*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: August 1, 2021

Expiration Date (all CE credit must be claimed by the expiration date): August 31, 2022

Issue: 6

Volume: 45

Journal: Journal of Parenteral and Enteral Nutrition (JPEN)

Author (s):

Jill Quirt MD, General Surgery Resident, Faculty of Medicine, University of Toronto, Toronto, ON, Canada

Christina Belza MN, PhD Candidate, Clinical Epidemiology, Institute of Health Policy, Management and Evaluation, University of Toronto, ON, Canada

Nikhil Pai MD, Associate Professor, Division of Pediatric Gastroenterology, Hepatology & Nutrition, Department of Pediatrics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada

Rose-Frances Clause MHSc, Assistant Clinical Professor, School of Nursing, McMaster University; Nurse Practitioner, Pediatrics, McMaster Children’s Hospital, Hamilton Health Sciences, Hamilton, ON, Canada

Filip Markovic BSc, Medical Student for Doctor of Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

Sylvia Wong-Sterling MN, Nurse Practitioner – Pediatrics, The Hospital for Sick Children, Group for Improvement of Intestinal Function and Treatment, Toronto, ON, Canada

Yaron Avitzur MD, Professor, Faculty of Medicine, University of Toronto, Department of Pediatrics, Toronto, ON, Canada

Paul W. Wales MD, Professor of Surgery, Surgery, Faculty of Medicine, University of Toronto; Staff Surgeon, Division of Pediatric Surgery, Humber River Hospital; Senior Associate Scientist, Research Institute, The Hospital for Sick Children; Associate Professor, Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada

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 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 the impact and relevance of central line associated bloodstream infections (CLABSI) in the intestinal failure population
Recall the other locking solutions available for prevention of central venous catheter complications
Describe the mechanism of action of 4% tetrasodium ethylenediamine tetraacetic acid (T-EDTA)
Summarize the effect of 4% T-EDTA in the initial cohort of intestinal failure patients
Describe safety profile of 4% EDTA

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 and achieve a score of 100%, and complete an online activity evaluation. All are located in ASPEN’s eLearning Center (www.nutritioncare.org/elearning). 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 http://www.nutritioncare.org/Continuing_Education/Claim_CE_Credit/Continuing_Education_Credit/.

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: JA0002345-0000-21-073-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 CPEU.

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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.

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 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 article electronically.

For technical difficulties, please contact Broadcastmed Customer Support:

by phone: 1.860.953.2900
Phone support is available 8am-8pm EST Monday through Friday.
by email: support@broadcastmed.io

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 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 Editor-in-Chief and Associate Editors

Among the authors, Jill Quirt, Christina Belza, Rose-Frances Clause, Filip Markovic, Sylvia Wong-Sterling, Yaron Avitzur, Paul Wales

Nikhil Pai, advisory committee for Takeda, Ferring, Janssen, Abbvie, received honoraria. Speaker for Takeda, honoraria.

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

Joseph Boullata: Bbraun, honoraria, speaker and consultant; Fresenius Kabi USA, honoraria, speaker; American Regent, advisory board and speaker, honorarium

Kathleen Gura: Fresenius Kabi, consultant, membership advisory board, consultant fees, royalties; Northsea Therapeutics, consultant, researcher, advisory board member, consultant fees, research support; Otsuka Pharmaceutical Company, consultant, consultant fees; Alcresta, consultant, advisory board member, researcher, consultant fees, research support

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.

Jill Quirt MD

Appearances