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Adult TPN / PEN Service

Welcome to the home page for Adult Parenteral/Enteral Nutrition (PEN) Service at the University of North Carolina Hospitals! The Adult Parenteral/Enteral Nutrition Service or "PEN Service" is an interdisciplinary service that assists with the care and management of patients who require parenteral nutrition (PN or TPN). The service is comprised of dietitians, a nurse, a pharmacist and physicians.

A member of the service is available 24-hours a day for consultation.  Page through the WebXchange under “On-call Schedule Search” and choose “Adult TPN/PEN Service”.


 To review Selected Nursing Protocols and Procedures please go to the Nursing Intranet at Work.



PEN Service Team Members:


Nutrition Support Dietitian:            Francine Hsu, RD, CNSD; pager 123-2414

                                                  Mandy Holliday, RD, CNSD; pager 123-2025

                                                  Carolyn Snock, RD; pager 123-5605


Nutrition Support Pharmacist:        Beverly Holcombe, PharmD, BCNSP; pager 216-1595


Physicians:                                 Mark Koruda, MD; pager 216-0446,

                                                     Elizabeth Dreesen, MD; pager 347-0021


Nutrition Support Nurse:               Linda McElveen, BSN, RN, CRNI; pager 347-1122




The Nutrition Support Nurse is a resource for central venous access device questions/issues and is the discharge planner for adult home TPN patients.



For questions or comments about this page, please send an email to the pagemaster.   For technical support, please contact the ISD Customer Support Center at (919) 966-5647.

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