Clinician: Computerized Provider Order Entry (CPOE) with full Clinical Decision Support System (CDSS).

Pharmacist: Workflow management, review of virtual formulation with full CDSS, one-click e-approval of formulation.

Concise, stepwise data entry screens are used to enforce dosing and formulation safety at the point of order entry to resolve conflicts prior to submission of an order for approval resulting in a much faster and safer process.

Users can enter, review, and/or approve orders simultaneously from any networked computer on the hospital network and can populate order entries with values from previous PN formulations, significantly reducing data entry time and transcription errors.

Digital signature of each PN order for compliance as well as support for co-signing of PN orders in training institutions.

Order entry format mirrors best practice process for multidisciplinary healthcare professionals caring for PN dependent patients with dosing recommendations and labels fully compliant with A.S.P.E.N. guidelines.

Full support and enforcement for multiple nutritional protocols to meet the needs of unique patient populations: NICU, PICU, SICU, Burn Unit, and Home Care.

E-review process enables pharmacist to quickly and easily review orders for protocol adherence.

Authorized pharmacist can adjust or override dosing limits in order to resolve occasional conflicts caused by unusual clinical situations. 

Increases patient safety by enforcing dosing limits per institutional protocols.

Provides granular quality control to pharmacist during approval and compounding processes.

Process integration of standardized recommendations and guidelines, supplemented by availability of real-time laboratory results at point of order entry, permit best practice PN formulation for every patient, every day. 

Interactive user feedback and derived nutritional data provided during the order process facilitates and improves progress toward nutritional goals and optimizes patient outcomes.

Standardization of the PN provisioning process enables routine production of safe and cost-effective solutions that meet individual patient needs.

PN fluid management in the context of total daily fluid goal for each patient takes into account all sources of intravascular fluids including enteral formula volumes for patients in transition from parenteral to enteral feeding.  Also accounts for all sources of electrolytes, including electrolytes in (other) line infusions and electrolytes intrinsic to PN additives (e.g., amino acid products).

Impact of all fluids and electrolytes intrinsic and extrinsic to PN are subtracted from the dose to prevent overload and morbid consequences.

Supports all standard electrolytes and supplemental additives with the option to float either Acetate or Chloride.

Customization of dosing units to institutional conventions and patient population.

Individual additives can be displayed or hidden per institutional needs and preferences.

Allows total customization of PN to optimally address medical conditions and metabolic needs of every patient.

Ability to create customized PN formulation templates for use with specific age groups or medical conditions.

Supports customizable soft and hard dosing safety limits to address unique characteristics of specific patient populations or support established protocols for specific in-patient or out-patient settings.

Pharmacist-controlled override process for unique medical circumstances requiring dosing outside hard limits.

Allows pharmacist to validate PN formulation to prevent Ca-PO4 precipitation.

Automatically transmits the secure, electronic communication of the mixing instruction to in-house or remote automated compounding devices, such as BAXA compounders, as well as to satellite compounding facilities, such as CAPS.

Creates the following labels for every part of the PN formulation, compounding, and administration process:

• Fat Emulsion Infusion

• PN Content

• PN Manual Mixing Instruction

• PN Summary/Nutritional Progress Note

Additionally prints a PN Order that is bar-coded to match the Content label and integrates documentation for Five Rights bedside checks to improve PN administration safety.

Ability to print all four labels on one sheet of 8.5 x 11 paper for review or archiving.

Infusion Studio is accessed remotely by customers from a secure SAS 70 compliant data center using Citrix technology. Onsite access to Infusion Studio and the transmission, storage, and back-up of PHI associated with the PN provisioning process are fully HIPAA-compliant.

A copy of all output is stored to satisfy Board of Pharmacy retention regulations. Historical data, patient records, and audit logs are retained and can be provided for audit purposes.

Integration with the Hospital Information System (HIS) for Admission, Discharge, Transfer (ADT).

Integration with the Hospital LAB system to display previous seven day metabolic trends plus context-sensitive LAB values are displayed at the point of order entry all to improve patient safety and to optimize therapeutic intervention.

• Customizable nutritional support protocols

• Weight-based dosing for neonatal and pediatric patients

• Electrolyte-based dosing as ions for infants and children (optional for adults)

• Co-signed orders

• Consult notification

• Complete user management

• PN cost tracking

• Customizable protocol guidelines

• Refractive index quality assurance

• Electrolyte quality assuarance

• and more!