NON-ICU FORMS
Sheet 1
“Is there a Clinical Nutrition Team at your facility?” Is this referring to a Nutrition Support Team or a team of dietitians?
Nutrition Support Team
Do we include all physicians and consultants for each patient? Or just if we have specific physicians and consultants assigned to the unit?
Just the physicians and consultants assigned to the unit
Sheet 2
When counting days since unit or hospital admission should we count the day of admit as day 1 and continue counting including the day of the survey?
Yes
What number do we assign diabetic diet? (The instructions indicate to exclude if from special diet.)
Use special diet/4
If an energy goal is not assessed, do we just not complete that area of the question or do we assign one?
Do not change your clinical practice on nutritionDay. Leave an area blank if it does not apply to your facility. In this situation you could enter the energy goal if you would like to calculate it.
Are we asking about pills and liquid medications at home or in the hospital?
Any oral medication taken on nutritionDay
Sheet 3a and 3b
Are we asking about pills and liquid medications at home or in the hospital?
Any oral medication taken on nutritionDay
If a patient ate less than ¼ , like a few bites, or more than 1/2, which plate should we check on 3b?
This would require your clinical judgement on rounding up or down.
For fluid consumption, How do I fill in the data?
1 drink = 200 mL. Please fill in number of drinks based on this conversion. If a partial drink was consumed, use fractions or decimals (please use a period not a comma when using decimals) to designate the quantity
