1. The PEP uP Trial Has Begun.
Protocol:
Enhanced Protein-Energy Provision via the Enteral Route in Critically Ill Patients
More calories and protein for ICU patients for better clinical outcomes…
Start feeds at goal rate in stable patients
Use a concentrated well-tolerated formula 
Order feeds by 24 hr volume, not by hourly rate
RN sets the feed rate, and catches-up missed volume
Start motility agents immediately, not waiting for high gastric residuals
Start supplement immediately
Trickle feeds in unstable patients
Increase threshold for gastric residuals to 300mL
RN reports adequacy of nutrition intake on daily rounds
Lytes and Ca, Mg, Phos q12h x 72 hours
The PEP uP Trial Has Begun.
Get PEPPED UP!
For more information, contact __________________________________

2. Protocol: _________ _________ _________ The PEP uP Trial Has Begun.
Enhanced Protein-Energy Provision via the Enteral Route in Critically Ill Patients
We are implementing a new feeding protocol in our ICU!
Your Protocol Implementation Team (“PIT Crew”) will help teach you how to use this new protocol.
PIT Crew Contact Info:
_________ _________ _________
The PEP uP Trial Has Begun.
Get PEPPED UP!

3. Have You Attended an Education Session Yet?
Protocol:
Enhanced Protein-Energy Provision via the Enteral Route in Critically Ill Patients
Have You Attended an Education Session Yet?
The next session is: _________________
We hope to see you there!
The PEP uP Trial Has Begun.
Get PEPPED UP!
For more information, contact __________________________________