Related Publications and Tools

Enteral Nutrition Related Publications 

General EN 

Bankhead R, Boullata J, Brantley S, Corkins M, Guenter P, Krenitsky J, Lyman B, Metheny NA, Mueller C, Robbins S, Wessel J; A.S.P.E.N. Board of Directors. JPEN J Parenter Enteral Nutr. 2009 Mar-Apr;33(2):122-67. Printable .pdf

The A.S.P.E.N. Adult Nutrition Support Core Curriculum, 2nd Edition, copyright 2012.  Chapter 10: Overview of Enteral Nutrition;

The A.S.P.E.N. Pediatric Nutrition Support Core Curriculum, copyright 2010. Chapter 34. Parenteral and Enteral Nutrition Support: Determining the Best Way to Feed.


Enteral Nutrition Access  

Sorokin R, Gottlieb JE. Original Communications: Enhancing Patient Safety During Feeding-Tube Insertion: A Review of More Than 2000 Insertions JPEN J Parenter Enteral Nutr. Sept-Oct. 2006; 30: 440 - 445.

Powers J, Luebbehusen M, Spitzer T, Coddington A, Beeson T, Brown J, Jones D. Verification of an Electromagnetic Placement Device Compared With Abdominal Radiograph to Predict Accuracy of Feeding Tube Placement JPEN J Parenter Enteral Nutr. 2011; 35(4):535-539 

Miller KR, McClave SA, Kiraly LN, Martindale RG, Benns MV. A Tutorial on Enteral Access in Adult Patients in the Hospitalized Setting JPEN J Parenter Enteral Nutr March 2014 38: 282-295 

Egnell C, Eksborg S, Grahnquist L.  Jejunostomy Enteral Feeding in Children: Outcome and Safety JPEN J Parenter Enteral Nutr DOI: 10.1177/0148607113489832


Other Enteral Nutrition Literature 

Sarah Gunnell, Mollie Nordgren, Charisse Stewart, and Jennifer Willahan  Converting to a Closed Enteral Feeding System in a Pediatric Hospital. ICAN: Infant, Child, & Adolescent Nutrition October 2011 3: 296-299. 

Klek S, Szybinski P, Sierzega M, Szczepanek K, SumletM, Kupiec M. Commercial Enteral Formulas and Nutrition Support Teams Improve the Outcome of Home Enteral Tube Feeding JPEN J Parenter Enteral Nutr.2011;35:380-385.

Mancl EE, Muzevich KM.  Tolerability and Safety of Enteral Nutrition in Critically Ill Patients Receiving Intravenous Vasopressor Therapy  JPEN J Parenter Enteral Nutr. 2013;37:641-651.

Makikado LDU, Lasierra JLF, Pérez-Vela JL,  Gómez LC,  Sánchez ET, Rodríguez BM. Early Enteral Nutrition in Adults Receiving Venoarterial Extracorporeal Membrane Oxygenation: An Observational Case SeriesJPEN J Parenter Enteral Nutr. 2014; 38: 282-295.


BE ALERT Campaign 

Be A.L.E.R.T., Be A.W.A.R.E and Be R.E.A.D.Y. Enteral Safety Campaign Posters    

As part of efforts to improve enteral safety and translate our Enteral Nutrition Practice Recommendations to the bedside, we are excited to announce the launch of the Be A.L.E.R.T. (2009) Be A.W.A.R.E. (2010), and Be R.E.A.D.Y. (2011) campaign. This A.S.P.E.N. safety campaign, sponsored by Nestlé HealthCare Nutrition, is aimed at educating nurses to help prevent enteral misconnections and improve enteral nutrition safety. 


This initiative includes the Be A.L.E.R.T., Be A.W.A.R.E., and Be R.E.A.D.Y. posters for nursing stations and other prominent places in your hospital and healthcare setting. The new Be R.E.A.D.Y. poster (2011) is specifically focused on Pediatrics and Enteral Nutrition. The Be A.W.A.R.E. poster (2010) is a safety poster specifically focused on Medication Safety through Enteral Feeding Tubes. Please share these with your coworkers and encourage safe enteral nutrition delivery. We want to hear about your efforts, so please be sure to give us your feedback and let us know how we can improve the campaign and what other resources you might need. Click on the link below for a .pdf version of the poster:

Be A.W.A.R.E. Poster
Be A.L.E.R.T. Poster 
Be R.E.A.D.Y. Poster

If you would like the cling poster, contact Nestle HealthCare Nutrition at 1.800.422.ASK2 (2752) and ask for the Be A.L.E.R.T. posters to be mailed to you (maximum number is 20 per location).


American Association of Critical-Care Nurses (AACN) Verification of Feeding Tube Placement 

This resource is an AACN Full Practice Alert & Tools Project which provides information on blind tube placement, a powerpoint presentation and an audit tool for enteral tube placement.


Oley Foundation  

Oley Foundation. Tube Feeding Troubleshooting Guide, it provides solutions to common complications like a blocked or leaking tube, as well as tips for preventing a recurrence. The guide also provides pointers for new patients to smooth their transition to tube feeding at home. Copies can be downloaded from; or ordered by calling (800) 776-OLEY.



Premier, Inc.

Premier is a collaborative healthcare alliance of more than 2,600 member hospitals and health systems and 86,000-plus other healthcare sites.  

The site includes many of the following resources:

  • Enteral Feeding Misconnections: A Consortium Position Statement, in: The Joint Commission Journal on Quality and Patient Safety, May 2008
  • FDA: Letter to Enteral Feeding Tube Manufacturers, July 2010
  • FDA: Look. Check. Connect. Safe Medical Device Connections Save Lives, January 2009
  • FDA Patient Safety News, (Video), October 2007: “More Patient Deaths from Luer Misconnections”
  • FDA: Patient Safety News, December, 2005: "Luer Lock Misconnections Can Be Deadly"
  • Joint Commission and World Health Organization (WHO) WHO Collaborating Centre for Patient Safety Tubing Misconnections
  • Joint Commission Sentinel Event Alert, April, 2006:
Tubing misconnections: A persistent and potentially
deadly occurrence
  • Joint Commission: Draft 2008 National Patient
Safety Goals
  • Misconnections Between Medical Devices With Luer Connectors: Under-recognized but Potentially Fatal Events in Clinical Practice, In:Safe Practices in Patient Care. July 2007, Vol. 3, No. 2. Gallauresi, Beverly, R.N., B.S., M.P.H., Eakle, Melissa, R.N., M.B.A., M.S.N., Morrison, Audrey, R.N.
  • Promoting safer measurement and administration of liquid medicines via oral and other enteral routes: Patient safety alert from the National Patient Safety Agency, National Health Service, Great Britain.