All Standard Operating Procedures (SOPs) & Appendices
SECTION 1.1
SOP 1.1.1 - Completion of 'MUST' for in-patients
SOP 1.1.2 - Completion of 'MUST' in the Community
SOP 1.1.3 - Weighing and Measuring Equipment
Appendix 1 - Your Food and Drinks in Hospital Leaflet
Appendix 2 - Purchasing of Weighing and Measuring Equipment Flowchart
Appendix 3 - Guidance on the Measurement and Estimation of Height and Weight
Appendix 4 - BMI Score Chart - Step 1
Appendix 5 - Weight Loss Score Chart
Appendix 6a - Step 5 'MUST' Management Guidelines
Appendix 6b - Step 5 'MUST' Management for Care Homes
Appendix 7 - Guidance for patients that require Specific Nutritional Requirements
Appendix 8a - Weight Monitoring Chart - Acute
Appendix 8b - Weight Monitoring Chart - Learning Disability
Appendix 9 - Food Record Chart
Appendix 10 - Food Choices information leaflet for patients and carers
Appendix 11a - Adult Learning Disability N&DS Referral Guidance
Appendix 11b - Adult Learning Disability N&DS Referral Form
Appendix 12 - Referral Nutrition & Dietetic Service (excluding LD Patients)
Appendix 13 - Referral Form to Nutrition & Dietetic Service
Appendix 14 - NHST N&DS Record Card (Compl. Guidelines for Referrers)
Appendix 15 - under review
Appendix 16 - 'MUST' Screening Scores
Appendix 17 - 'MUST' Community
Appendix 18 - Prescribing Guidelines for Oral Nutrition Supplements
Appendix 19 - Nutritional Supplement Drinks – Information for Patients and Carers
Appendix 20 - Management Guidelines for Nutritional Problems in Palliative Care
SECTION 1.2
SOP 1.2.1 - Provision of Oral Fluids to all Adult Patients
SOP 1.2.2 - Administration of Intravenous (IV) Fluids for Adult Patients
SOP 1.2.3 - Admin of Subcutaneous Hydration for Adult Patients in Hospital & at Home
Appendix 1 - Subcutaneous Fluids - Bundle Audit
Appendix 2 - Insertion and Maintenance Bundle - Subcutaneous Fluids
Appendix 3 - Subcutaneous Fluids - Information Leaflet for Patients, Carers & Relatives
SECTION 1.2.2
SOP 1.2.2.1 - Fluid Balance for Adult In-Patients
SOP 1.2.2.2 - Fluid Balance for Haematology and Oncology Patients
Appendix 1 - Fluid Balance Chart
Appendix 2 - Fluid Balance Chart Audit Tool
Appendix 3 - NHS Scotland Making Hydration Matter Poster
Appendix 4 - Hydration Card
Appendix 5 - Volume of Drinking Vessels
Appendix 6 - Instructions for Weighing Incontinence Pads
Appendix 7 - Haematology and Oncology Prescription and Fluid Balance Chart
SECTION 1.2.3
S.O.P. 1.2.3.1 - Preparation of the patient for elective surgery/procedures - completing the Patient Theatre Ticket
Appendix 1 - Fasting for a Test Procedure - Quick Reference Guide
Appendix 2 - Guidelines on Preparing In-Patients for Endoscopic Procedures
SECTION 2.1
SOP 2.1.1 - Development of standard recipes (excluding non NHS providers)
SOP 2.1.2 - Nutritional analysis of a standard recipe (excluding non NHS providers)
SOP 2.1.3 - Menu planning (excluding non NHS providers)
SOP 2.1.4 - Ordering & receiving patient meals by ward staff (excl. non NHS prov.)
SOP 2.1.5 - Production of patient meals by Catering Dept (excl. non NHS providers)
SOP 2.1.6 - Procedure for ordering missed meals (excluding non NHS providers)
SOP 2.1.7 - Procedure for out of hours provision of meals (excl. non NHS prov.)
SOP 2.1.8 - Ordering & provision of snacks at ward level
Appendix 1 - NHS Tayside Caterers Standard Recipe Evaluation Form
Appendix 2a-b-c - NHS Tayside Menu Template - Breakfast-Lunch-Eve Meal
Appendix 3 - Out of Hours Provision of Food
Appendix 4 - Contact Numbers
Appendix 5 - Nutritional content of biscuits/toast and order codes
SECTION 2.2
SOP 2.2.1 - Implementation of Protected Mealtimes
Appendix 1 - Protected Mealtimes Ward Poster
Appendix 2 - Making Meals Matter
Appendix 3 - Principles of Safe & Effective Nutritional Care
Appendix 4 - Principles of Protected Mealtimes
Appendix 5 - Observation Tool - Protected Mealtimes
SECTION 2.3
SOP 2.3.1 - Process of the implementation of coloured trays
SECTION 2.4
SOP 2.4.1 - Protocol for Eating & Drinking Equipment
Appendix 1 - Guidance on Eating & Drinking Equipment for Patients
Appendix 2 - Occupational Therapy Referral Flowchart
SECTION 3.2
In development
SECTION 4
4.1:
SOP 4.1a - Insertion of a NG feeding tube
SOP 4.1b - Preparing patient insertion PEG feeding tube
SOP 4.1c - Prepare patient insert RIG enteral feeding tube
SOP 4.1d - Immediate post aftercare RIG & PEG enteral feeding tube
SOP 4.1e - Replacing Y-adaptor on Halyard percutaneous gastrostomy tube
SOP 4.1f - Replacement of a balloon gastrostomy tube
SOP 4.1g - Replacement of a low profile 'button' GY tube
SOP 4.1h - Procedure measuring stoma tract low profile GY tube
SOP 4.1i - Checking vol. retention balloon in balloon GY or JY tube
SOP 4.1j - Administration feed using enteral feeding pump
SOP 4.1k - Administration of bolus feed
SOP 4.1l - Medication via enteral feeding tube
SOP 4.1m - Referral procedure for HETF
Appendix 1 - Decision tree NG tube placement checks ADULTS
Appendix 2 - Competencies for insertion & care of NG tube
Appendix 3 - NG tube insertion checklist
Appendix 4 - Information on use of nasal retention device
Appendix 5 - Post insertion care of Naso-Jejunal (NJ) tubes
Appendix 6a - Checklist for insertion of PEG tube
Appendix 6b - Enteral feeding regimen - post PEG
Appendix 7 - Guidance for care of PEG tube
Appendix 8a - Checklist for insertion of RIG tube
Appendix 8b - Enteral feeding regimen - post RIG
Appendix 9 - Guidance for care of RIG tube
Appendix 10 - Competencies for care of PEGs & balloon GY
Appendix 11 - Competencies for replacement of balloon GY
Appendix 12 - Checking PH gastric aspirate GY tube replacement
Appendix 13 - Troubleshooting guide (GY/JY enteral tube feeding)
Appendix 14 - Flowchart for managing overgranulation tissue
Appendix 15 - Enteral tube feeding regimen
Appendix 16 - NHS Tayside enteral feeding administration chart
Appendix 17 - Enteral tube pump feeding regimen
Appendix 18 - Enteral tube bolus feeding regimen
Appendix 19 - Naso-jejunal feeding regimen
Appendix 20 - Post major abdominal surgery feeding regimen
Appendix 21 - Review process oral medication - unable by mouth
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
4.2:
SOP 4.2a - Dressing central venous catheter exit site
SOP 4.2b - Commencing PN via central venous catheter
SOP 4.2c - Medication via central venous catheter
SOP 4.2d - Disconnecting PN from central venous catheter
SOP 4.2e - Taking blood from a central venous catheter
SOP 4.2f - Removal of a central venous catheter
SOP 4.2g - Referral procedure for HPN
Appendix 22 - TANG: identification & treatment Refeeding Syndrome
Appendix 23 - Types & indications intravenous access for PN
Appendix 24 - PN Request Form (medical staff)
Appendix 25 - Aseptic Dispensing Services PN Request Form
Appendix 26 - NHS Tayside - Adult TPN Administration Chart
Appendix 27 - Out of hours PN regimen
Appendix 28 - Protocol lab monitoring hospital patients on PN
Appendix 29 - Metabolic Complications
SECTION 5
SOP 5.1 - Oral Care Assessment and Technique
Appendix 1 - Emergency Dental Care Pathway for Secondary Care Adult In-patients
Appendix 2 - Medical Device Alert - Oral Swabs with a Foam Head
Appendix 3 - Mouth Care Flow Chart
Appendix 4 - NHS Tayside Oral Care for Dysphagic Patients
Appendix 5 - Drugs that can affect Oral Care
Appendix 6 - Denture Care
Appendix 7 - Lloyd Goss Oral Health Assessment
SECTION 6
SOP 6.1 - The provision of consistency modified liquids
Appendix 1 - NHS Tayside Dysphagia Decision Tree Tool
Appendix 2a - NHS Tayside Dysphagia Management in Adult Stroke
Appendix 2b - NHS Tayside Screening Form for Swallowing Difficulties in Stroke
Appendix 3a - Dept of Speech & Language Therapy PRI - Swallowing Advice Sheet
Appendix 3b - Speech & Language Therapy Management
Appendix 4 - NHS England Patient Safety Alert - Thickening Agents
Appendix 5 - Information about Thickening Drinks using Nutilis Clear
SECTION 7
SOP 7.1 - Receiving an EHO into NHS Tayside premises (excluding Catering Dept)
Appendix 1 - Food Handling Awareness
Appendix 2 - NHS Tayside Daily Refrigerator Temperature Record
Appendix 3 - Your Food & Drinks in Hospital Leaflet
Appendix 4 - Probe Thermometer Calibration Record
SOP 1.1.1 - Completion of 'MUST' for in-patients
SOP 1.1.2 - Completion of 'MUST' in the Community
SOP 1.1.3 - Weighing and Measuring Equipment
Appendix 1 - Your Food and Drinks in Hospital Leaflet
Appendix 2 - Purchasing of Weighing and Measuring Equipment Flowchart
Appendix 3 - Guidance on the Measurement and Estimation of Height and Weight
Appendix 4 - BMI Score Chart - Step 1
Appendix 5 - Weight Loss Score Chart
Appendix 6a - Step 5 'MUST' Management Guidelines
Appendix 6b - Step 5 'MUST' Management for Care Homes
Appendix 7 - Guidance for patients that require Specific Nutritional Requirements
Appendix 8a - Weight Monitoring Chart - Acute
Appendix 8b - Weight Monitoring Chart - Learning Disability
Appendix 9 - Food Record Chart
Appendix 10 - Food Choices information leaflet for patients and carers
Appendix 11a - Adult Learning Disability N&DS Referral Guidance
Appendix 11b - Adult Learning Disability N&DS Referral Form
Appendix 12 - Referral Nutrition & Dietetic Service (excluding LD Patients)
Appendix 13 - Referral Form to Nutrition & Dietetic Service
Appendix 14 - NHST N&DS Record Card (Compl. Guidelines for Referrers)
Appendix 15 - under review
Appendix 16 - 'MUST' Screening Scores
Appendix 17 - 'MUST' Community
Appendix 18 - Prescribing Guidelines for Oral Nutrition Supplements
Appendix 19 - Nutritional Supplement Drinks – Information for Patients and Carers
Appendix 20 - Management Guidelines for Nutritional Problems in Palliative Care
SECTION 1.2
SOP 1.2.1 - Provision of Oral Fluids to all Adult Patients
SOP 1.2.2 - Administration of Intravenous (IV) Fluids for Adult Patients
SOP 1.2.3 - Admin of Subcutaneous Hydration for Adult Patients in Hospital & at Home
Appendix 1 - Subcutaneous Fluids - Bundle Audit
Appendix 2 - Insertion and Maintenance Bundle - Subcutaneous Fluids
Appendix 3 - Subcutaneous Fluids - Information Leaflet for Patients, Carers & Relatives
SECTION 1.2.2
SOP 1.2.2.1 - Fluid Balance for Adult In-Patients
SOP 1.2.2.2 - Fluid Balance for Haematology and Oncology Patients
Appendix 1 - Fluid Balance Chart
Appendix 2 - Fluid Balance Chart Audit Tool
Appendix 3 - NHS Scotland Making Hydration Matter Poster
Appendix 4 - Hydration Card
Appendix 5 - Volume of Drinking Vessels
Appendix 6 - Instructions for Weighing Incontinence Pads
Appendix 7 - Haematology and Oncology Prescription and Fluid Balance Chart
SECTION 1.2.3
S.O.P. 1.2.3.1 - Preparation of the patient for elective surgery/procedures - completing the Patient Theatre Ticket
Appendix 1 - Fasting for a Test Procedure - Quick Reference Guide
Appendix 2 - Guidelines on Preparing In-Patients for Endoscopic Procedures
SECTION 2.1
SOP 2.1.1 - Development of standard recipes (excluding non NHS providers)
SOP 2.1.2 - Nutritional analysis of a standard recipe (excluding non NHS providers)
SOP 2.1.3 - Menu planning (excluding non NHS providers)
SOP 2.1.4 - Ordering & receiving patient meals by ward staff (excl. non NHS prov.)
SOP 2.1.5 - Production of patient meals by Catering Dept (excl. non NHS providers)
SOP 2.1.6 - Procedure for ordering missed meals (excluding non NHS providers)
SOP 2.1.7 - Procedure for out of hours provision of meals (excl. non NHS prov.)
SOP 2.1.8 - Ordering & provision of snacks at ward level
Appendix 1 - NHS Tayside Caterers Standard Recipe Evaluation Form
Appendix 2a-b-c - NHS Tayside Menu Template - Breakfast-Lunch-Eve Meal
Appendix 3 - Out of Hours Provision of Food
Appendix 4 - Contact Numbers
Appendix 5 - Nutritional content of biscuits/toast and order codes
SECTION 2.2
SOP 2.2.1 - Implementation of Protected Mealtimes
Appendix 1 - Protected Mealtimes Ward Poster
Appendix 2 - Making Meals Matter
Appendix 3 - Principles of Safe & Effective Nutritional Care
Appendix 4 - Principles of Protected Mealtimes
Appendix 5 - Observation Tool - Protected Mealtimes
SECTION 2.3
SOP 2.3.1 - Process of the implementation of coloured trays
SECTION 2.4
SOP 2.4.1 - Protocol for Eating & Drinking Equipment
Appendix 1 - Guidance on Eating & Drinking Equipment for Patients
Appendix 2 - Occupational Therapy Referral Flowchart
SECTION 3.2
In development
SECTION 4
4.1:
SOP 4.1a - Insertion of a NG feeding tube
SOP 4.1b - Preparing patient insertion PEG feeding tube
SOP 4.1c - Prepare patient insert RIG enteral feeding tube
SOP 4.1d - Immediate post aftercare RIG & PEG enteral feeding tube
SOP 4.1e - Replacing Y-adaptor on Halyard percutaneous gastrostomy tube
SOP 4.1f - Replacement of a balloon gastrostomy tube
SOP 4.1g - Replacement of a low profile 'button' GY tube
SOP 4.1h - Procedure measuring stoma tract low profile GY tube
SOP 4.1i - Checking vol. retention balloon in balloon GY or JY tube
SOP 4.1j - Administration feed using enteral feeding pump
SOP 4.1k - Administration of bolus feed
SOP 4.1l - Medication via enteral feeding tube
SOP 4.1m - Referral procedure for HETF
Appendix 1 - Decision tree NG tube placement checks ADULTS
Appendix 2 - Competencies for insertion & care of NG tube
Appendix 3 - NG tube insertion checklist
Appendix 4 - Information on use of nasal retention device
Appendix 5 - Post insertion care of Naso-Jejunal (NJ) tubes
Appendix 6a - Checklist for insertion of PEG tube
Appendix 6b - Enteral feeding regimen - post PEG
Appendix 7 - Guidance for care of PEG tube
Appendix 8a - Checklist for insertion of RIG tube
Appendix 8b - Enteral feeding regimen - post RIG
Appendix 9 - Guidance for care of RIG tube
Appendix 10 - Competencies for care of PEGs & balloon GY
Appendix 11 - Competencies for replacement of balloon GY
Appendix 12 - Checking PH gastric aspirate GY tube replacement
Appendix 13 - Troubleshooting guide (GY/JY enteral tube feeding)
Appendix 14 - Flowchart for managing overgranulation tissue
Appendix 15 - Enteral tube feeding regimen
Appendix 16 - NHS Tayside enteral feeding administration chart
Appendix 17 - Enteral tube pump feeding regimen
Appendix 18 - Enteral tube bolus feeding regimen
Appendix 19 - Naso-jejunal feeding regimen
Appendix 20 - Post major abdominal surgery feeding regimen
Appendix 21 - Review process oral medication - unable by mouth
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
4.2:
SOP 4.2a - Dressing central venous catheter exit site
SOP 4.2b - Commencing PN via central venous catheter
SOP 4.2c - Medication via central venous catheter
SOP 4.2d - Disconnecting PN from central venous catheter
SOP 4.2e - Taking blood from a central venous catheter
SOP 4.2f - Removal of a central venous catheter
SOP 4.2g - Referral procedure for HPN
Appendix 22 - TANG: identification & treatment Refeeding Syndrome
Appendix 23 - Types & indications intravenous access for PN
Appendix 24 - PN Request Form (medical staff)
Appendix 25 - Aseptic Dispensing Services PN Request Form
Appendix 26 - NHS Tayside - Adult TPN Administration Chart
Appendix 27 - Out of hours PN regimen
Appendix 28 - Protocol lab monitoring hospital patients on PN
Appendix 29 - Metabolic Complications
SECTION 5
SOP 5.1 - Oral Care Assessment and Technique
Appendix 1 - Emergency Dental Care Pathway for Secondary Care Adult In-patients
Appendix 2 - Medical Device Alert - Oral Swabs with a Foam Head
Appendix 3 - Mouth Care Flow Chart
Appendix 4 - NHS Tayside Oral Care for Dysphagic Patients
Appendix 5 - Drugs that can affect Oral Care
Appendix 6 - Denture Care
Appendix 7 - Lloyd Goss Oral Health Assessment
SECTION 6
SOP 6.1 - The provision of consistency modified liquids
Appendix 1 - NHS Tayside Dysphagia Decision Tree Tool
Appendix 2a - NHS Tayside Dysphagia Management in Adult Stroke
Appendix 2b - NHS Tayside Screening Form for Swallowing Difficulties in Stroke
Appendix 3a - Dept of Speech & Language Therapy PRI - Swallowing Advice Sheet
Appendix 3b - Speech & Language Therapy Management
Appendix 4 - NHS England Patient Safety Alert - Thickening Agents
Appendix 5 - Information about Thickening Drinks using Nutilis Clear
SECTION 7
SOP 7.1 - Receiving an EHO into NHS Tayside premises (excluding Catering Dept)
Appendix 1 - Food Handling Awareness
Appendix 2 - NHS Tayside Daily Refrigerator Temperature Record
Appendix 3 - Your Food & Drinks in Hospital Leaflet
Appendix 4 - Probe Thermometer Calibration Record
