What is the Best of the Best Award?
- Finalize a minimum of 20 patients in the International Nutrition Survey by the data finalization deadline
- Be willing to send us source documentation for purposes of verification
- Adequacy of provision of energy
- Use of enteral nutrition (EN)
- Early initiation of EN
- Use of promotility drugs and small bowel feeding tubes
- Adequate glycemic control
The top sites received a $1000 reimbursement to an educational session. The top 10 sites received a Best of Best plaque.
For more information on the creation of the award and its scoring system, please read "Creating a Culture of Clinical Excellence in Critical Care Nutrition: The 2008 â€˜Best of the Best' Award" published in JPEN (2010) by Dr. Daren Heyland et al.
Congratulations to the Top 10 best performing sites from the INS 2014!
Continue to read below on what makes the Best of the Best sites successful. More to come soon.
|1st||The Alfred ICU, Australia|
Sunnybrook Health Sciences Centre Ross Tilley Burn Centre, Canada
1st place among burn sites
Milpark Hospital Burns Unit, South Africa
2nd place among burn sites
|4th||St. Vincent's Hospital Melbourne ICU, Australia|
|5th||Redcliffe Hospital ICU, Australia|
The Ohio State University Wexner Medical Center Surgical ICU, USA
3rd place among burn sites
|7th||G. Kuppuswamy Naidu Memorial Hospital MICU, India|
|8th||Royal North Shore Hospital ICU, Australia|
|9th||Groote Shuur Hospital Neuro ICU, South Africa|
|10th||Milpark Hospital Trauma ICU, South Africa|
The Alfred ICU
From left to right: Prof Jamie Cooper, Dr Susannah King, RD, Dr Andrew Udy, Emma Ridley, RD, PhD candidate, Dr Owen Roodenburg, Prof Carlos Scheinkestel, Dr Daren Heyland, Emily Dynon, RD, A/Prof Ibolya Nyulasi, Liz Purcell, RD, Louise Becroft, RD, Ana Monteiro, RD (missing: Kate Moore, RD)
Sunybrook Health Sciences Ross Tilley Burn Centre
From left to right: Dr. Marc Jeschke (Director), Suna Girn (RN), Rosemary Hayhoe (RD), Karen Smith (Patient Care Manager), Dr. Darren Heyland, Gary Ackerman (RT), Katelynn Maniatis (RD), Claudia Cocco (RN), Michelle Cornelio (RN), Wei Zhang (RN)
"Our success in enteral feeding is related to a combined effort amongst the entire interprofessional team. We have implemented a number of protocols and standards that have contributed towards improved nutrition practices. These include the use of a volume-based feeding protocol to make up missed feeds; minimizing perioperative NPO times, NJ tube insertion by nurses at the bedside, and standardized admission order sets that include early initiation of feeds and the prompt implementation of micronutrient delivery. The clinical dietitian is an active member of the team and regularly re-assesses nutrient requirements, and the physicians, nurses and respiratory therapists play a critical role in ensuring nutritional goals are met on a daily basis."
St. Vincent's Hospital Melbourne ICU
G. Kuppuswamy Naidu Memorial Hospital ICU
"Our success is attributed to the strong leadership in the ICU. There is a real sense of team work in the ICU with great collaboration and communication. Our dedicated ICU team has complete awareness and appreciation of the importance of nutrition in patient care. Our clinical team head provides continued medical education to the critical care staff nurses and dietitians. We use a protocol and pre-printed nutrition prescription so that nutrition is initiated and maintained based on the need of the patient. The algorithm includes standing orders for nurses and dietitians and each day it is prescribed and reviewed based on the need of each patient in Critical Care. This is a big boost for our department where the practice was previously to keep all patients fasting overnight and that was changed 2 years ago to a 24/7 fully functional critical care nutrition therapy. We also have a state of the art formula preparation room where formulas are prepared under a laminar flow with full sterile precautions by a trained dietary personal every 4 hours for all patients on Critical Care. We have definitely grown and learnt through this journey over the last years and this award is such an encouragement for our work culture and colleagues. We always thank our administration for their ongoing support and new set ups they provide us on an ongoing basis."