Multicenter Prospective Evaluation of Parenteral Nutrition Preparation Time and Resource Utilization: 3-Chamber Bags Compared With Hospital Pharmacy–Compounded Bags

Identification: JPEN2109
Credits (Post Test and/or Evaluation Required)
Available until 09/30/2022
  • 1.00 - Dietitian
  • 1.00 - Nurse
  • 1.00 - Pharmacist
  • 1.00 - Physician
  • 1.00 - Other


*To take the exam click the CE Information tab*

CE Credit: CE credit available for dietitians, nurses, pharmacists and physicians

Total Credit Hours: 1.0

Release Date: September 1, 2021

Expiration Date (all CE credit must be claimed by the expiration date): September 30, 2022

Issue: 7

Volume: 45

Journal: Journal of Parenteral and Enteral Nutrition (JPEN)

Author (s):

Sarah V. Cogle, PharmD, BCCCP, BCNSP, Assistant Clinical Profession, Harrison School of Pharmacy, Auburn University, Auburn, AL; Clinical Pharmacist, Critical Care/Nutrition Support, East Alabama Medical Center, Opelika, AL

Robert G. Martindale, MD, Chief, Division of General Surgery; Medical Director for Hospital Nutrition Services, Oregon Health and Science University, Portland, OR

Mafalda Ramos, Meng, Msc, Associate Principal, Global HEOR, IQVIA, Lisbon, Spain

Gregory J. Roberti, PharmD, Clinical Pharmacist, Oregon Health and Science University, Portland, OR; ICU/ED/Med-Surg Inpatient Pharmacist, Samaritan North Lincoln Hospital, Lincoln City, OR

Pamela Roberts, MD, Professor, Department of Anesthesiology, Section of Critical Care, John A. Moffit Endowed Chair, Vice Chair of Administration, Anesthesiology, University of Oklahoma Health Sciences Center, Oklahoma City, OK

Kaci Taylor, PharmD, Clinical Coordinator of Investigational Drug Services, OU Medical Center, Oklahoma City, OK

Gordon S. Sacks, PharmD, BCNSP, FASPEN, FCCP, Clinical Professor, Affiliate Faculty Member, Department of Pharmacy Practice, Harrison School of Pharmacy, Auburn University, Auburn, AL; Senior Director, Medical Affairs for Parenteral Nutrition, Fresenius Kabi USA, Lake Zurich, IL

Link to article: Link

Journal-based CE Activity Overall Goal:

The JPEN Editor, in concurrence with ASPEN’s Education and Professional Development Committee, selected this article to be offered for CE credit to fill an observed learning need in the arena of clinical nutrition and metabolism. This CE activity serves to promote the process of life-long learning for physicians, dietitians, pharmacists, and nurses by providing peer-reviewed journal articles that fully qualify for continuing education credits.

Goal and Target Audience:

This educational activity is directed toward clinical nutrition and metabolism professionals and others who wish to update their knowledge of clinical nutrition and metabolism. By participating in this educational activity, the learner may expect to:

  • Acquire knowledge in the area of clinical nutrition and metabolism research.
  • Update or confirm your understanding of appropriate clinical nutrition and metabolism practices.
  • Identify further learning needs as they relate to the subject matter.

Learning Objectives:

  1. Detail common methods for preparing parenteral nutrition solutions in the United States.
  2. Describe components of three-chamber parenteral nutrition bags.
  3. Identify steps in the parenteral nutrition process which may favor one parenteral nutrition delivery system over another.
  4. Compare three-chamber parenteral nutrition bags with hospital compounded bags in terms of resource utilization.
  5. Discuss potential cost savings with the use of three-chamber parenteral nutrition bags in the hospital setting.

Requirements for Successful Completion:

To obtain CE credit for this activity, attendees must read the journal article in its entirety, complete an online assessment for each article with a score of 100%, and complete an online activity evaluation. All are located in ASPEN’s eLearning Center ( All CE credit must be claimed prior to the expiration date, no exceptions. Dietitians and other CDR credentialed practitioners must also complete and retain a copy of the CDR issued Critical Thinking Self-Study Evaluation Tool. Pharmacists must provide their birthday (MMDD) and NABP e-PID. Details are available at

Accreditation Statement

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In support of improving patient care, the American Society for Parenteral and Enteral Nutrition (ASPEN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

ASPEN designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credits TM per article. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Pharmacists: ASPEN designates this activity for a maximum of 1.0 contact hours/0.1 CEUs. ACPE UAN: JA0002345-0000-21-074-H04-P. Knowledge Activity.

Nurses: ASPEN designates this activity for a maximum of 1.0 nursing contact hours. ASPEN is approved as a provider of continuing nursing education by the California Board of Nursing, provider number CEP3970.

Dietitians: ASPEN designates this activity for a maximum of 1.0 CPEUs.

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This activity was planned by and for the healthcare team, and learners will receive 1 Interprofessional Continuing Education (IPCE) credit for learning and change.


Release and Expiration. Release date: September 1, 2021. Expiration date: September 30, 2022. All CE credit must be claimed by the expiration date in ASPEN’s eLearning Center (

Non-Commercialism. ASPEN subscribes to the ACCME Standards for Commercial Support. ASPEN does not provide programs that constitute advertisement or include promotional materials. ASPEN does not endorse any products.

Computer Requirements and Technical Support. Participants will need a computer with internet connection to access the online assessment and evaluation for each journal article. If the journal article is read electronically, then the ability to read a PDF document is also necessary. Users should enable pop-ups if attempting to read articles electronically. 

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Refund Policy. Refunds are not available.

Grievances. Grievances must be submitted in writing to Director of Education and Research at ASPEN, 8401 Colesville Road, Ste 510, Silver Spring, MD 20910.

Commercial Support and Sponsorship
No commercial support or sponsorship has been received for this continuing education activity.

Commercial Relationships Disclosures and Conflicts of Interest (COI) of Authors and Journal Editors

Among the authors, Pamela Roberts, Kaci Taylor, Gregory J. Roberti have nothing to disclose.

Sarah V. Cogle, Fresenius Kabi USA, study investigator, travel reimbursement to present study results.

Robert G. Martindale, Fresenius Kabi USA, speaker/consultant, honoraria; Baxter Healthcare, speaker, honoraria. Mafalda Ramos, employee, IQVIA (not a commercial entity).

Gordon S. Sacks, Fresenius Kabi, employee, salary. Note at time of research being conducted and data collection, this relationship did not exist; Dr. Sacks was not involved in any data analysis and contributed to the writing of the manuscript in a similar manner to all study investigators.

Among the JPEN Associate Editors, Lillian Harvey-Banchik, Lingtak-Neander Chan, Ronald Koretz, Ding-You Li, Jean-Charles Preiser have nothing to disclose.

Russell Merritt: Abbvie, J&J, equity interest as investor; Alcresta, consultant, consultant fees; Abbott labs, retiree, pension, no current role.

Marion Winkler: Takeda, member of Gattex SBS Multidisciplinary Care Team Advisory Board, honorarium

JPEN Editor-in-Chief Kelly Tappenden: Biovectiv, consultant, honorarium; Abbott Nutrition, speaker, honorarium; Takeda, speaker, honorarium; Nutricia, speaker honorarium; Baxter healthcare, consultant, honorarium

ASPEN staff have no commercial relationships to disclose.

No conflicts related to disclosure information present and subsequently no need for resolution. Standard journal peer-review process also in place as another layer of review to ensure no conflicts to resolve.



Credits: None available.