IN TPN Order Forms
The following changes about ordering
and delivering of Adult TPN were made with direction from the Resource
Utilization Committee, Chaired by Dr. Neilson and Dr. O'Neill.
Suggested labs ordered found in WizOrder
under "Adult TPN Monitoring Orders". Which were based on the TPN
form (MC# 3010), are not longer valid.
TPN labs are drawn every Tuesday
(instead of Monday & Thursday).
Accuchecks are performed q6h
during the first 72 hours of TPN and renewed thereafter.
Metabolic cart studies and 24
hour urine studies are restricted for selected patients as determined
by the Nutrition Support Team and primary service.
A transitional TPN order form is being
developed (target date for new form is June 15, 2000). This form
will be used until TPN orders are available in WizOrder.
Elimination of standard formulas-
the new ordering format individualizes TPN components such as dextrose,
protein, and lipid. Total volume is specified.
Insulin is ordered in Units/day--not
in units/liter as previously done.
Filtering of TPN:
All TPN formulas (Adult and Peds)
will require a 1.2 micron filter.
Filter must be changed every
24 hours for TPN formula that include lipids.
Filter must be changed every 72 hours
for TPN without lipids. Initially, filters will be delivered with the
TPN. Initially, filters will be delivered with the TPN.
Please call the Nutrition Support team
(beeper 4183) if you need assistance with ordering TPN. A team member
is on call 24 hours X 7 days a week.