Nev. Admin. Code § 449.339 - Dietary services: Nutritional status of patients
1. A hospital shall carry out a program for
the systematic nutritional risk-screening of its patients to detect actual and
potential malnutrition at an early stage.
2. A hospital shall ensure that each patient
maintains acceptable parameters of nutritional status, including, without
limitation, body weight and protein levels, unless the patient's clinical
condition demonstrates that the maintenance of those parameters is not
possible.
3. A patient who is fed
by an enteral feeding system must receive the appropriate treatment and
services to prevent complications to the extent possible.
4. Parenteral nutrition support must be used
to nourish a patient who meets clinical guidelines that are developed in
accordance with nationally recognized standards of practice and approved by the
medical staff of the hospital.
5. A
patient must receive a therapeutic diet when it is determined that he or she
has a nutritional problem.
6. The
director of the dietary service shall develop and carry out policies and
procedures for nutritional care and dietetic services. The policies and
procedures must be readily available to nursing, dietary and medical staff. The
director shall evaluate the policies and procedures for nutritional care and
services provided by the dietary service on a regular basis and revise those
policies and procedures as necessary.
7. If it is determined that the nutritional
status of a patient is at risk, nutritional care for that patient must be:
(a) Planned and provided based on an
assessment of his or her nutritional status by a licensed dietitian or the
attending physician, or both; and
(b) Integrated into his or her plan of care.
The response of the patient must be monitored and reassessed as needed.
8.
Pertinent dietary information must be included in a patient's transfer records
or discharge records, or both, to ensure continuity of nutritional
care.
Notes
NRS 449.0302
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