Research-based guidelines and a more formal dissemination of information to nurses are needed. Factors significantly associated with lower rates of obstruction of enteral feeding catheters included (1) assistance from the pharmacy service to ensure liquid forms of medications, (2) nurses' attendance at a relevant seminar or inservice training program, and (3) not routinely crushing and administering enteric-coated or sustained-release medications through the enteral feeding catheter.Ĭollaboration between nursing and pharmacy services to ensure delivery of liquid medications and avoid use of crushed medications may reduce the high rate of catheter obstruction due to medications. Written agency guidelines varied considerably, and 74% of nurses used two or more techniques that were contrary to recommendations. Nurses' primary source of knowledge about administering medications through enteral feeding catheters was clinical practice (56.9%) and consultation with peers (21.7%) only 19% had had inservice training on the topic. Crushed medications contributed to obstruction, although liquid forms of the medications often were available. The rate of obstruction of the tube by medications was 15.6%. Nurses estimated that 33.8% of their patients received 8.9 doses of medication per day through the enteral feeding catheter. DAs Center for Devices and Radiological Health (CDRH) states that the above catheter systems may be missing the safety latch intended to minimize the risk. The 52-item investigator-designed questionnaire was mailed to the 1700 critical care nurses who agreed to participate 1167 (68.6%) returned completed survey questionnaires. Arrowg+ard Blue Advance Protection, as shown in in vivo & in vitro studies, is a chlorahexidine solution chemically bonded to the catheter surface with a controlled release that provides. To study characteristics of obstruction of enteral feeding catheters in ICU patients and current knowledge and practices of ICU nurses of administering medications through such catheters.Ī postcard invitation to participate in this descriptive survey was mailed to a random sample of 12,069 members of the American Association of Critical-Care Nurses. Obstruction of the catheters is a major concern.
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