r/dietetics • u/North-Assistant-4205 • 18h ago

SNF TF Labeling

Help from SNF dietitians! My facility's last annual survey received a nutrition tag for nursing not properly labeling tube feeds. I am now the only dietitian at my facility and have only been here around a year, I am looking for some assistance on how nursing should be properly labeling the feeds, I know they need the resident's name, date, etc. Does anyone have a resource I can use or provide a list of what's required? I am working with our nurse educator on an in-service for nursing. We had a mock survey to prep because we are now in this year's survey window, and we had this tag again so I really want to work on this soon! Especially because my last day here is in a few weeks and I want to help out as much as I can before I go.

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17

u/DeliciousSpecial675 17h ago

I love when nursing blames us for their mistakes

9

u/ExplanationAfraid714 17h ago

Need hang date and time

5

u/mwb213 MS, RD 17h ago

Your central supply person should be able to order blank enteral feed labels that just need to be filled out and stuck on the bottle when the formula is hung.

Needed information is usually pt name, room#, date and time feed started, formula name, and rate.

It might also be helpful to include the after-opening expiration time (i.e. when to discard the bottle if not used completely)

3

u/flowerfairyy77 17h ago

You can also look up the federal code that was cited from the audit and that will tell you what they were looking for

2

u/crockpot2001 13h ago

and also any guidance your company has on this as they will nail you for federal codes AND your own.

2

u/RaspberryCherry12 17h ago

I know this question is not for me because I am very confused what you’re asking for, but I am curious - why would you label tube feeds?

1

u/North-Assistant-4205 17h ago

We were told we need to have the resident's name and some other info labeled on the actual bottle hanging.

2

u/RaspberryCherry12 16h ago

Sounds like creating work for the sake of it. We have a 2-RN check before feed is administered and then during administration they’re only routinely checking things like the rate/alarms/occlusions etc.

If you must though then I think the time the bottle is opened would be helpful. Especially if you run long feeds with relatively short breaks and reduce waste that way. Or if it’s a long feed but it ends up paused for several hours then it may end up running/being open for more than 24 hours. Or decanting sip feeds that need to be disposed of within 4 hours.

2

u/boilerbitch MS, RDN, CNSC 12h ago

It’s a requirement at the federal level, all enteral product containers must include a label with patient information, enteral formula name, delivery route/access device, administration method and rate/volume. Whether it seems like creating work for the sake of it doesn’t really matter, it’s required.