Clinical Assessment Preparation

CPNE Study Guide

Bolus enteral feeding, when assigned: • Assess: 1. Inspect integrity of system 2. • Implement: 1. Measure gastric residual, when assigned 2. Reinstill gastric residual, when assigned 3. Initiate assigned enteral feeding within +/- 30 minutes of scheduled time 4. Regulate flow rate to deliver prescribed volume of feeding 5. Ensure patient receives prescribed volume of feeding • Evaluate: 1. Patient response to feeding • Document on Fluid Management Flow Sheet: 1. Feeding formula 2. Flow rate 3. Integrity of system 4. Appearance the of skin surrounding entry site 5. Volume (mL) of enteral feeding during PCS within +/- 10% of actual intake during implementation 6. Amount of gastric residual 7. Amount of gastric residual reinstilled 8. Patient response to feeding Oral enteral fluids, when assigned: • Implement: 1. Encourage fluids, when assigned 2. Restrict fluids, when assigned 3. Thicken liquids, when assigned 4. Feed infant, when assigned 5. Encourage mother to breastfeed 6. Prepare bottle with formula as noted on PCS Assignment 7. Provide bottle to infant 8. Burp infant periodically during feeding and as necessary 9. Measure intake of enteral fluids • Evaluate: 1. Patient response to feeding • Document on Fluid Management Flow Sheet: 1. Type of enteral fluid intake (e.g., water, breastfed, Enfamil) 2. Amount of each enteral fluid, in mL (e.g., 120 mL) or time (e.g., 10 minutes on each breast) within 10% of actual intake during implementation 3. Patient response to feeding Inspect appearance of skin surrounding entry site

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