Description: 

This in-service addresses documented gaps in pharmacist knowledge and practice consistency related to the safe and equitable provision of total parenteral nutrition (TPN) across Sutter Health. Accurate and standardized TPN management is critical to prevent serious complications such as infection, metabolic instability, and medication errors, which can negatively impact patient outcomes and safety. Participants will review evidence-based indications for initiating parenteral nutrition, essential components of TPN formulation, and clinical considerations including fluid and glycemic management, care for special populations, and strategies for navigating product shortages. The session emphasizes the application of standardized pharmacy protocols to reduce practice variability, minimize compounding and medication errors, and improve adherence to best practices. By strengthening pharmacists’ competence in TPN management, this activity supports improved patient safety, continuity of care, and equitable access to high-quality nutrition therapy.
 

Assembly Bills 1195 & 241- Culturally Appropriate Care which is Free of Implicit Biases:

Learners are strongly encouraged to engage in self-directed learning related to the impact of implicit biases in this clinical area via the references provided below:
 

Social determinants of health

• Kwan, Noelle. Pharmacists’ Role in Expanding Healthcare Equity. US Pharm. 2024;49(8):41-45.

Implicit bias related to the topic

• Gopal, Dipesh et al. Implicit bias in healthcare: clinical practice, research and decision making. Future Healthcare J. 2021 Mar;8(1):40–48.