Implementing Standardized Feeding Guidelines, Challenges, and Results

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PurposeThe purpose of this article was to develop standardized nutritional guidelines that would promote increased growth velocity (GV) in premature infants.DesignEvidence-based standardized nutritional guidelines were developed. Guidelines included total parenteral nutrition advancement; enteral feeding advancement; and a bedside nurse gastric residual management algorithm. Staff education was given. Guideline compliance was measured. Nutritional intake and daily weights were recorded.SampleInfants of birth weight <1,500 grams who were admitted to the NICU before day of life four.Main Outcome VariableIncrease in GV from 12 to 15 g/kg/d.ResultsGrowth velocity was unchanged. Compliance to the nutritional guidelines was 70 percent. No difference was seen in length of stay. Rate of necrotizing enterocolitis was decreased.

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