Quality control of nutrition risk screening operation

1. Patients informed consent to participate. Need to explain the significance of nutritional risk screening, no extra cost, no trauma, just need to measure height and weight and ask a few questions.

2. The date of admission, name, sex, age (specific to years old), ward, sickbed, medical record number, contact telephone number are filled in according to the contents of admission records.

3. Admission diagnosis: fill in the diagnosis described in the 24-hour admission medical record. If it is the same as the listed diseases, tick the corresponding column; If it is not the same, it is close to the diagnosis listed in the table and give a score. The classification of nutritional needs of diseases is based on the results of randomized controlled clinical studies. For diseases that are not clearly diagnosed, refer to the following standards and score according to the understanding of the researchers.

1: Patients with chronic diseases are hospitalized due to complications. The patient is weak, but he doesn't need to stay in bed. The demand in protein has increased slightly, but it can be made up by oral administration and rehydration.

2 points: Patients need to stay in bed. For example, after major abdominal surgery, the demand of protein will increase correspondingly, but most people can still recover through nutritional support.

Scoring 3: Patients received mechanical ventilation support in the intensive care unit, and the protein demand increased, which could not be compensated by nutritional support, but protein decomposition could be reduced by nutritional support.

4. Pay attention to the measurement of height without shoes in the morning. The actual weight should be measured on an empty stomach, in the ward with clothes on and without shoes. Measure the height to the nearest 0.5cm and the weight to the nearest 0.5kg, and calculate the body mass index (to the decimal point 1 bit).

5. Have you lost weight recently (1~3 months)? First, ask the patient whether his weight has changed or decreased recently. If it has been reduced by more than 5%, ask whether it is within 3 months or 2 months or 1 month.

6. Does the food intake decrease within1week? Ask whether the recent change in food intake 1 week has decreased 1/4, 1/2 or exceeded 3/4.

7. In the nutritional status damage score, take the highest score as the score.