Article C2563
Author(s): Wenya Cao, MSN, RN, Hong Chang, MSN, RN, Miao Li, BS, RN, Linlin Fan, PhD, MD, Fei Tian, PhD, MD, Gang Liu, PhD, MD, Yan Zhang, PhD, MD
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CERP A 1.00
Expires Jun 01, 2028
Topics: Gastrointestinal
Required reading for all learners: Implicit Bias impacts patient outcomes
Therapeutic hypothermia is a promising strategy for neuroprotection in patients with large hemispheric infarction. The European Society of Intensive Care Medicine recommends early enteral nutrition for most critically ill patients (with some precautions), even in patients receiving therapeutic hypothermia. Patients with large hemispheric infarction undergoing therapeutic hypothermia often have gastrointestinal dysfunction and undergo repeated bedside attempts at blind postpyloric feeding tube placement. Confirming tube position via radiography can delay nutrient intake, increase costs, and expose patients to unnecessary radiation In this quality improvement study, nurses were trained to use ultrasonography to confirm postpyloric feeding tube position. Improving processes reduced feeding start times, minimized radiography use, and enhanced the healthcare team’s satisfaction with postpyloric feeding tube placement for patients receiving therapeutic hypothermia.Learners must complete the entire activity and the associated evaluation AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.
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