Use of Food, drink and supplements on wards
Provision of Food, Drink & Supplements for Adult In-Patients
|Stock provision items supplied from kitchen
||Can be ordered from NHS supplies
- Milk - full cream
- Semi-skimmed milk
- Complan, powder or tetrabricks
- Breakfast cereals
- Milk shake syrup
1. On a routine basis Wards should be able to offer patients:
2. Guidence for visitors bringing food items to patients in hospital is available.
- Milky drinks/milkshakes
- Bread/toast + preserves + butter + margarine
- Cereal + milk
- Build-up or Complan drinks
(Suitable items include - fresh fruit, fruit juices, cordials, squashes, crisps, nuts,
biscuits, sweets, plain cakes and buns)
|Order by request from Ward
||By arrangement with Dietitian
- Normal Menu (includes Halal and Vegetarian)
- Small meals & inbetween meal snacks
- Modified Consistency
- Renal menu
- Coeliac a la carte menu (gluten free)
- Fortified soups and sweets available from main normal menu
- Paediatric Menu
- Therapeutic Diets
- Normal menu provides choices for those on a simple therapeutic diet e.g weight reduction or diabetes.
- Gluten-free Bread/Gluten-free Biscuits for Gluten-free Diets for Coeliac Disease
- Vegan meals
- Snack Box
- Non-standard Therapeutic Diets. These will include allergy diets and other very specialised therapeutic diets.
- Additional snacks for individually identified patients e.g. those on High Protein/ High Calorie Diets as prescribed by the dietitian.
1. If a small meal is ordered snacks will be sent with each meal.Please make sure these are given to the patient bewteen meals.
2. If a Soup meal replacement is required ask for fortified soup and order fortified milk pudding on the normal menu.
3. If a meal is to be missed; contact the kitchen to make alternative arrangements.
4. Non standard therapeutic diets must be referred to the dietitian.
Refer to the Dietitian if:
1) MUST> 2
2) MUST>1 but oral intake poor and condition deteriorating
3) A non-standard therapeutic diet required
4) Patient is still not eating or drinking well after trying small meals/snacks/milky drinks offered from the Ward for 24- 48 hours.
5) Nutritional requirements cannot be met orally e.g. Enteral Tube Feeding required .
||Enteral Tube Feeding (ETF)
|By Dietitian / Prescription
- Dietitians sign for supplements on Drug Chart
- Supplement to be dispensed by:
pharmacy at both SLH & BRI.
- Supplements kept as ward stocks.
Reviewed by pharmacy.
- Supplement to be given out by RGN at times prescribed.
- If supplement required at weekend, follow standard regimen.
- Dietitian calculates requirements and records feeding regimen on ETF Chart
- ETF dispensed by Pharmacy
- Dietitian reassesses on regular basis
- If Enteral Feeding requested by Doctor at weekend, follow standard starter regimen.
Prescribable supplements should not be given out unless prescribed by a Dietitian or Doctor; or as per Standard Supplement Protocol at weekends or Bank Holidays.