Guidelines for oral nutrition support - East Cheshire NHS Trust

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Patients in the community are followed up by the acute unit dietitians at the MacclesfieldDGH outpatient department or by general practice dietitians. No community dietetic serviceis currently provided in Eastern Cheshire for patients who are housebound or living inresidential care establishments, but in 2008 the dietetic service developed an algorithm fortheir nutritional management for care establishment staff and general practitioners to follow.Additionally, in collaboration with the Medicines Management Team, the dietetic service:has developed, and regularly reviews, guidance on prescribing oral nutritionalsupplements for general practitioners; and has contributed to the traffic light formulary and script switch to support ongoingcost-effective prescribing of oral nutritional supplements in the community.8.0 REFERENCES1. Edington J, Kon P, Martyn CN. Prevalence of malnutrition after major surgery.Journal of Human Nutrition and Dietetics 1997; 10: 111-116.2. Green C. Existence, causes and consequences of disease related malnutrition in thehospital and the community and clinical and financial benefits of nutritionalintervention. Clinical Nutrition 1999; 18 (Supplement 2): 3-28.3. Stratton RJ, Green CJ, Elia M Disease-related malnutrition. An evidence basedapproach to treatment. Oxford: CABI Publishing (CAB International), 2003.4. National lnstitute for Health and Clinical Excellence (NICE). CG032: Nutrition Supportin Adults, 2006.CNSG 003 East Cheshire NHS Trust Guidelines for Oral Nutrition Support in Adults Page 8 of 17
9.0 APPENDICESAppendix 1Procedure for Ordering Prescribable Oral Nutrition Supplements and EnteralFeeds for Adult Wards at Macclesfield, Knutsford and Congleton Hospitalsa) AIMTo ensure that all staff are aware of how to order enteral feeds, giving sets and prescribablenutritional supplements and that there are adequate stocks for all patients.b) ORDERING PROCEDURECurrently enteral feeding products are obtained through the Supplies Department (notPharmacy). There are 2 order forms:(i)(ii)Abbott Requisition Form – this is used to order products from Abbott, who hold thecontract, including feeding equipment such as giving sets and feed reservoirs.Non-Abbott Requisition Form – this is used to order all other specialised feeds andONSP. The more common items are listed on the form. No other products can beordered unless requested by the Dietetics Department.The Blank Requisition Forms are to be kept in a file marked FEED AND SUPPLEMENTORDERING.The stock levels should be checked weekly and orders placed if needed by 1200 midday onTuesdays. This is done by faxing the requisition to Supplies (fax number 3091).Patients discharged on prescribable oral nutrition supplements or enteral feeds will need totake seven days supply from ward stock.c) CHECKING ORDERSWhen products are received onto the ward refer to the order form to check that the order iscorrect e.g. all the products ordered have arrived and the correct giving sets have been sent.“Build Up” is non-prescribable and is obtained from NHS Logistics.CNSG 003 East Cheshire NHS Trust Guidelines for Oral Nutrition Support in Adults Page 9 of 17
Page 1 and 2: Guidelines forOral Nutrition Suppor
Page 3 and 4: CONTENTSPAGES1.0 INTRODUCTION 42.0
Page 5 and 6: 3.1 Medical Staff are responsible f
Page 7: The range of nutritional supplement
Page 12 and 13: Appendix 3How to Store & Use Oral N
Page 14 and 15: Part 2 - CONSIDERATION OF DATA AND
Page 16 and 17: CHILDREN - testing of disproportion

Guidelines for oral nutrition support - East Cheshire NHS Trust

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