Parenteral Nutrition Resources

Recommendations and Guidelines

• Appropriate Dosing for Parenteral Nutrition: 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. This document provides the requirements and recommendations for dosing of nutrients for a complete PN prescription. 2019
• Indications and Appropriateness of Parenteral Nutrition: This document provides clinicians and other stakeholders, such as policy makers and third‐party payers, current perspectives on the use of PN in a variety of healthcare settings. 2018
• 2014 ASPEN Clinical Guidelines: Parenteral Nutrition Ordering, Order Review, Compounding, Labeling, and Dispensing 2014
• ASPEN Parenteral Nutrition Safety Consensus Recommendations 2014
• ASPEN Consensus Recommendations for Refeeding Syndrome 2020
• Update on the Use of Filters for Parenteral Nutrition: An ASPEN Position Paper 2020

Safety Checklists (Members Only)

Safety checklists are available for ASPEN members only. Click here to log in and access checklists.

• Prescribing and Communicating the Parenteral Nutrition Order
• Parenteral Nutrition Order Review and Verification Process
• Parenteral Nutrition Compounding
• Parenteral Nutrition Administration
• How to Improve PN Safety in Your Institution

Adverse Event and Error Reporting Program 

ASPEN and the Institute for Safe Medication Practices (ISMP) developed this program to educate clinicians about error reporting with nutrition support therapy. Learn more about this program and report nutrition support errors.

Product Shortages

• Product Shortage List: ASPEN is continually addressing the ongoing shortage of PN components by working 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 recommendations, developed by the Clinical Practice Committee Shortage Subcommittee and approved by the Board of Directors, help clinicians manage parenteral nutrition therapy during product shortages.

Product Information

• NEW! Important Facts About Parenteral Selenium (Selenious Acid): With the recent FDA approval of IV selenium, ASPEN has developed a one-page educational sheet on IV selenium for clinicians. Please share with your colleagues.
• Multi-Chamber Parenteral Nutrition Bags: The following companies produce multi-chamber PN products and have developed charts to show the macro- and micro-nutrients in their products to help clinicians in determining what is appropriate for patients.
  Baxter Products    Fresenius-Kabi Products

Educational Resources

VIDEOS 

• NEW! Omega-3 Fatty Acids Key Expert Interview Series (Sponsored by Fresenius Kabi) 2020
  • Part 1: Omega-3 Fatty Acids: Role & Mechanism of Action
  • Part 2: Guideline Recommendations on the Use of Omega-3 Fatty Acids in Surgical Patients
  • Part 3: Omega-3 Fatty Acids in the Chronic Critical Care Patient 
  • Part 4: Cost Effectiveness of Omega-3 Fatty Acids
  • Part 5: Omega-3 Fatty Acids in Long-Term Intestinal Failure Patients

• NEW! The Role of Omega-9 Fatty Acids in Lipid Injectable Emulsions (ILE) (Sponsored by Baxter Healthcare) 2020
• NEW! Malnutrition and Use of Parenteral Nutrition Case Study (Sponsored by Fresenius Kabi USA) 2020
• NEW! Educating the Primary Care Provider: A Case Report for Use of Parenteral Nutrition in a Severely Malnourished Patient (Sponsored by Fresenius Kabi USA) 2020
• NEW! Treating Essential Fatty Acid Deficiency in a Pediatric Patient with Hypertriglyceridemia (Sponsored by Fresenius Kabi USA) 2020

• NEW! Advances in Lipid Emulsions. Emergence of Clinolipid. (Baxter presentation at ASPEN20) 2020
  • Part 1: Biological functions and nomenclature for fatty acids
  • Part 2: Immune effects of fatty acids
  • Part 3: Clinical results and implications of using an olive oil-based lipid emulsion

• Intravenous Lipid Emulsions (ILE) Series: Addresses a knowledge gap between best practice recommendations and current practices in parenteral nutrition. (Sponsored by Fresenius Kabi) 2018
  • Part 1: Overview
  • Part 2: ILE Infusion Practices
  • Part 3: Use of Filters
  • Part 4: Repackaging ILE

• Multi-Chamber Bag Parenteral Nutrition (MCB-PN) Series: Addresses the appropriate use of multi-chamber bag parenteral nutrition. (Sponsored by Fresenius Kabi) 2018  
  • Part 1: Introduction,Indications, and Decision Tool
  • Part 2: Prescribing and Order Review
  • Part 3: Preparing, Labeling,and Dispensing
  • Part 4: Administration and Monitoring
    

• SmartPN Series: Reinforces among clinicians the value of PN and how to use it safely and appropriately. (Sponsored by Baxter) 2018
  • Part 1: PN Appropriateness: The General Approach
  • Part 2: The Role of Supplemental Parenteral Nutrition
  • Part 3: Avoiding Overfeeding and Glucose Control Management
  • Part 4: Venous Catheter Selection, Care, and Complication Prevention

PAPERS

• 2020 ASPEN Lipid Injectable Emulsion Safety Recommendations, Part 1: Background and Adult Considerations
• 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
• A Call to Action for Optimizing the Electronic Health Record in the Parenteral Nutrition Workflow, 2018 

BOOKS

• NEW! The ASPEN Parenteral Nutrition Handbook, Third Edition  is a quick, go-to interdisciplinary resource on parenteral nutrition. It addresses PN order review, compounding, and drug shortage management. It has new chapters on competency, multi-chamber bags, and electronic health records. 
• Demonstrate proficiency with prescribing and writing PN orders using the ASPEN Parenteral Nutrition Workbook: Cases and Worksheets for Adult,Pediatric, and Neonatal Patients. The workbook is a resource for clinicians at every level of experience.

PROGRAMS

• 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. 
• ASPEN has partnered with Baxter International Inc. to create SmartPN, a series of educational tools on the appropriate use of parenteral nutrition (PN) therapy.
• ASPEN Best Practices in Parenteral Nutrition Training Series: This four-part live webinar series is a convenient way to get a comprehensive overview on parenteral nutrition. The series has concluded.
• ASPEN Clinical Nutrition Webinar Series often have PN-specific webinars. See schedule.
• Parenteral Nutrition Order Writing Workshop at the ASPEN Nutrition Science & Practice Conference. Each year, ASPEN holds an in-person, PN order writing workshop the day before the conference. Details and registration are available in October.