Quality Improvement Tools

These Tools and Training Kits are a set of protocols/algorithms/flowcharts, etc... that have been developed for your use in your ICU.  These will assist in implementing the Clinical Practice Guidelines for Nutritin Support in the Mechanically Ventilated, Critically Ill Adult (CPGs) at your site.

We have attempted to keep the tools evidence based and consistent with the CPGs wherever possible.  All other recommendations are "opinion based" only and are based on current practices in some hospitals.

Feel free to download these.  Please note that you may need to adapt the protocols/algorithms/flowcharts, etc... to meet your institution's needs.  (Right click on the links and 'Save Target As...' to make changes).

 Enteral Nutrition in the Critically Ill: Practice Guidelines  PPT  PDF
 Enteral Nutrition Feeding Guideline Word   PDF 
 Routes of Nutrition Support Guideline PPT   PDF
 Enteral Nutrition: Guideline for Surgical Procedures DOC   PDF
 Enteral Nutrition: Management of Diarrhea Guideline PPT   PDF
 Placement of Small Bowel Feeding Tubes   PDF
 Care and Management of Nasoduodenal Feeding Tubes    PDF
 Enteral Nutrition - Problem Solving Guide    PDF 
 Parenteral Nutrition Guidelines PPT   PDF 
 Parenteral Nutrition Pre-Printed Orders     PDF 
 Head of Bed Elevation Alert Card     PDF
 Daily EN Checklist     PDF  
Glycemic Control Protocol for Adult Intensive Care Patients:  Please adapt the ranges of blood sugars to meet the needs of your site. PDF    
Gastric and Intestinal Feeding Orders (Adult), Kingston General Hospital  PDF    
Training Kit for Interactive Workshop (These are handouts that will assist you in conducting an interactive workshop at your site to educate others re: clinical practice guidelines)
Interactive Workshop Handout                      PDF 
Interactive Workshop Evaluation Form (To be completed by participants of the workshop to assess the intent to change practice    PDF
Template for QI Poster (Use this poster to disseminate the results of your site report by higlighting your strengths and weaknesses and identifying key actionable items  PPT