Blenderized tube feeding (BTF) has re-emerged. ASPEN’s 2023 practice recommendations and ESPEN’s home enteral nutrition guidance help teams decide when, how, and with what safeguards to use BTF. Encode those recommendations—plus your center’s policies—into templated workflows with documentation and follow-up (Epp et al., 2023; ASPEN, 2024; ESPEN, 2022). Aspen JournalsASPENESPEN

Selecting BTF vs. commercial formula

Consider indication, caregiver capacity, microbiological safety, viscosity, tube caliber, cost, and monitoring burden (Epp et al., 2023). Senpe

Safety and process control

Adopt standardized EN safety protocols (labeling, hang-time, flushes, med timing) and document deviations/overrides (Boullata et al., 2017; AHRQ/PSNet). PubMedPSNet

Workflow you can codify

Intake → formula/BTF decision → recipe/nutrient accounting → validation (osmolarity, fiber, allergen) → education → follow-up; record all variables and outcomes (ASPEN tool, 2024). ASPEN