Clinical Nutrition Department
Clinical Nutrition Services Message
As an integral part of King Abdulaziz Medical City-Jeddah (KAMC-JD), the Department of Clinical Nutrition is dedicated to providing the highest quality patient-focused nutrition care, to advancing the practice of clinical nutrition, and to educating future dietitians and other healthcare providers.
To lead our nutrition practice as a role model by enhancing nutrition care through development of our high standard policies, procedures, evidence based clinical practice nutritional guidelines, and patients and public education.
We will create the highest quality of nutritional care through our commitment to patients and their families, the innovation inherent in our training programs, and the strength of cooperation with other departments and members of the KAMC - JD.
We strive for delivering exceptional nutritional services to exceed our patient expectations with our team approach, clinical expertise in effective and efficient manners.
With Best Regards,
Mrs. Aziza Hashmi
Chief Clinical Nutrition Services -Western Region (Jeddah)
King Abdulaziz Medical City - Jeddah (KAMC-JD)
Mission
To provide the highest level of Nutritional care to achieve and maintain an optimal nutritional status for inpatient and outpatients by professional in the field of clinical nutrition and dietetics.
Vision
To Achieve the excellence in the clinical nutrition department by providing best and effective clinical nutritional care and optimizing the health and well-being of our patients by providing the awareness of the clinical nutrition role in management and prevention of diseases.
Values
- Patient centered
- Efficiency
- Integrity
- Innovation
- Team work to achieve target
Goals
- Unify Clinical and non-Clinical systems and procedures for Nutrition care.
- To promote the indispensable role of dietitian in multidisciplinary team in the hospital and in the home health care.
- Provide structured and outlined training for the newly graduate Saudi dietitians and SCDPs.
- Raising the level of Nutrition education for the individual and society.
Responsibilities
The Department is responsible to provide nutritional intervention for the following areas:
- All Inpatients at KAMC-JD.
- All Outpatients referred to general and specialized clinics at KAMC-JD.
- All Primary Health Care Clinics.
- Home Health Care Patients.
Aims and Objectives
- To ensure implementation of JCI & CBAHI standards in nutritional care.
- To render optimal nutritional care to all patients.
- To continue providing a stimulating environment for continuing education.
- To promote the indispensable role of the dietitian in multidisciplinary team in the hospital and as well as in primary health care.
- To develop state-of-the-art training facilities for Saudi dietitians.
- To establish viable, hands-on nutrition support teams in adult and pediatric.
- To develop the Standards of Professional Practice and Standard of care and clinical practice guidelines.
To contribute in the training of medical and paramedical staff through educational lectures, research Symposia, Conferences, and workshops.
Nutritional Care Services
Provision of Clinical Nutrition Services to inpatients and outpatients completed through the processes of assessment: planning, implementation, education and evaluation. The professional knowledge of Clinical Dietitian is applied in compliance with the physician order, and in cooperation with healthcare professionals. The Clinical Dietitian is not authorized to write prescriptions for medications.
In-patients Services
The Clinical Dietitians play an important role in healthcare team and they are involved in patient's care process, each Clinical Dietitian are allocated to cover one or more wards by providing full nutritional services to all referred in-patients. The in-patient's services include:
- Assesse the nutritional status and nutritional needs of the patient by taking full dietary and medical history, anthropometrics and laboratory values etc.
- Assesse the patient's needs of nutrition support (Enteral Nutrition and Parenteral Nutrition).
- Address the nutrition related issues.
- Implement the nutrition intervention based on the patient's nutritional status and requirements:
- Calculate the patient's dietary requirements (Energy, Protein, fluid and other).
- Provide educational sessions and materials through interviews with the patient and/or family members.
- Counseling the patient and/or family regarding the nutrition intervention.
The following are the high-risk clinical areas of the hospital:
- General medical/surgical patients.
- Pediatric patients.
- Diabetes Mellitus/Gestational diabetic patients and other high-risk pregnancies.
- Patients requiring total parenteral nutrition (TPN).
- Patients requiring enteral nutrition/tube feeding (TF).
- Intensive care patients.
- Patients in Hemodialysis and on renal transplant programmers.
- Long term care patients.
- Coronary care unit patients.
- Metabolic inborn errors.
- Oncology and hematology patients.
- Liver and liver transplantation patients.
Out-patients Services
Nutrition counseling is provided to outpatients in the nutrition and specialty clinics.
Adult Clinics
General Adult Clinics
Adult Cardiac Clinic
Oncology Clinic
Head and Neck Clinic
Endocrine Clinic
Gastroenterology Clinic
Bariatric Clinic
Protocol Clinic
Business Clinic
Pediatric clinics
Patients Food Services
In accordance with the food services contract, clinical guidance is given in the provision of patient meal services to include:
- Menu planning.
- Tray line supervision.
- Formula room supervision.
Home Health Care
All patients are reviewed on a regular basis depending on their needs.
The Clinical Dietitian is scheduled to visit the patients once per week.
Full nutrition assessment and calculation of dietary requirements initially and then periodically as status of the patient requires.
Dietitian will communicate with the nurse and physician in ensuring that the correct feeding protocol is followed.
The dietitian will receive the feedback from nurses and physician regarding any changes in the patients' status that needs modification in the diet.
Statistics
2020:
Grand total number of patient seen in 2020 for Clinical Nutrition department (inpatients + outpatients): 15678.
Saudization
Clinical Nutrition Department Saudization percentage is 93%.
30 out of 32 staff are Saudi nationals.
Staff and Staff Qualifications
Staff working in the department are the following:
- Chief Clinical Dietitian:
Plans, coordinates and manages all departmental functional services in an administrative capacity. Responsible for the overall quality of delivered services and optimal utilization of resources.
- Clinical Dietitian I and II:
Provide specialist nutritional care to inpatients and outpatients through the process of assessment, planning, implementation, education, counseling and monitoring under the direction and supervision of the Chief Clinical Dietitian. Assists and participates in the development of protocols and patient education materials related to clinical nutrition.
Provide secretarial support to the office and manage many admin duties under the supervision of the head of department.
Staff Qualifications
Although only a few areas have been highlighted it can be stated that as clinical dieticians are now appropriately utilized as skilled professionals. Thus, the requests for services of the department have increased beyond the capacity of the department. This is very encouraging as it reflects the quality of service to patients as well as improved visibility of the Dietitian in optimal patient care.
Committees
Training Committee
- To enable the Dietetic Intern to develop the knowledge, attitude and skills needed to become an entry-level Dietitian.
- Upon completion of this program, the Intern is able to act in a variety of capacities in clinical, administrative, and community settings.
Internship Committee
- Comprehensive Orientation and overview of the Hospitals DPP and APP.
- Intern's attendance and punctuality
- Healthy work place and safe environment
- Train in deferent wards and specialties supervised and trained by qualified Dietitians.
- Schedule educational visit to get an overview of the MDT.
- Provide educational lectures to expand their knowledge and skills.
SCDPs
Quality Committee
- To improve the quality, safety, efficiency and effectiveness of health care.
JCI and CHBAHI
- Updated DPPs and KPI.
- Compliance to ALL standard req. by JCI.
- Directed my staff and ensured that all DPPs updated.
- KPI done for Inpatient And outpatient To check Referral time to ensure provide them prompt and high quality service.
- Documentation for patient safety so any dietitians can check the plan.
- Diet Manual compliance of the standard by JCI and CBAHI.
Supply Committee
- To ensure that specialized nutrition support is given promptly, safely and effectively to those patients who need it to reduce the risk of malnutrition.
- The NST should be formally recognized and should comprise dietitians, and all HCPs.
Audit Committee
- To meet the NCP format of documentations recorded by all Clinical Dietitians via BEST- Care as per DPP.
- To ensure adequate documentation in medical records.
- To help dietitians understand the patient's nutritional care history, monitor and plan the updated approach for caring.
Documentation Audit
- Survey and presented documentation of pediatric and Adult and improved doc. According to JCI and CBAHI requirement.
- Mention where and how to improve further these documents.
Education Committee
- To improve individual health as well as enhance the performance of the healthcare professionals.
- To ensures that patients and families are well-informed about their own health.
Patient Education
- Around 40 patient education materials prepared and been used for patent education wards and OPD.
- Recent problem with printing now can use the Bar code system in the clinic.
- The patient can scan the Bar Code and EM can be transferred their smart devices. (Out of box.)
Public Education
- To educate the general public and community about our organization, substance use disorder, recovery and any/all messages related to having a better informed public and reducing the stigma associated with the disease of addiction
- To achieve and improve their knowledge and skills within a time frame and with available resources for the dietary intervention for best patient Care.
- Successfully participated PE events: DM, CA, Neonatology, GI, Infection C, Cardiac, NICU, etc. and awarded for the Best Corners several times inside and outside of the hospital.
Conferences and Events
Dietitians attending ASPEN, ESPEN, ESPAGHAN, locals, and updating their professionals practices and skills.
Cascading this training to the department and interns on return and use in their practice.
Catering Committee
- To promote good health and improve the food quality by teaching the catering about basic nutrition.
Clinical Practice Guidelines Committee
To improve the quality, consistency, and cost- effectiveness of health care. They describe clinical management strategies aimed at improving the quality of decisions made by the dietitian and the client in order to improve client outcomes.
Palliative Care", Bariatric ICU, BURN, “Ketogenic Diet",
Updated and published the Clinical Practice Nutritional Guidelines (51 for adult, 40 Pediatric)
Health and Safety Committee
- All in house fire training updating regularly.
- Health and safety issues discussed.
Research Committee
Clinical Research
- An Experimental Study On Usefulness Of Virtual Reality 360° In Undergraduate Medical Education.
- Prevention of Allergic Sensitization and Treatment of Cow's Milk Protein Allergy in Early Life: The Middle-East Step-Down Consensus.
Major Achievements
- Produced KPIs to measure and monitor the effectiveness of our department's and MNGHA objectives.
- Achieved 100% score in the “CBAHI Survey Preparation Accountability Matrix" by QPS Dept., due to our full preparedness to all the standards and requirements.
- Accommodated 25 dietetic interns for clinical nutrition training and development.
- Started to use IPER, according to the APP 1426-18, Patient and Family Education, as part of the MNGHA multidisciplinary team, to meet the patients' health needs.
- Started using 'Adult Nutritional Screening Tool (MUST)'s score referred by nursing staff in Best Care.
- Started to build the 'Pediatrics Nutritional Assessment Tools (STAMP)' in the Best Care to be used by the nursing staff.
Future Strategic Plans
Virtual Clinics to Improve access to patient and dietary information: greater convenience, more access, and lower costs with more flexible schedules.
- Innovation in Nutrition and Wellness.
- Advancement in Hospital Food Service with the closer collaboration between kitchen and dietitians to promote quality of patients' food and menu.
- Research in practice: encouraging and supporting research in the field of Nutrition and Dietetics to be more effective and efficient in their practice.
- Develop opportunity and to generate high quality research to advance dietetic practice (evidence based).
Care and Practice Guidelines
Adult
- Celiac Disease.
- Guidelines on Clinical Nutrition and Hydration in Geriatrics.
- Nutritional Guidelines for Chronic Kidney Disease.
- Nutritional Guidelines for Kidney transplant patient
- Nutrition Guidelines for Cardiovascular Diseases.
- Perioperative Nutrition Guideline.
- Nutritional Management for Short Bowel Syndrome and High Output Stoma.
- Refeeding Syndrome.
- Nutritional Guidelines for Cancer Patients.
- Nutritional Guidelines in BMT Patients and Neutropenic diet.
- Nutritional Guidelines for Neurological Diseases (Parkinson's Disease and Spinal Cord Injury).
- Nutritional Guidelines for COPD.
- Guideline For The Nutritional Management For Burn Patients.
- Nutritional Guidelines for Bariatric Surgery Patients.
- Nutritional Care In Palliative Care.
- Nutritional Guidelines For Liver Disease.
- Nutritional Guidelines for the Management of Adults with Diabetes.
Pediatrics
- Eosinophilic Gastrointestinal Disease.
- Guidelines for Celiac Disease in Children.
- Guidelines for Cystic Fibrosis in Children.
- Medical Nutrition Therapy For Pediatric Oncology.
- Medical Nutrition Therapy For Bone Marrow Transplant In Pediatric.
- Ketogenic Diet Guidelines for Infants with Epilepsy.
- Medical Nutrition Therapy for Preterm Infants.
Diet Manual
The Department of Clinical Nutrition is pleased to announce the launch of our FIRST 'Diet Manual".
The purpose of this diet manual is to establish a common language and practice for physicians and other healthcare professionals to use when providing initial nutritional care to patients under the auspices of King Abdulaziz Medical City – Western Region.
This manual fulfills one of the CBAHI standards. It includes the most current information on diets in accordance with research findings. Nutritional adequacy of the diets is based upon the Dietary Reference Intakes (DRIs) established by 'The Food and Nutrition Board of the Institute of Medicine'.
This manual has been simplified to include all the available diets that are ordered for our patients. Each diet lists:
- Purpose
- Diet Principles
- Nutritional Adequacy
- Approximate Compositions
- How to Order the Diet
- Variations (when appropriate)
- Foods Allowed
- Foods to Avoid
- Sample Menu for One Day
All the information included in this diet manual, is to be used only as a guide. Some patients may require more or less of certain nutrients. Individualized assessments and diet care plans by the clinical dietitians are essential in providing optimal nutritional care.
If you have specific questions regarding any diet or have a need for a diet not listed in this manual, contact the Clinical Nutrition Services.
As scientific knowledge advances, this manual will be reviewed every two years, and updated at least once every five years, to incorporate the most current diet therapy principles.
Contact us
Clinical Nutrition Services-Western Region (Jeddah)
King Abdulaziz Medical City-Jeddah (KAMC-JD)
P.O.Box: 9515, Zip Code: 21423-Saudi Arabia
nutrition@ngha.med.sa
Telephone number: +966-12-2266666 Ext: 21382