Total Parenteral Nutrition

TPN Total Parenteral Nutrition

UTILIZING PERIPHERAL ACCESS  Verify doctor’s prescription.

 Explain the procedure to reassure patient and significant others (benefits, risks, duration, changes in volume and flow rate etc.  Prepare parenteral solution and all other devices needed for the parenteral administration taking into consideration mode of administration such as: a. Peripheral Access b. Central Access

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UTILIZING PERIPHERAL ACCESS  Assess patient and choose suitable vein, location, and get baseline vital signs  Check the integrity and functionality of the parenteral solution and IV devices.  Observe the ten rights in safe drug administration  Do hand hygiene and maintain asepsis throughout the procedure.  Prepare TPN solution.  Inserts the IV catheter aseptically (large, bore catheter).  Connect the tubing to the prepared parenteral solution and regulate flow rate as prescribed.

UTILIZING PERIPHERAL ACCESS  Dress IV site as per IV standard.  Label IV site and solution as per IV standard.  Continue to reassure patient and do pertinent health education.  Dispose waste materials according to Health Care Waste Management  Document procedure and observations with corresponding nursing intervention in the patient’s chart like I&O, weight daily, etc.  Monitor patient periodically and report unusual findings if any: such as signs of infection, hyper & hypoglycemia, change of color and consistency of solution, etc.

UTILIZING PERIPHERAL ACCESS

Document observation and intervention as necessary.

 Reassure patient.

UTILIZING CENTRAL VASCULAR ACCESS

UTILIZING CENTRAL VASCULAR ACCESS  Follow procedure in Procedure of Peripheral Access from steps 1-9.  Assist surgeon in Open or Closed Central Vascular Access Procedures asepsis throughout the procedure).

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 Connect the IV administration set to the central vascular access catheter aseptically and regulate rate as prescribed.

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UTILIZING CENTRAL VASCULAR ACCESS  Assess dressing over central vascular access for swelling, redness, pain and foul smelling discharges. Change dressing aseptically everyday.  Monitor/reassure patient.  Document observations and circumstances as necessary.

 Discard waste materials according to Health Care Waste Management

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