Implementing Volume-Based Feeding to Optimize Delivery of Enteral Nutrition

Author(s): Angela Bonomo, BSN, RN, CCRN, CMC, Diane Lynn Blume, MS, RN-BC, Katie Davis, RD, LDN, CNSC, Hee Jun Kim, PhD, RN

Contact Hours 1.00

CERP B 1.00

Expires Apr 01, 2024

Topics: Gastrointestinal, Quality Improvement

Population: Geriatric, Adult

Role: Staff, Educator

Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

This article discusses a quality improvement project in which the purpose was to increase delivery of enteral nutrition (EN) volume from 67.5% to at least 80% by implementing a volume-based feeding method in the MSICU per current evidence-based practice recommendations. This report may help disseminate the methods and procedures implemented to other units and hospitals to improve delivery of EN.


  • Identify the importance of delivering adequate nutrition to the critically ill adult patient.
  • Define the benefits of volume-based versus rate-based feedings.
  • Describe the process for implementing volume-based feeding approach in an adult critical care unit.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


This activity has been reviewed by the Nurse Planner. It has been determined that the material presented here shows no bias. No conflicts of interest have been identified for any individual with the ability to influence the content of this activity. Accreditation refers to recognition of continuing education only and does not imply AACN or ANCC approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.


The American Association of Critical-Care Nurses (AACN) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's (ANCC's) Commission on Accreditation, ANCC Provider Number 0012. AACN has been approved as a provider of continuing education in nursing by the California State Board of Nursing (CBRN), California Provider number CEP 1036. This activity is approved for 1.00 contact hours.

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

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