Persistent shortages of parenteral nutrition (PN) components have led to a tendency of practitioners providing less than adequate dosing, which can lead to nutrient deficiencies and impair growth and healing. Clinicians who have entered practice within the last 10 years may have never cared for patients receiving PN therapy without a shortage of PN components. This document, provided by ASPEN for prescribers, lists the requirements and recommendations for dosing of nutrients for a complete PN prescription. Please share with your colleagues.
Preferred citation format: ASPEN. Appropriate Dosing for Parenteral Nutrition: ASPEN Recommendations. January 2019. http://www.nutritioncare.org/PNDosing
ASPEN published a document in 2017 on indications and appropriateness of PN, entitled “ When Is Parenteral Nutrition Appropriate?” This document is designed to inform decisions made by clinicians and additional stakeholders, such as policy makers and third‐party payers, by providing current perspectives regarding the use of PN in a variety of healthcare settings.
Designed for clinicians who provide nutrition support, the four-part video series addresses a knowledge gap between best practice recommendations and current practices in parenteral nutrition (PN). This program was supported by an educational grant from Fresenius Kabi.
Multi-Chamber Bag Parenteral Nutrition (MCB-PN) Video Series
Designed to educate clinicians on the appropriate use of multi-chamber bag parenteral nutrition, the four-part video series addresses all appropriate PN options for their patients. This program was supported by an educational grant from Fresenius Kabi.
Nutrition Support Certificate Program
ASHP in collaboration with ASPEN now offers a Nutritional Support Certificate for pharmacists, physicians, and nurses. This self-guided online course consists of 11 modules that review best practices for ordering, access, preparation, and administration of nutritional support. The course provides an overview of the potential complications that could result from enteral or parenteral nutrition. The course also covers malnutrition, nutritional requirements for adults receiving nutrition supports, and monitoring and error reporting.
Parenteral Nutrition Clinical Guidelines and Recommendations
These clinical guidelines and consensus recommendations are based on literature and practices that are to guide clinicians to minimize errors with PN therapy, in the areas of PN prescribing, order review and verification, compounding, labeling, dispensing, and administration.
Parenteral Nutrition Competencies Papers
2018 Standardized Competencies for Parenteral Nutrition Administration: The ASPEN Model
2016 Standardized Competencies for Parenteral Nutrition Order Review and Parenteral Nutrition Preparation, Including Compounding: The ASPEN Model
2015 Standardized Competencies for Parenteral Nutrition Prescribing: The American Society for Parenteral and Enteral Nutrition Model
Product Shortage List
ASPEN is continually addressing the ongoing shortage of PN components by working with and maintaining communications with the FDA, pharmaceutical manufacturers, other professional healthcare organizations and clinicians to stay up to date on the status of shortages, collaborate to resolve shortages and to provide resources for managing shortages .
Product Shortage Recommendations
These product shortage recommendations, developed by the Clinical Practice Committee Shortage Subcommittee and approved by the Board of Directors, help clinicians manage parenteral nutrition therapy during this time of product shortages.
ASPEN is partnering with Baxter International Inc. on “ SmartPN” a comprehensive collaboration providing healthcare professionals with educational tools on the appropriate use of parenteral nutrition (PN) therapy.
A Call to Action for Optimizing the Electronic Health Record in the Parenteral Nutrition Workflow Vincent W. Vanek, et al.Nutr Clin Pract, October 2018; vol. 33, 5: pp. e1-e21
Demonstrate proficiency with prescribing and writing PN orders using A.S.P.E.N.’s Parenteral Nutrition Workbook: Cases and Worksheets for Adult, Pediatric, and Neonatal Patients. The workbook is a resource for clinicians at every level of experience.
The A.S.P.E.N. Parenteral Nutrition Handbook, 2nd Edition is a quick, go-to interdisciplinary resource on parenteral nutrition. There’s something for everyone involved in caring for patients receiving PN therapy.