Can PN be infused with any other medications?
What is the appropriate amount of time needed to scrub the needles connector for?
5-15 seconds vigorously
Do you need to stop/pause PN to give another infusion if there is a 2 lumen PICC/CVL?
No, double lumens mean its safe to infuse two infusions at the same time without the worry if interactions.
What is another name TPN, PPN and Lipids referred to as?
What is Parenteral Nutrition
What 3 things do you need to verify with two nurses before administering PN?
Original provider order in the eMAR against the bag
Rate to be input on pump
Designated initiation time and end time for each infusion
What is Aseptic Non-touch Technique applied to Parenteral Nutrition set up?
Framework that supports infection prevention
What type of medication is PN classified by ISMP?
High risk medication
What is TPN/PPN, and Lipids?
Type of intravenous administration of nutrition outside of the gastrointestinal tract to meet Nutrional needs and fluid goals
What type of tubing add on should be used when administering PN?
TPN 0.2 micron filter (clear/white) and Lipids is 1.2 filter (blue)
Is changing the needles connectors on a CVL/PICC a sterile or clean procedure?
Clean; use aseptic non touch technique
What can happen to a patient if PN abruptly discontinue?
Risk for hypoglycemia
Name two indications for Parenteral Nutrition
What is a most common complications of Parenteral Nutrition?
CLABSIs
What time is PN usually set up for patients at ANMC?
Typically, 5 pm as early as 4. Variables can be present depending on the patient specifics
What is 3 things are typically changed out when doing a changeover for PN?
Needless connector or microclave, Bags, IV Lines
What is one of the most important aspects to check before administration of PN
Access; flush CVL or PIV to make sure its patent
Parenteral Nutrition should be stored and administered under this condition to prevent degradation due to its multivitamin content
Protected from light; keep the brown bag it comes with
How long can a patient go without food before PN is initiated?
7 days
Why does TPN/PPN/Lipids need to be changed out daily?
What do you anticipate to do if the PN is disconnected by accident on the patient?
Notify the provider and get an order for an IV fluid; usually a D10 type mixture. Some D5 infusions can be used
Follow up Glucose level
What is the difference between TPN and PPN
What are the names of two organizations responsible for the best practices in the administration/infusion of Parenteral Nutrition?
Infusion Nurses Society (INS) and the American Society for Parenteral and Enteral Nutrition (ASPEN)