SISU Healthcare Solutions

09/01/2025

💛 September reminds us of two powerful truths.

On this Labor Day, we pause to honor the dedication, strength, and hard work of so many who keep our communities thriving—nurses, caregivers, families, and patients alike.

And as Childhood Cancer Awareness Month begins, we are reminded that some of the hardest work is done by the youngest among us. Children and families facing cancer show a resilience and courage that humbles us all. The gold ribbon shines as a symbol of their fight, their hope, and our collective responsibility to stand with them.

At Sisu, we believe care is more than medicine—it’s partnership, compassion, and showing up for those who need it most. Today, we honor the labor of love in healthcare and the extraordinary strength of children and families facing cancer.

✨ This September, let’s carry forward both lessons:

Work with heart.

Fight with courage.

Support with compassion.

💛 Together, we can make a difference.

08/29/2025

🌟 August Employee of the Month: Chris Lambert, RN 🌟

In just four months at Sisu, Chris Lambert has become an invaluable part of our nursing team. With over 25 years of experience in CVICU/ICU, behavioral health, and hospice, Chris brings skill, compassion, and a positive spirit to every patient and colleague he meets.

Always willing to step in, take on a caseload, and go the extra mile, Chris embodies the heart of Sisu. Outside of work, he treasures time with his family as a proud husband and dad.

Thank you, Chris, for your dedication and kindness—you make a difference every day! 💚👏

08/20/2025

Weaning Off TPN—Transitioning Back to Oral or Enteral Nutrition

Coming off TPN is a big step. It means the gut is starting to work again, and the patient may be ready to return to oral or enteral nutrition. But the process isn’t instant—it takes careful planning, close monitoring, and a team that knows how to guide the transition safely.

Here’s what that journey often looks like:

We start small—clear liquids, low-volume tube feeds, or simple oral nutrition. The goal is to test tolerance without overwhelming the gut.

TPN isn’t stopped overnight. We gradually reduce the infusion as the patient’s intake improves, adjusting based on labs and clinical signs.

Lab work becomes our compass. Electrolytes, glucose, liver function, and signs of refeeding syndrome help us stay ahead of complications.

Every patient’s path is different. Some move quickly, others need time—and that’s okay. The key is listening to the body and adjusting as needed.

It’s always a team effort. Dietitians, physicians, nurses, and pharmacists each bring a piece of the puzzle to make the transition safe and successful.

The end goal? A confident transition—guided by the care team, driven by the patient.

08/11/2025

Congratulations Kayla! We are so fortunate to have you as part of our team.

INS is excited to welcome 4 new members to the National Council on Education (NCOE)—experts in infusion nursing who help shape top-tier educational programs for our specialty.

Let's meet our one of our new members, Kayla Middleton!

08/06/2025

Managing Parenteral Nutrition at home is a big step—it offers independence, but also comes with responsibilities. Whether you're a patient, caregiver, or clinician, staying ahead of potential complications is key to keeping HPN safe and effective.

🔎 Here’s what to keep an eye on:

Line Safety: Your central line is your lifeline. Watch for redness, swelling, fever, or chills—these could be signs of infection. Daily care and clean technique matter.

Lab Values: Electrolytes like potassium, phosphate, and magnesium can shift quickly. Regular bloodwork helps catch issues early.

Blood Sugar Swings: TPN contains dextrose, so monitor for symptoms like fatigue, confusion, or excessive thirst.

Liver Function: Long-term HPN can affect the liver. Routine labs and watching for changes in skin color or abdominal discomfort are important.

Fluid Balance: Sudden weight gain or swelling could mean fluid overload. Dehydration can be just as risky—track your intake and output.

07/31/2025

🌟 July Employee of the Month: Adar 🌟

We’re thrilled to recognize Adar as this month’s Employee of the Month! Since joining SISU in June 2023 as a PAL (Patient Access Liaison), Adar has been an unwavering source of positivity, compassion, and dedication.

Whether she’s supporting the intake team, jumping in to help a colleague, or offering calm and comfort to patients starting IV antibiotics or TPN, Adar leads with heart. Her coworkers describe her as kind, attentive, and always willing to lend a hand—with a smile and a great attitude.

When asked what she loves most about her role, Adar shared: "Helping our patients any way I can and providing some sort of comfort to them knowing they might be nervous to go home on IV ABX or TPN."

Her favorite part about working at SISU? The people. “My team and leadership. Everyone is so kind and helpful. We show up for each other always.”

Outside of work, you’ll find Adar spending time with her daughter and friends, exploring new restaurants, playing games, and binge-watching her favorite shows.

💙 Adar, thank you for the light you bring to our team and our patients every day. SISU is better because of you!

You

07/30/2025

TPN 101: Customizing TPN—How Formulas Are Tailored for Different Patients

Over the past several weeks, we’ve explored the building blocks of Total Parenteral Nutrition—from macronutrients (dextrose, amino acids, lipids) to micronutrients (electrolytes, vitamins and trace elements) as well as fluid balance.

Now, let’s bring it all together. 🧩

TPN customization is where science meets patient-centered care. Every component we've discussed plays a role in crafting a formula that meets the individual needs of each patient.
Whether it's adjusting amino acids for wound healing, fine-tuning electrolytes for renal function, or balancing fluids for cardiac patients—TPN is a dynamic therapy that requires:

✅ Clinical insight
✅ Nutritional expertise
✅ Pharmacological precision

Customizing TPN is more than mixing ingredients—it's about understanding the patient and designing a formula that supports recovery, stability, and long-term health.

07/23/2025

TPN 101: Vitamins & Trace Elements in Focus

Total Parenteral Nutrition (TPN) includes a wide array of essential micronutrients—each with a unique role in patient recovery and metabolic stability. While there are many to consider, today let’s spotlight a few that often raise questions in clinical practice:

* Vitamin C – Crucial for collagen synthesis and immune defense. Deficiency can impair wound healing and increase infection risk.
* Zinc – A powerhouse for tissue repair and immune modulation. Often increased in patients with burns or high-output fistulas.
* Vitamin B1 (Thiamine) – Essential for carbohydrate metabolism and neurological function. Deficiency can lead to Wernicke’s encephalopathy, particularly in patients with prolonged malnutrition or increased metabolic demand.
* Copper – Supports iron metabolism and connective tissue formation, but can accumulate in cholestatic liver disease.

Which micronutrients would you like to learn about more? Comment below!

07/18/2025

Leadership. Excellence. Impact.

We’re thrilled to share that Kayla has been appointed as a member of the National Council of Education (NCOE) for the Infusion Nurses Society (INS)!

This prestigious honor recognizes Kayla’s dedication, expertise, and leadership in infusion therapy. As a member of the NCOE, she will help set national standards, shape clinical best practices, and guide the future of infusion nursing on a global stage.

Kayla brings over 10 years of experience as a Registered Nurse, with a primary focus in infusion therapy—an area that’s taught me the value of precision, compassion, and adaptability. For the past five years, she’s transitioned into executive leadership, where she’s had the opportunity to shape teams, drive innovation, and champion quality patient care from a strategic level.

Kayla, we are so proud of you and grateful to have your brilliance on our team. Your impact is already incredible—and now it’s about to be even bigger. 💙💉

07/16/2025

TPN 101: The Art of Electrolyte & Acid-Base Tuning

TPN isn’t just nutrition—it’s an intricate biochemical formula tailored to the body's every need. Here's why each electrolyte matters:

🔹 Sodium: Critical for fluid balance and nerve function. Too much? Risk of fluid overload. Too little? Confusion, cramps, and hypotension. �
🔹 Potassium: Vital for muscle contractions, especially the heart. Precision is everything—small shifts can have big consequences. �
🔹 Chloride: Influences acid-base status via strong ion difference. Elevation may drive acidosis; depletion affects buffering. �
🔹 Magnesium: Supports enzyme systems and neuromuscular function. Often overlooked, but low levels can derail recovery. �
🔹 Calcium: Key to neuromuscular stability and blood clotting. TPN dosing demands careful coordination with phosphate to prevent dangerous precipitation. �
🔹 Phosphate: Backbone of cellular energy and structure. Inadequate levels impair tissue repair, while excess can disrupt calcium balance. �
🔹 Acetate: Converted to bicarbonate, it’s your buffer against metabolic acidosis when lactate isn’t used.

Each component is a dial we adjust to meet complex clinical needs. 💬 Got a favorite electrolyte tip or tuning trick? Share it below.

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07/09/2025

TPN 101: Balancing Fluid Needs

Precision in fluid management is fundamental to safe and effective Total Parenteral Nutrition (TPN). Every patient presents a unique physiologic picture—and that’s where individualized care matters most.

Key considerations include:
* Fluid status and electrolyte imbalances
* Renal and hepatic function
* Volume restrictions vs nutritional adequacy
* Comorbid conditions and clinical goals

Clinical decisions around TPN fluid volumes require a careful integration of lab data, patient history, and evolving clinical status. Thoughtful adjustments can directly influence therapeutic success and minimize complications.

07/04/2025

🇺🇸 Happy Independence Day from All of Us at Sisu Healthcare Solutions 🇺🇸

Today, we pause to honor the courage, resilience, and unity that define our nation. Independence Day is more than fireworks and festivities—it's a celebration of freedom, community, and the spirit of service.

At Sisu, we are proud to serve patients, families, and communities with compassion and commitment every day. On this holiday, we extend our gratitude to the healthcare professionals working tirelessly—even today—to ensure others receive the care they need.

Wishing you and your loved ones a safe, joyful, and meaningful 4th of July. ❤️🤍💙