Title: Critical Care Nutrition: Adults and Pediatrics

CE credit available for dietitians, nurses, pharmacists and physicians
Total Credit Hours: 1.5
On-Demand Activity Start Date: January 1, 2019
On-Demand Activity Expiration Date (all CE credit must be claimed by the expiration date): February 28, 2019

Speakers:

FACULTY AND TOPICS
Updates on Use of Early Exclusive and Supplemental Parenteral Nutrition in the Critically Ill Adult

Jayshil Patel, MD
Associate Professor of Medicine, Medical College of Wisconsin, Milwaukee, WI

Nutrition in the Critical Care Setting: Pediatric Concepts
Michael Haight, MD, MHA
Clinical Professor, Pediatrics/Chief, Pediatric Gastroenterology & Nutrition, UCSF, Fresno, CA

MODERATOR
Harlan Husted, PharmD, MBA, BCPS
Pediatric Clinical Pharmacist, NICU, Community Regional Medical Center, Fresno, CA

Format: Online as MP3 files and PDF Handouts

Lecture of the Month CE Activity Overall Goal:
This CE activity serves to promote the process of life-long learning for physicians, dietitians, pharmacists, and nurses who specialize in the sciences of clinical nutrition and metabolism.

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 reader 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:

Describe guideline recommendations for use of exclusive and supplemental parenteral nutrition in the critically ill adult
Identify and appraise landmark randomized controlled trials comparing early enteral versus early exclusive parenteral nutrition in critically ill adults
Identify and appraise randomized controlled trials comparing early enteral plus supplemental parenteral nutrition to enteral nutrition alone
Cogitate on scenarios for exclusive and supplemental parenteral nutrition
Describe long-term parenteral nutrition lab monitoring in the inpatient and outpatient settings
Define the role of levocarnitine in parenteral nutrition
Identify strategies to reduce the incidence of Central Line Associated Blood Stream Infections related to parenteral nutrition use in the pediatric critical care setting

Speaker Credentials and Affiliations:
Jayshil Patel, MD
Associate Professor of Medicine, Medical College of Wisconsin, Milwaukee, WI

Michael Haight, MD, MHA
Clinical Professor, Pediatrics/Chief, Pediatric Gastroenterology & Nutrition, UCSF, Fresno, CA

Requirements for Successful Completion:
To obtain CE credit for this activity, attendees must listen to the education recording, complete an online knowledge assessment for each education recording and achieve a score of 100%, and complete an online activity evaluation. All CE credit must be claimed prior to the expiration date.

Note: successfully completing the posttest is required for nurses, pharmacists, and physicians, not dietitians. Dietitians may claim credit for viewing/listening to the recording per CDR guidelines. This program is approved for RDs, RDNs and DTRs under Activity Type 175 in accordance with CDR guidelines. RDs and RDNs may claim up to 30 CPEUs under this CPE Activity Type in a recertification cycle; DTRs may claim up to 20 CPEUS. For additional information, please click here.

Pharmacists must provide their NABP e-PID and birthday (MMDD) when claiming credit to enable ASPEN to upload credit claimed to the CPE monitor. Failure to provide accurate information by the expiration date for claiming CE credit can result in an inability for the earned credit to be uploaded to the CPE monitor and thus not appear in the pharmacist’s NABP profile.

Accreditation Statements/Continuing Education Credit:

Nurses, Pharmacists, and Physicians
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 each enduring activity for a maximum of 1.5 contact hours (0.15 CEU) per activity. All are knowledge activities.

ASPEN designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits ^TM per activity. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ASPEN is approved by the California Board of Registered Nursing, Provider CEP 3970.

ACPE UAN: JA0002345-0000-19-068-H01-P

Dietitians
ASPEN, Provider Number AM005, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). CDR level 2. Dietitians may post comments on this program on www.cdrnet.org.

Policies/Information:
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 and it is recommended that end users' devices satisfy the following requirements:

OS: Windows, Mac
Browser: Internet Explorer 11+, Firefox 52+, Chrome 58+, Safari 10+, Microsoft Edge 14+
- Internet Explorer 11 still requires the most recent version of the Adobe Flash plugin
Javascript & Cookies enabled
Recommended RAM: 512MB+

Mobile support

Iphone 5s+ - Safari Browser - IOS 9+
Ipad 2+ - Safari Browser - IOS 9+
Android Running 4.0+ - Chrome Browser

For technical difficulties please contact Digitell Inc. Customer Support at: 1-800-679-3646

Office hours are between 9AM to 5PM ET, Monday through Friday

Privacy and Confidentiality: ASPEN respects the privacy of its members and website visitors. Companies that receive personal information from ASPEN in order to execute the business of ASPEN may use personal information only for that purpose.

Refund Policy: Refunds are not available.

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

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

Commercial Relationships Disclosures and Conflicts of Interest (COI) of Speakers/Faculty
Nothing to disclose: Allison Dostal, Alyssa Norris, Berri Burns, Christopher M. Messenger, Claudia Maza, Donna Belcher, Emily M. Huskey, Erin Nystrom, Genene Salman, Harlan Husted, Jane Hughes, Jessica Monczka, Juvy Martillos, Kyle Hampson, Liliia Gutsul, Lingxia Sun, Liz Page, Manpreet Mundi, Mary Petrea Cober, Maya Guggari, Merin Kinikini, Nilesh Mehta, Sandra Mayol-Kreiser, Sara Bonnes, Wing Yan Ng

Name	Disclosures Relevant to Topic	COI	Resolved?
Michael Haight	None	N/A	N/A
Harlan Husted	None	N/A	N/A
Jayshil Patel	Nestle – member of speaker’s bureau	All programs are planned as a committee, not the individual	N/A
Carol Ireton-Jones	Nutrishare, Inc – part-time employee Fresenius Kabi – speaker’s bureau	All programs are planned as a committee, not the individual	N/A
Katie Kelly	Coram CVS Specialty Infusion – salary as infusion dietitian	All programs are planned as a committee, not the individual	N/A
Rose K. DeLaGarza	Part of the Abbott Nutrition Speakers Bureau	All programs are planned as a committee, not the individual	N/A
Salisa Lewis	Abbott Nutrition – employee	All programs are planned as a committee, not the individual	N/A
Todd Canada	Fresenius Kabi – speaker and consultant	All programs are planned as a committee, not the individual	N/A
Megan Collins	Sodexo – contract manager	All programs are planned as a committee, not the individual	N/A

Harlan Husted PharmD, MBA, BCPS

Pediatric Clinical Pharmacist, NICU, Community Regional Medical Center, Fresno, CA

Appearances