1 Adult Parenteral Nutrition Practices of Dietitians in BC S Badiei, C Moubarak, L Oystryk, A Parra, C Kariya, RD, M Radhakrishnan, MEd, RD T Cividin, MA, RD University of British Columbia, Dietetic Internship Program Vancouver Coastal Health Authority, Vancouver, British Columbia. next

Introduction 2 Research Question: What are the roles and common practices of RDs in British Columbia (BC) providing nutritional care to adult patients receiving PN in an acute care facility? next Lack of research describing the role and common practices of RDs who design PN in BC.

Methods Tool: Self-administered, online survey Validation: Survey Piloted Population: Approximately 225 RDs 3 Inclusion criteria: 1.CDBC Restricted Activity B, 2.Acute care, 3.Adult patients ≥ 19 years. next

4 Results SEE RD 71 Respondents 31% Response Rate Profession Perceived PN Involvement (%) RDs97% Physicians72% Pharmacists66% Nurses0% Health Professionals Involved: next

5 Results The Dietitian’s Role in PN Design: next

6 Results Components of PN Recommended by Dietitians: next

7 Results PN Solutions: Pre-mixed & customized solutions Most Commonly Used Guidelines: ASPEN & Facility’s Most Commonly Used Energy Predicting Formulas: next Energy Predicting Formulas Non-Obese (%)Obese (%) Kcal/Kg86%87% HBE49%56% Mifflin-St. Jeor11%16%

8 Discussion Scope of Practice: Current practices & scope of practice Team Roles: Pharmacists & physicians involvement next Energy Predicting Formula: AND, DC & ASPEN suggestions

9 Limitations Delivery Method: No interviewer; no opportunity for probing Response Bias: Lack of non-web-based survey methods Unclear Data: Formal and informal teams next

10 Future Directions PN Components: Medications Energy Predicting Formulas: Guidelines vs. practice Nutrition Support Teams: Composition, structure, & function next

11 Reflection Team-set timeline with a forgiving buffer time! the end