RN Preceptor Summary

As a patient advocate I would immediately ask the RN preceptor if I could speak to them outside of the patient's room or at the nurse's station. I would start off by saying that I respect you as an RN and as my preceptor. I understand that you have always cared for patients with tube feedings this way but I wanted to let you know that stopping continuous enteral tube feedings before a patient is turned or repositioned it is no longer supported by nursing research. I would add that according to research, stopping the feedings have shown to cause patients to receive an inadequate calorie intake while being detrimental to their health (Miller, Haye, & Carey, 2015). Feedings should only be stopped for procedures that require the head of the bed (HOB) to be lowered for a prolonged period and the feedings should be resumed immediately after procedure is completed (Miller, Haye, & Carey, 2015). I would encourage the preceptor to research the new nursing evidence to ensure patient safety with present and future practices.

370). I have personally worked with nurses who have been in the nursing profession for over 40 years or more that do not like or agree with some of the changes that have taken place in the medical field. A few of the nurses were willing to learn new electronic medical records and new competencies involved in safe and quality patient care, while others decided to retire or to no longer practice to avoid these changes. With new research and discoveries every day providing new information, the medical field will continue to evolve in hopes of enhancing patient safety while improving quality of