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Increasing the Volume of Delivered Enteral Feeds Using a Volume-Based Feeding Protocol in a Neuroscience Intensive Care Unit

Author(s): L. Douglas Smith Jr, DNP, APRN, ACNP-BC, CCRN, CNRN, SCRN, Haley Hoy, PhD, ACNP, Sage Whitmore, MD

Contact Hours 1.00

CERP A 1.00

Expires Jun 01, 2027

Topics: Gastrointestinal

Population: Geriatric, Adult

Role: Staff

Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

This article describes a quality improvement clinical practice change project that improved nutrition practice in the ICU by implementing a volume-based feeding (VBF) protocol to answer the following question: For ICU patients who require enteral feeding (EF), does the implementation of a VBF protocol, compared with rate-based feeding (RBF), increase (1) the percentage of delivered EF volume and (2) the percentage of EF days on which patients receive at least 80% of the prescribed volume? Knowing that unit culture impacts nutrition delivery, we also sought to determine whether implementing a nutrition-based project affected (1) staff awareness of the importance of nutrition and (2) the emphasis placed on nutrition delivery.


  • Summarize the undesirable outcomes associated with iatrogenic malnutrition.
  • Differentiate a rate-based enteral feeding strategy from a volume-based feeding protocol.
  • Describe three strategies that lead to successful implementation of a volume-based feeding protocol in the intensive care unit.

Continuing Education Disclosure Statement

Successful Completion

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


The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

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