Raebel M A, McDonald J B
Am J Hosp Pharm. 1985 Jun;42(6):1355-8.
Development and implementation of a procedure for preparing parenteral nutrient (PN) solutions in 3-L containers at a 385-bed teaching hospital is described. After identifying problems in procedures for PN therapy, pharmacists collected time and cost data for preparing PN solutions using gravity flow and 1-L containers versus an automated compounding device and 3-L containers. They prepared a proposal for mixing a single daily solution in a 3-L container. A change in hospital policy to permit each PN solution to hang for 24 instead of 12 hours, a change in the pharmacy's schedule for preparing PN solutions, and a policy of hanging all fresh PN solutions between 1800 and 2400 were also proposed. After a one-month trial, the new procedures were adopted. To prepare an average of six PN solutions per day, time decreased from 5.32 to 2.33 hours. Inventory of PN supplies was reduced by 56%. Patients were charged approximately $25 less for three liters of PN solution. Standardized procedures improved efficiency of order filling. A standard procedure for preparing parenteral nutrient solutions in 3-L containers resulted in cost savings for the hospital and the patients and more efficient patient care.
本文描述了在一家拥有385张床位的教学医院中，开发并实施在3升容器中制备肠外营养（PN）溶液的程序。在确定PN治疗程序存在的问题后，药剂师收集了使用重力流和1升容器与使用自动配液装置和3升容器制备PN溶液的时间和成本数据。他们制定了在3升容器中混合单日溶液的方案。还提议改变医院政策，允许每种PN溶液悬挂24小时而非12小时，改变药房制备PN溶液的时间表，并制定在18:00至24:00之间悬挂所有新鲜PN溶液的政策。经过一个月的试验，新程序被采用。为平均每天制备六瓶PN溶液，时间从5.32小时减少到2.33小时。PN用品库存减少了56%。三升PN溶液向患者收取的费用减少了约25美元。标准化程序提高了订单配药效率。在3升容器中制备肠外营养溶液的标准程序为医院和患者节省了成本，并提高了患者护理效率。
