Are the crucial “final common pathway” of nearly all patient-centred, ward-based care. For Nutrition they should adhere to standards set by Hospital Nutrition Steering Committee which may be adapted locally by Specialist Unit governance. They work in close co-operation with the patient’s principal medical team and the nutrition support team. Together with them they:
1 Maintain an ongoing policy towards the nutritional support of patients which has continuity in the context of staff turnover.
2 Employ routine nutritional screening including assessment of nutritional risk and the ability of the patient to eat.
3 Maximise use of available facilities and options to achieve enjoyable, psychosocially beneficial, nutritionally effective meals and food intake.
4 Take responsibility for individual patient’s food intake and co-ordinate a protected mealtimes policy at ward level.
5 Help with food choices
6 Help with feeding as appropriate
7 Monitor/keep records of food intake when necessary
8 Are alert to unsafe feeding
9 Provide food, and in conjunction with dietitians, supply artificial nutritional supplements
10 Provide expert safe delivery and monitoring of artificial nutritional support.
11 Deliver enteral and parenteral nutrition skillfully, closely following hospital
protocols and guidance
12 Monitor enteral and parenteral nutrition – fluid balance, blood/urine glucose, diabetic charts, microbiology
13 Prevent (cross) infection.
14 Liaise with patient and patient’s relatives
15 Employ timely discharge planning and liaise with the community.