公益財団法人田附興風会 医学研究所北野病院

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Departments

Nutrition Support Team (NST)

What is NST? The role of NST

What is NST?

An NST (Nutrition Support Team) is a medical team made up of doctors, nurses, pharmacists, registered dietitians, clinical laboratory technicians, physical therapists, speech-language-hearing therapists, dentists, dental hygienists, and others who work to provide optimal nutritional management to patients.

The NST proposes the most appropriate nutritional supplementation methods for patients who are unable to eat enough due to illness or surgery, as well as nutritional management methods that are useful for recovering from illness and preventing complications.

Even if a patient is only hospitalized for a short period of time, providing them with the optimal meals and nutritional supplementation methods will also lead to improved eating habits and nutritional management after they are discharged.

NST members and roles

メンバー

The NST assesses the nutritional status of hospitalized patients and recommends, selects, and implements appropriate nutritional therapy.
Our activities aim to improve patients' nutritional status, enhance treatment outcomes, prevent complications, improve quality of life (QOL), shorten hospital stays, and reduce medical costs.

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Job Type composition role
Doctor NST Chairman/
NST Dedicated
Shoko Honjo
Deputy Director of Diabetes Endocrinology
and Director of the Nutrition Department
  • Presentation of the target person's problems
  • Final decision and evaluation of nutritional therapy planning
NST Vice Chairman/
NST Dedicated
Eiji Tanaka
Deputy Director of Gastrointestinal Surgery
4 dedicated NST staff
  • Pediatric Surgery
  • Rehabilitation Department
  • Diabetic endocrinology
  • Nephrology
dentist 1 person
  • Evaluation of the subject's oral function and suggestions for improvement
nurse 4 dedicated NST staff
  • Selection of subjects
  • Continuous monitoring of nutritional status and eating habits
  • Management and maintenance of intravenous and enteral nutrition routes
  • Promoting the transition to oral nutrition
  • Discharge guidance based on living conditions
Registered dietitian 2 dedicated NST staff
  • Selection of subjects
  • Nutritional Assessment
  • Detailed planning of enteral and oral nutrition therapy
  • Discharge guidance based on living conditions
  • Coordination and maintenance of team activities
pharmacist 2 dedicated NST staff
  • Selection of subjects
  • Nutritional medication and nutritional infusion menu suggestions and guidance
  • Management of nutritional and mixed fluid administration methods
  • Explaining nutritional medicines and providing medication guidance to the patient and their family
clinical laboratory technician 2 people
  • Information processing and analysis of test data
  • Additional testing, selection of testing, indicating the need for testing, etc.
Physical therapist 2 people
  • Rehabilitation
  • Body composition assessment using InBody
speech-language-hearing therapist 1 person
  • Swallowing assessment
  • Swallowing training guidance
dental hygienist 2 people
  • Oral care and assessment
  • Oral care guidance for patients and their families
Administration 1 person
  • Support for NST operations

NST rounds (NST rounds)

Once a week, every Thursday, ward NST rounds and central NST rounds are conducted
消化器病棟NST
Gastroenterological ward NST
Conference held after rounds
カンファレンスの様子

Download the PDF about NST rounds

Identification of patients eligible for NST intervention

Each person in charge extracts data using the following method:

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in charge method Content
nurse Nutritional screening of patients (SGA) upon admission
  • We will consider the comments on the nutritional management plan to see if NST intervention is necessary and consult with the patient's doctor or supervising physician.
  • We will assess your nutritional status, consider whether NST intervention is necessary, and consult with your doctor.
Registered dietitian List of patients eligible for NST at our hospital
  • The list is used to identify those who are malnourished or at risk.

Activity report/study session

We have been holding regular study sessions on nutritional therapy since 2010.
In addition, we regularly distribute e-mail newsletters and conduct educational activities within the hospital.

Event history

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Implementation month Email newsletter contents Department in charge
June 2020 Issues 67 and 68: "What is RTP?" Clinical Laboratory Department
July 2020 No. 69 "Do you know the difference between enteral nutrition medicine and food?" Pharmacy Department
July 2020 No. 70 "Inolas Combined Enteral Liquid" Pharmacy Department
August 2020 Issue 71: Enteral nutrition and fluid administration Nutrition Department
September 2020 Issue 72: Is the balance between consumption and intake appropriate? Rehabilitation Department
October 2020 Issue 73: "Do you know any patients like this? (Selection of subjects)" Nursing Department
November 2020 Issue 74: The Role of Dentures Dental and Oral Surgery
December 2020 Issue 75: "Easy ordering with the 'Nutrition Assessment Set'" Clinical Laboratory Department
January 2021 Issue 76: Is the administration speed of fat emulsion (Intralipos intravenous injection) okay? Pharmacy Department
February 2021 No. 77 "Dietary Fiber and Enteral Nutrition" Nutrition Department
March 2021 No. 78 "Are you aware of disuse of oral functions?" Rehabilitation Department
April 2021 Issue 79: "Introduction to NST Activities and How to Request Them" Nursing Department
May 2021 No. 80 "Oral care in the ward" Dental and Oral Surgery
June 2021 Issue 81: "What to do when NST is performed on paper (cerebrovascular disease)" NST
July 2021 No. 82: "What is the half-life of albumin?" Clinical Laboratory Department
August 2021 Issue 83: What is RTP? Clinical Laboratory Department
September 2021 No. 84 "Nutritional Assessment and CRP" Clinical Laboratory Department
October 2021 Issue 85: "Paper-based NST: Evaluation of inflammatory response and nutritional status" NST
November 2021 Issue 86: Enteral nutrition and fluid administration Nutrition Department
December 2021 No. 87 "Dietary Fiber and Enteral Nutrition" Nutrition Department

Past Activities

Certified by academic societies

Conference presentations

We make presentations and reports to outside the hospital on our activities and the experiences we have gained from cases.

Past Activities

Report on NST activities at our hospital

We will be posting it on Facebook from time to time!

Information