title: Standardized Competencies for Parenteral Nutrition Prescribing: The American Society for Parenteral and Enteral Nutrition Model.
abstract: Parenteral nutrition (PN) provision is complex, as it is a high-alert medication and prone to a variety of potential errors. With changes in clinical practice models and recent federal rulings, the number of PN prescribers may be increasing. Safe prescribing of this therapy requires that competency for prescribers from all disciplines be demonstrated using a standardized process. A standardized model for PN prescribing competency is proposed based on a competency framework, the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)-published interdisciplinary core competencies, safe practice recommendations, and clinical guidelines. This framework will guide institutions and agencies in developing and maintaining competency for safe PN prescription by their staff.
authors.affiliation: ASPEN, Silver Spring, Maryland peggig@nutritioncare.org.
authors.forename: Peggi
authors.initials: P
authors.lastname: Guenter
authors.affiliation: University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Joseph I
authors.initials: JI
authors.lastname: Boullata
authors.affiliation: Mississippi Baptist Medical Center, Jackson, Mississippi.
authors.forename: Phil
authors.initials: P
authors.lastname: Ayers
authors.affiliation: Butler University, Indianapolis, Indiana.
authors.forename: Jane
authors.initials: J
authors.lastname: Gervasio
authors.affiliation: Mt. Carmel West Hospital, Columbus, Ohio.
authors.forename: Ainsley
authors.initials: A
authors.lastname: Malone
authors.affiliation: University of Michigan Health System, Ann Arbor, Michigan.
authors.forename: Erica
authors.initials: E
authors.lastname: Raymond
authors.affiliation: ASPEN, Silver Spring, Maryland.
authors.forename: Beverly
authors.initials: B
authors.lastname: Holcombe
authors.affiliation: University of Michigan Health System, Ann Arbor, Michigan.
authors.forename: Michael
authors.initials: M
authors.lastname: Kraft
authors.affiliation: Auburn University, Auburn, AL.
authors.forename: Gordon
authors.initials: G
authors.lastname: Sacks
authors.affiliation: Columbia University Medical Center, New York, New York.
authors.forename: David
authors.initials: D
authors.lastname: Seres
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D004750:Enteral Nutrition / Q000592:standards*; D006801:Humans; D010288:Parenteral Nutrition / Q000592:standards*; D010818:Practice Patterns, Physicians' / Q000592:standards*; D014481:United States
keywords: clinical competence; nutritional support; parenteral nutrition; patient safety; safety; total parenteral nutrition