EN and TPN and slow rate?

Can nurses slow the EN and TPN ordered rate w/o consulting physicians first for any reason (i.e. patient feels pain, constipated, etc)?

thanks.
Enteral feeds? I really have no experience with this.TPN? No. Slowing that can really effect someone's fluid status, blood glucose, and electrolytes. TPN has no effect on GI complaints.

It is not within the scope of nursing practice to arbitrarily make changes in the rate of infusion of TPN or EN.

No. You may have a protocol already written for some situations. Without a protocol you must ask the doc.

Not without an MD order. However, if there are high residuals/vomiting or infiltration, you should stop the infusion. Enteral feeding should be started slowly and increased by 10ml q 8h if tolerated, so if you do have to stop it, resuming at a lower rate is acceptable until you reach the goal.

We are always given the max residual rates that a pt. should have and then we are able to stop it at that point till the next residual rate.