Feeding Protocols

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.

Please send me an email with the information you spoke about. In my unit the doctors are in charge of feeding schedules and po trials.

Thanks,

Kat

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Dear NICURN and KATRNC,

I was just reading your answer to the above question. You were saying that you implement a Feeding Readiness Scale, a Feeding Quality Scale, and an algorithm to use for cue-based feedings. We are currently in the process of implementing these types of things in our NICU as well. Do you mind emailing me a copy of the above information as well so that we can get something objective in place for our babies?

Thank you so much for your help. It will be greatly appreciated!

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hi fellow NICU nurses

I'm writing a proposal for cue-based feeding both for a class presentation also for the neos to implement this practice. please forward the scales mentioned.

thank you in advance

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Blaise87

I would love a copy as well :)

thanks in advance

Tina

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One of our NNPs developed a great feeding protocol that the nurses "order" everyday after calculating volume based on mLs/kg/day. We have the same stops and starts with the micropreemie, but it has made it very easy because it is nurse-generated.

Readiness to feed is sort of individualized and different from attending to attending, but basically we feed EARLY unless the baby is on pressors or Indocin, or is having a lot of As and Bs/decompensation. They are divided into 3 protocols based on gestational age at birth.

I can get a copy, but I assume I must ask someone's permission to "share". Also, how would be the best way to post these?

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.

HI, This is my first post to the board. I am on a committee at my hospital to update our feeding protocals. If you're still offering to email your unit's protocals, I'd very much appreciate it.

My email: [email protected]

TIA!

Sherry

NICURN29 - I would love if you could email me a copy of the feeding protocols, scales, and algorithms that you spoke of. We are trying to establish this at my hospital and any additional info that you could provide would be greatly appreciated! Thank you so much!

NICURN29 - can you also send me those info in my email. it would be much appreciated. thank you so much!

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I would love information regarding the scale and algarithm. Our hospital is in the process of implimenting something.

Thanks

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Same here, I would love to see a copy of a nurse directed feeding protocal and algorithm if anyone is willing to email to me. Our docs are directing ours but are willing to take a look at what we come up with.

Thank you!

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Hi,

Just came back from a meeting at work NICU in San Diego where we are discussing going to cue feedings please if you can send the feeding protocol you are talking about...

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Thank you so much,

Breck