Get Fit with ENFit®
Author: Sarah Bledsoe, PharmD, CPHIMS
Assistant Director of Pharmacy,
Children’s Mercy Kansas City
Make it your New Year’s resolution to pump up your pharmacy muscles by learning about the new enteral connections standards, ENFit®. A new novel enteral tubing system called ENFit® was designed to make enteral tubing and supplies incompatible with other traditional luer lock systems. The Joint Commission previously reported over 100 errors and 21 deaths have been attributed to the administration of enteral nutrition through intravenous lines.1 To prevent these errors from occurring, the Global Enteral Device Supplier Association (GEDSA), a nonprofit trade association, was formed to establish a voice for addressing issues that face manufacturers, suppliers and distributors and to facilitate communication to healthcare facilities across the globe on enteral tubing changes through the Stay Connected 2014 initiative.2
The initiative will result in practice changes for healthcare organizations and providers that care for patients with enteral tubing. Examples of enteral tubing include nasogastic (NG), nasojejunal (NJ) and g-tube sites. While many patients use enteral systems for nutrition, some may also use it to administer medication. With the ENFit system design, patients will need their medications prepared in special ENFit compatible syringes in order to administer medications. It will be especially important that health-systems pharmacists engage their organization in planning for, educating and supporting these patients. GEDSA has shared that based on feedback from manufacturers, they estimate 28% of hospitals in the United States have already made the transition to ENFit® products. 3 To help you get started on your ENFit® journey, we have recommended some essential steps every healthcare organization should take to prepare for ENFit®.
Step 1 – Identify your needs and key stakeholders
Step 2 – Plan for your practice change
Step 3 – Get ready to go ENFit
To learn more about GEDSA, ENFit® and the Stay Connected initiative, please visit www.stayconnected.org
1. Sentinel Event Alert. Issue 53. The Joint Commission. 8/20/2014 http://www.jointcommission.org/assets/1/6/SEA_53_Connectors_8_19_14_final.pdf
2. GEDSA Stay Connected 2014. http://stayconnected.org/about/. 9/30/2015
3. GEDSA. September 2017.
4. ISMP.http://www.ismp.org/newsletters/acutecare/issues/20170921.pdf. Vol 22. Issue 19. September 2017.