multidisciplinary nutritional support team
processes by providing user-specific features and
feedback for dosing, approval, and formulation of
custom Parenteral Nutrition (PN)
Computerized Provider Order Entry (CPOE) with full
Clinical Decision Support System (CDSS).
Workflow management, review of virtual formulation
with full CDSS, one-click e-approval of
Order Entry (CPOE)
Concise, stepwise data
entry screens are used to enforce dosing and
formulation safety at the point of order entry to
resolve conflicts prior to submission of an order for
approval resulting in a much faster and safer
Users can enter, review,
and/or approve orders simultaneously from any
networked computer on the hospital network and can
populate order entries with values from previous
PN formulations, significantly reducing data entry
time and transcription errors.
Clinicians are alerted to
the electrolyte, dextrose, and fluid effect of
non-nutritional lines and the fluid impact of
enteral feeds and fat emulsion to prevent
Digital signature of each PN order for compliance as
well as support for co-signing of PN orders in
Intuitive order format
focused on patientís physiologic needs
Order entry format mirrors
best practice process for multidisciplinary
healthcare professionals caring for PN dependent
patients with dosing recommendations and labels
fully compliant with A.S.P.E.N. guidelines.
Full support and enforcement for multiple
nutritional protocols to meet the needs of unique
patient populations: NICU, PICU, SICU, Burn Unit,
and Home Care.
focused order review and approval process
E-review process enables
pharmacist to quickly and easily review orders for
Authorized pharmacist can adjust or override
dosing limits in order to resolve occasional
conflicts caused by unusual clinical situations.
Increases patient safety by enforcing dosing
limits per institutional protocols.
Provides granular quality control to pharmacist
during approval and compounding processes.
Clinical Decision Support
Process integration of standardized
recommendations and guidelines, supplemented by
availability of real-time laboratory results at
point of order entry, permit best practice PN
formulation for every patient, every day.
Interactive user feedback and derived nutritional
data provided during the order process facilitates
and improves progress toward nutritional goals and
optimizes patient outcomes.
Dosing and formulation safety is enforced through
sequential mathematical checks based on access
route (peripheral vs. central) and patient weight
(age) per protocol specifications.
unit-of-order dosing transition from weight-based
to adult dosing in adolescent patients.
Standardization of the PN
provisioning process enables routine production of
safe and cost-effective solutions that meet
individual patient needs.
Total Fluid and
fluid management in the context of total daily
fluid goal for each patient takes into account all
sources of intravascular fluids including enteral
formula volumes for patients in transition from
parenteral to enteral feeding. Also
accounts for all sources of electrolytes,
including electrolytes in (other) line infusions
and electrolytes intrinsic to PN additives (e.g.,
amino acid products).
Provides user feedback on fluid and nutritional
contributions from patientís other parenteral
fluids and enteral formula.
Impact of all fluids and
electrolytes intrinsic and extrinsic to PN are
subtracted from the dose to prevent overload and
Complete Additive Support
Supports all standard
electrolytes and supplemental additives with the
option to float either Acetate or Chloride.
Customization of dosing
units to institutional conventions and patient
Individual additives can be displayed or hidden
per institutional needs and preferences.
Allows total customization of PN to optimally
address medical conditions and metabolic needs of
Configurable Safety Limits
Ability to create customized PN formulation
templates for use with specific age groups or
customizable soft and hard dosing safety limits to
address unique characteristics of specific patient
populations or support established protocols for
specific in-patient or out-patient settings.
Pharmacist-controlled override process for unique
medical circumstances requiring dosing outside
Precipitation Risk Assessment and Support
Allows pharmacist to
validate PN formulation to prevent Ca-PO4
the secure, electronic communication of the mixing
instruction to in-house or remote automated
compounding devices, such as BAXA compounders, as
well as to satellite compounding facilities, such
Creates the following
labels for every part of the PN formulation,
compounding, and administration process:
Fat Emulsion Infusion
PN Manual Mixing
PN Summary/Nutritional Progress Note
Additionally prints a PN Order
that is bar-coded to match the Content
label and integrates documentation for Five Rights
bedside checks to improve PN administration
Ability to print all four
labels on one sheet of 8.5 x 11 paper for review
Infusion Studio is accessed remotely by customers
from a secure SAS 70 compliant data center using
Citrix technology. Onsite access to Infusion
Studio and the transmission, storage, and back-up
of PHI associated with the PN provisioning process
are fully HIPAA-compliant.
copy of all output is stored to satisfy Board of
Pharmacy retention regulations.
data, patient records, and audit logs are retained
and can be provided for audit purposes.
Integration with the
Hospital Information System (HIS) for Admission,
Discharge, Transfer (ADT).
Integration with the Hospital LAB system to
display previous seven day metabolic trends plus
context-sensitive LAB values are displayed at the
point of order entry all to improve patient safety
and to optimize therapeutic intervention.
Nutritional progress note,
digitally-signed A.S.P.E.N. compliant CPOE order,
and eMAR notifications for each order can be
automatically transmitted to the Hospital
Plus many other features
nutritional support protocols
for neonatal and pediatric patients
Electrolyte-based dosing as ions for infants
and children (optional for adults)
Complete user management
PN cost tracking
Refractive index quality