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Tuesday, February 11, 2014  
Pedagogy  |  Online Learning Systems
Pedagogy  |  Online Learning Systems

Total Parenteral Nutrition or TPN Administration and Education

I recently saw a post in a popular nurse’s forum for LVN’s and LPN’s that made me cringe! As an infusion therapy educator I am aware scenarios like this are common and wanted to address some of the issues I see with Total Parenteral Nutrition administration within long term care facilities.

The particular post I saw went something like this: Has anyone ever heard of having total parenteral nutrition (TPN) in long term care or has anyone discharged a patient to a long term care facility with TPN? Personally I think the fifteen minute inservice we got is an accident waiting to happen. No one where I work has a clue about it.  If anyone has any tips for me that would be great. Thanks.

Posts after this did indeed include “tips” for TPN administration as well as another comment that “as an LPN/LVN they were not allowed to touch a TPN.”  I will give kudos to the nurse that posted her tips. The tips for the most part were correct, but not 100% accurate.

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Campus News

How to Combat a Hardier Flu Virus
Not all flu viruses are the same. Some are hardy survivors. Some influenza viruses can survive and remain infectious on the fingertips for at least 30 minutes, long enough to transmit the flu to oneself or others, says a study in the January issue of Clinical Microbiology and Infection.

Flu is transmitted from person to person mainly by inhaling tiny virus particles that are released into the air when infected individuals cough and sneeze. Direct contact with contaminated fingers is considered an equally important method of transmission. Researchers sought to find out if the type or size of the flu virus affects its survival.

To read the full article, Click Here
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Latest Blog Posts

New Device for the Treatment of Bloodstream Infections
I recently came across a press release about a new product to help treat blood stream infections and remove pathogens from our banked blood supply. With the emergence of superbugs and the nasty antibiotic resistant bacteria we face today, I thought this device may be worth investigating.

The medical device company out of Berkley California ExThera Medical has reported success in independent laboratory studies that indicate the blood filtering device Seraph Microbind Affinity Blood Filter can remove a broad range of pathogens and toxins from whole blood. 
Posted: 2/10/2014 1:06:19 PM

Patient Outcome: A Picture is Worth a Thousand Words
As a nurse and industry representative, I am blessed by the opportunity to see how clinical education, training and new technology can directly impact patient care. When I present the new NovaCath Integrated IV Catheter System to a group of clinicians, I pass around product samples so the clinicians can see and feel the soft, pliable material that is used for the stabilization frame on this innovative IV. I even ask them to place the NovaCath on their own skin so they can experience firsthand the enhanced patient comfort the NovaCath offers.

On occasion, I hear clinicians share their own experiences and frequent challenges with IV therapy. Just before the holidays, a clinician shared a picture that was truly “’worth a 1,000 words”: a pressure ulcer had developed on her child’s foot while undergoing IV therapy during a hospitalization.
Posted: 1/31/2014 10:22:37 AM

Crystalloids versus Colloids
Infusion Therapy is an awesome wonder when it comes to saving a patient’s life.  Is it really necessary to give a patient a Colloid versus a Crystalloid?

Trauma, burns, or surgery can cause people to lose large amounts of blood. Fluid replacement, giving fluids intravenously (into a vein) to replace lost blood, is used to maintain blood pressure and reduce the risk of dying. Blood products, non-blood products or combinations are used, including colloid or crystalloid solutions. Colloids are increasingly used but they are more expensive than crystalloids and there are many scientific studies show no evidence colloids reduce the risk of dying compared with crystalloids.
Posted: 1/13/2014 10:57:50 AM

Featured Author: Pamela Clark

  Pamela Clark, CRNI, is a Nurse Manager for Accredo, a leader in specialty pharmacy care. She has more than 28 years of experience in infusion therapy and infusion education with both licensed nurses and patients. Her experience spans multiple infusion settings including: acute care, long-term care, home infusion, and ambulatory infusion care. She also has experience in oncology and oncology research.  
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  • Continuing Education Membership - for accredited education for health care professionals.
  • Inservice and Compiance Membership - designed to meet federal requirements for long term care and home health certified nursing assistant staff.
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