PN Order Review and Verification

U Checklist
The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) champions the best evidence-based practices that
support parenteral nutrition therapy in varying age populations and disease states. The appropriate use of this complex
therapy aims to maximize clinical benefit while minimizing the potential risks for adverse events.

The purpose of this checklist is to promote safe practices by pharmacists and other clinicians in the PN order review and
verification process.

Verify PN order elements for: Verify PN ingredients for:  erform clinical review of PN
P
Patient name- or other A
 dults - amounts/day order for:
identifier P
 ediatrics - amounts/kg/day Indication consistent with
Birth date and/or age published guidelines
N
 eonates - amounts/kg/day
Allergies and associated Appropriate dose of each
E
 lectrolytes as complete
reactions additive
salt form
Height and dosing weight Appropriate osmolarity for
A
 dose for each
(metric units) route of administration
macronutrient
(peripheral vs. central)
Diagnosis/diagnoses A
 dose for each electrolyte
Indication(s) for PN A
 dose for multivitamins
 ompare order to previous
C
Administration route/ A
 dose for individual day’s order to assess
vascular access device vitamins, if ordered component doses for
(peripheral vs central)
A
 dose for multi-trace substantial changes
Prescriber contact elements
information
A
 dose for individual trace  erform PN order safety
P
Date and time order elements, if ordered review for:
submitted
A
 dose for insulin, if ordered Compatibility of
Administration date and
A
 dose for non-nutrient ingredients
time
medications, if ordered Stability of formulation
Volume and infusion rate
Infusion schedule
(continuous or cyclic)  erform independent
P
double-check for:
Type of formulation
(dextrose/amino acids Transcribed order data
with separate infusion prior to compounding
of IVFE or total nutrient Calculations or
admixture) conversion of units of
measure

For full recommendations, rationale, and references,

go to Ayers P, Adams S, Boullata J, Gervasio J,
Holcombe B, Kraft M, et al. A.S.P.E.N. Parenteral
Nutrition Safety Consensus Recommendations.
JPEN J Parenter Enteral Nutr. 2013.
www.nutritioncare.org/pnsafety
www.nutritioncare.org