The goal of this clinical trial is to develop an educational video addressing the aseptic techniques to safely handle central catheters for administrating parenteral nutrition at home.

Home parenteral nutrition is an alternative form of providing nutrition to people whose digestive systems either can't absorb or tolerate food eaten by mouth. Parenteral nutrition provides liquid nutrients, including carbohydrates, proteins, fats, vitamins, minerals and electrolytes. In recent years, more emphasis has been placed on delivering parenteral nutrition to patients at home. Studies have shown that patients receiving home parenteral nutrition are at higher risk for bloodstream infections compared to other patients with chronic infusion needs. Catheter-related bloodstream infection is a major cause of mortality and morbidity in patients receiving parenteral nutrition. It is important to maintain safe vascular access to prevent life-threatening complications. This study aims to assess the effectiveness of the video training on the rate of catheter related bloodstream infection over a 12-month period of time.

Inclusion Criteria:

• Taking home parenteral nutrition for the first time
• Willing to self-administer parenteral nutrition
• Age ≥ 18 yrs
• Able to provide informed consent
• Able speak and understand English

Exclusion Criteria:

• Already taking home parenteral nutrition
• not willing to self-administer parenteral nutrition
• Age < 18 years-old
• Unable to provide informed consent
• Non-English speakers