Fraser Health regional Pre-Printed Order for parenteral nutrition for peripheral venous catheter administration has been revised.

What's happening?

The student practice team would like to inform all students and faculty instructors about revisions to a Pre-Printed Order (PPO), which may impact their practice areas. Effective August 22, 2018, the revisions are as follows:

  • Document
  • Revisions
    • Dextrose has been reduced from 10% to 5% - consequnetly total calories have been reduced from 540 kcals per 1000mL to 370 kcals per 1000 mL. Protein content remains the same.
    • There are now maximum amounts for total sodium, potassium, phosphate, magnesium and calcium.
    • Only Royal Columbian Hospital is able to order the 2000mL solution (other sites using PPN are limited to the 1000mL solution).
    • On the back of the ordering form (page 2) there is an explanation box “Peripheral PN Electrolyte Limits” describing the maximum limits.
  • Impacted program/networks

    Dietitians, pharmacy, physicians and nursing

Why is this important?

The purpose of the revisions was to develop a peripheral parenteral nutrition (PPN) solution, which meets the current practice guidelines for achieving an osmolarity of less than 900 mOsm/L.

Fraser Health considers the patient experience in all parts of the health system. This includes the development and revision of policies, Clinical Decision Support Tools, forms, and Pre-Printed Orders. Our goal is to provide quality care that is sensitive and responsive to patient needs, preferences, and beliefs.

How will this impact students and faculty instructors?

Students and faculty instructors who are completing student placements in Fraser Health are expected to apply any necessary changes in their practice to ensure that patients, clients, and residents continue to receive safe and quality care. Students and faculty instructors can only access this PPO via FH Pulse when they are on a Fraser Health computer on a Fraser Health site.

Questions?

Please contact the Student Practice Team at student.placement@fraserhealth.ca


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