- by NICUR Jul 5, '12Question NICU nurses, in your NICU do you protect your TPN from light exposure?
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- Jul 6, '12 by canned_breadYes. It comes from pharmacy in a silver bag, and stays that way. Only when checking it (such as prior to hanging, new shift etc) do we lift up bag and read label. Outside on the bag it states TPN.
- Jul 6, '12 by NICU_babyRNWe sure do. although, let's face it. we protect only the bag. Not the tubing. So does it really make a difference?
- Jul 7, '12 by missnurse01okay,
we have no idea here in CVICU why you all protect TPN-does it have to do with different percentages make it more susceptible to degradation or something?
- Jul 7, '12 by karnicurncWe do not protect TPN from light and I am very curious and interested to find out why one should and if this is best practice.
- Jul 8, '12 by umcRNI was told that light can break down some of the proteins...but I never actually looked into this so I don't know if it's true or not
Also all the units in my hospital keep the TPN in the bag it came in, not just the NICU so whatever the reason it's a whole hospital policy
Just found some research that says vitamins are light sensitive and can become unstable and broken down when exposed to light. However there were also some studies that showed no differences between TPN that was protected from light and TPN that was not protected.Last edit by umcRN on Jul 8, '12
- Jul 8, '12 by NicuGalWe don't cover ours. I believe they did a study at our hospital on this, and we work with one of the top neonatal nutritionists in the country.
- Jul 10, '12 by missnurse01been a nurse for 15 years, and work with those that have been for over 30, and no one has ever protected their tpn. interesting!
- Jul 11, '12 by Mimi2RNWe don't since we no longer have Multivits in the TPN.
- Jul 13, '12 by Bortaz, RNWe do not.