Ensuring the Safe Use of Parenteral Nutrition: Managing Shortages and Beyond

Ensuring the Safe Use of Parenteral Nutrition: Managing Shortages and Beyond

Expert Panel

Phil Ayers, Pharm.D., BCNSP, FASHP
Chief, Clinical Pharmacy Services
Mississippi Baptist Medical Center
Clinical Associate Professor of Pharmacy Practice
University of Mississippi School of Pharmacy
Jackson, Mississippi

Phil Ayers, Pharm.D., BCNSP, FASHP, is a clinical specialist in nutrition support and serves the Department of Pharmacy as Chief of Clinical Pharmacy Services at Baptist Health Systems in Jackson. Dr. Ayers is also Clinical Associate Professor with the School of Pharmacy, University of Mississippi.

Dr. Ayers received his Bachelor of Science and Doctor of Pharmacy degrees from the University of Mississippi. He currently serves on the Board of Pharmacy Specialties Nutrition Support Council as Chair and the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)  Board of Directors as Secretary-Treasurer Elect. Dr. Ayers was named a Fellow by ASHP in 2102 and is currently the ASHP Network Facilitator for Nutrition Support. Dr. Ayers has also served as the Senior Delegate for Mississippi in the ASHP House of Delegates.

Dr. Ayers was awarded the Excellence in Nutrition Support Education Award by A.S.P.E.N. in 2011 and is the current Chair for A.S.P.E.N. Parenteral Nutrition Safety Task Force. The Mississippi Society of Health-System Pharmacists (MSHP) named Dr. Ayers the Health-System Pharmacist of the Year in 2002 and in 2009.  He holds membership in ASHP, American College of Clinical Pharmacy, A.S.P.E.N., MSHP, the Mississippi Society for Parenteral and Enteral Nutrition (MSPEN), Mississippi Pharmacists Association (MPhA) and is the current MPhA President-Elect and Government Affairs Chair. Dr. Ayers has served as President of MSHP, MCCP and MSPEN.

Beverly Holcombe, Pharm.D., BCNSP, FASHP
Clinical Practice Specialist
American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)
Silver Spring, Maryland

Beverly Holcombe, Pharm.D., BCNSP, FASHP, is a clinical practice specialist with the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.).

Dr. Holcombe received a Bachelor of Science degree in pharmacy from University of North Carolina and a Doctor of Pharmacy degree from the University of Tennessee at Memphis Health Sciences Center.  She then completed an ASHP Research and Education Foundation Pharmacy Nutrition Support Services Fellowship at the University of Tennessee at Memphis.

Prior to joining A.S.P.E.N., she was Senior Clinical Specialist in the Pharmacy Department at the University of North Carolina Health Care and Clinical Professor at the UNC Eshelman School of Pharmacy for more than 25 years.  Dr. Holcombe’s specialty practice at UNC Healthcare was in adult nutrition support.  She also provided didactic and experiential education for pharmacy students and residents, as well as other healthcare professional trainees.

As a volunteer member of A.S.P.E.N.,  Dr. Holcombe held leadership positions including serving on the Board of Directors.  She also served as the chair or member of numerous committees and task forces.   Most recently she was a member of the Parenteral Nutrition Safety Task Force, which developed the A.S.P.E.N. Parenteral Nutrition Safety Consensus Recommendations.  Dr. Holcombe has been involved with managing shortages of parenteral nutrition products for over 15 years and served chairman of the A.S.P.E.N. Nutrition Product Shortage Subcommittee.

Dr. Holcombe was an editor for A.S.P.E.N.’s recently published Parenteral Nutrition Handbook, 2nd edition and served as an associate editor for the interdisciplinary core curriculum, The Science and Practice of Nutrition Support and the 2nd edition of the Nutrition Support Practice Manual.

She is also a member of the Nutrition in Clinical Practice Editorial Board.  She was the Nutrition section editor and author of Parenteral Nutrition in Applied Therapeutics: The Clinical Use of Drugs, 8th edition.

Dr. Holcombe served on the Board of Pharmacy Specialties Specialty Council on Nutrition Support Pharmacy and has held leadership responsibilities in ASHP including the Section of Clinical Specialists.

Dr. Holcombe has presented and published extensively on various aspects of parenteral and enteral nutrition therapies, parenteral nutrition safety, and strategies for managing shortages of parenteral nutrition components.

Ainsley Malone, M.S., R.D., L.D., CNSC, FAND
Nutrition Support Dietitian
Pharmacy Department
Mt. Carmel West Hospital
Columbus, Ohio

Ainsley Malone is a dietitian member of the Nutrition Support Team at Mt. Carmel West Hospital in Columbus, Ohio where she is involved in the management of patients requiring enteral and parenteral nutrition.  In addition, Ms. Malone serves as a Clinical Practice Consultant to the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.).  She is a certified nutrition support clinician and has delivered international, national and local presentations on many aspects of parenteral nutrition.  In addition to her clinical practice activities, Ms. Malone has served A.S.P.E.N. in many capacities including as faculty member of the Parenteral Nutrition Order Writing course and Chair of the PN Order Writing Tutorial.  Ms. Malone has also served on the A.S.P.E.N. Board of Directors most notably as President in 2013.

David S. Seres, M.D., Sc.M., PNS
Director, Medical Nutrition and Nutrition Support Service
Associate Professor of Medicine in the Institute of Human Nutrition
Columbia University Medical Center
New York, New York

David S. Seres, M.D., Sc.M., PNS, is Director of Medical Nutrition and Associate Professor of Medicine in the Institute of Human Nutrition, Columbia University Medical Center, New York, NY.  Dr. Seres has been a physician nutrition specialist for 25 years. He directs the nutrition support service, the medical school nutrition curriculum, and one of the few clinical nutrition fellowships for physicians in the U.S. This year he was honored with the prestigious Excellence in Nutrition Education Award from the American Society for Nutrition.  Dr. Seres is also a clinical ethicist and a Columbia University/OpEd Project Public Voices Fellow.

Dr. Seres is currently a member of the Medical Advisory Board for Consumer Reports and has held numerous national leadership positions. He was Chair of Physician Certification for the National Board of Nutrition Support Certification, and Chair of the Medical Practice Section for the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.).  He is coauthor of multiple safety guidelines, chapters, editorials, and invited reviews, and appears frequently in the media advocating to consumers against dangerous foods, supplements, and nutritional practices.  He is currently editing a new textbook on nutrition in the ICU.

Dr. Seres’ research includes improving nutrition content in medical school curricula, the impact of feeding tube choice on patient outcomes and the indications for placing feeding tube s in patients placed in nursing homes, the risk of blood-stream infections in patients receiving intravenous nourishment, metabolic derangements in acute illness, and measuring body composition and caloric consumption in patients with cerebral palsy. 

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