What is the first step in entering a TPN order?

The first step in entering a Total Parenteral Nutrition (TPN) order involves ensuring that the medical team is aligned and properly informed about the patient’s needs. Requesting a pharmacy consult from the physician is crucial because it allows for a detailed discussion about the patient’s nutritional requirements, any contraindications, or specific formulas that may be necessary. This step ensures that all aspects of the patient's medical history, allergies, existing medications, and lab values are considered before proceeding with the order.

Additionally, reviewing current medications and lab values, entering TPN order details, and confirming central line placement are important, but they typically occur after a consult has provided the necessary insight into the nutritional management plan. A pharmacy consult serves as a foundation for accurate and safe TPN ordering, ultimately leading to better patient outcomes.