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 the
mode of administration such as:
a. Peripheral Access
b. 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 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 (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

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