The Whole Package: The Pharmacist’s Critical Role in Parenteral Nutrition and the Use of Multi-Chamber Bag Parenteral Nutrition
ACPE Number:0204-0000-25-413-H05-P Content Release Date: February 26, 2026 Expiration Date: February 26, 2027 Activity Type: Application-based CE Credits: 1.5 contact hours (0.15 CEUs) Activity Fee: Free
Activity Overview
Parenteral nutrition (PN) is a life-sustaining intervention for patients unable to receive oral or enteral nutrition. Compounding of PN involves many steps that can be labor intensive to ensure that PN is accurately and aseptically produced. An approach to improving standardization to reducing errors and patient harm is through greater use of multi-chamber bag parenteral nutrition (MCB-PN). MCB-PN requires less preparation time and labor, leads to a reduction in errors, may reduce the risk of infectious complications leading to a reduction in the length of hospitalization, and is associated with a significant cost benefit compared with compounded PN. MCB-PN reduces the compounding required by pharmacists but still allows for the addition of additives prior to administration.
This educational activity will discuss appropriate patient selection for of multi-chamber bag parenteral nutrition (MCB-PN) and how to safely prepare and dispense MCB-PN. This activity will also use a case-based approach to illustrate strategies to reduce the risk of errors and improve patient care in various practice settings. The activity will highlight the important role of the pharmacist in parenteral nutrition, including in healthcare settings without formal nutrition support teams.
*Please note, this activity was presented live on December 10, 2025 as part of the ASHP 2025 Midyear Clinical Meeting & Exhibition. You can only claim credit once for this activity; live or home study.
The American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education with Commendation.
This activity was planned to meet the educational needs of pharmacists in leadership positions including pharmacy executives, managers and supervisors, front-line clinical pharmacists and those in product procurement roles who can identify specific opportunities for multi-chamber bag parenteral nutrition (MCB-PN).
Phil Ayers, PharmD, BCNSP, FMSHP, FASHP, FASPEN, Activity Chair Clinical Manager Mississippi Baptist Medical Center Clinical Associate Professor University of Mississippi School of Pharmacy Jackson, Mississippi
Phil Ayers, B.S., Pharm.D., BCNSP, FMSHP, FASHP, FASPEN is a clinical specialist in nutrition support at Baptist Medical Center in Jackson, Mississippi and serves the Department of Pharmacy as Clinical Manager. Dr. Ayers also serves as a Clinical Associate Professor with the School of Pharmacy at the University of Mississippi. He received his Bachelor of Science and Doctor of Pharmacy degree from the University of Mississippi. He is a Past-President of the American Society for Parenteral and Enteral Nutrition (ASPEN) and a Past Chair and a current member of the ASPEN Parenteral Nutrition Committee. Phil served on the USP Expert Compounding Committee from 2020-2025 and is Past Chair of the USP Parenteral Nutrition Subcommittee 2015-2020. Dr. Ayers was awarded the ASPEN Excellence in Nutrition Support Education Award, 2011 and the ASPEN Stanley Serlick Award for Parenteral Nutrition Safety in 2016.
Angela L. Bingham, PharmD, BCCCP, BCNSP, BCPS, FASHP, FASPEN, FCCM, FCCP Chair and Clinical Professor Philadelphia College of Pharmacy Saint Joseph's University Philadelphia, Pennsylvania
Dr. Angela Bingham is Chair and Clinical Professor within the Department of Pharmacy Practice at Saint Joseph's University Philadelphia College of Pharmacy. Her practice experience includes serving as a Critical Care/Nutrition Support Clinical Pharmacy Specialist at Cooper University Health Care in Camden, New Jersey. Dr. Bingham is board certified in nutrition support, critical care, and pharmacotherapy.
Dr. Bingham’s practice, teaching, and research activities are focused on pharmacotherapy in critical illness including nutrition support therapy. She is a Fellow of the American Society for Parenteral and Enteral Nutrition, American Society of Health-System Pharmacists, American College of Clinical Pharmacy, and Society of Critical Care Medicine. Professional contributions in nutrition support have included: Chair, Board of Pharmacy Specialties Specialty Council on Nutrition Support Pharmacy; Chair, ASPEN Pharmacy Practice Section; as well as task forces for adult critical care nutrition guideline revisions, parenteral nutrition appropriateness consensus recommendations, and standards of practice for nutrition support pharmacists. She is an Associate Editor for Nutrition in Clinical Practice and Assistant Editor for DiPiro's Pharmacotherapy: A Pathophysiologic Approach. Dr. Bingham was awarded the ASPEN Stanley Serlick Award for Parenteral Nutrition Safety in 2025.
Jeffery S. Vender, MD, MCCM, MBA is the Emeritus, Harris Family Foundation Chairman of the Department of Anesthesiology at NorthShore University Health System in Evanston, Illinois and a Clinical Professor at the University of Chicago Pritzker School Of Medicine in Chicago, Illinois. He is a past member of the NorthShore University Health System Faculty Practice Associates Board of Directors, Past Chair of the Medical Executive Committee for the Professional Staff at NorthShore and previously served on Northshore’s Board of Directors. Dr. Vender served as Chair of Anesthesia from 1990-2015 and received an appointment of adjunct Professor of Biomedical Engineering at Northwestern University. He served as the Director of the Critical Care Services at Evanston Hospital from 1987-2000 and the Interim Chairman at Northwestern University Department of Anesthesiology from July 1999 until October 2000. Dr. Vender has participated and Chaired numerous state and national committees of various medical organizations, edited several medical texts, has published over 135 articles and book chapters and has been an invited lecturer at over 250 national and international meetings on topics of anesthesiology, critical care, organizational change, and leadership. In addition, Dr. Vender serves as an editor and/or reviewer for many medical journals.
In accordance with our accreditor’s Standards of Integrity and Independence in Accredited Continuing Education, ASHP requires that all individuals in control of content disclose all financial relationships with ineligible companies. An individual has a relevant financial relationship if they have had a financial relationship with an ineligible company in any dollar amount in the past 24 months and the educational content that the individual controls is related to the business lines or products of the ineligible company.
An ineligible company is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. The presence or absence of relevant financial relationships will be disclosed to the activity audience.
The following persons in control of this activity’s content have relevant financial relationships:
Phil Ayers: Speaker, Consultant –Fresenius Kabi; Consultant – American Regent; Consultant – Bbraun
All other persons in control of content do not have any relevant financial relationships with an ineligible company. As defined by the Standards of Integrity and Independence in Accredited Continuing Education definition of ineligible company. All relevant financial relationships have been mitigated prior to the CE activity.
To receive CE credit, complete the steps below within 60 days of completing the activity.
View the entire presentation and answer all polling questions.
Click "Complete Activity" on last slide then complete the evaluation to claim credit.
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Important Note – ACPE 60 Day Deadline Per ACPE requirements, CPE credit must be claimed within 60 days of being earned – no exceptions! To verify that you have completed the required steps and to ensure your credits have been reported to CPE Monitor, we encourage you to check your NABP eProfile account to validate your credits were transferred successfully before the ACPE 60-day deadline. After the 60 day deadline, ASHP will no longer be able to award credit for this activity.
Provided by ASHP.
Supported by an educational grant from Fresenius Kabi USA, LLC.
