%0 Journal Article
%T Implementing Standardized Feeding Guidelines, Challenges, and Results.
%A Olsen SL
%A Park ND
%A Tracy K
%A Younger D
%A Anderson B
%J Neonatal Netw
%V 37
%N 4
%D Jul 2018
%M 30567919
暂无%R 10.1891/0730-0832.37.4.218
%X <B>OBJECTIVE: </B>The purpose of this article was to develop standardized nutritional guidelines that would promote increased growth velocity (GV) in premature infants.<BR><B>METHODS: </B>Evidence-based standardized nutritional guidelines were developed. Guidelines included total parenteral nutrition advancement; enteral feeding advancement; and a bedside nurse gastric residual management algorithm. Staff education was given. Guideline compliance was measured. Nutritional intake and daily weights were recorded.<BR><B>METHODS: </B>Infants of birth weight <1,500 grams who were admitted to the NICU before day of life four.<BR><B>METHODS: </B>Increase in GV from 12 to 15 g/kg/d.<BR><B>RESULTS: </B>Growth velocity was unchanged. Compliance to the nutritional guidelines was 70 percent. No difference was seen in length of stay. Rate of necrotizing enterocolitis was decreased.