Organization and the Role of Nutirition Support Team

Yehyun Park; Soo Jung Park

doi:10.4166/kjg.2015.65.6.342

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Park and Park: Organization and the Role of Nutirition Support Team

Review Article

Korean J Gastroenterol 2015;65(6):342-345.

Published online: 4 October 2015

DOI: https://doi.org/10.4166/kjg.2015.65.6.342

Organization and the Role of Nutirition Support Team

Yehyun Park, Soo Jung Park

Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea

Correspondence to: Soo Jung Park, Department of Internal Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea. Tel: +82-2-2228-1963, Fax: +82-2-365-2125, E-mail: sjpark@yuhs.ac

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

With the development of specialized nutrition therapy and the need for interdisciplinary approach, nutrition support teams (NSTs) were created to optimize effectiveness and safety of nutritional therapy. NSTs are interdisciplinary support teams with specialty training in nutrition that are typically comprised of physicians, dietitians, nurses, pharmacists, and others. Their role includes nutrition screening, assessment, determination of nutrition needs, recommendations for appropriate nutrition therapy, management of nutrition support therapy, and monitoring. Studies have demonstrated significant improvements in patient nutrition status and improved clinical outcomes as well as reductions in costs when patients were appropriately managed by NSTs. Organization and the role of NSTs are discussed in this review.

Keywords: Nutritional support, Organizations, Role

References

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Table 1.

Mandatory Four Professional Members of Nutrition Support Team (NST)

NST should be comprised of four professional personnel from each of the following professions: one or more of the personnel should have full-time NST job.

(1) Professional physician educated by proper program of nutritional therapy (pediatrician or pediatric surgeon for children)

(2) Professional full-time nurse educated by proper program of nutritional therapy

(3) Professional full-time pharmacist educated by proper program of nutritional therapy

(4) Full-time clinical dietitian

Table 2.

Education Program for Nutritional Therapy in Korea

Profession	Education Program	Organizing Society
Physician	Total Nutrition Therapy (TNT)	KSPEN
	ESPEN-LLL (Life Long Learning)	KSPEN
	Clinical Nutrition Program (CNP)	KSSMN
	Pediatric TNT	KSPGHAN
	Comprehensive Nutritional Care (CNC) Program	KSNSP
Pharmacist	TNT-CP (Critical Professional)	KSPEN
	Intravenous Nutritional Pharmacotherapy (INPT)	KSPEN
	Post-clinical Pharmacy Practical Training: Clinical Dietetics, Pharmaceutical Care for Serious Patients	KSHP
	ESPEN-LLL	KSPEN
Nurse	TNT-CP (Critical Professional)	KSPEN
	CNP	KSSMN
	ESPEN-LLL	KSPEN

KSPEN, Korean Society for Parenteral and Enteral Nutrition; ESPEN, European Society of Parenteral and Enteral Nutrition; KSSMN, Korean Society of Surgical Metabolism and Nutrition; KSPGHAN, Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition; KSNSP, Korean Society of Nutritional Support for Patients; KSHP, Korean Society of Health System Pharmacists.

Table 3.

Functions of Nutrition Support Teams

Nutrition care functions
Nutrition assessment
Determine energy and protein needs
Determine the severity of malnutrition
Enteral/parenteral nutrition indicated appropriately
Assess the adequacy of access for nutrition therapy
Initiate and manage enteral and parenteral nutrition
Complete orders
Document in patient's record
Daily patient assessment
Recommend changes to therapy
Transition feedings: parenteral to enteral to oral

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