TPN

Total Parenteral Nutrition

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 the mode of administration such as:

a. Peripheral Accessb. Central Access

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 preparedparenteral solution and regulateflow 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 thepatient’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 consistencyof solution, etc.

UTILIZING PERIPHERAL ACCESS

Document observation and intervention as necessary.

Reassure patient.

UTILIZING PERIPHERAL 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 (maintain asepsis throughout the

procedure).

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

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

UTILIZING CENTRAL VASCULAR ACCESS

nadersmadi@hotmail.com