Nutrition and Fluids Management in Nursing
Support patients in maintaining optimal nutrients and fluids to meet the body requirements
Type
Domain
Competency Area
Patient Care
Levels
Assist patients in oral feeding
Select the right diets to the right patients
Position the patients in a semi-Fowler’s or high-Fowler’s prior to feeding
Use thickeners in right consistency for correct mixtures, as supervised
Monitor and document intake and output chart
Observe for signs of choking or swallowing difficulties during feeding
Report observations and abnormalities to trained nurse
Assist in enteral feeding including nasogastric (NG) and percutaneous endoscopic gastronomy (PEG) tubes
Perform nasogastric (NG) tube insertions
Confirm correct placement of NG and percutaneous endoscopic gastronomy (PEG) tube prior to feeding
Perform bolus, intermittent, continuous NG and PEG feeding
Observe the feeding tube for patency and free flow of enteral feeding
Perform flushing of feeding tubes with water before and after each feeding
Monitor the feeding pumps for appropriate flow rates as indicated
Implement nutritional care plans
Monitor for signs and symptoms of aspiration pneumonia
Teach patients and caregivers on self-care management for patients with enteral feeding
Supervise support care staff on oral feeding of patients
Perform parenteral nutrition, fluids and electrolytes management
Conduct nutritional assessments of the patients
Collaborate with inter- professional teams in developing nutritional care for the patients
Monitor nutrition status of the patients against the expected outcomes indicated in the care plans
Confirm placement of NG tubes through radiology reports
Administer parenteral nutrition regimen as prescribed
Monitor and report complications associated with parenteral nutrition
Perform patient and caregiver education on parenteral nutrition
Provide supervision to junior staff in performing oral and/or enteral feeds