Enteral Access, Maintaining Tube Patency, and Preventing Dislocation

Faculty:

Enteral Nutrition Prescribing and Order Review

Introduction to the Series and the Paper

Joseph Boullata, PharmD, RPh, BCNSP, FASPEN, FACN, Pharmacy Specialist in Nutrition Support, Clinical Nutrition Support Services, Hospital of the University of Pennsylvania, Philadelphia, PA

Prescribing EN and Communicating the Order

Order Review

Andrew Mays, PharmD, Clinical Pharmacy Specialist, Department of Pharmacy, Baptist Health Systems, Jackson, MS

Moderator

Ainsley Malone, MS, RD, LD, CNSC, FAND, FASPEN, Nutrition Support Dietitian, Mt. Carmel West Hospital, Clinical Practice Specialist, American Society for Parenteral and Enteral Nutrition, New Albany, OH

Enteral Access, Maintaining Tube Patency, and Preventing Dislocation

Enteral Access- tube selection and placement verification, tube placement complications
Lillian Harvey Banchik, MD, FACS, CNSC, Assistant Clinical Professor, Surgery, New York University School of Medicine, Great Neck, NY

Maintaining Tube Patency
Arlene A. Escuro, MS, RD, LD, CNSC, Advanced Practice Dietitian, Center for Human Nutrition, Cleveland Clinic, Westlake, OH

Preventing Tube Dislocation
Carol McGinnis, DNP, APRN-CNS, CNSC, Clinical Nurse Specialist, Sanford USD Medical Center, Sioux Falls, SD

Moderator
Ainsley Malone, MS, RD, LD, CNSC, FAND, FASPEN, Nutrition Support Dietitian, Mt. Carmel West Hospital, Clinical Practice Specialist, American Society for Parenteral and Enteral Nutrition, New Albany, OH

Preparation, Dispensing, Monitoring, and Transition of Care

Procurement and Selection of Formulas
Preparation of Formulas
Labeling and Dispensing
Abby Wood, RD, LD, CNSC, Clinical Dietitian-Oncology, Baylor University Medical Center, Dallas, TX

Monitoring
Transition of Care
Amy Long Carrera, MS, RD, CNSC, CWCMS, Shield Healthcare, Valencia, CA

Moderator
Peggi Guenter, PhD, RN, FAAN, Senior Director of Clinical Practice, Quality, and Advocacy, American Society for Parenteral and Enteral Nutrition, Havertown, PA

Neonatal and Pediatric Considerations

Neonatal
Jackie Wessel, Med, RD, CSP, CNSD, CLE, LD, High Risk Clinic Nutritionist, Cincinnati Children’s Hospital Medical Center, Loveland, OH

Pediatrics
Beth Lyman, RN, MSN, CNSC, Co-Director of the Nutrition Support Team, Children's Mercy Hospital, Smithville, MO
 

ENFit Low Dose Tip Medication Delivery

Moderator
Peggi Guenter, PhD, RN, FAAN, Senior Director of Clinical Practice, Quality, and Advocacy, American Society for Parenteral and Enteral Nutrition, Havertown, PA

Administration, Medications, and Error Reporting

General Administration
Carol McGinnis, DNP, APRN-CNS, CNSC, Clinical Nurse Specialist, Sanford USD Medical Center, Sioux Falls, SD Carol McGinnis

Medication Delivery
Joseph Boullata, PharmD, RPh, BCNSP, FASPEN, FACN, Pharmacy Specialist in Nutrition Support, Clinical Nutrition Support Services, Hospital of the University of Pennsylvania, City, State, Philadelphia, PA

Error Reporting
Andrew Mays, PharmD, Clinical Pharmacy Specialist, Baptist Health Systems, Department of Pharmacy, Jackson, MS

Moderator
Peggi Guenter, PhD, RN, FAAN, Senior Director of Clinical Practice, Quality, and Advocacy, American Society for Parenteral and Enteral Nutrition, Havertown, PA

Total Credit Hours:  1.5 per lecture

Start Date:  December 12, 2016

Expiration Date (all CE credit must be claimed by the expiration date):  December 12, 2019

Format: Online as MP3 audio files and handouts as PDF documents 

ASPEN is pleased to announce an on demand training series focusing on enteral nutrition therapy safety. Enteral nutrition is an important therapeutic nutrition intervention used in adults, children and infants for a variety of indications. Appropriate use of this modality includes incorporating practices that maximize patient benefit while minimizing adverse events. In response to the recently developed ASPEN Enteral Nutrition Safety Consensus Recommendations, ASPEN has developed a training series to educate all members of the healthcare team who work with EN to optimize your knowledge base of safe EN.

Goals and Target Audience
This series is targeted to all members of the healthcare team who care for patients requiring enteral nutrition or anyone seeking a comprehensive overview of enteral nutrition topics. This program is designed at the basic learning level.

Successful Completion
Each on-demand webinar in the five part series is accredited separately. To obtain credit for each on-demand webinar, participants must listen to the recording in full, pass the posttest with a score of 100% and complete an evaluation via the electronic CE system in ASPEN’s eLearning Center, which is accessible from any internet connection at www.nutritioncare.org/elearning.  Participants may log in using the email address and password on file with ASPEN.  Note: successfully completing the posttest is required for nurses, pharmacists and physicians, not dietitians.  Dietitians may claim credit for viewing/listening to the recording per CDR guidelines. 

Please note, to receive the Certificate of Training, participants must successfully complete all five enduring programs and claim CE credits for each. All CE credit must be claimed by the program expiration date of December 12, 2019.

Learning Objectives

Enteral Nutrition Prescribing and Order Review

1. Outline rationale and methodology in developing the ASPEN Enteral Nutrition Safety Recommendations
2. List key recommendations and rationale for safe EN prescribing 
3. Describe processes for communicating and reviewing the EN order

Enteral Access, Maintaining Tube Patency, and Preventing Dislocation

1. Describe safety issues important in choosing enteral access devices and in verifying placement
2. Describe methods to minimize complications when placing enteral access devices 
3. Describe essential methods for maintaining enteral access device patency
4. Define processes for preventing enteral access device dislocation

Preparation, Dispensing, Monitoring and Transition of Care

1. Describe processes for procuring, selecting and preparing enteral formulas including closed system, powdered and blenderized formulas
2. Describe required elements of the EN label and labeling processes necessary to avoid errors
3. Outline the essential parameters to monitor in enterally fed patients to minimize and/or prevent complications
4. Summarize key criteria and factors to safely transition an enterally fed patient from one care setting to another

Neonatal and Pediatric Considerations

1. Describe the critical considerations in the delivery of EN to neonatal patients
2. Explain the important concerns in pediatric EN delivery specifically pertaining to enteral access device placement and verification

Administration, Medications, and Error Reporting

1. Describe critical processes for the preparation and administration of medications through an enteral access device to avoid patient complications
2. Outline methods and procedures for general administration of EN including patient positioning and prevention of contamination 

Accreditation Statements

In support of improving patient care, The American Society for Parenteral and Enteral Nutrition (ASPEN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

ASPEN designates this [each] enduring activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should only claim the credit commensurate with the extent of their participation in the activity.

UANs: Enteral Nutrition Prescribing and Order Review - 0216-0000-16-138-H05-P; Enteral Access, Maintaining Tube Patency, and Preventing Dislocation - 0216-0000-16-139-H05-P; Preparation, Dispensing, Monitoring and Transition of Care - 0216-0000-16-140-H05-P; Neonatal and Pediatric Considerations - 0216-0000-16-141-H05-P; Administration, Medications, and Error Reporting Care - 0216-0000-16-142-H05-P.

Each activity is available for a maximum of 1.5 contact hours (0.15 CEU) per activity. Knowledge activities.

ASPEN is approved as a provider of continuing nursing education by the California Board of Nursing, provider number CEP3970. 

Dietitians

ASPEN, Provider Number AM005, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive continuing professional education units (CPEUs) for completion of this program / materials. CDR level 2, for 1.5 CPEUs for each individual on-demand webinar in the series. Dietitians may post comments on this program on www.cdrnet.org.

Policies

Any grievances should be addressed in writing to Director of Education and Research × ASPEN ×8630 Fenton Street× Suite 412× Silver Spring, MD 20910. 

Commercialism:  ASPEN subscribes to the ACCME Standards for Commercial Support.  ASPEN does not provide programs that constitute advertisement or include promotional content. ASPEN does not endorse any products. 

Privacy and Confidentiality:  ASPEN respects the privacy of its members and website visitors. Companies that receive personal information from ASPEN in order to execute the business of ASPEN may use personal information only for that purpose.

Refund Policy: Refunds are not available. 

Faculty Disclosures

*Discussion of off-label use of products

Commercial Support and Sponsorship
No commercial support or sponsorship has been received for this on demand continuing education activity.

Requirements for Participation

Adobe Flash Plugin
Internet Explorer 7+, Mozilla Firefox, Google Chrome, Safari
Computer with speakers/headsetBroadband Internet connection
* Also compatible with iOS and Android based tablets and smartphones.

For technical difficulties please contact Digitell Inc. Customer Support at: 1-800-679-3646

Office hours are between 9AM to 5PM ET, Monday through Friday