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Parenteral Nutrition Utilization: Evaluation of an Educational Protocol and Consult Service

From the Department of Clinical Pharmacy, College of Pharmacy, J. Hillis Miller Health Center, Gainesville, Fla 32610

Thomas O. Munyer, M.S.P.

From the Department of Clinical Pharmacy, College of Pharmacy, J. Hillis Miller Health Center, Gainesville, Fla 32610

Ronald B. Salem, B.S.P.

From the Department of Clinical Pharmacy, College of Pharmacy, J. Hillis Miller Health Center, Gainesville, Fla 32610

Richard L. Yost, Pharm. D.

From the Department of Clinical Pharmacy, College of Pharmacy, J. Hillis Miller Health Center, Gainesville, Fla 32610

A two part study was undertaken to evaluate the effectiveness of an educational protocol and consult service on parenteral nutrition (PN) utilization. Forty-one patient admissions were evaluated retrospectively and nine prospectively. Average length of hospital stay and number of days on PN were decreased significantly (p <.05). Frequency of adverse effects were also decreased significantly (p <.05). A positive trend toward selection of patients for enteral rather than PN was evidenced. Utilization of already available manpower and financial resources by this modified approach should contribute toward reducing costs and hazards of PN therapy, particularly for smaller hospitals with both limited requirements and resources, as well as for teaching institutions.

Journal of Parenteral and Enteral Nutrition, Vol. 3, No. 6, 433-437 (1979)
DOI: 10.1177/014860717900300606


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