We are looking at putting a feeding protocol of sorts into place to guide advancement of our preemie feedings. This will be a combined effort of nursing staff, OT/PT, and lactation. Does anyone use something similar to a protocol at your hospital? What do you use to determine feeding readiness/time for advancement? Any examples of experiences or paperwork would be great! Thanks!
Do you mean as far as PO feeding goes? We recently instituted a cue-based feeding protocol. We use a feeding readiness scale developed by Susan Ludwig, OTR/L and a feeding quality scale developed by Kara Ann Waitzman, OTR/L. Our lactation consultant, in conjunction with our speech therapist, developed an algorithm to use for cue-based feedings. If you want to e-mail me your contact information, I will be happy to send you a copy of that, along with the clinical pathway explanation sheet.
Last edit by Elvish on Dec 17, '08
: Reason: please do not include email address..thanks