Not happy about this, but glad to see it’s not just dietetics where this has happened. The amount of time spent at the computer vs with the patient/care team in learning is scary. #WhatRDsDo
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#WhatRDsDo
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More evidence that our overly restrictive hospital diets could actually be causing harm. There aren’t many interventions out there that can improve both clinical AND patient satisfaction outcomes quite like a cup of morning joe! ☕️
#WhatRDsDo
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In <2 months our team of 4 #dietitians have placed 42 feeding tubes, several avoiding 🫁
Our numbers are increasing & the RDs continue to make a significant impact on patient experience, safety and outcomes!
@doseofdavis.bsky.social
#WhatRDsDo #Proud
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AI models are only as good as the data that goes into them. Is #ICUNutrition behind by not having good documentation?
Nutrition interventions should be treated like medications - accountability for documentation.
Can we keep up with the times?
#WhatRDsDo
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AI tech can help improve patient engagement in their nutrition care. Again, not replacing the dietitian, but rather providing tools for the patient to take ownership of their care and provide data for a full assessment. #WhatRDsDo
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The future I see for inpatient dietitians + AI is one where we can finally separate ourselves from the computer and spend more time at the bedside and with the patients who need us most. #WhatRDsDo #ICUNutrition
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#Dietitians placing feeding tubes with image guided tech have resulted in:
👉Fewer trips to IR
👉Fewer x-rays
👉Quicker time to initiate EN
I am so proud of our team!
#WhatRDsDo #NutritionMatters
@doseofdavis.bsky.social
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#WhatRDsDo: Place Feeding Tubes!
This week, we learned about image-guided feeding tube placement!
Involving #dietitians lets nursing focus on ⬆️-level tasks while RDs practice at their full scope. Image-guided tubes are SAFER, but…
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Our #EmoryDI intern, Jaden Asuncion, teaching us about Ludwig’s Angina today. #WhatRDsDo #NutritionSupport #RD2Be
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Over and over we keep hearing that #parenteralnutrition is:
✅Safe
✅effective
🚫does not increase risk for infection
🔺probably should be used more as supplement to EN
#ASPEN25 #ICUNutrition #WhatRDsDo
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I was late to the presentation, but learned this is Becky Brehob-Buckner, RD! (Thanks @pccmdoc.bsky.social!) #SCCM2025 #ICUNutrition #WhatRDsDo
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Hearing from Peds #dietitian that tube placements are often resisted in kids. We see this in the adult world as well! Good education for patients (parents) around the benefits of EN vs PN is important! Dietitian need the time to discuss this with patients. #ICUNutrition #SCCM2025 #WhatRDsDo
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The app doesn’t reflect it, but I’m told this talk includes at #dietitian here at #SCCM2025. 👏🏼 #ICUNutrition #WhatRDsDo @pccmdoc.bsky.social @sccmcriticalcare.bsky.social
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#WhatRDsDo #SCCM2025 #NutritionMatters #ICUNutrition
And this message will be taken back to ASPEN via vice president Dr. Sharon Irving - long overdue recognition!
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Protect Medicare Telehealth flexibilities!
#WhatRDsDo #Dietitian #Nutrition
www.votervoice.net/EATRIGHT/1/C...
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Learning about Keto diet from Dr. Tanya McDonald from Johns Hopkins School of Medicine this morning for Emory Neuro Grand Rounds.
Our Internship Coordinator and Neuro ICU dietitian, Michelle Gooden, will also share application experience!
#WhatRDsDo #ICUNutrition #EmoryDI
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Excited to see the migration of #dietitians to #bluesky!
If you’ve followed me and I haven’t followed back, let me know!
Let’s keep spreading the word about #WhatRDsDo!
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🎃Prolonged NPO
When the gut isn’t stimulated, GI tract villi atrophy, creating a “water slide” for feeds. If a patient has been NPO for prolonged periods, you have to give it time for the villi to wake back up and start absorbing again.
#ICUNutrition #WhatRDsDo
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🎃Overfeeding
Especially in the critically ill, diarrhea could be a sign that the patient is unable to absorb or utilize nutrients particularly in the acute phase of illness. Trophic feeds are often recommended, but also consult your #dietitian for a caloric estimate.
#ICUNutrition #WhatRDsDo
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🎃Anatomical Changes
Sometimes we forget to ask about past surgeries when patients are admitted for something seemingly unrelated. Short gut, precious Bariatric or other stomach surgery, appendectomies, can all change the way we digest and absorb nutrients.
#ICUNutrition #WhatRDsDo
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🎃CDiff
Don’t forget to check the white count! And follow your hospital policies & protocols for sending CDiff samples.
#ICUNutrition #WhatRDsDo
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🎃Stress
Anyone else with a nervous gut? The stress of being sick and in the hospital can cause a lot of GI stress.
#ICUNutrition #WhatRDsDo
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🎃Other Medications
Antibiotics, immunosuppressants, chemotherapy, lactulose, routine bowel regimens…just a few other meds to look out for before changing the tube feeds.
#ICUNutrition #WhatRDsDo
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🎃Sorbitol
Patient on tube feeds usually means they aren’t swallowing pills, either. Many liquid medications contain sorbitol, a non-nutritive sweetener that, if not diluted properly, causes osmotic shifts and watery, loose stool.
#ICUNutrition #WhatRDsDo
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It’s still pumpkin season to me! Just a friendly reminder that tube feeding isn’t always the cause of diarrhea, loose stools.
Here are a few things that DO cause loose stool:
#ICUNutrition #WhatRDsDo
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