What does your facility use for NeoNatal Starter TPNs? Do you use a pre-made product or does the pharmacy prepare the starter solution?
If pharmacy prepares the solution, what is the formula/recipe used and what is the reference used to confirm stability of the recipe?

We are looking for stability data for our formula and our facility does not allow for extrapolation. If anyone knows of literature that supports extrapolation of concentrations, please share.

Many thanks!

Since transitioning to outsourcing TPN, we are likely to have increased home TPN usage in the hospital for the first day of admission. Does your facility have nurses document home TPN administration on the MAR like a regular home medication? If so, how is it built out-- as a general "home TPN" order or as a specific TPN order broken down into components? Thanks! -Melody Sun, CHOC Children's

All,

Do any of your organizations split your smart pump parenteral nutrition limits up between cyclic and continuous? If so, please consider sharing info.

Thank you,

John