{
  "abstract": "Background and Importance Enteral nutrition (EN) is a therapeutic alternative when oral intake is impossible or insufficient, provided the digestive tract is functional. While offering numerous benefits, EN also carries risks, requiring rigorous training and supervision to ensure safety and efficacy.Aim and Objectives To assess the compliance of professional practices related to EN in our institution, in accordance with the institutional procedure based on official guidelines.Material and Methods The study was conducted over two months (27 June to 31 August 2025). An audit was performed in each ward with patients receiving EN, in collaboration with the dietetic team. Data were collected and analysed using a spreadsheet. Evaluated criteria included indication appropriateness, route of administration, prescription, monitoring, hygiene, safety, traceability, knowledge of complications, and drug administration. A practice was considered non-compliant if any criterion was not met.Results The audit covered nursing practices in 12 wards and 34 patient records. Only 18% (n=6) of cases fully complied with recommendations. Major non-compliances included absence of prescription in 73% (n=25), tubing changes more than once per 24 hours in 82%, use of inappropriate tube sizes (CH14–CH18) in 89%, and the use of adapters/connectors for tubes without EnFit connections. Conversely, some aspects were well managed, including route selection, indication relevance (ear, nose and throat cancer or intubation), and regular reassessment of nutritional needs by the dietetic team. Traceability was a critical issue, particularly regarding start and end times, flow rate, and documentation of water and drug administration. Overall monitoring was satisfactory, including patient weight, absence of infection signs, tube patency, and fixation, though knowledge of refeeding syndrome was limited (12%). Drug administration was non-compliant in 97% of cases due to systematic mixing of all medications prior to administration.Conclusion and Relevance This audit reveals overall insufficient compliance with recommended EN practices, despite good adherence to certain items. It highlights the need for enhanced training and harmonised practices. The persistent use of inappropriate tube sizes and non-EnFit connections underscores the need for better coordination with the hospital pharmacy. Results will be presented to the committee, and a review of EN tubes listed in the hospital pharmacy will be conducted to optimise patient care and safety.Conflict of Interest No conflict of interest",
  "authors": [
    {
      "affiliations": [
        "Centre Hospitalier Victor Dupouy, Pharmacy Departement, Argenteuil, France"
      ],
      "name": "E Choulet"
    },
    {
      "affiliations": [
        "Centre Hospitalier Victor Dupouy, Pharmacy Departement, Argenteuil, France"
      ],
      "name": "AM Belliard"
    },
    {
      "affiliations": [
        "Centre Hospitalier Victor Dupouy, Pharmacy Departement, Argenteuil, France"
      ],
      "name": "N Belkaid"
    },
    {
      "affiliations": [
        "Centre Hospitalier Victor Dupouy, Pharmacy Departement, Argenteuil, France"
      ],
      "name": "E Cauchetier"
    },
    {
      "affiliations": [
        "Centre Hospitalier Victor Dupouy, Pharmacy Departement, Argenteuil, France"
      ],
      "name": "JL Pons"
    }
  ],
  "title": "5PSQ-127 Evaluation of professional practices in enteral nutrition: between guidelines and reality",
  "uid": "c1a1624f-efd5-5521-9db5-19924bfd9f59"
}