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Gil Ben-Horin Published: Feb 16, 2017
A prospective cohort audit performed at Alberta Health Services aimed to identify compliance and reasons for noncompliance to a nurse-driven feeding protocol at a tertiary care hospital PICU in Canada, with a secondary aim of determining the mean time (hours) spent without any form of nutrition and to identify reasons for interruptions to nutrition support. To the authors’ knowledge, this study is the first to examine reasons for noncompliance to a feeding protocol in the PICU. Data points were collected with a combination of paper charts and MetaVision. The authors found that there was a 95% compliance rate to the protocol and an average of 25.6 hours spent without nutrition per patient, and that the most prevalent reason for noncompliance was an avoidable delay in restarting feeds before/after procedures or after surgery. They conclude that, “A nurse-driven feeding protocol may reduce time spent without nutrition. Future research is required to examine the relationship between adherence to feeding protocols and clinical outcomes.”
Gil Ben-Horin Jacob Krygier is a Clinical Application Specialist at iMDsoft with 20 years of hands-on healthcare experience. His background spans operating rooms, intensive care units, emergency medicine, and medivac air ambulances, with specialized expertise in anesthesia and emergency care.
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