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not intubated, uncuffed tracheostomy): When receiving per os (PO) feeds MD orders clear liquid diet after midnight Bedside RN stops clear liquid diet 3 hours before the posted surgical time MD resumes previous diet after procedures When receiving gastric enteral feeds MD orders NPO after midnight Resume enteral nutrition at previous rate after procedures When receiving post-pyloric enteral feeds Post-pyloric enteral feeds will be discontinued once the patient is called for the operating room There will be no automatic NPO status after midnight regardless of airway status When NPO due to non-functional GI tract or other appropriate reasons Continue NPO order Pre-operative NPO Protocol Flowsheet References Crenshaw JT, Winslow EH

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