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Jill Summers Senior Dietitian Royal Hampshire County Hospital

It’s a MUST Implementation of the Malnutrition Universal Screening Tool in a district general hospital. Jill Summers Senior Dietitian Royal Hampshire County Hospital. Discussion points. Malnutrition Universal Screening Tool (MUST)

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Jill Summers Senior Dietitian Royal Hampshire County Hospital

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  1. It’s a MUSTImplementation of the Malnutrition Universal Screening Tool in a district general hospital Jill Summers Senior Dietitian Royal Hampshire County Hospital

  2. Discussion points • Malnutrition Universal Screening Tool (MUST) • Screening tool to identify those patients that are malnourished or at risk of malnutrition • Overview of how MUST was introduced • Share information and experiences • Continued commitment

  3. Why MUST? • Validated and nationally recognised screening tool • Transferable across all settings • Quick and easy to use • Produces objective repeatable results

  4. Objectives Increase nutritional screening Raise awareness of nutritional issues Empower the work force Improving patient care Encourage ownership of MUST by all members Devise a realistic and achievable training plan

  5. Implementation Plan • Gradual phase in of MUST over 1 year • Ward by ward staggered training • Research MUST training in other Trusts • Raise awareness of MUST

  6. Implementation Plan • Liaise with ward sister/ manager • 20 minute teaching sessions on the ward • Support from Nutricia • Laminated BMI charts, tape measures, pens

  7. Problems encountered • Resistance to change • “Another piece of paperwork” • “It misses nutrient deficiencies” • Weighing of patients • Inadequate weighing equipment • Poor compliance with care plans

  8. Continual monitoring • Student audit projects • Audits show 81% of patients screened • Care plans followed in ½ of ‘at risk’ patients • Ownership of the Trust Board • Weekly ward audits • Assessment of the completion of care plans

  9. Next steps • Continual auditing • Targeted training • MDT working • A common language amongst all health professionals • Investing in the workforce to aid a collaborative approach to tackling malnutrition

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