Reply To: NG tube placement for pediatric stem cell patients; TPN vs Enteral nutrition

  • Alexis Bergman

    Member
    January 29, 2021 at 11:02 am

    At UCSF Children’s Hospital we have more recently tried to standardize it to place on day +1. The thought is to try to miss the most pukey window from conditioning but get it in before mucositis starts. Our goal is to do trophic feeds and then if able to tolerate, provide partial to full nutritional needs. Of course we use it for meds too.

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    Lexii Bergman, BSN, RN, CPHON
    UCSF Benioff Children’s Hospital
    San Francisco, CA
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    Original Message:
    Sent: 01-29-2021 07:47 AM
    From: Jessica Murphy
    Subject: NG tube placement for pediatric stem cell patients; TPN vs Enteral nutrition

    We do not have one either- I am actually working on a QI project for my DNP to create a SOP, so following 🙂

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    JD Murphy MS CPNP-AC CPHON
    Pediatric Oncology/BMT Nurse Practitioner
    Johns Hopkins Hospital
    Baltimore, MD USA
    jmurph89@jhmi.edu
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    Original Message:
    Sent: 01-28-2021 11:35 AM
    From: Kathryn Vaci
    Subject: NG tube placement for pediatric stem cell patients; TPN vs Enteral nutrition

    Our institution currently does not have any standardized care or protocol in place for our stem cell patients who are in need of additional nutritional support or assistance taking oral medications. We are looking to standardize the placement of NG tubes prior to conditioning for these patients but we are interested in learning what protocols or usual care is provided to this patient population at other institutions. If you could please give any insight or send over any protocols your institution has in place related to this topic, it would be greatly appreciated.

    Thanks,
    Katy

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    Kathryn Vaci, RN
    Chicago, IL
    United States
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