||Section 5 - Program demonstrations|
|TPNassist© is a clinical tool for pharmaceutical care which combines comprehensive data-base functions and nutritional assessment into a single user-friendly package.|
The film-strip icon indicates a link from this page to a "video" which demonstrates a TPNassist© function. You do not need to interact with the demo, however, there is a "VCR-style" control at the top of the demo window which will allow you to pause, rewind, fast-forward, and exit the animated sequence.
Please be patient, these applets make take a few minutes to load, it all depends on the speed of your internet connection. One last note, the demo's were created with an advertiser-supported program, I apologize for the banner ads which appear at the top of the demo window, I have no control over them.
When you first start the program you will be asked to log-in. Enter your intials (up to 3 letters). The first time you enter your initials the program will ask you for your name, title and contact numbers. Thereafter you may log in with just your initials.
Next, you will want to enter the Setup and customize the settings to your needs. Setup is accessed via the menubar and is password protected. The program ships without a password, so choose one that you will remember.
Database maintenance functions are accessed via the menubar. All of these functions except the physician data entry are password protected.
|Repair database||Compress and repair db tables|
|Amino acid data||Maintain db of AA brands|
|Enteral formula data||Maintain db of formula brands|
|Fax cover notes||Maintain default notes for fax cover sheets|
|Physician data||Maintan physician db|
|TPN pathway data||Maintain TPN "templates"|
|User data||Maintain program user db|
To enter a new patient, click the [+] icon on the patient databar. You may enter peds (age 1 year) to adults. Out of range patient data is flagged in red. This does not mean that the data is wrong, it is only meant to alert you to any potential data entry error,
To retrieve a previously entered patient, click on the "Patient name" list box, then select the patient from the list.
After entering basic patient data, the next thing you must do is assess the patient. The nutritional assessment is the basis of all the calculations. There are only 2 things needed for an assessment, current weight and stress/activity level. The latter is a judgement call, you should get out and see the patient, review the labs, gather as much information as you can.
Examples of stress levels:
|Stress or activity level||Descriptor||Factor|
|Minor surgery||None to slight||1.1 - 1.3|
|Sepsis||Moderate to severe||1.7 - 1.9|
|Burns||Severe||1.9 - 2.1|
You may also enter Labs and Anthropometrics, note that these are not required, but are optional parameters for monitoring the patient, the labs have context sensitive help with some data relevent to nutritional assessment.
To enter an enteral tube feeding, click on the Enteral Rx icon, select a formula from the list, strength and rate. The program will calculate the nutritional content supplied to the patient, you can then compare this to the patient's nutritional needs assessment.
TPN entry is via a wizard which takes you through each step in the TPN entry process:
Summary values outside of normal flag in red. This does not mean that the TPN is wrong, it is only meant to alert you to any potential order entry error!
To print a report without screen preivew, click the print icon on the toolbar.To preview reports on the screen, click Print on the menubar, then select a report. There are also keyboard shortcuts to these previewed reports.
TPN and Enteral labels
TPN and Enteral assessment
TPN and Enteral Rx
Fax cover sheet
Click the link icon to create a file for import into the Baxa MM23 Compounding Sofware. MM23 is specialty software designed to operate the Baxa Macro/Micro 23 TPN compounder.
||Section 5 - Program demonstrations|