Smith, Aisling Glynn, A C. Shankar, A McDermott, Christina McCallion, Naomi A Review of the Parenteral Nutrition Supply Service in an Irish Neonatal Unit. <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> Calcium;Electrolyte;Glucose;Infusion Fluid;Insulin;Potassium;Sodium Chloride.;Paediatrics 2019-11-22
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