Beaumont Hospital

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The Department of Nutrition and Dietetics

Parenteral Nutrition (PN) Audit

As part of continuous quality improvement, the Department of Nutrition and Dietetics is auditing possible Parenteral Nutrition-associated metabolic complications on behalf of the Beaumont Hospital’s Parenteral Nutrition Committee.  Six monthly reports are given to the Parenteral Nutrition Committee and presented to Department of Nutrition and Dietetics.  Results are disseminated to Consultants who refer patients for Parenteral Nutrition, and to surgical ward Clinical Nurse Managers.

Included in the audit results are:

  • Indications for Parenteral Nutrition, including unclear indications.
  • Duration of Parenteral Nutrition and reason for stopping.
  • Nutritional data (weight, BMI, presence or risk of undernutrition, refeeding syndrome risk) and use of additional nutrient infusions.
  • Possible metabolic complications of Parenteral Nutrition and confounding factors (complications associated with Parenteral Nutrition rather than necessarily caused by PN).
  • Hyperglycaemia, hypertriglyceridaemia, electrolyte abnormalities, liver function abnormalities and any documented symptoms are recorded.
    As a result, and comparing against literature standards, where these exist, changes have been made to some of Beaumont’s standard Parenteral Nutrition regimens. 
  • Further audit has shown benefits possibly associated with these changes.  Sepsis rates continue to be monitored by the Parenteral Nutrition Clinical Nurse Manager as a separate audit.

Ms. Carmel O’Hanlon
Nutrition & Dietetics