Safer Enteral Nutrition Syringes

Authors

  • Peggi Guenter, PhD, RN American Society for Parenteral and Enteral Nutrition
  • Beth Lyman, MSN, RN American Society for Parenteral and Enteral Nutrition

DOI:

https://doi.org/10.33940/med/2020.12.4

Abstract

Hundreds of thousands of patients receive enteral nutrition (EN) or tube feeding each year in U.S. hospitals, and many more in long-term care and home settings. In addition, these patients receive medications and or supplemental fluids, most often through that feeding tube, using syringes to deliver the medication or fluids. With each of those many medications, usually administered several times a day, a syringe is used and an enteral connection is made between the syringe and the enteral access device. With each connection is the potential for a misconnection or wrong route error.

Author Biographies

Peggi Guenter, PhD, RN, American Society for Parenteral and Enteral Nutrition

Peggi Guenter (peggig@nutritioncare.org) is senior director of Clinical Practice, Quality, and Advocacy at the American Society for Parenteral and Enteral Nutrition.

Beth Lyman, MSN, RN, American Society for Parenteral and Enteral Nutrition

Beth Lyman (lymanb2054@gmail.com) is a nutrition support nurse consultant.

References

Read J, Guenter P. ASPEN Enteral Nutrition by the Numbers: EN Data Across the Healthcare Continuum. American Society for Parenteral and Enteral Nutrition, Silver Spring, MD 2017. http://www.nutritioncare.org/ENMarketReport/

Guenter P, Hicks RW, Simmons D, et al. Enteral feeding misconnections: a consortium position statement. Jt Comm J Qual Patient Saf. 2008;34(5):285-292. https://www.jointcommissionjournal.com/article/S1553-7250(08)34035-5/fulltext

Simmons D, Symes L, Graves K, Guenter P. Tubing misconnections: Normalization of deviance. Nutr Clin Pract. 2011;26:286-293. https://onlinelibrary.wiley.com/doi/10.1177/0884533611406134

Shah-Mohammadi A, Gaunt MJ. Oral medications inadvertently given via the intravenous route. Pa Patient Saf Advis. 2013 Sep;10(3):85-91. http://patientsafety.pa.gov/ADVISORIES/Pages/201309_85.aspx

ISO Small Bore Connectors Working Group. ANSI/AAMI/ISO 80369-1:2010. Small Bore Connectors for Liquids and Gases in Healthcare Applications—Part 1: General Requirements. Arlington, VA: Association for the Advancement of Medical Instrumentation; 2011. Accessed June 14, 2020.

ISO Small Bore Connectors Working Group. ANSI/AAMI/ISO 80369-3:2015. Small Bore Connectors for Liquids and Gases in Healthcare Applications—Part 3:Enteral Nutrition. Arlington, VA: Association for the Advancement of Medical Instrumentation; 2016. Accessed June 14, 2020.

GEDSA Communications Committee and Board of Directors. March 15, 2019. Safe Enteral Connectors: Years of Effort that Support the Need for a U.S. Regulatory Mandate http://stayconnected.org/wp-content/up loads/2019/03/GEDSA-White-Paper-2019.pdf Accessed June 14, 2020.

Deken A, Davis B, Giles A, Koelper C, McMichael D, Phillips P. Poster M1. Dose Accuracy – Performance Testing of Enteral, Oral, ENFit®, and ENFit LDT Syringes (abstract). ASPEN Clinical Nutrition Week February 18-21, 2017. Orlando, FL. http://stayconnected.org/wp-content/uploads/2016/10/GEDSA-ENFit-LDT-Research-Poster.pdf Accessed October 27, 2020.

National Health Service. Patient Safety/ Never Events Data. https://webarchive.nationalarchives.gov.uk/20200817215644/https://www.england.nhs.uk/patient-safety/never-events-data/ Accessed October 27, 2020.

Global Enteral Device Supply Association (GEDSA). Using ENFit Infographic: Administering Medication in Inpatient Settings. 2017. http://stayconnected.org/wp-content/uploads/2016/11/11-07-16_InfoGraphic_-Inpatients_-FINAL.pdf. Accessed October 27, 2020.

Global Enteral Device Supply Association (GEDSA). Using ENFit Infographic: Administering Medication in Home Use Settings. 2017. http://stayconnected.org/wp-content/uploads/2017/02/InfoGraphic_-HomeUse_02_03_17.pdf. Accessed October 27, 2020.

enteral feeding syringe

Published

2020-12-17

How to Cite

Guenter, P., & Lyman, B. (2020). Safer Enteral Nutrition Syringes. Patient Safety, 2(4), 58–61. https://doi.org/10.33940/med/2020.12.4

Issue

Section

Patient Safety Initiatives
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