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Accessing Hospital Based Dietetic Services

by admin — last modified 2007-05-30 10:10

Information for Hospital wards on how to access the dietetics service

Where are services based?

There is a dietetic department on both hospital sites.

The main administration centre is at St Lukes Hospital where all outpatient referrals are processed and appointments arranged. Also based here are the dietitians providing services to the renal wards and other wards on site together with the Oncology specialist dietitians for both Head and Neck and Upper Gastrointestinal cancer and those specialising in heart failure and gross obesity.

There are also our outpatient offices within Horton Wing where patients referred via either their own GP or consultant are seen for dietary advice.

At Bradford Royal Infirmary are the rest of the hospital dietitians including those for children providing services to in patients and outpatients clinics ( in Horton wing)

Telephone numbers

Bradford Royal Infirmary Dietitians

Dietetic Department- for all Ward referrals & enquiries

 

Tel: 364097

Fax: 382071

 

Other queries 


Tel: 382531

 

Paediatric Dietitians

Tel: 382321 or 382270 or 364098

 

St Lukes Hospital

Dietetic Department for All General Adult Wards referrals

 

Tel: 365108

Fax: 365182

 

Renal Dietitian

Tel: 365628

 

Pager: #6622

 

 

For Both Sites

Acute Services Dietetic Coordinator


Tel; 365146, 364097

Diet Sheets or Referral Pads - to order

Tel: 365033

General Adult Ward Referrals

Please see information on your ward for the name and bleep number of your dietitian

Outpatient Referrals

Please fill in a referral form and send to the Dietetic Department Office, St Luke's Hospital.

How to refer to a Dietitian

Applies to inpatients (BRI and SLH) where the medical records are accessible to the dietitian

The doctor, qualified nurse or other health professional should bleep or contact by telephone the relevant dietitian with the following details for the patient:

  • Diagnosis
  • Nutritional status (weight, height, Body Mass Index, and/or MUST score if an adult)
  • Reason for referral (diet required)
  • Estimated length of hospital stay
  • Relevant medical history
  • Consultant

Notes

  • All referrals will be seen within 2 working days, unless on discussion with a dietitian it is deemed more urgent
  • If referred on the day of discharge, we cannot guarantee the patient will be seen. They will usually be sent an outpatient appointment
  • If the patient is to be seen as an outpatient, a written referral is required, signed by a doctor

NB: A referral form can be used and left on the ward for the dietitian to collect

Who should be referred to a Dietitian in Hospital

Adults

Patients with the following conditions:-

  • Renal disease i.e. conservative management, nephrotic syndrome, A.R.F.,Dialysis
  • Liver disease
  • Allergy or food intolerance e.g. to milk, egg, or wheat
  • Coeliac disease
  • Artificial nutrition support e.g. enteral feeding, parenteral nutrition
  • Pancreatic Disease
  • Burns
  • Dysphagia, swallowing difficulties i. e. strictures, prosthetic tubes, CVA/TIA
  • Hyperlipidaemia
  • Patients who are malnourished or who are at risk of malnutrition (see MUST information)weight loss or BMI of 18.5 or less
  • Cancer cachexia
  • Modified texture diet e.g. fluid or puree diet
  • Cystic Fibrosis
  • Metabolic disease
  • Inflammatory bowel disease e.g. Crohns disease or Colitis
  • G.I. tract resections
  • N.I.D.D.M. commencing insulin
  • Diabetes - with nutrition related complications e.g. renal disease, hyperlipidaemia
  • Diabetes - in pregnancy

NB obesity

Patients who need to be referred for weight reduction that have no other associated medical conditions:
  1. Give information on ordering appropriate meals in hospital
  2. Give "Lose Weight Feel Great" sheet
  3. If further dietetic advice is required complete a dietetic referral form, and an outpatient appointment will be offered

The patient will not be seen in hospital

Children

  • Diabetes - newly diagnosed or known patients
  • Cystic Fibrosis
  • Metabolic disease e.g. PKU, MSUD, GSD
  • Allergy or food intolerance e.g. to milk, egg, wheat
  • Coeliac disease
  • Artificial nutrition support e.g. enteral feeding, parenteral nutrition
  • Burns
  • Pancreatic disease
  • Special needs with feeding difficulties e.g. puree, fluid diet
  • Failure to thrive or malnutrition
  • Renal disease
  • Liver disease