Bastian C H
Geisinger Medical Center, Danville, Pennsylvania 17822.
J Am Diet Assoc. 1988 Oct;88(10):1275-8.
The availability and use of modular enteral components for tube feeding has increased dramatically in recent years. The preparation of such modular feedings can be quite confusing to enteral formula preparation personnel, especially when several components are utilized. At Geisinger Medical Center, Danville, PA, a policy of ordering modular feedings on the basis of the contribution of each component per 100 ml formula has been developed and adopted. The policy was adopted in order to reduce the amount of time the dietitian spends assisting the enteral formula aide with preparation of modular feedings, to maximize cost-effectiveness, and to provide the medical staff with standards by which to order modular feedings. Such standardization ensures accurate interpretation of the modular enteral formula order by the enteral nutrition aide. As the formula is changed in dilution or rate, the amounts of each component can be calculated with ease. The direct benefits of instituting this policy have been threefold: the medical staff consults with the clinical dietitians more frequently when ordering modular feedings; preparation and calculation time for modular feedings has decreased; and formula waste is reduced.
近年来，用于管饲的模块化肠内营养组件的可得性和使用显著增加。此类模块化喂养制剂的配制可能会让肠内营养制剂配制人员感到非常困惑，尤其是在使用多种组件时。在宾夕法尼亚州丹维尔的盖辛格医疗中心，已制定并采用了一项基于每100毫升配方中各组件的含量来订购模块化喂养制剂的政策。采用该政策是为了减少营养师协助肠内营养制剂助手配制模块化喂养制剂所花费的时间，实现成本效益最大化，并为医务人员提供订购模块化喂养制剂的标准。这种标准化确保了肠内营养助手能够准确解读模块化肠内营养配方订单。随着配方在稀释度或输注速度方面的变化，各组件的用量能够轻松计算出来。实施该政策带来的直接益处有三个方面：医务人员在订购模块化喂养制剂时更频繁地咨询临床营养师；模块化喂养制剂的配制和计算时间减少；配方浪费降低。
