JUST RELEASED! TPN Advisor is the first solution that integrates everything ordering providers need to know within the Cerner Millennium® system.

nurseTPN Advisor: A simple way to safe ordering

Documentation related to total parenteral (intravenous) nutrition (TPN) for acute care patients has long been a challenge. “You could say that the traditional paper process stood as a barrier to safe entry of TPN orders,” says Tim Holmes, Senior Nursing Informaticist and principal architect of the newest documentation tool from Crossings Healthcare Solutions. TPN Advisor is the first solution that integrates TPN ordering information within the Cerner Millennium® system.

Helping hospitals optimize time and staff

To understand the benefits of TPN Advisor, you have to look at the current method. Paper ordering has numerous drawbacks, starting with no standardized practice across facilities. Keeping information in different places in a patient’s chart also requires staff at several levels – including physicians, pharmacists and nurses – to spend their time paging through paperwork. “TPN Advisor cuts down on navigation by efficiently aggregating patient nutrition information on one chart,” says Ori Lotan, MD, Chief Medical Information Officer. “It substantially decreases the amount of time needed to order TPN.”

Empowering physicians and pharmacists

The complexity of TPN customization has also been a source of delay, causing physicians to delegate ordering and compounding to subspecialists or the pharmacist. TPN Advisor incorporates automation, so that compounding is calculated by the system, adding comfort and flexibility for physicians and support for pharmacists in filling even the most complex TPN orders. “Some similar products have calculators, but you have to print out a paper order first,” says Holmes. “TPN Advisor wraps orders into the Electronic Medical Records so they go straight to the facility or pharmacy.”

Prioritizing safety and security

Crossings places patient safety and security as top requirements in its clinical decision support tools. From the lab to the physician and pharmacist, TPN Advisor includes checking and sign-off processes that verify information in duplicate. The system also automatically scans for drug interactions, bolstering confidence in patient safety. “We had a pharmacist tell us that TPN Advisor is the most sophisticated clinical decision support tool he had ever seen,” says Dr. Lotan. “This is a highly customized piece of software, but its strength is that it takes better, safer care of patients.”


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Volume 1, Issue 2 – Summer 2015