility of commercially available liquid EN products, sterile bags, and administration sets can be disrupted by any manipulation EN formulas prepared in a kitchen or in a patient care unit are at higher risks of contamination
11 Continuation EN formulas left over should be refrigerated Powdered formulas are not commercially sterile and require meticulous handling and reconstitution process Liquid formulas are considered a sterile end product in comparison to powder formulas Formulas prepared under aseptic conditions and undergo sterilization prior to administration ( closed system ) are safer With the availability of closed EN systems, contamination in the preparation of individualized EN admixtures is less frequent
12 Significant Definitions Open System Closed System Hanging Time Open enteral system : An enteral system in which the clinician / patient / caregiver is required to decant formula into the enteral container or bag. Closed Enteral system : A closed enteral container or bag, prefilled with sterile, liquid formula by the manufacturer, and considered ready to administer. A pump is used and the closed enteral feeding system can be used for either intermittent/bolus or continuous feeds The length of time an enteral formula is considered safe for delivery to the patient beginning with the time the formula has either been reconstituted, warmed, decanted, or has had the original package seal broken.
13 Difficulties Encountered When Dealing with Open Tubal Feeding Formula, preparation must take place in a clean environment, by trained personnel working in aseptic techniques and wearing appropriate attire Preparation area must be separate from any storage area Utensils or instruments used should either be disposable or undergo heat sterilization before using Hand Hygiene and aseptic practices should be in place strictly!! Exact hanging time as per ( manufacturer ) must be strict.
14 Continuation Contaminated enteral feeding systems can contribute to the etiology of diarrhea (common with open system) C. Difficile infection in post-pyloric EN is commonly found in environments applying the open system Personnel hygiene, enteral access device, enterostomy tube hub contamination are all contributing factors. If there is need to aspirate GR, moving from a dirty process to formula preparation. carries a risk for contamination process
15 Hanging Time: Another Factor to be Considered When Choosing Tubal Feeding 0 hours Sterile Formula In an Open System (Neonate) Sterile Formula In an Open System (at home) Sterile Formula In an Open System (at home) Sterile Formula In a Closed System Non-Sterile Powder Formula Non-Sterile Additives HBM
16 In a Nut Shell, Closed Enteral Feeding System Advantages and Characteristics Include:- Closed enteral feeding formulas and bags can be safely hung for 24 hours. The closed enteral feeding system can be disconnected and reconnected within the 24 hours period for intermittent feed. Formulas are available in either 1000 ml or 1500 ml. The formula rate ordered can be used to calculate the number of bags needed for 24 hours.
17 The bags are all stored at room temperature. No refrigeration is required. Keep bags out of direct sunlight Tubing that comes with the closed feeding system does not need to be flushed, but a need to flush any other tubing entering the patient is important. (i.e.nasogastric/gastrostomy/jejunostomy Tubes). Existing policies and procedures regarding feeding tube management/flushing are not impacted by the implementation of the closed enteral feeding system and should be referred to regarding the flushing of the actual feeding tube A new set is used for every new bag, up to a maximum hang time of 24 hours. The old tubing is discarded with the bag after 24 hours. Reduced nursing time, tubing cost and formula wastage
18 Can we set up a Closed Enteral Feeding System for Gravity Feeds? To provide a bolus type of infusion for closed systems, a pump will need to be used. Follow unit s protocols on enteral feeds (e.g. assessing tolerance).
19 A Take Home Message
20 Nutritionally appropriate sterile liquid formulas should replace powdered formulas due to sterility issues Contamination during Tubal Feeding is usually a strong culprit for GIT intolerance The Closed Feeding System saves time, cost, manpower No part of the delivery system, including the EN formula itself, should come into contact with hands, skin, clothing or any other non disinfected surface. Aseptic technique in the patient care area can reduce the infectious risk to the patient.
21 References A.S.P.E.N. Board of Directors and the Clinical Guidelines Task Force. Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. JPEN J Parenter Enteral Nutr. 2002;26 (Suppl):1SA-138SA. Errata 2002;26:144. Anderson A, Baker G, Carmody M, et al. Partnering to improve the supply chain. Mater Manag Health Care. 2006;15(2): Bischoff WE, Tucker BK, Wallis ML, et al. Preventing the airborne spread of Staphylococcus aureus by persons with the common cold: effect of surgical scrubs, gowns, and masks. Infect Control Hosp Epidemiol. 2007;28:
22 TANK YOU
Optimal nutrition in critically ill children
Optimal nutrition in critically ill children MODULE 4 Good safety practices required for nutritional therapy Developed by The Asia Pacific Middle East Consensus Working Group on Nutrition Therapy in the
More informationHANG TIMES OF ENTERAL FEEDS AND INFUSION EQUIPMENT (PLASTICS) FOR INPATIENTS IN OLCHC GUIDELINE HTEFIEI V1
HANG TIMES OF ENTERAL FEEDS AND INFUSION EQUIPMENT (PLASTICS) FOR INPATIENTS IN OLCHC GUIDELINE Version Number V1 Date of Issue September 2016 Reference Number Review Interval Approved By Name: Fionnuala
More informationNutrition care plan for surgical patients. Objectives
Slide 1 Nutrition care plan for surgical patients Surgical Nutrition Training Module Level 1 Philippine Society of General Surgeons Committee on Surgical Training In this session we will discuss the most
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE PARENTERAL NUTRITION ADMINISTRATION AND MONITORING SCOPE Provincial: Acute Care APPROVAL AUTHORITY Clinical Operations Executive Committee SPONSOR Pharmacy Services, Nutrition Services, and Health
More informationRisk Management in Parenteral Nutrition. J. Boullata
Risk Management in Parenteral Nutrition J. Boullata Objectives Upon completion of this session, the participant will be able to: Describe safety issues with parenteral nutrition (PN) Present the PN-use
More information14-15 Aug ASMIC L.Mageswary Dietitian Hospital Selayang
14-15 Aug ASMIC 2015 Nurses Role L.Mageswary Dietitian Hospital Selayang Doctor Dietitian Pharmacist Nurse Physiotherapist Occupational therapist Patient Patient Centered Care Patients needs & preferences
More informationMethods of Nutrition Support KNH 406
Methods of Nutrition Support KNH 406 Malnutrition 30 50% of hospitalized patients 95% of nursing home patients Resulting in reduced quality of life & increased health care costs May be remedied by providing
More informationJo Kuehn, RN, MSN, CPHQ Jenell Westhoven, RN, BSN
Jo Kuehn, RN, MSN, CPHQ Jenell Westhoven, RN, BSN Disclosure Information Intravenous Therapy and Parenteral Nutrition Administration: Nursing In- Focus Jo Kuehn, RN, MSN, CPHQ and Jenell Westhoven, RN,
More informationBlenderized diets: Is there any role in hospitals? Krishnan Sriram
Blenderized diets: Is there any role in hospitals? Krishnan Sriram Common myth Blenderized diets are less expensive than and can replace scientific enteral formulas (No recent citations using the search
More informationENTERAL FEEDING GUIDELINES INTRODUCTION
INTRODUCTION Enteral feeding is defined as the administration of nutrients directly into the gastrointestinal (GI) tract. If the patient is unable to meet his/her nutritional requirements with oral diet/nutritional
More informationGastrostomy Tube Feeding
Gastrostomy Tube Feeding A gastrostomy tube (g-tube) is a tube that enters through your abdomen and rests in your stomach. This tube is used for tube feeding formula, water, and medicine (instead of taking
More informationYOUR HOME ENTERAL NUTRITION SURVIVAL GUIDE FOR JEJUNOSTOMY FEEDINGS
YOUR HOME ENTERAL NUTRITION SURVIVAL GUIDE FOR JEJUNOSTOMY FEEDINGS INTRODUCTION: Your health care team may prescribe a program of home Enteral nutrition (or home tube feeding) designed to meet your nutritional
More informationNavigating the Tube Feeding Journey: New ISO Connectors and How it Will Affect HEN Patients
Navigating the Tube Feeding Journey: New ISO Connectors and How it Will Affect HEN Patients Ryan T. Hurt, MD,PhD Associate Professor of Medicine Divisions of General Internal Medicine, Gastroenterology,
More informationCurrent concepts in Critical Care Nutrition
Current concepts in Critical Care Nutrition Dr.N.Ramakrishnan AB (Int Med), AB (Crit Care), MMM, FACP, FCCP, FCCM Director, Critical Care Services Apollo Hospitals, Chennai Objectives Why? Enteral or Parenteral
More informationChapter 7 8/23/2016. Asepsis and Infection Control. Asepsis. Asepsis (Cont.) Microorganisms. Infection control and prevention
Chapter 7 Asepsis and Infection Control All items and derived items 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. Asepsis Microorganisms Tiny microscopic entities capable
More informationHOME TUBE FEEDING BASICS
HOME TUBE FEEDING BASICS UBC DIETETICS PROGRAM Module 1 of 2 SCOPE OF THESE MODULES Modules 1 & 2 address the following Nutrition Care Process steps Intervention Monitoring and Evaluation Assessment and
More informationFeeding Protocols Enteral or Parenteral. AM Poleÿ 2012
Practical aspects on Feeding Protocols Enteral or Parenteral AM Poleÿ 2012 Enteral Feeding Facts A reduction in mortality Prophylaxis for stress ulcers Full-strength Time to start enteral nutrition If
More informationNutrition care plan. Components and development
Nutrition care plan Components and development Objectives To define the nutrition care plan To present the components of the nutrition care plan To discuss the different approaches in determining the contents
More informationSARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: ADMINISTRATION OF A FEEDING (CONTINUOUS OR INTERMITTENT) OR MEDICATION VIA A GASTROSTOMY TUBE-ADULT Nursing DATE: REVIEWED: PAGES: 07/82
More informationPRINCIPLES OF FOOD SCIENCE AND NUTRITION
PRINCIPLES OF FOOD SCIENCE AND NUTRITION Physiologic and chemical roles of carbohydrates, lipids, proteins, vitamins, minerals and water in the human body. Understanding of nutrition standards and relationship
More informationNutrition Services at a glance
Nutrition Services at a glance Ragini Raghuveer, MS, RD, LD/N Systems Clinical Nutrition Manager Linette De Armas, RD, LD/N Clinical Dietitian Melissa Lorenzo, RD, LD/N Clinical Dietitian 1 Learning Objectives
More informationStandards of Practice for Nutrition Support Pharmacists
Standards Standards of Practice for Nutrition Support Pharmacists Nutrition (A.S.P.E.N.) Task Force for Revision of Nutrition Support Pharmacist Standards: Carol Rollins, MS, PharmD, BCNSP Chair; Sharon
More informationPharmaceutical risk management strategies for parenteral nutrition. J. Eastwood (UK)
ESPEN Congress Leipzig 2013 Pharmaceutical Session Pharmaceutical risk management strategies for parenteral nutrition J. Eastwood (UK) Pharmaceutical risk management strategies for parenteral nutrition
More informationClinical Nutrition Program: Key to World Class Healthcare
Clinical Nutrition Program: Key to World Class Healthcare Why a clinical nutrition program? Malnutrition and complications: Malnutrition in the hospital is 48 to 50% (1) Patients at risk of developing
More informationSARASOTA MEMORIAL HOSPITAL
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: PARENTERAL NUTRITION AND INTRAVENOUS FAT EMULSION (ADULT AND PEDIATRICS) Nursing DATE: REVIEWED: PAGES: RESPONSIBILITY: RN, LPN II 12/80
More informationChapter 11 PREVENTING INFECTION. Elsevier items and derived items 2010 by Mosby, Inc. an affiliate of Elsevier Inc. All rights reserved
Chapter 11 PREVENTING INFECTION Infection is a major safety and health hazard. The health team follows certain practices and procedures to protect patients, residents, visitors, and staff from infection.
More informationChapter 64 Administration of Injectable Medications
Chapter 64 Administration of Injectable Medications Injectable Medications Injection or intravenous (IV) infusion More invasive than administration by mouth, rectum, or through the skin Common methods
More informationIV Link Staff. Infection Prevention & Control A Learning Package for IV Link Staff
IV Link Staff Infection Prevention & Control A Learning Package for IV Link Staff Purpose This learning package provides key infection prevention messages and direction for knowledge that you require as
More informationIntravenous Fluid and Drug Therapy
11 Intravenous Fluid and Drug Therapy OUTLINE Overview Direct Intravenous Injections Continuous Intravenous Injections Solution Additives Calculating IV Components as Percentages Calculating IV Flow Rates
More informationEnteral Nutrition. Introduction. Brooks Health Care, Inc. Patient Instruction 1
Introduction Receiving Nutrition through a feeding tube will take some time to get used to, but it s important to remember that you can still enjoy many of the things you ve always enjoyed. With time and
More informationChapter 12. Preventing Infection. Elsevier items and derived items 2014, 2010 by Mosby, an imprint of Elsevier Inc. All rights reserved.
Chapter 12 Preventing Infection Infection Infection is a major safety and health hazard. The health team follows certain practices and procedures to protect patients, residents, visitors, and staff from
More informationPatient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Parenteral Nutrition. Nutrition Support Team (NST)
Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Parenteral Nutrition Nutrition Support Team (NST) This leaflet gives you information to help you understand what parenteral
More informationUrinary Catheters. Prevalence of Infections
Urinary Catheterisation Urinary catheterisation is defined as an intervention to enable the emptying of the bladder by insertion of a catheter. Catheters can be short term less than 28 days or long term
More informationWho Needs Parenteral Nutrition? Is Parenteral Nutrition An Appropriate Intervention?
Who Needs Parenteral Nutrition? 1 Is Parenteral Nutrition An Appropriate Intervention? Key questions to ask with initial consultation Can the gastrointestinal (GI) tract be utilized? Can the GI tract be
More informationChapter 13. Preventing Infection. Copyright 2019 by Elsevier, Inc. All rights reserved.
Chapter 13 Preventing Infection Copyright 2019 by Elsevier, Inc. All rights reserved. Lesson 13.1 Define the key terms and key abbreviations in this chapter. Identify what microbes need to live and grow.
More informationWHEN To Initiate Parenteral Nutrition A Frequent Question With New Answers
WHEN To Initiate Parenteral Nutrition A Frequent Question With New Answers Ainsley Malone, MS, RD, LD, CNSC, FAND, FASPEN Dubai International Nutrition Conference 2018 Disclosures No commercial relationship
More informationTube Feeding at Home. Your Nutrition Partner. Use under medical supervision. For more information on Abbott Products, visit
Your Nutrition Partner Use under medical supervision. For more information on Abbott Products, visit www.abbottnutrition.com. Tube Feeding at Home 2013 Abbott Laboratories LITHO IN USA 60715-017/March
More informationYou ll Need a Tube to Get There!
You ll Need a Tube to Get There! Ryan T. Hurt, MD,PhD Associate Professor of Medicine Divisions of General Internal Medicine, Gastroenterology, and Endocrinology Director Home Parenteral Enteral Nutrition
More informationATI Skills Modules Checklist for Central Venous Access Devices
For faculty use only Educator s name Score Date ATI Skills Modules Checklist for Central Venous Access Devices Student s name Date Verify order Patient record Assess for procedure need Identify, gather,
More informationReview and comments on the 2014 recommendations for parenteral nutrition usage by ASPEN
105 Review and comments on the 2014 recommendations for parenteral nutrition usage by ASPEN Submitted: August 10, 2015 Posted: August 31, 2015 Author: Luisito Llido, MD Clinical Nutrition Service, St.
More informationIDPN. A Piece of the Puzzle for Dialysis Patients Nutrition. Toll Free: Toll Free:
IDPN A Piece of the Puzzle for Dialysis Patients Nutrition Toll Free: 844-633-3448 Toll Free: 844-633-3448 Executive Infusion is pleased to announce our nutritional services which include Intradialytic
More informationPharmaceutical Services Offered in Hospitals
Pharmaceutical Services Offered in Hospitals Product Services Research Services Teaching Services Support Services Clinical Services In-patients (hospitalized) Out-patients (ambulatory) In-patients (hospitalized)
More informationInfection Control Sec. 1, Unit 5 Part 1
Infection Control Sec. 1, Unit 5 Part 1 Introduction Infections are a significant cause of illness, disease and death for residents that reside in certain living situations including nursing facilities.
More informationSAFE INJECTION PRACTICES. Barbara J Connell MS,MT(ASCP)SH VP Clinical Services Medline Industries, Inc.
SAFE INJECTION PRACTICES Barbara J Connell MS,MT(ASCP)SH VP Clinical Services Medline Industries, Inc. DISCLOSURES»Employee of Medline Industries, Inc.»Opinions expressed are my own and not necessarily
More informationHome Total Parenteral Nutrition
PATIENT & CAREGIVER EDUCATION Home Total Parenteral Nutrition This information will help teach you and your caregiver how to give total parenteral nutrition (TPN) at home. You will also receive a copy
More informationBloodborne Pathogens LVHN s Annual Safety Course
Slide 1 Bloodborne Pathogens LVHN s Annual Safety Course Nucleus Medical Media (2010). Blood Carries Nutrients. Smart Imagebase. Lehigh Valley Health Network cares about your safety especially about protecting
More informationThe Drug Shortage Crisis
Objectives: The Drug Shortage Crisis Jay M. Mirtallo, MS, RPh, BCNSP, FASHP Director, MS in Health System Pharmacy Associate Professor of Clinical Pharmacy The Ohio State University, College of Pharmacy
More informationNutrition Therapy. Medical Coverage Policy Enteral/Parenteral EFFECTIVE DATE: POLICY LAST UPDATED: 11/20/2018 OVERVIEW
Medical Coverage Policy Enteral/Parenteral Nutrition Therapy EFFECTIVE DATE: 01 20 2007 POLICY LAST UPDATED: 11/20/2018 OVERVIEW This policy describes the reimbursement for enteral and parenteral nutrition
More informationScope This policy applies to all personnel and departments that clean, prepare and/or sterilize items intended for patient care use.
Dental Sterilization Procedures Policy Number VIM4(4)-10 Purpose The purpose of this policy is to ensure patient and employee safety when using instruments with potential for exposure to bloodborne pathogens
More informationINSTRUCTIONS FOR USE AND CARE
DIAMONDS INSTRUCTIONS FOR USE AND CARE DIAMONDS, MULTI-USE, FRICTION GRIP Quala Diamonds are a rotary cutting device made of stainless steel and coated with diamond particles on the working end. It is
More informationCONTINUOUS RENAL REPLACEMENT THERAPY (CRRT)
TABLE OF CONTENTS The purpose of this practice support document is to outline the procedures and guidelines related to care of the patient having continuous renal replacement therapy (CRRT) in the pediatric
More informationThe legally binding text is the original French version TRANSPARENCY COMMITTEE OPINION. 19 October 2011
The legally binding text is the original French version TRANSPARENCY COMMITTEE OPINION 19 October 2011 PEDIAVEN AP-HP G15, solution for infusion 1000 ml of solution in two chamber bag, B/4 (CIP code: 419
More informationDivision 1 Introduction to Advanced Prehospital Care
Division 1 Introduction to Advanced Prehospital Care Chapter 7 Intravenous Access and Medication Administration Part 1 Principles and Routes of Medication Administration Topics Aseptic Technique Medication
More informationProduct Information: Similac Soy Isomil 20
Product Information: Similac Soy Isomil 20 1 of 6 A 20 Cal/fl oz, nutritionally complete, soy-based infant formula for infants with feeding problems such as fussiness and gas; for infants whose parents
More informationEXPERIMENT. Fomite Transmission. Hands-On Labs, Inc. Version
EXPERIMENT Fomite Transmission Hands-On Labs, Inc. Version 42-0243-00-02 Review the safety materials and wear goggles when working with chemicals. Read the entire exercise before you begin. Take time to
More informationHow to Set Up and Infuse Your TPN
Page 1 of 10 How to Set Up and Infuse Your TPN Important: Do not change any of the supplies listed here. Keep supplies away from children. Only your home care nurse or persons trained by Fairview Home
More informationIntravenous therapy and medication. ELCT Health Department Quality Assurance 2007
Intravenous therapy and medication ELCT Health Department Quality Assurance 2007 Intravenous therapy and medication the procedure is absolutely sterile, everything should be handled remaining sterility
More informationBy reading food labels and handling foods safely, you can avoid many foodrelated health problems.
By reading food labels and handling foods safely, you can avoid many foodrelated health problems. food additives foodborne illness pasteurization cross-contamination food allergy food intolerance Nutrition
More informationHand Hygiene: Preventing avoidable harm in our care
Hand Hygiene: Preventing avoidable harm in our care Hand Hygiene Training Presentation for Healthcare Workers in Community and Primary Care National HSE HCAI AMR Clinical Programme 2017 What we will cover
More informationLatex and Occupational Dermatitis Policy Incorporating Glove Selection
Latex and Occupational Dermatitis Policy Incorporating Glove Selection DOCUMENT CONTROL: Version: 3 Ratified by: Risk Management Sub Group Date ratified: 17 July 2013 Name of originator/author: Health
More information1.40 Prevention of Nosocomial Pneumonia
1.40 Prevention of Nosocomial Pneumonia Purpose Audience Policy Statement: The guideline is designed to reduce the incidence of pneumonia and other acute lower respiratory tract infections. All UTMB healthcare
More informationSARS Infection Control in Healthcare Settings
SARS Infection Control in Healthcare Settings William A. Rutala, Ph.D., M.P.H. University of North Carolina (UNC) Hospitals and UNC School of Medicine Infection Control Considerations Hospitals must protect
More informationAspen Parenteral Nutrition Guidelines
Aspen Parenteral Nutrition Guidelines Thank you very much for downloading. Maybe you have knowledge that, people have look hundreds times for their chosen readings like this aspen parenteral nutrition
More informationL.Mageswary Dietitian Hospital Selayang
L.Mageswary Dietitian Hospital Selayang 14 15 AUG ASMIC 2015 Learning Objectives 1. To understand the importance of nutrition support in ICU 2. To know the right time to feed 3. To understand the indications
More informationProduct Information: Similac Soy Isomil
Product Information: Similac Soy Isomil 1 of 6 A 19 Cal/fl oz, nutritionally complete, soy-based infant formula for infants with feeding problems such as fussiness and gas; for infants whose parents choose
More informationInjections Without Infections:
Injections Without Infections: Basic Patient Safety Joseph Perz, DrPH Team Leader, Ambulatory and Long-Term Care Prevention and Response Branch Division of Healthcare Quality Promotion Centers for Disease
More informationState of Kuwait Ministry of Health Infection Control Directorate. Infection control Guidelines at Physiotherapy-Hydrotherapy
State of Kuwait Ministry of Health Infection Control Directorate Infection control Guidelines at Physiotherapy-Hydrotherapy 2007 I. General Precautions: Infection Control Policy at Physiotherapy Setting
More informationWhat s In The Bag? 3-in-1 versus 2-in-1 PN
What s In The Bag? 3-in-1 versus 2-in-1 PN Amber Verdell, PharmD, BCPS, BCNSP Assistant Professor, Pharmacy Practice West Coast University, Los Angeles, CA Disclosures I have no commercial relationships
More informationPRINCIPLES AND PRACTICES OF ASEPSIS OBJECTIVES
Module E PRINCIPLES AND PRACTICES OF ASEPSIS Role of hands and the environment in disease transmission OBJECTIVES Describe the principles and practice of asepsis. Understand hand hygiene. 1 DEFINING ASEPSIS
More information3/26/2014 OBJECTIVES PRINCIPLES AND PRACTICES OF ASEPSIS DEFINING ASEPSIS MEDICAL ASEPSIS PRINCIPLES OF MEDICAL ASEPSIS
Module E OBJECTIVES Describe the principles and practice of asepsis. PRINCIPLES AND PRACTICES OF ASEPSIS Understand hand hygiene. Role of hands and the environment in disease transmission DEFINING ASEPSIS
More informationW H A T T O D O? When someone at HOME FLU. has. the
W H A T T O D O? When someone at HOME has FLU the Influenza (flu) is caused by a virus that spreads easily from person to person. Flu causes headache, chills and fever, cough or sore throat, and body aches.
More informationIssues in Enteral Feeding: Malnutrition
Issues in Enteral Feeding: Malnutrition A webinar for HealthTrust Members February 22, 2019 Co-sponsored by HealthTrust and V NOS Continuing Education Provider Presented by: Kathleen Stoessel, RN, BSN,
More informationBetter Post-Op Pain Control Starts Here
Better Post-Op Pain Control Starts Here POST-OP PAIN CONTROL PUMP It s Easy to Get Started About the ACCUFUSER Pump Thank you for considering the This brochure makes it easy for For complete information
More informationRECONSTITUTION, DOSING AND ADMINISTRATION
Prescribing Information can be found within this document CORRECT RECONSTITUTION FOR SC AND IV ADMINISTRATION VELCADE (bortezomib) 3.5 mg powder for solution for injection is available for intravenous
More informationPreparing and Administering Medications Using ENFit : Procedure for Inpatient Settings
Preparing and Administering Medications Using ENFit : Procedure for Inpatient Settings Purpose of this procedure: Outline the preparation and administration of medication doses using the ENFit system.
More informationTRACHEOSTOMY CARE. Tracheostomy- Surgically created hole that extends from the neck skin into the windpipe or trachea.
1 TRACHEOSTOMY CARE Definitions: Trachea-Windpipe Tracheostomy- Surgically created hole that extends from the neck skin into the windpipe or trachea. Outer Cannula- The outer part of a trach tube. Usually
More informationDoc: 1.9. Course: Patient Safety Solutions. Topic: Infection prevention and control. Summary
Course: Patient Safety Solutions Topic: Infection prevention and control Summary Health care-associated Infection (HCAI) is defined as an infection acquired in a hospital by a patient who was admitted
More informationPRESCRIBING INFORMATION. Dextrose Injection USP. (Concentrated Dextrose for Intravenous Administration) 50% (500 mg/ml) Fluid and Nutrient Replenisher
PRESCRIBING INFORMATION Dextrose Injection USP (Concentrated Dextrose for Intravenous Administration) 50% (500 mg/ml) Fluid and Nutrient Replenisher Pfizer Canada Inc. 17300 Trans-Canada Highway Kirkland,
More informationGlencoe Health. Lesson 4 Nutrition Labels and Food Safety
Glencoe Health Lesson 4 Nutrition Labels and Food Safety Health espotlight Video BIG IDEA By reading food labels and handling foods safety, you can avoid many foodrelated health problems. New Vocabulary
More informationChapter 11. Preparing and Handling Sterile Products and Hazardous Drugs. Paradigm Publishing, Inc. 1
Chapter 11 Preparing and Handling Sterile Products and Hazardous Drugs Paradigm Publishing, Inc. 1 Preparing Intravenous Products IV route of administration can be used to Reach therapeutic drug serum
More informationTitle The Prescription of Adult Inpatient Parenteral Nutrition (PN) Guideline. Author s job title Consultant Gastroenterologist Directorate Medicine
Document Control Title The Prescription of Adult Inpatient Parenteral Nutrition (PN) Guideline Author Author s job title Consultant Gastroenterologist Directorate Medicine Department Medicine Version Date
More informationScott A. Lynch, MD, MPH,FAAFP Assistant Professor
Scott A. Lynch, MD, MPH,FAAFP Assistant Professor Lynch.Scott@mayo.edu 2015 MFMER 3543652-1 Nutrition in the Hospital Mayo School of Continuous Professional Development 2nd Annual Inpatient Medicine for
More informationGuidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: ASPEN-SCCM 2017
Number of Patients Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: ASPEN-SCCM 2017 Jorge A. Coss-Bu, MD Associate Professor of Pediatrics
More informationLEARNING MODULE: INFECTION CONTROL BLOODBORNE PATHOGENS ISOLATION PRECAUTIONS PHARMACEUTICAL WASTE
LEARNING MODULE: INFECTION CONTROL BLOODBORNE PATHOGENS ISOLATION PRECAUTIONS PHARMACEUTICAL WASTE For Residents & Instructors ggbha.org Updated 6/18/2018 This learning module must be reviewed by residents
More informationHand Foot & Mouth Disease & Enterovirus infections. Infection Control Measures Practical Aspects. Friday, 10 June 2010
Hand Foot & Mouth Disease & Enterovirus infections Infection Control Measures Practical Aspects Friday, 10 June 2010 Transmission Faecal - oral / oral to oral route Direct contact with objects contaminated
More informationASPEN Safe Practices for Enteral Nutrition Therapy
ASPEN Safe Practices for Enteral Nutrition Therapy Ainsley Malone, MS, RDN, CNSC, FAND, FASPEN Nutrition Support Dietitian Mt. Carmel West Hospital ASPEN Clinical Practice Specialist Disclosure I have
More informationMANAGEMENT OF INTRAVASCULAR (IV) LINES AND THERAPY. All GCC Countries
TITLE/DESCRIPTION: MANAGEMENT OF INTRAVASCULAR (IV) LINES AND THERAPY INDEX NUMBER: EFFECTIVE DATE: APPLIES TO: ISSUING AUTHORITY: 01/01/2009 01/01/2013 All GCC Countries GULF COOPERATION COUNCIL CENTRE
More informationTelephone: Order Desk: Fax:
Home» Newcastle-Bronchitis Vaccine (B1 Type, B1 Strain; Mass. & Conn. Types) (MERIAL SELECT, INC.) MERIAL SELECT, INC. P.O. DRAWER 2497, GAINESVILLE, GA, 30503 Telephone: 770-536-8787 Order Desk: 770-536-8787
More informationThe University of Toledo Medical Center and its Medical Staff
Name of Policy: Policy Number: Department: 3364-109-GEN-705 Infection Control Medical Staff Hospital Administration Approving Officer: Responsible Agent: Scope: Chair, Infection Control Committee Chief
More informationESPEN LLL Programme in Clinical Nutrition and Metabolism. List of Topics and Modules 2014
ESPEN LLL Programme in Clinical Nutrition and Metabolism List of Topics and Modules 204 Code Title Credits for Live course Credits for on-line course Credits for Grading Quiz Topic 0 Introduction in Nutrition
More informationSTANDARDS OF PRACTICE
STANDARDS OF PRACTICE Standards for Nutrition Support: Hospitalized Patients A.S.P.E.N. BOARD OF DIRECTORS INTRODUCTION The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) is a scientific
More informationPatient Guide Radioiodine (Iodine-131) Therapy Radiation Safety Office
Patient Guide Radioiodine (Iodine-131) Therapy You and your doctor have decided on radioiodine therapy to treat your thyroid condition. The procedure itself is a common and painless one, in which you swallow
More informationCHAPTER 7 Medical/Surgical Asepsis and Infection Control
CHAPTER 7 Medical/Surgical Asepsis and Infection Control 1 Slide 1 Microorganisms Microscopic. Naturally present on and in the human body and environment. Some microorganisms (pathogens) cause specific
More informationProduct Information: Similac Expert Care NeoSure
Product Information: Similac Expert Care NeoSure 1 of 6 Similac Expert Care NeoSure is designed for babies who were born prematurely. Use under medical supervision. Studies have shown that preterm babies
More informationDivision of Acute Care Surgery Clinical Practice Policies, Guidelines, and Algorithms: Enteral Nutrition Algorithm Clinical Practice Guideline
Division of Acute Care Surgery Clinical Practice Policies, Guidelines, and Algorithms: Enteral Nutrition Algorithm Clinical Practice Guideline Original Date: 08/2011 Purpose: To promote the early use of
More informationUSE OF PERSONAL PROTECTION EQUIPMENT. Standard and Isolation precautions Ana M. Bonet 6/2017
USE OF PERSONAL PROTECTION EQUIPMENT Standard and Isolation precautions Ana M. Bonet 6/2017 Three principal elements required for an infection to occur: a source or reservoir, a susceptible host with a
More informationThe term Routine Practices is used to describe practices that were previously known as Universal Precautions.
Health & Safety Manual Health Promotion & Wellness ROUTINE PRACTICES PROCEDURES INTRODUCTION The term Routine Practices is used to describe practices that were previously known as Universal Precautions.
More informationDisaster Response Team
Disaster Response Team Pandemic Flu January 22, 2009 Topics History Pandemic Characteristics Seasonal Flu vs Pandemic Flu Pandemic Estimates Sea Ranch Plans Sonoma County Public Health Pandemic Flu Planning
More information2018 Ascension Infection Prevention. 1. Course. 1.1 Infection Prevention. 1.2 Main Objectives
2018 Ascension Infection Prevention 1. Course 1.1 Infection Prevention 1.2 Main Objectives Additional Objectives Understand the purpose of the Corporate Responsibility Program State examples of expected
More informationSTRATEGIES TO IMPROVE ENTERAL FEEDING TOLERANCE. IS IT WORTH IT? ENGELA FRANCIS RD(SA)
STRATEGIES TO IMPROVE ENTERAL FEEDING TOLERANCE. IS IT WORTH IT? ENGELA FRANCIS RD(SA) DEFINITION OF ENTERAL FEEDING INTOLERANCE Gastrointestinal feeding intolerance are usually defined as: High gastric
More information