Developing and Maintaining an RDN-Led Bedside Feeding Tube Placement Program

Nutr Clin Pract. 2019 Dec;34(6):858-868. doi: 10.1002/ncp.10411. Epub 2019 Sep 24.

Abstract

Registered dietitian nutritionists (RDNs), like other healthcare professionals, are often searching for ways to improve their skills and advance their practice. One way RDNs have expanded their skills is by learning to place small bowel feeding tubes (SBFTs). However, it is also important that staffing RDNs to place SBFTs makes sense for their institution and their patient population. Although it is unknown how many RDNs place SBFTs, feeding tube placements by RDNs have been in practice for almost 2 decades, and it is within the RDN scope of practice. This article is a review of the literature, including indications for SBFT, possible benefits of RDNs placing SBFTs, development and maintenance of an RDN-led SBFT program, and assessment of clinical and institutional outcomes for this procedure.

Keywords: clinical competence; enteral nutrition; feeding tube placement; nutrition support; registered dietitian nutritionist.

Publication types

  • Review

MeSH terms

  • Clinical Competence
  • Enteral Nutrition / economics
  • Enteral Nutrition / methods*
  • Health Care Costs
  • Health Facilities
  • Humans
  • Intestine, Small
  • Intubation, Gastrointestinal / economics
  • Intubation, Gastrointestinal / methods*
  • Nutritionists / education
  • Nutritionists / organization & administration*
  • Outcome Assessment, Health Care
  • Practice Guidelines as Topic