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A Review of the Parenteral Nutrition Supply Service in an Irish Neonatal Unit.
Smith, Aisling; Glynn, A C; Shankar, A; McDermott, Christina; McCallion, Naomi
<p>The original article is available at <a href="http://imj.ie/">www.imj.ie</a></p> <p><strong><em>Background</em></strong></p> <p>Neonatal Intensive Care (NICU) patients have individual nutritional requirements often requiring Patient Specific Parenteral Nutrition (PSPN). From October 2015, the national PSPN compounding service availability changed from 7 days per week service to 5 days per week (i.e. no weekend and limited bank holiday ordering available). The aim of this study was to examine the introduction of a 5 day only PSPN supply on neonatal patient parenteral nutrition availability in a tertiary NICU.</p> <p><strong><em>Methods</em></strong></p> <p>We performed a prospective assessment of the provision of a 5 day rather than 7 day ordering of PSPN over a one month period (June 2017).</p> <p><strong><em>Results</em></strong></p> <p>Fifteen neonatal patients received a cumulative 89 days of PN during June 2017. 10 (66%) patients received PSPN during this time period. There was same day availability of PSPN in 62 of 89 days of PN (69%).</p> <p><strong><em>Conclusion</em></strong></p> <p>Thorough education and training will help prescribers to make appropriate PSPN ordering decisions. Improvements to available stock bags may reduce the amount of PSPN that is required but a 7 day PSPN ordering service would improve efficient provision of clinically indicated PSPN to premature infants in NICU in Ireland.</p>
Keyword(s): Calcium; Electrolyte; Glucose; Infusion Fluid; Insulin; Potassium; Sodium Chloride.; Medicine and Health Sciences; Pediatrics
Publication Date:
2018
Type: Journal article
Peer-Reviewed: Yes
Institution: Royal College of Surgeons in Ireland
Citation(s): Smith A, Glynn AC, Shankar A, McDermott C, McCallion N. A Review of the Parenteral Nutrition Supply Service in an Irish Neonatal Unit. Irish Medical Journal. 2018;111(6):778.
Publisher(s): Irish Medical Association
File Format(s): application/pdf
Related Link(s): https://epubs.rcsi.ie/paedart/10
First Indexed: 2018-08-10 07:18:55 Last Updated: 2018-09-27 07:16:36