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Caregiver Training for Pediatric Home Parenteral Nutrition

A 5-Session Discharge Curriculum

Gallotto, Mary, BSN, RN, CPN; Rosa, Carolyn M., BSN, RN, CPNP-BC; Takvorian-Bené, Melissa, BSN, RN, CPEN; McClelland, Jennifer, MS, RN, FNP-BC; Tascione, Christina, BA; Carey, Alexandra, MD; Raphael, Bram P., MD

doi: 10.1097/NAN.0000000000000320
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To maximize safety and the patient experience, caregivers require intensive training to administer home parenteral nutrition (HPN) before initial hospital discharge. This article provides the rationale, best practices, and a template for caregiver predischarge HPN education provided by nurses. The standardized HPN discharge curriculum is outlined over 5 didactic and hands-on sessions.

Boston Children's Hospital, Division of Gastroenterology, Hepatology and Nutrition, Boston, Massachusetts (Mss Gallotto, Rosa, Takvorian-Bené, McClelland, and Tascione); and Harvard Medical School, Boston, Massachusetts (Drs Carey and Raphael).

Mary Gallotto, BSN, RN, CPN, is a level 2 staff nurse in the home parenteral nutrition (HPN) program at Boston Children's Hospital (BCH) with previous nursing experience working in hepatology and gastroenterology at Floating Hospital for Children in Boston, Massachusetts. A graduate of Northeastern University, she is currently enrolled in a certification program for nursing education at the University of Massachusetts at Amherst.

Carolyn M. Rosa, BSN, RN, CPNP-BC, is a pediatric nurse practitioner in the HPN program at BCH. She was previously a nurse in inpatient liver and small bowel transplant and intestinal rehabilitation at Georgetown University Hospital in Washington, DC. She received a BSN at Villanova University in 2008. She also earned a certification as a pediatric nurse practitioner and a degree in public health nurse leadership as part of a dual degree program from the University of Virginia in 2012.

Melissa Takvorian-Bené, BSN, RN, CPEN, is a level 2 staff nurse in the HPN program at BCH with previous nursing experience in the emergency department and inpatient nursing. She is a graduate of Salem State University in Salem, Massachusetts.

Jennifer McClelland, MS, RN, FNP-BC, is a nurse practitioner in the HPN program at BCH. She was previously a nurse in inpatient liver and small bowel transplant and intestinal rehabilitation at Georgetown University Hospital in Washington, DC. She earned a BSN from Boston College and completed a graduate degree at Georgetown University.

Christina Tascione, BA, is a level 2 program coordinator for the HPN program at BCH. She holds a bachelor's degree in health management and policy from the University of New Hampshire.

Alexandra Carey, MD, is an attending gastroenterologist in BCH's Division of Gastroenterology, Hepatology and Nutrition, an instructor of pediatrics at Harvard Medical School, and the associate director of the Center for Advance Rehabilitation (CAIR). She is also the director of BCH's Nutrition Laboratory. Dr Carey earned a BS from the University of Florida and a medical degree from the University of South Florida College of Medicine.

Bram P. Raphael, MD, is an instructor in pediatrics at Harvard Medical School and an attending physician in gastroenterology, hepatology, and nutrition at BCH. He is the director of the hospital's HPN program.

Corresponding Author: Mary Gallotto, BSN, RN, CPN, Boston Children's Hospital, Division of Gastroenterology, Hepatology, and Nutrition, 300 Longwood Avenue, Boston, MA 02115 (mary.gallotto@childrens.harvard.edu).

The authors of this article have no conflicts of interest to disclose.

© Copyright 2019 by Infusion Nurses Society