And it should be within 24 hours since admission. To find the time, I compared the chart time with the admission time on” patient summary” page. Step 3: If there was any nutrition problem that need to be address, I should check if the appropriate consult was requested. For example, when patient reported to appeared cachectic or have inability to chew which impaired oral intake, RN should have ordered a nutrition consult from RD. Step 4: Record all of the finding in the KWMC nutrition assessment quarterly log. Step 5: After all of the data gathered, I calculated the number to get the compliance percentage. It should reach at least 90%. Afterward, I discussed with RD if there was any appropriate action need to be taken or plan need to develop to improve the nutrition screening process.
Yes: if there is a room for improvement due to low percentage of compliance, dietetic and nursing department would develop and implement a plan to reinforce the nutrition screen. Some of the plan that will or had work such as; o New hire orientation
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Furthermore, among all of the 50 subjects only 8 problems were identified as nutrition risk, yet only 6 consults were requested by the team care. Thus, brings only 78% complaint with the consult. As a result, both nutrition screen and appropriate consult do not reach 90% of the standard compliance. For the same reason, reinforce education for the health care team is necessary. In the past, RDs and nurse managers increased the awareness by brought up the issue into the RNs’ huddle or care meeting. This year, the clinical dietitians held the malnutrition awareness showcase. Other options to help spread the awareness such as new employee orientation, yearly compliance training or through publication such as email newsletter or internal monthly