Other specialist teams
A major challenge in organising excellent nutrition support is to bring groups together in a common cause to provide the highest quality nutritional care for the patient. It is a major challenge for a clinical team to organise in such a way that it works efficiently with other teams with subtly differing agendas.
Each specialist area in a large hospital may have its own governance, structure and nutrition protocols but these must be in line with overall hospital or institutional policy.
Nutrition Support services link importantly to :
- Radiology (central line insertion, Radiologically Inserted Gastrostomy insertion)
- Endoscopy (Feeding tubes, Percutaneous Endoscopic Gastrostomy, Percutaneous Endoscopic Jejunostomy insertions) will be crucial to practice organisation.
- Speech And Language Therapy will be crucial allies in the care of patients with (potentially) unsafe swallow.
- Nurse led catheter insertion services may link directly or indirectly with nutrition nurse specialists. Liaison over policy development will be vital.
- Infection control team and microbiology: particularly relevant to parenteral nutrition – there needs to be tight coherence in policies.
- Biochemistry services
- Home enteral or parenteral feeding services
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