启动工作作为一个乐队5营养师在NHS医院

工作作为一个乐队5 NHS营养师

唷,对新工作前两周完成了!是的,我的意思是我的第一个星期结束后做这个职位,但生活中得到的方式,但现在我反思过去两个星期的第一周是非常温和的介绍了医院,病房和工作。本周已经满上,工作8.30-4.30(通常为5-5.30同时我结识的绳索)。

The days are busy, but you can plan your own workload, as long as you’re seeing the patient within the 24hr window for Enteral feeding (when patients are tube fed usually through an NG in their nose to their stomachs, or through a PEG/RIG straight into their stomachs), or 48hrs for nutrition support (usually offering food fortification or supplement support).

我经过三个病区加产假,每周一次门诊,二双周小组会议和每月心健康讲座的样子。然后,当其他的营养师都在休年假,学习假或病假,(因为本周发生的事情),我也帮捂病房。

工作作为一个乐队5 NHS营养师

通常,当我去评估病人,我们通过一个A-E评估;

人类学- 体重,身高,体重,减肥/增益

生物化学– recent blood test results

临床– what they were admitted/referred for, current complaints (mostly I look for nausea, vomiting, lethargy, pain that might impact oral intake) past medical history, bowels, fluid balance, medications,新闻比分。I’ll also look to see if the SALT (Speech and Language Team) have written any recommendations for the patient to ensure my plan follows these.

膳食– current and past oral intake, food record charts (filled in by the nurses, they are brilliant on my wards!), current supplements/feed regimen, discussions with patient/family/medics/nurses about intake. I then work out the patient requirements using their weight, energy and protein requirements following ESPEN guidelines, and establish whether they are meeting them or not. For me the most important thing is to

环境的- 主要是用于那些即将被释放或门诊/社区环境见过的病人。万博真人娱乐这可能是他们做饭,养活自己,万博真人娱乐他们可能需要哪些帮助的能力。此外,在家里的任何其他挑战可能是障碍,健康饮食等,如照顾其他家庭成员。我也注意到了他们的酒精摄入量,并在这里吸烟状况,以及我们对他们的动机做出改变任何对话。万博真人娱乐

然后,我们会写Dietetic Diagnosis- 为什么我们看到的病人,我们关注的因素造成的问题,证据是什么。万博真人娱乐例如。Patient at risk of disease related malnutrition due to NBM (nil by mouth) status and increased protein-energy requirements, as evidenced by BMI 16.5kg/m2 (underweight) and 11% weight loss in 1 month (statistically significant).

工作作为一个乐队5 NHS营养师

Aim –什么we'e旨在从我们的投入来实现的。这可能是阻止进一步减重,以满足他们的要求,以提高误服。

计划 -这既包括我们自己的计划和其他医护专业人员,包括饮食记录图表监控经口摄入更多的信息请求,凳子上图,液体平衡图表上水合状态肠子。我还要请医务人员来监控的事情,我可能会担心。万博真人娱乐

I’ll then write any supplements I have prescribed on the drug chart and handover to the nursing staff (and medical team if appropriate), send requests for specific food to the kitchen or write up a feeding regimen for their NG/NJ/PEG/RIG.

我院还有,我发现了一个小小的挑战(一切都在网上两家医院我做了我很长的展示位置在为学生)的纸币,这是真的,他们说,大约有可怕的手写医生什么。万博真人娱乐我只是让交手,以在万博真人娱乐哪里可以找到在医疗记录一切,谁问每个病房,如果我认不出一个字!谷歌肯定是我的朋友了很多复杂的医疗条件。虽然我们在纸币的文件,我们也有我们的最新评估或审查上传到在线系统也和STAT我们的时间,以及更新每个病房部门移交片柜面我们请病假或年假。

工作作为一个乐队5 NHS营养师

Clinics are a little different in that they are usually coming in to a specific clinic for a specific condition, eg Type 1 or Type 2 diabetes, IBS/IBD, but we also have a general clinic (which I’m covering next week!). I see the patients for 30 mins for new patients and 15-20 for reviews, then write to the patient and the GP discussing what we covered.

我上下班– I drive to work which takes anywhere between 45mins and 90 mins, meaning I have to give myself 90 mins most days just incase. I love listening to podcasts as I drive, drinking coffee and occasionally stopping for a pain au chocolat while I get fuel!

午餐– I get 30 mins for lunch (and last week I actually ate it while looking over patient notes most days, I’m still quite slow with my assessments so need to take all the time I can get!) and there aren’t great options at the hospital sadly so I’m mostly bringing in lunch or picking up a soup.

健身房- 我的待办事项列表下周是在大学加入健身房附近,使我有地方,如果我下班后/前跑锻炼洗澡!

总的来说,我爱了新的挑战,享受常规,并且很幸运有可爱的,支持的同事。而且,出乎意料地,而不必在博客上的压力/ IG,我想分享,写,做更多的在我的生命的一部分呢!我甚至有一个令人兴奋的新项目启动三月...睁大你的眼睛去皮。

工作作为一个乐队5 NHS营养师

Thanks for bearing with me while I transition to this new role, and be prepared for a lot more random hospital bathroom selfies, workwear posts as well as treadmill/pitch black runs!

阅读更多:如何我成为一名营养师常见问题万博真人娱乐如何成为一个营养师

10Comments

  1. 2020年2月15日/ 6:45 pm

    我好奇地阅读一些有关心脏健康从营养学的观点。万博真人娱乐

    • 夏洛特
      Author
      2020年2月16日/ 12:21

      当然,快乐我的介绍后,做了一篇关于它!万博真人娱乐

  2. 16th February 2020 / 4:20 am

    Welcome back to consistent blogging, I love it Charlie! Hope you can keep it up! <3

    • 夏洛特
      Author
      2020年2月16日/ 12:20 PM

      眉太林赛!

  3. 费利西亚
    16th February 2020 / 2:27 pm

    Really interesting post Charlie. I work as a dietitian in Sheffield and it’s really interesting to hear just how similar the job is elsewhere even down to the paper notes! Apparently we’re going electronic ‘soon’ – ask me again in another year haha!

    • 夏洛特
      Author
      2020年2月17日/下午7点21

      That would save SO much time! Honestly, I also have to type up the paper entry on to an online system. All a bit slow but fingers crossed things speed up soon! Yay for dieticians!

  4. Chisiwckmum
    2020年2月17日/上午02点43

    looking so smart in your new environment! xx

  5. 18th February 2020 / 2:54 pm

    很高兴在开始你的工作已经良好听起来真的很有趣。我喜欢在我下班播客too-我曾经感到沮丧的旅程,如果交通很糟糕,但我试图重新塑造它,现在想,我可以听的东西多一点的时间,如果我坚持在队列。

  6. 佐伊
    2020年2月19日/上午8:49

    嗨查理!我只是想说,我是多么欣赏你的内容和观点,并指出在为他们提供你的资历和考虑。巨大的竖起大拇指。我还就如何全职9-5er的一瞥感激(或ISH!)管理培训,工作和生活像我们其余的人!谢谢!

    • 夏洛特
      Author
      2020年2月20日/上午6点18

      哈哈感谢佐伊!正是这样的挣扎/平衡 - 我都忘了是多么用尽一切是当你在别人的时间,不能只是弹出出去跑步,当你喜欢它的感觉。卷2006年夏轻的早晨!