Below is helpful information about the ENFit Sate Enteral Connections Transition from the blog Feeding Raya: The Story of a Girl and Her Feeding Tube. To read the full blog post with pictures please visit the Feeding Raya blog!
“In case you have not heard yet, change is coming to enteral feeding (aka tube feeding). It is a HUGE deal, and although I am no expert on the subject, we (Feeding Tube Awareness Foundation) have been in close communication with the Global Enteral Device Supplier Association (GEDSA), which is the organization responsible for facilitating the changes. We are doing our best to educate ourselves and stay apprised of what is coming in 2015-2016 and share that information with others. I do not claim to know everything, but I do want to share some of what I have learned in hopes of helping other people to not panic. Because let’s face it, other people making changes to the way we feed our tube fed children = cause for panic. But don’t panic, everything will be okay!
First, let’s go over why the changes are being made. One only need glance through this article about horrifying real-life examples of medical devices being connected to the wrong tubing in order to understand why change to medical connections is a good thing. The examples given in that article are incredibly disturbing. While it is hard to believe that medical professionals with any level of competency could make some of those mistakes, others are not so difficult to believe and illustrate the need for incompatibility between devices that are not meant to be connected to each other, such as IV tubing and feeding pumps, or trachs and feeding pumps. (and the one about the NG tube being connected to the Foley catheter is just gross.) Bottom line: enteral devices need to be compatible ONLY with enteral devices to avoid harmful and potentially fatal misconnections.
Beginning in Q1 2015, a transition to the new ENFit connections will begin to roll out in phases. It will be a slow process, which will help keep things running smoothly. There have already been many changes made to the timeline, which I feel is an indicator that the process is being done carefully so that the transition will be a smooth one.
(*Note: I am using the terminology used by GEDSA at www.stayconnected2014.org)
HOW DO WE PREPARE:
These are the recommendations from GEDSA:
1. Learn about the products that are changing
2. Understand the transition to the new connectors
3. Have the right products on hand
-Use up existing products and do not buy more than you need
-Transition as soon as possible
-Use the products only as directed
(Source: Transition Checklist for Patients and Caregivers)
The current timeline for the transition is this:
Q1 2015: ENFit administration sets with adapter available
Q2 2015: ENFit syringes available
Q3 2015: ENFit feeding tubes available
Q1 2016: Transition to ENFit connectors will be complete
This timeline could change, but this is what we should be expecting to see. Now is the time to start talking to your supplier about the changes, take inventory of the supplies you have on hand, and think about letting some of them go if you have a large stockpile.
Yes, there will be changes. Yes, there will be some adjustment required of all of us, and yes, there will probably be some aches and pains associated as we all adapt to our new supplies. However, the transition process has been planned carefully and we all need to try to embrace these changes and be optimistic! DON’T PANIC! Remember that the final objective is to make all of these products safer by eliminating the possibility of accidental misconnections that could seriously injure or kill our loved ones who depend on medical devices.”