Oral Enteral Nutrition Exception to Rule Request




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Oral Enteral Nutrition Exception to Rule Request 99944_7Enteral_Nutrition.pdf

ƌĂůŶƚĞƌĂůƵƚƌŝƚŝŽŶdžĐĞƉƚŝŽŶƚŽƵůĞĞƋƵĞƐƚ

Ădž͗ϭͲϴϲϲͲϲϲϴͲϭϮϭϰŽƌŵĂŝůƚŽ͗ĞĚŝĐĂůĞƋƵĞƐƚŽŽƌĚŝŶĂƚŽƌͲƉƉůĞĞĂůƚŚ͕

ĂƐŚŝŶŐƚŽŶƚĂƚĞĞĂůƚŚĂƌĞƵƚŚŽƌŝƚLJ͕Ždžϰϱϱϯϱ͖ůLJŵƉŝĂ͕ϵϴϱϬϰͲϱϱϯϱ͘

ƚLJƉĞĚĂŶĚĐŽŵƉůĞƚĞĚϭϯͲϴϯϱĞŶĞƌĂůƵƚŚŽƌŝnjĂƚŝŽŶĨŽƌŶĨŽƌŵĂƚŝŽŶĨŽƌŵŵƵƐƚďĞĂƚƚĂĐŚĞĚƚŽLJŽƵƌƌĞƋƵĞƐƚ

ŝŶŽƌĚĞƌƚŽďĞƉƌŽĐĞƐƐĞĚďLJƚŚĞĞĂůƚŚĂƌĞƵƚŚŽƌŝƚLJ͘

ƌĂůĞŶƚĞƌĂůŶƵƚƌŝƚŝŽŶŝƐŶŽƚĂĐŽǀĞƌĞĚďĞŶĞĨŝƚĨŽƌĂĚƵůƚƐϮϭĂŶĚŽůĚĞƌ͘ŶŽƌĚĞƌƚŽƌĞƋƵĞƐƚĂŶĞdžĐĞƉƚŝŽŶƚŽƌƵůĞ;ϭϴϮͲϱϬϭͲϬϭϲϬͿ͕ĐŽŵƉůĞƚĞƚŚĞĨŽůůŽǁŝŶŐŝŶŝƚƐĞŶƚŝƌĞƚLJ͘ůĞĂƐĞĨŝůůŽƵƚƚŚŝƐĨŽƌŵŽŶůLJŝĨƚŚĞĐůŝĞŶƚ͛ƐŶƵƚƌŝƚŝŽŶĂůƌĞƋƵŝƌĞŵĞŶƚƐĐĂŶŶŽƚďĞŵĞƚďLJ

ĨŽŽĚͬƉƌŽĚƵĐƚƐĂǀĂŝůĂďůĞŝŶƚŚĞƐƚŽƌĞ͕ŝŶĐůƵĚŝŶŐŚŽŵĞŵĂĚĞůŝƋƵŝĚŶƵƚƌŝƚŝŽŶĂůƐƵƉƉůĞŵĞŶƚƐ͘

ƚŚĞ

ĂdžƚŚŝƐĐŽŵƉůĞƚĞĚĨŽƌŵƐƵƉƉŽƌƚŝŶŐĐůŝŶŝĐĂůŶŽƚĞƐĂŶĚƌĞůĞǀĂŶƚůĂďƌĞƐƵůƚƐƚŽĞĚŝĐĂůŶƚĞƌĂůƵƚŚŽƌŝnjĂƚŝŽŶŶŝƚ͘

ŽďĞĐŽŵƉůĞƚĞĚďLJĞŶĚŽƌŽƌůŝŶŝĐŝĂŶ

ůŝĞŶƚŶĂŵĞ

ůŝĞŶƚ

ůŝĞŶƚƌĞƐŝĚĞŶĐĞ

ƌŝǀĂƚĞŚŽŵĞĚƵůƚĨĂŵŝůLJŚŽŵĞŽƌďŽĂƌĚŝŶŐŚŽŵĞ;Ğ͘Ő͕͘ͿƚŚĞƌƐƚĂƚĞͲĨƵŶĚĞĚůŝǀŝŶŐ

ƚŚĞƌ͕ƉůĞĂƐĞƐƉĞĐŝĨLJ͗

ĞŶĚŽƌŶĂŵĞ

ƌŽǀŝĚĞƌ

ĞŶĚŽƌƚĞůĞƉŚŽŶĞŶƵŵďĞƌ

ĂdžŶƵŵďĞƌ

ƵƚƌŝƚŝŽŶƉƌŽĚƵĐƚƌĞƋƵĞƐƚĞĚ ƵĂŶƚŝƚLJŝŶƵŶŝƚƐ

ƉĞƌĚĂLJ

ĞŶŐƚŚŽĨŶĞĞĚ

ĐŽĚĞ

ƌŽǀŝĚĞĂůůĂƉƉůŝĐĂďůĞĚŝĂŐŶŽƐĞƐ;ϵĐŽĚĞƐĂŶĚĚĞƐĐƌŝƉƚŝŽŶͿ

ĞĚŝĐĂůĚŝĂŐŶŽƐŝƐ ƵƚƌŝƚŝŽŶĂůĚŝĂŐŶŽƐŝƐ

ŽďĞĐŽŵƉůĞƚĞĚďLJƉƌĞƐĐƌŝďŝŶŐƉƌŽǀŝĚĞƌ

džƉůĂŝŶǁŚLJƚŚŝƐĐůŝĞŶƚŝƐƐŽĐůŝŶŝĐĂůůLJͬŵĞĚŝĐĂůůLJƵŶŝƋƵĞĨƌŽŵŽƚŚĞƌƐǁŝƚŚĂƐŝŵŝůĂƌĐŽŶĚŝƚŝŽŶ;ĚŝĂŐŶŽƐŝƐͿƚŚĂƚƚŚĞĚĞƉĂƌƚŵĞŶƚƐŚŽƵůĚŐƌĂŶƚĂŶĞdžĐĞƉƚŝŽŶƚŽƌƵůĞ͘

ĞĚŝĐĂůũƵƐƚŝĨŝĐĂƚŝŽŶ͗ŽĞƐƚŚŝƐĐůŝĞŶƚŚĂǀĞĂĐŽŶĚŝƚŝŽŶƚŚĂƚĂĨĨĞĐƚƐŚŝƐͬŚĞƌĂďŝůŝƚLJƚŽďƌĞĂŬĚŽǁŶ͕ĚŝŐĞƐƚ͕ŽƌĂďƐŽƌďŶƵƚƌŝĞŶƚƐ͍ĞƐŽ

Ĩ͞ĞƐ͕͟ǁŚĂƚŝƐƚŚĞĐŽŶĚŝƚŝŽŶ͍

ŚĂƚŽƚŚĞƌĂůƚĞƌŶĂƚŝǀĞƐͬůĞƐƐĐŽƐƚůLJŶƵƚƌŝƚŝŽŶƐŽƵƌĐĞƐŚĂǀĞďĞĞŶƚƌŝĞĚ͍;ĚŽĞƐŶŽƚƉĂLJĨŽƌƉƌŽĚƵĐƚƐĂǀĂŝůĂďůĞĂƚĂƐƚŽƌĞŽƌƚŚŽƐĞƚŚĂƚĐŽƵůĚďĞƉƌĞƉĂƌĞĚŝŶƚŚĞƌĞƐŝĚĞŶĐĞďLJƚŚĞĐůŝĞŶƚŽƌŽƚŚĞƌƐ͘Ϳ

ŚĂƚǁĂƐƚŚĞŽƵƚĐŽŵĞ͍

ĞŝŐŚƚ

ĂƚĞƐĂŶĚǁĞŝŐŚƚƐ;ŽƌƉŚLJƐŝĐĂůĞdžĂŵĨŝŶĚŝŶŐƐƚŚĂƚƐƵƉƉŽƌƚƐŝŐŶŝĨŝĐĂŶƚǁĞŝŐŚƚůŽƐƐŝĨƵŶĂďůĞƚŽǁĞŝŐŚͿ

ĂďƌĞƐƵůƚƐƚŽƐƵƉƉŽƌƚĚŝĂŐŶŽƐŝƐ;͘͘ůďƵŵŝŶ͕ƌĞͲĂůďƵŵŝŶƚŽŝŶĚŝĐĂƚĞŵĂůŶƵƚƌŝƚŝŽŶͿʹƌĞƐĐƌŝďŝŶŐƉƌŽǀŝĚĞƌŶĂŵĞ

ĞůĞƉŚŽŶĞŶƵŵďĞƌ

ƌŽǀŝĚĞƌ


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