Parenteral Nutrition Safety Series and Certificate of Training Program (Renewal)

Abstract

Parenteral nutrition (PN) serves as an important therapeutic modality that is used in adults, children, and infants for a variety of indications.  The appropriate use of this complex therapy aims to maximize clinical benefit while minimizing the potential risks for adverse events.  Complications can occur as a result of the therapy and as the result of the PN process. These consensus recommendations are based on practices that are generally accepted to minimize errors with PN therapy, categorized in the areas of PN prescribing, order review and verification, compounding, and administration. These recommendations should be used in conjunction with other ASPEN publications, and researchers should consider studying the questions brought forth in this document.

Phil Ayers, Stephen Adams, Joseph Boullata, Jane Gervasio, Beverly Holcombe, Michael D. Kraft, Neil Marshall, Antoinette Neal, Gordon Sacks, David S. Seres and Patricia Worthington. ASPEN Parenteral Nutrition Safety Consensus Recommendations.  JPEN J Parenter Enteral Nutr published online 26 November 2013


ASPEN has developed a training series to educate members of the healthcare team who work with PN to optimize your knowledge base of safe PN practices.


This training series consists of four interwoven parts. As a participant in the training series you have the option to complete one or all parts, however to receive the Certificate of Training in Parenteral Nutrition Safety, you must complete all four parts and claim continuing education credit. Additionally, because of the complexities associated with PN safety, ASPEN recommends completion of the entire series for members of the healthcare team involved in providing PN to patients in all settings. The four parts are as follows. 

Prescribing and Communicating the Parenteral Nutrition Order 

A Systematic Approach to Parenteral Nutrition Order Review and Verification

Compounding Parenteral Nutrition Admixtures

Strategies to Optimize Safety during Parenteral Nutrition Administration

 

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Special offer available for pharmacy program residents. Please contact Valerie Bloom for more details.


Session Details

Prescribing and Communicating the Parenteral Nutrition Order

Learning Objectives 
  1. List key recommendations for safe PN prescribing from the ASPEN Parenteral Nutrition Safety Recommendations.
  2. Describe rationale supporting recommendations for safe PN prescribing.
  3. Identify future research questions and topics related to PN prescribing.

Faculty 

Michael D. Kraft, PharmD, BCNSP, Clinical Associate Professor, Department of Clinical, Social and Administrative Sciences, University of Michigan College of Pharmacy; Clinical Coordinator and Clinical Specialist, Surgery/Nutrition Support, University of Michigan Medical Center, Ann Arbor, MI 

David Seres, MD, PNS, ScM, Director of Medical Nutrition, Columbia University Medical Center, New York, NY

Moderator

Phil Ayers, PharmD, BCNSP, FASHP, Chief of Clinical Pharmacy Services, Department of Pharmacy, Baptist Health Systems; Clinical Associate Professor, School of Pharmacy, University of Mississippi, Jackson, MS

UAN: 0216-0000-17-088-H05-P
Level: Intermediate
1.5 CE credits


A Systematic Approach to Parenteral Nutrition Order Review and Verification 

Learning Objectives

  1. Describe the essential components or attributes for safely transmitting PN orders to pharmacist for review and verification 
  2. Recognize improvements in the PN review and verification process, which may be implemented to enhance the safety of PN therapy 
  3. List steps healthcare organizations can take to improve the PN label and labeling system 
  4. Identify processes healthcare organizations can implement to improve the safety of PN therapy during drug shortages of PN components  

Faculty 

Jane Gervasio, PharmD, BCNSP, Associate Professor and Chair, Department of Pharmacy Practice, Butler University, Indianapolis, IN

Beverly Holcombe, PharmD, BCNSP, FASHP, Clinical Practice Specialist, ASPEN, Silver Spring, MD

Moderator

Phil Ayers, PharmD, BCNSP, FASHP, Chief of Clinical Pharmacy Services, Department of Pharmacy, Baptist Health Systems; Clinical Associate Professor, School of Pharmacy, University of Mississippi, Jackson, MS

UAN:  0216-0000-17-090-H05-P 
Level: Intermediate
1.5 CE credits 


Compounding Parenteral Nutrition Admixtures 

Learning Objectives 

  1. Describe safety issues in the PN use process affecting preparation of PN. 
  2. Discuss the role of knowledge deficits and lack of a standardized professional curriculum on PN compounding errors.  
  3. Identify broad strategic approaches to improve PN safety at the compounding step.  

Faculty 

Joseph Boullata, PharmD, RPh, BCNSP, Professor of Pharmacology & Therapeutics,  University of Pennsylvania, School of Nursing  and Pharmacy Specialist, Nutrition Support, Hospital of the University of Pennsylvania, Philadelphia, PA

Gordon Sacks, PharmD, BCNSP, FCCP, Professor and Head, Department of Pharmacy Practice, Auburn University, Auburn, AL

Moderator 

Phil Ayers, PharmD, BCNSP, FASHP, Chief of Clinical Pharmacy Services, Department of Pharmacy, Baptist Health Systems; Clinical Associate Professor, School of Pharmacy, University of Mississippi, Jackson, MS

UAN:  0216-0000-17-091-H05-P 
Level: Intermediate
1.5 CE credits 


Strategies to Optimize Safety during Parenteral Nutrition Administration

Learning Objectives: 

  1. Identify common types of PN administration errors.
  2. Describe system-based strategies to enhance the safety of PN administration.
  3. List factors that promote or inhibit the use of the PN Safety Consensus Recommendations in the administration phase of PN.
  4. Propose action items to promote use of the PN Safety Consensus Recommendations for PN administration.  

Faculty 

Patricia A. Worthington, MSN, RN, CNSC, Nutrition Support Clinical Specialist, Thomas Jefferson University Hospital, Philadelphia, PA

Moderator

Phil Ayers, PharmD, BCNSP, FASHP, Chief of Clinical Pharmacy Services, Department of Pharmacy, Baptist Health Systems; Clinical Associate Professor, School of Pharmacy, University of Mississippi, Jackson, MS

UAN:  0216-0000-17-092-H05-P 
Level: Intermediate
1.0 CE credit


Accreditation and Continuing Education Information

Goals and Target Audience

The PN safety training series is designed for nurses, pharmacists, physicians and other healthcare professionals who are involved in the provision of PN to patients in all settings from the hospital to home.  The training series is designed to educate healthcare professionals on safe PN practices to then empower those individuals to modify processes within their organizations. 

Successful Completion

Each enduring program in the four part series is accredited separately. To obtain credit for each enduring program, participants must listen to the recording in full, pass the posttest with a score of 100% and complete an evaluation via the electronic CE system in ASPEN’s eLearning Center, which is accessible from any internet connection at www.nutritioncare.org/elearning. Participants may log in using the email address and password on file with ASPEN.

Please note, to receive the Certificate of Training in Parenteral Nutrition Safety, participants must successfully complete all four enduring programs and claim CE credits for each. All CE credit must be claimed by the program expiration date of April 30, 2019.

Accreditation Statements 

Joint Accreditation B&WPhysicians, Nurses, Pharmacists

ASPEN is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME), to provide continuing education for the healthcare team.

ASPEN designates this [each] enduring activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should only claim the credit commensurate with the extent of their participation in the activity.

UANs: Prescribing and Communicating the Parenteral Nutrition Order:  0216-0000-17-088-H05-P.  A Systematic Approach to Parenteral Nutrition Order Review and Verification:  0216-0000-17-090-H05-P.  Compounding Parenteral Nutrition Admixtures: 0216-0000-17-091-H05-P.  Strategies to Optimize Safety during Parenteral Nutrition Administration: 0216-0000-17-092-H05-P

Each activity is available for a maximum of 1.5 contact hours (0.1 – 0.15 CEU) per activity. Knowledge activities.

ASPEN is approved as a provider of continuing nursing education by the California Board of Nursing, provider number CEP3970.

Dietitians 

CDR

 

CE credit is no longer available for dietitians for this renewal program. CE credit for dietitians expired April 30, 2017 for the original program. 


Policies  

Any grievances should be addressed in writing to Director of Education and Research • ASPEN 8630 Fenton Street • Suite 412 • Silver Spring, MD 20910. 

Commercialism: ASPEN subscribes to the ACCME Standards for Commercial Support. ASPEN does not provide programs that constitute advertisement or include promotional content. ASPEN does not endorse any products. 

Privacy and Confidentiality: ASPEN respects the privacy of its members and website visitors. Companies that receive personal information from ASPEN in order to execute the business of ASPEN may use personal information only for that purpose.

Refund Policy: Refunds are not available for enduring program purchases.


Requirements for Participation 

Adobe Flash Plugin 

Internet Explorer 7+, Mozilla Firefox, Google Chrome, Safari

Computer with speakers/headset

Broadband Internet connection

* Also compatible with iOS and Android based tablets and smartphones.  

For technical difficulties please contact Digitell Inc. Customer Support at: 1-800-679-3646

Office hours are between 9AM to 5PM ET, Monday through Friday 


Faculty Disclosures 

Nothing to disclose:  Patricia Worthington, Jane Gervasio, Michael Kraft, David Seres, Beverly Holcombe 

Joseph Boullata:  speaker for BBraun and Fresenius Kabi, received honoraria.  Will ensure presentation is free of any commercial influence.

Gordon Sacks:  Baxter Healthcare, Consulting & Grant Support/ Abbott Nutrition, Grant Support/ Fresenius Kabi, Consultant.  Will ensure presentation is free of any commercial influence.  


Commercial Support and Sponsorship

Funding has been obtained for this program in the form of an unrestricted grant from Fresenius Kabi USA, LLC.


Pricing Information

Member Type  Price Per Enduring Program with CE Credit*   Package of All 4 Enduring Program with CE Credit*
Member $25  $85 
Non-Member  $45  $165 

*Individuals who participate in all 4 webinars in the series and successfully claim CE credit will receive a Certificate of Training in Parenteral Nutrition Safety from ASPEN.  

Special offer available for pharmacy program residents. Please contact Valerie Bloom for more details.