TPN Infusion Preparation and Setup

Introduction

• Presenter: Jody, Nurse at Infusion Solutions
• Purpose: Instructions on how to prepare and start a TPN (Total Parenteral Nutrition) infusion.

Supplies Needed

• TPN bag
• Empty syringe
• Multivitamins
• Tubing
• Pump and pump key
• Hand sanitizer
• Alcohol wipes
• Sharps container

Preparation Steps

1. Sanitize Hands: Ensure hands are properly sanitized.
2. **Prepare TPN Bag with Multivitamins: **
   • Wipe the top of each vial with alcohol.
   • Attach needle to empty syringe.
   • Remove needle cap and add air into the syringe.
   • Push air into the vial, turn it upside down, and draw out 5 ml of liquid.
   • Repeat the process to draw a total of 10 ml of multivitamins.
   • Recap the needle and wipe the injection port of the TPN bag.
   • Inject the multivitamins into the TPN bag, ensuring needle goes in straight.
   • Mix by gently rocking the bag; the solution should be light yellow without any solid specks.

Setting Up Tubing and Pump

1. **Tubing: **
   • Remove blue cap from the tubing.
   • Spike the TPN bag using a forceful twisting motion.
   • Raise the TPN bag to allow the solution to fill the tubing.
   • Ensure air filter is placed vertically.
   • Fill tubing all the way to the end of the cap.
2. **Pump: **
   • Insert the battery and turn on the pump.
   • Load the tubing into the pump, ensuring it clicks into place.
   • Use the pump key to secure the tubing.
   • Reset reservoir volume if necessary by pressing 'Next' and 'Enter'.

Connecting to Patient

1. **Flush Line: ** Ensure the PICC line or central line is flushed before connecting.
2. **Attach Tubing: ** Connect the end of the tubing to the PICC line or central line.
3. **Start Infusion: **
   • Hang the TPN bag and start the pump.
   • Press the 'Stop/Start' button and confirm by pressing 'Yes'.
   • Ensure the main screen indicates 'Running'.

Troubleshooting

• For any problems, complications, or concerns, contact Infusion Solutions.