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About The Course:

Sixty-eight-year-old Carolina Bell has been facing difficulty in oral intake of nutrition. Her doctor has ordered some IV nutrition. Total parenteral nutrition (TPN) will be administered to Central line access for this purpose.

This VR simulation for TPN administration is designed to help healthcare practitioners practice the procedure with a virtual patient in a safe and controlled virtual environment. With both training and assessment modes, learners can perform the procedure and assess themselves on their performance.

Learning Objectives:
  • Accurately validate TPN bag medication label and computerized medication order
  • Evaluate TPN bag for integrity of solution and appropriate labeling
  • Demonstrate standard aseptic technique when spiking the TPN bag and priming the IV tubing
  • Demonstrate the process of setting up an infusion pump for TPN administration
  • Demonstrate standard technique for flushing the central line access with saline solution prior to TPN administration
  • Demonstrate standard aseptic technique when connecting IV tubing to the patient’s central line access
  • Fletcher, J. (2013). Parenteral nutrition: Indications, risks and nursing care. Nursing Standard, 27(46), 50–57.
  • Standard 61. Parenteral nutrition. Infusion therapy standards of practice. (2016). Journal of Infusion Nursing, 39, S133–S135. (Level VII)
  • Centers for Disease Control and Prevention. (2011, revised 2017). “Guidelines for the prevention of intravascular catheter–related infections” [Online]. Accessed via the Web at /pdf/guidelines/bsi-guidelines-H.pdf

Customize Your Program
Get rid of the editor. Adopt in-VR customization.

MedVR Education is bringing to you in-VR customization that will enable you to customize your procedural simulations by making selections from a range of feature choices. 

  • Select patient from a diverse background
  • Choose preferred virtual environment
  • Select equipment used in the procedure
  • Modify difficulty level of the assessment mode
  • …..many more to come
  • Multi-player
  • Physics-based Interactions

Core Skills Training

TPN Administration

As a part of this TPN administration procedure, the user will begin by confirming the patient’s name and date of birth and enquiring about any known allergies. The learner will then inform the patient of the procedure and proceed with verifying the medication order and inspect the TPN bag. Further steps will require the learner to spike and prime the IV tubing with the TPN solution, program the IV pump, clean and flush the distal needleless port of central line and document the procedure.
All necessary affordances are provided to complete the procedure with efficiency.


With prompts, guidance and affordances learners are hand-held through the process to practice the procedure in a virtual environment with a virtual patient.  

  • Photorealistic virtual environment  
  • Physics-based interactions  
  • Detailed instructions  
  • Adequate affordances to assist in task completion 


Test acquired skills to perform the procedures from start to finish without prompts. An incorrect step will take the learner back to the start to start afresh.  

  • Live scoring  
  • Instant feedback  
  • Adequate affordances for efficient performance  
  • Time tracking to monitor activity completion