{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T01:00:40Z","timestamp":1780275640593,"version":"3.54.0"},"reference-count":25,"publisher":"AACN Publishing","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>As a result of the COVID-19 pandemic, health care systems nationally are adopting innovative strategies to streamline nursing care while optimizing outcomes. Concurrently, registered dietitian nutritionists are seeking opportunities to maximize their professional contribution and underscore their value as part of the interprofessional health care team. Implementing a feeding tube placement program led by registered dietitian nutritionists, rather than nurses, might enhance patient safety and enable dietitians to practice at an expert level while affording nurses more time for other patient care responsibilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Local Problem<\/jats:title>\n                    <jats:p>In a 5-hospital health system, the COVID-19 pandemic worsened nursing shortages and increased nurse workloads and burnout. High volumes of patients with respiratory compromise increased the demand for postpyloric feeding tube placement. Challenges included unreliable placement methods and the need for bedside procedures due to transport restrictions. This situation prompted the creation of a registered dietitian nutritionist\u2013led program for bedside feeding tube placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An electromagnetic sensor\u2013guided feeding tube placement program was implemented in phases across the health system after a successful pilot. This process included development of a feeding tube placement practice guideline, electronic health record updates, superuser training, competency development, and system-wide education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One year after implementation, the program has saved more than 350 nursing hours. The number of radiographs has been reduced by 20% and the incidence of ventilator-associated pneumonia has been reduced by 67%, with no lung placements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Enabling registered dietitian nutritionists to lead feeding tube placement is an effective strategy for optimizing patient care and safety while reducing nursing workload.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4037\/ccn2026599","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:03:26Z","timestamp":1780272206000},"page":"24-34","source":"Crossref","is-referenced-by-count":0,"title":["Dietitian-Led Feeding Tube Placement: Reducing Nursing Workload and Enhancing Patient Safety in the Intensive Care Unit"],"prefix":"10.4037","volume":"46","author":[{"given":"Meagan","family":"Davis","sequence":"first","affiliation":[{"name":"Meagan Davis is an advanced practice registered dietitian and a regional clinical nutrition manager, Inova Health System, Fairfax, Virginia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Grandic","sequence":"additional","affiliation":[{"name":"Jamie Grandic is an advanced practice registered dietitian and the senior director of clinical nutrition, Inova Health System."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2471","reference":[{"issue":"2","key":"2026053120032017600_b1-0460024","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1177\/0148607115621863","article-title":"Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)","volume":"40","author":"McClave","year":"2016","journal-title":"JPEN J Parenter Enteral Nutr"},{"issue":"6","key":"2026053120032017600_b2-0460024","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1017\/ice.2022.88","article-title":"Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 update","volume":"43","author":"Klompas","year":"2022","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"1","key":"2026053120032017600_b3-0460024","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1186\/s13054-018-2092-z","article-title":"Gastric versus postpyloric enteral nutrition in elderly patients (age \u2265 75 years) on mechanical ventilation: a single-center randomized trial","volume":"22","author":"Zhu","year":"2018","journal-title":"Crit Care"},{"issue":"4","key":"2026053120032017600_b4-0460024","doi-asserted-by":"publisher","first-page":"R127","DOI":"10.1186\/cc12806","article-title":"Small bowel feeding and risk of pneumonia in adult critically ill patients: a systematic review and meta-analysis of randomized trials","volume":"17","author":"Alhazzani","year":"2013","journal-title":"Crit Care"},{"issue":"8","key":"2026053120032017600_b5-0460024","doi-asserted-by":"publisher","first-page":"CD008875","DOI":"10.1002\/14651858.CD008875.pub2","article-title":"Post-pyloric versus gastric tube feeding for preventing pneumonia and improving nutritional outcomes in critically ill adults","author":"Alkhawaja","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"issue":"10","key":"2026053120032017600_b6-0460024","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1177\/000313481708301035","article-title":"Safety and efficacy of electromagnetic-guided bedside placement of nasoenteral feeding tubes versus standard placement","volume":"83","author":"Shadid","year":"2017","journal-title":"Am Surg"},{"issue":"2","key":"2026053120032017600_b7-0460024","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1097\/MCO.0000000000000804","article-title":"Small bowel feeding: do you pay the price for bypassing the stomach?","volume":"25","author":"Bond","year":"2022","journal-title":"Curr Opin Clin Nutr Metab Care"},{"issue":"5","key":"2026053120032017600_b8-0460024","doi-asserted-by":"publisher","first-page":"864","DOI":"10.1002\/ncp.10497","article-title":"Methods of estimating nasogastric tube length: all, including \u201cNEX,\u201d are unsafe","volume":"35","author":"Taylor","year":"2020","journal-title":"Nutr Clin Pract"},{"issue":"3","key":"2026053120032017600_b9-0460024","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1007\/s00455-015-9607-4","article-title":"Electromagnetic sensor-guided enteral access systems: a literature review","volume":"30","author":"Smithard","year":"2015","journal-title":"Dysphagia"},{"key":"2026053120032017600_b10-0460024","unstructured":"National Health Service England\n          . 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