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Marianne's Corner

Travel Tips

Many home TPN consumers are preparing to travel to San Diego next week for the annual Oley Foundation meeting (www.oley.org).  Others are planning summer vacations to beaches, camping, and even abroad.

Contact your home infusion pharmacy and let them know your plans. They will advise you on whether they can ship to your travel location, or if you have to take supplies with you.  Call ahead to your hotel to check refrigerator availability and size, and check with airlines for rules about traveling with pumps, medications, and TPN bags.

Create a zip lock baggie of supplies for each day with a couple extra.  Include flushes, syringes, alcohol swabs, tubing, etc.  When it is time to hook up, just grab the baggie and you will have everything you need without digging and searching in a suitcase.

Take a non-porous tray for a work surface to prepare and setup TPN.  These can be purchased from any variety, grocery, or home store.  Stainless steel bakery trays or smooth plastic trays (usually with the summer table items) are good.  They are easy to pack at the bottom of a suitcase and can be easily washed with soap and water or other antiseptic.  Hotels and camping areas may not have a clean work surface other than the bathroom, which is not a good choice.

Make sure you have plenty of Purell™ hand sanitizer in the car, camper, hotel room….everywhere you go! There may not be paper towels or adequate soap where you are staying.  Avoid hand sanitizers with extra additives and fragrances.  Remember friction X 15-30 seconds and allow to completely dry.

Don’t forget to pack the catheter repair kit. Hopefully you won’t have to use it, but if you have a tear or break in the line, you will be prepared to visit any hospital or clinic with what you need to get the line functioning again.  Remember, that the instructions for repair can be easily removed from the outer wrap of the kit without contaminating the sterile contents.  This will come in handy if the health care provider is not familiar with the procedure.

Lastly, I hope everyone has a memorable summer vacation and I look forward to seeing everyone at Oley next week!

Published Thursday, June 19, 2008 5:47 PM by Marianne

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Comments

 

PAN said:

you might want to add that available is a disposable - travel pump stand.
July 31, 2008 10:50 AM
 

Marianne said:

Thank you for this tip.
July 31, 2008 11:51 AM
 

Sydney said:

Should a doctor grant the wish of a terminal cancer patient to undergo TPN even if it will cost her life?
Colleen's cancer is out of control. "There is nothing more we can do," she was gently told. She wants her doctor to start Total Parenteral Nutrition (TPN) by intravenous route so she can try one more round of the research protocol of medication and make it to her son's graduation. Her son is five and a kindergarten. Her doctor agrees the TPN will offer her nutritional support and energy, but the side effects of the treatment are unduly burdensome and could cost her life. Should the treatment be started because she wants it though the doctor disagrees?
August 1, 2008 3:08 AM
 

Marianne said:

TPN is not considered a standard of care in end stage cancer.  It does not provide comfort, improve quality of life, or extend life.  It may, in fact, create additional complications with fluid and electrolyte imbalance and infection.  

This is a very difficult time for Colleen, but it is doubtful that TPN will provide her additional time or improve the outcome of the research protocol.
August 1, 2008 9:58 AM
 

Sydney said:

So should the doctors not grant Colleen's request to undergo TPN even if she wants to? How about her right to Autonomy? Is that right violated if the doctor will not allow her to undergo TPN?
August 1, 2008 9:03 PM
 

Marianne said:

TPN is a therapy that must be prescribed by a physician.  If her physician does not feel it will benefit her and may in fact be harmful to her, he is not obligated to order it.  
If this is the case, Colleen could seek out a new physician who agrees with and will order the TPN, or present her case to a medical ethics committee for a multidisciplinary collaborative decision about her individual case.
August 2, 2008 9:38 AM

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About Marianne

Graduate of Virginia Commonwealth University School of Nursing. Board Certified Nutrition Support Nurse 1992, Nutrition Support Nurse at Medical College of Virginia 1989-2005.

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