Does anyone have an RN initiated EN protocol in their unit?

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I'm curious if anyone works in a facility that has an RN initiated enteral nutrition protocol that helps to get patients fed sooner on in their admission? Something like a flow-chart or maybe a checklist to approach the intensivists with to say the patient meets all criteria to start feeding?

I know there have been a few critical care nurse articles on this topic (and bundles), as well as the ASPEN guidelines that were release in 2016. Our unit is attempting to put something together but I wanted to see if anyone already had something that works relatively well and would be willing to share their protocol ideas. Thanks in advance.

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Specializes in CCRN - CMC - CSC.

Hmm - we don't have this, but we do have an RN-initiated supplement protocol...like if a patient is malnourished, we can enter orders for different supplements per a pre-approved protocol. Let me know if you want to see what it looks like!

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Specializes in New Critical care NP, Critical care, Med-surg, LTC.

I'll be following this thread along as well, would definitely be interested in both of those topics. Sometimes we have patients going along 7-10 days with D5W, not sure how it falls through the cracks, but it just does.

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