Standardized Competencies for Parenteral Nutrition Administration: The ASPEN Model

Nutr Clin Pract. 2018 Apr;33(2):295-304. doi: 10.1002/ncp.10055. Epub 2018 Mar 23.

Abstract

Parenteral nutrition (PN) is a highly complex medication and its provision can be prone to a variety of errors. Safe administration of this therapy requires that the competency of clinicians, particularly nurses, be demonstrated using a standardized process. In this document, a standardized model for PN administration competency is proposed based on a competency framework, the ASPEN-published interdisciplinary core competencies, discipline-specific standards of practice, safe practice recommendations, and clinical guidelines. ASPEN recognizes that all healthcare institutions may not currently meet the aspirational goals of this document. This framework will guide institutions and agencies in developing tools and procedures and maintaining competency of staff members around safe PN administration. The ASPEN Board of Directors has approved this document.

Keywords: clinical competence; clinical protocols; medication errors; nutritional support; parenteral nutrition; patient safety.

MeSH terms

  • Checklist
  • Clinical Competence* / standards
  • Filtration
  • Humans
  • Intubation, Gastrointestinal / adverse effects*
  • Intubation, Gastrointestinal / instrumentation
  • Intubation, Gastrointestinal / nursing
  • Intubation, Gastrointestinal / standards
  • Nutritional Sciences / education
  • Nutritional Sciences / methods
  • Parenteral Nutrition / adverse effects*
  • Parenteral Nutrition / instrumentation
  • Parenteral Nutrition / nursing
  • Parenteral Nutrition / standards
  • Patient Safety* / standards
  • Practice Guidelines as Topic*
  • Quality Improvement
  • Quality of Health Care
  • Societies, Scientific
  • United States