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Enteral Nutrition and Supplies Request Form Prior Authorization Effective February 1, 2020, all Family Care services require authorization through the member\'s care team. Do not use this. Form for

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How to fill out enteral nutrition and supplies

01

Gather all necessary supplies including enteral formula, feeding pump, feeding bag, feeding tube, syringe, and water.

02

Wash hands thoroughly with soap and water before handling supplies.

03

Check the enteral formula expiration date and ensure it is not expired.

04

Connect the feeding tube to the feeding bag and prime the tubing with the enteral formula.

05

Set up the feeding pump according to the manufacturer's instructions and program the desired feeding rate.

06

Position the patient in an upright position to ensure proper digestion and absorption of the formula.

07

Slowly administer the enteral formula through the feeding tube using the feeding pump or gravity drip method.

08

Flush the feeding tube with water after administering the enteral formula to prevent clogging.

09

Clean and properly store all supplies after use.

Who needs enteral nutrition and supplies?

01

Individuals who are unable to consume adequate nutrition orally due to medical conditions such as dysphagia, severe malnutrition, or gastrointestinal disorders.

02

Patients who require long-term nutrition support such as those with cancer, neurological disorders, or inflammatory bowel disease.

03

Individuals who have undergone gastrointestinal surgery and require supplemental nutrition for healing and recovery.

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What is enteral nutrition and supplies?

Enteral nutrition and supplies refer to tube feeding and related materials used to provide nutrition to individuals who are unable to eat or swallow food normally.

Who is required to file enteral nutrition and supplies?

Healthcare providers or facilities responsible for providing enteral nutrition and supplies are required to file the necessary documentation.

How to fill out enteral nutrition and supplies?

Enteral nutrition and supplies documentation can be filled out by healthcare professionals who are knowledgeable about the patient's needs and requirements.

What is the purpose of enteral nutrition and supplies?

The purpose of enteral nutrition and supplies is to ensure that individuals who cannot eat or swallow food normally receive the necessary nutrients to maintain their health and well-being.

What information must be reported on enteral nutrition and supplies?

Information that must be reported on enteral nutrition and supplies includes patient details, type of feeding tube used, nutritional content, and any complications or changes in the feeding regimen.

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