Activity Details (PDF Format)
	Course Materials (PDF Format)
	Additional Q&A
	Participate in On Demand Activity
	Complete Post-Test/ Print CE Certificate
	Faculty
	Statement of Need
	Activity Goal
	Learning Objectives
	Target Audience
	Financial Support
	Credit Information

CMEO Webcast

Premiere Date: Friday, December 7, 2007

This activity offers CE credit for:

1. Physicians (ACCME/AMA PRA Category 1)
2. Nurses (CNE)
3. Certified Professionals in Healthcare Quality (NAHQ)
4. Registered Dietitians and Dietetic Technicians-Registered (CDR)

All other clinicians will either receive a CME Attendance Certificate or may choose any of the types of CE credit being offered.
Credit Expiration Date:
Sunday, December 7, 2008

Faculty

Lynn E. Mattis, RN, MSN Clinical Nurse Specialist The Division of Pediatric Gastroenterology and Nutrition The Johns Hopkins Hospital Baltimore, MD

Jenifer Hampsey, MS, RD, CSP Pediatric Nutrition Practitioner The Division of Pediatric Gastroenterology and Nutrition The Johns Hopkins Children’s Center Baltimore, MD

Faculty Bios and Disclosure Declaration

Click here to view faculty bios and activity disclosures.

Statement of Need

Enteral nutrition plays an essential role in the care of children who are unable or unwilling to eat. Children may require enteral nutrition for a variety of reasons, including prematurity, lack of coordination of the sucking and swallowing reflex, neurologic impairment, or acquired conditions such as burns, sepsis, infection with HIV, cancer, or cystic fibrosis. One potential complication of open enteral nutrition feeding systems is bacterial contamination of formula, which is estimated to occur in as many of 61% of tube feedings.(1,2) Closed enteral feeding systems offer a number of advantages over open systems, including less bacterial contamination and a safe increase in hang times.(3) This clinical presentation will provide evidence that closed feeding systems have the potential to improve patient outcomes and safety.

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1. Crocker K, Krey S, Markovic M, Steffee W. Microbial growth in clinically used enteral delivery systems. Am J Infect Control 1986;14:250-256.
2. Mehall JR, Kite CA, Salzman DA, et al. Prospective study of the incidence and complications of bacterial contamination of enteral feeding in neonates. J Pediatr Surg 2002;37:1177-1182.
3. Vaughan L, Manore M, Winston D. Bacterial safety of a closed-administration system for enteral nutrition solutions. J Am Diet Assoc 1988;88:35-37.

Activity Goal

To provide evidence-based guidance about the health and safety benefits of closed enteral feeding systems.

Learning Objectives

At the end of this CE activity, participants should be able to:

• Identify the benefits of enteral nutrition in the hospital and home settings.
• List at least five clinical indications for enteral feeding in the pediatric population.
• Identify causes and complications of enteral feeding contamination.
• Describe the infection control and safety benefits of closed vs. open enteral systems.

Target Audience

Nurses, dietitians, healthcare quality professionals (CPHQ), pediatricians with an interest in gastroenterology, and other healthcare providers who are responsible for the implementation of pediatric feeding practices.

Financial Support

CME Outfitters, LLC, gratefully acknowledges an educational grant from Abbott Nutrition in support of this CE activity.

Credit Information

CME Credit (Physicians):
CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME Outfitters, LLC, designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Note to Physician Assistants: AAPA accepts Category I credit from AOACCME, Prescribed credit from AAFP, and AMA Category I CME credit for the PRA from organizations accredited by ACCME.

CNE Credit (Nurses):
CME Outfitters, LLC, is an approved provider of continuing nursing education by the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

It has been assigned code 6WASUP-PRV-0620. 1.0 contact hours will be awarded upon successful completion.

NAHQ Credit (Certified Professionals in Healthcare Quality/CPHQ):
This program has been approved by the National Association for Healthcare Quality for 1.0 CE credit hours.

CDR Credit (Registered Dietitians and Dietetic Technicians-Registered):
This program has been approved by the Commission on Dietetic Registration for 1.0 CPEUs (learning needs code 5440).

Questions about this CE activity? Call us at 877.CME.PROS (877.263.7767).

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