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Nutritional Screening & Assessment

Nutritional screening is a rapid, standardized, nurse-driven process completed within 24 hours of admission to triage who is at nutritional risk — it does NOT diagnose malnutrition. A positive screen (validated tools: Malnutrition Screening Tool, NRS-2002) triggers a comprehensive assessment performed by or with a registered dietitian. Screen first, assess second.

Sequence of care: the nurse screens; a positive screen escalates to the dietitian-led full assessment.

Screen first, assess second

  1. Admission screen within 24 hoursnurse-driven; MST or NRS-2002
  2. Positive screenrecent unintentional weight loss or poor appetite
  3. Comprehensive assessmentregistered dietitian collaboration
  4. Nutrition plan + monitoringrecheck prealbumin for early response

The full assessment integrates four domains — anthropometric, biochemical, clinical exam, and dietary history. Prealbumin reflects the short game (days); albumin reflects the long game (weeks). Both are negative acute-phase reactants: inflammation, infection, or fluid shifts lower them independent of intake, so no single lab confirms malnutrition.

Prealbumin vs albumin

PrealbuminAlbumin
Normal range15-36 mg/dL3.5-5.0 g/dL
Half-life~2-3 days~20 days
ReflectsAcute / current statusChronic status over weeks
Best useRecheck recent intervention responseBaseline chronic protein status

Prealbumin

Normal range
15-36 mg/dL
Half-life
~2-3 days
Reflects
Acute / current status
Best use
Recheck recent intervention response

Albumin

Normal range
3.5-5.0 g/dL
Half-life
~20 days
Reflects
Chronic status over weeks
Best use
Baseline chronic protein status

The nurse's monitoring role drives the data the team relies on.

Report appetite or intake changes
Multivitamins do not replace protein-calorie intake
Address correctable intake barriers
ill-fitting dentures, mouth pain
Report Nowescalate immediately

Escalate to the provider and refer to the dietitian — do not wait for overt physical wasting before acting.

Unintentional weight loss >5% in 30 days Hallmarkloss > 5% body weight / 30 days
or >10% in 6 months; simplest red flag
Declining prealbumin with poor intake
Depleted fat stores with hair thinning
decreased triceps skinfold + diffuse hair thinning
Non-healing wound with stable weight
edema can mask lean-mass loss

Clinical Pearl

Screen first, assess second. Prealbumin is the short game (days), albumin the long game (weeks) — and unintentional weight loss is the simplest red flag of all.

NurseSavvy™·nursesavvy.com

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