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Weekend Enteral and sip feeding guidelines
Weekend/Bank Holiday
Snacks & Fortified Drinks Guidelines
These guidelines are designed for use during times that the Dietitian may not be available for an extended period, and should be used with due caution.
1. Identify the patient
Patients at Risk:
These are any patients who have a MUST score >2 (malnourished), has MUST >1 plus surgery planned, poor oral intake or chronic disease state.
2. Snacks and Milky Drinks
For patients with poor nutritional intake, encourage with small meals, regular snacks, e.g. bread, toast, biscuits and cereals between meals
+ fortified soups, e.g. Build up soup made with milk
+ milky drinks - Build up, Complan, hot chocolate, milky coffee or plain full cream milk.
Chart the patients intakes and refer to the Dietitian
3. If the dietitian is unavailable & patient's intake remains poor for 48 hours
Only try nutritional supplement drinks under direction of Doctors.
Offer the patient - 1 x 200 ml Ensure Plus mid-moming
- 1 x 240 ml Enlive mid-aftemoon
Please maintain the food record charts until reviewed by the Dietitian.
It is important to contact the Dietitian as soon as possible the following working day.
Weekend/Bank Holiday
Enteral Feeding Guidelines For Adult Patients
Safety First
Follow these Precautions to Ensure Patient Safety
- Only start a tube feed under Doctor's direction
- Use these guidelines only until Dietitian can be contacted
- Please do NOT use these guidelines for patients who have encephalopathy
- Change giving sets and reservoirs (if used) every 24 hours
- To decrease risk of aspiration keep the head of the bed elevated at least 30°
Flushing
- Flush the tube immediately if feeding is stopped for any reason using a 50 ml syringe enteral feeding syringe/catheter tip
- To keep tube patent use a 50ml syringe to flush with 20ml sterile water before and after each bottle change.
Starter Regimen
| 1 litre Jevity provides: | 1000 kcal 40g protein 39 mmol sodium 37 mmol potassium |
| Day 1 | |
|---|---|
| Jevity Jevity |
25 mls/hour for 8 hours 50 mls/hour for 16 hours provides 1 litre feed |
| Day 2 | |
|---|---|
| Jevity Rest for 4 hours |
50 mls/hour for 20 hours provides 1 litre feed |
Fluid Balance
It is important that Doctors are aware that additional fluids via IV access may be required during this feed until a review by the Dietitian is possible.
Refer to the dietitian as soon as possible