Preparing TPN

[Slightly]

Hello all,

I have a few questions about preparing TPN.

1. Do you dress sterile when changing TPN sets ? (robe, gloves, mask etc.)

2. Do you change sets alone or does it require 2 nurses ?

3. Do you use Povidone-Iodine connectors at the junctures ?

4. Do you change the whole tubing when changing the TPN sets ?

5. Do you change sets and tubing each time you change TPN transfusionbag ?

6. How often do you change the TPN transfusionbag ?

7. Do you use opaque sets and tubing ?

Thanks so much

Lia, Kaplan Medical Center, Israel

[CoffeeRTC, BSN, RN]

Interesting thread. I work LTC and have a few res on TPN (lipids already added, we add MVI) Central line port cleaned with alcohol swab, tubing connected and then started like any other IV infusion. TPN and tubing changed q 24 hrs (most just on TPN for 12hrs) No sterile dress, one nurse and no covering over the bag. I realize the ICU is different...but just wanted to add how its done in the home setting.