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IMAG Medical Equipment & Supplies 4175 1st St, Livermore CA, 94551 Tel:9252737700 Fax: 9252737802 Lumbosacral Arthrosis Back Support Physician Order Prescribed date / / Patient First Name Last Name
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How to fill out enteral order sheet

How to fill out an enteral order sheet:
01
Start by filling in the patient's personal information, including their name, date of birth, and any relevant medical record numbers.
02
Indicate the type of enteral feeding that is being prescribed, such as nasogastric (NG), gastrostomy (G-tube), or jejunostomy (J-tube).
03
Specify the feeding formula to be used, including the brand, concentration, and volume per feeding.
04
Indicate the feeding schedule, including the frequency and duration of each feeding, as well as any specific instructions for bolus or continuous feedings.
05
Document any additional instructions or modifications to the enteral feeding plan, such as the need for water flushes before and after feeding, medication administration through the enteral tube, or adjustments for specific medical conditions.
06
Include any specific dietary restrictions or allergies that may affect the choice of enteral feeding formula or administration method.
07
Provide details about the healthcare professional responsible for overseeing the enteral feeding plan, including their name, contact information, and any specific instructions for follow-up or monitoring.
Who needs an enteral order sheet:
01
Patients who are unable to consume adequate nutrition orally due to a variety of medical conditions may require enteral feeding support.
02
Individuals with swallowing difficulties, gastrointestinal disorders, or neurological impairments that affect their ability to eat and drink may benefit from enteral nutrition.
03
Patients who are on long-term parenteral nutrition or who are transitioning from parenteral nutrition to enteral nutrition may need an enteral order sheet to ensure consistency and accuracy in their feeding plan.
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What is enteral order sheet?
Enteral order sheet is a document used to detail and prescribe enteral nutrition for a patient.
Who is required to file enteral order sheet?
Medical professionals such as doctors, dietitians, or nurses are required to file enteral order sheet.
How to fill out enteral order sheet?
Enteral order sheet should be filled out by detailing the patient's information, prescribed nutrition, administration instructions, and physician signature.
What is the purpose of enteral order sheet?
The purpose of enteral order sheet is to ensure proper and accurate prescribing of enteral nutrition for patients.
What information must be reported on enteral order sheet?
Information such as patient's name, ID number, prescribed nutrition formula, rate of administration, frequency, and start date must be reported on enteral order sheet.
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