Clinical Nutrition Suite

For professional use only.

Clinical Nutrition Triage Tool

Triage tool supports prioritization and does not replace clinical judgment.

Patient Name

Age (years)

Service / Location

BMI

Unintentional Weight Loss (%)

Intake (% of needs or NPO days)

Conditions / Comorbidities

Pressure Ulcer Enteral Nutrition Parenteral Nutrition ICU / Critical Active Cancer CKD 3–5 / Dialysis Stroke / Dysphagia COPD / CHF Diabetes

Triage Results

Patient	Age	Service/Location	Total Score	Priority	Action Timeline

Anthropometrics

Sex

Age (Years)

Height

Previous Weight

Current Weight

Estimated Calorie Needs

Show Average Column

Calories (kcal/kg) — Min

Calories (kcal/kg) — Max

Energy Basis

Macronutrients & Fluids

Protein Basis

Protein (g/kg) — Min

Protein (g/kg) — Max

Carbohydrate (% kcal)

Fat (% kcal)

Fluid Method

Generate Recommended Energy Needs Summary

Clinical Summary

Height

—

Weight

—

BMI

—

Energy (kcal)

—

Protein (g)

—

Fluids (mL)

—

Carbohydrate (g)

—

Fat (g)

—

Display units:

Servings (Simple)

Show Serving Equivalence Settings

CHO (g Per Serving)

Protein (g Per Serving)

Fat (g Per Serving)

Target Point

Macronutrients	Macro Equivalence: 1 Serving to Grams	Recommended Sizes: Servings (Grams)
Carbohydrate	15	—
Protein	7	—
Fat	5	—

Recommended macro servings are computed as: total recommended grams ÷ grams per 1 serving.

Serving Conversions

Nutrients	Grams/Servings	Adjusted Servings	Grams of CHO
Supplement Formula			0
Supplement Formula (protein pack only)			0
Protein	7		—
Dairy/Alternative	13		0
Legumes	15		0
Grains	15		0
Fruits	15		0
Starchy Vegetables	15		0
Non-Starchy Vegetables	5		0
Healthy Fat (Oil/Butter)	5		—
Seeds/Nuts	5		—
Total Fat Servings		0	—
Total CHO In Grams			0

Daily Servings Summary

Servings Of Protein

Servings Of Dairy

Servings Of Legumes

Servings Of Whole Grains

Servings Of Fruits

Servings Of Starchy Vegetables

Servings Of Non-Starchy Vegetables

Servings Of Fat — Butter/Oil

Servings Of Nuts/Seeds

Protein adjusted servings = Protein macro servings − (Dairy + Legumes). Protein and fats do not contribute to CHO grams.

Meal Planner — Professional

Enter whole-number servings per meal. Total CHO = Dairy + Legumes + Whole Grains + Fruits + Starchy Veg + Non-Starchy Veg. "Grams of CHO" converts totals using: Dairy 13g; Legumes/Grains/Fruits/Starchy 15g; Non-starchy 5g.

Meal	Breakfast	Snack	Lunch	Snack	Dinner	Snack	Total
Grams of CHO	0	0	0	0	0	0	0

Reset clears all meal planner inputs.

Patient Handout (PDF)

Patient Name

Date

Language

Primary Goal (Optional)

Generates a branded summary: energy/macros, daily serving targets, and planner snapshot.

Consult Notes

Show Guiding Questions

Consult Notes

Type freely in any field; the questions simply guide the consult.

ADIME

Patient Name (optional)

Date of Birth (optional)

ADIME Note

This draft is automatically built from the Consult Notes. You may edit before copying into the EMR.

A — Assessment

Use Diagnostic Builder

D — Diagnosis (clinical) I — Intervention M/E — Monitoring & Evaluation Full ADIME Narrative (Optional)