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STAMP also provides guidance to help you develop a care plan according
to the childs overall risk of malnutrition
Please note that STAMP is designed only for use with children in
hospitals, and does not detect deficiencies or excessive intakes
of vitamins and minerals
In addition to the screening form and diagnosis table, you will also find
weighing and measuring instructions and centile quick reference tables on
the website, which may be useful when completing a STAMP screening
However, before you conduct your first STAMP screening, please make
sure that you read and understand the instructions on the following page
STAMP should be used in association with Trust referral guidelines and policies
Step 1 Diagnosis
Use the diagnosis table on the website, or locally Does the child have
developed criteria, to determine whether the childs a diagnosis that
condition has any nutritional implications. Assign Score
has any nutritional
a score according to whether he/she has definite implications?
(e.g. dysphagia), possible (e.g. behavioural eating
Definitely 3
problems), or no (e.g. day case surgery) nutritional
implications, and progress to step 2. Possibly 2
No 0
Medium risk
Monitor nutritional intake for 3 days
Repeat STAMP screening after 3 days
Amend care plan as required
Low risk
Continue routine clinical care
Repeat STAMP screening weekly while child
is an in-patient
Amend care plan as required
STAMP should be used in association with Trust referral guidelines and policies
Step 1 Diagnosis
Does the child have a diagnosis that has
Score 1st screening 2 nd screening 3rd screening
any nutritional implications?
Definite nutritional implications 3
Possible nutritional implications 2
No nutritional implications 0
Step 2 Nutritional intake
What is the childs nutritional intake? Score 1st screening 2 nd screening 3rd screening
No nutritional intake 3
Recently decreased or poor
2
nutritional intake
No change in eating patterns and good
0
nutritional intake
Step 3 Weight and height
Use a growth chart or the centile quick 1st screening 2 nd screening 3rd screening
reference tables to determine the Score wt: wt: wt:
childs measurements ht: ht: ht:
> 3 centile spaces/ 3 columns apart (or
3
weight < 2nd centile)
> 2 centile spaces/= 2 columns apart 1
0 to 1 centile spaces/columns apart 0
Step 4 Overall risk of malnutrition
Add up the scores from the boxes in
steps 13 to calculate the overall risk Score 1st screening 2 nd screening 3rd screening
of malnutrition
High risk 4
Medium risk 23
Low risk 01
Step 5 Care plan
What is the childs overall risk of Use management guidelines and/or local nutrition policies to develop
malnutrition, as calculated in step 4? a care plan for the child
Take action
High risk Refer the child to a Dietitian, nutritional support team, or consultant
Monitor as per care plan
Monitor the childs nutritional intake for 3 days
Medium risk Repeat the STAMP screening after 3 days
Amend care plan as required
Continue routine clinical care
Low risk Repeat the STAMP screening weekly while the child is an in-patient
Amend care plan as required
Please complete
after each screening
Date Signature Initials Childs name:
1st screening
2nd screening DOB:
Bowel failure, intractable diarrhoea Behavioural eating problems Day case surgery
Burns and major trauma Cardiology Investigations
Crohns disease Cerebral palsy
Cystic fibrosis Cleft lip and palate
Dysphagia Coeliac disease
Liver disease Diabetes
Major surgery Gastro-oesophageal reflux
Multiple food allergies/intolerances Minor surgery
Oncology on active treatment Neuromuscular conditions
Renal disease/failure Psychiatric disorders
Inborn errors of metabolism Respiratory syncytial virus ( RSV )
Single food allergy/intolerance
W
hile every effort has been made to include diagnoses that have nutritional
implications, this list is not exhaustive
If you have any queries, please discuss them with a Dietitian
STAMP should be used in association with Trust referral guidelines and policies
Figure 2
Weighing an infant alone: for infants <2 years old who will lie still
Place a thin piece of cloth or soft paper into a pan scale.
Lie the unclothed infant on the cloth or paper and wait for him/her
to stay still, to allow the scale to settle.
Record the infants weight to the nearest 0.1kg.
Figure 3
Measuring length: for infants <2 years old or children who cannot stand
Cover the length board with a thin cloth
or soft paper (Figure 4).
Ask the parent/carer to place the infant
on the length board.
The infant should be laid on his/her
back with his/her head against the fixed Figure 4
headboard, compressing the hair (Figure 5).
Make sure that the infants head does not
move from side to side and is positioned with
the infant looking up. Ask the parent/carer to
keep the infants head in this position (Figure 5).
Ensure that the infant lies straight, with his/her
shoulders touching the board. The spine should
not be arched.
Hold the infants legs down with one hand Figure 5
and pull the footboard against the soles
of his/her feet with the other (Figure 6).
Record the infants length to the
nearest 0.1cm.
Figure 6
Measuring height: for children 2 years old or children who will not
lie down to be measured
Ensure that the height board is on level ground, or appropriately
secured to a wall.
Ask the parent/carer to kneel in order to get down to the level
of the child.
Ask the parent/carer to help the child to stand on the baseboard with
his/her feet slightly apart and the back of the head, shoulder blades,
buttocks, calves and heels all touching the vertical board.
Position the childs head so that it is facing forward, and ensure that
it does not move from side to side (Figure 7).
If necessary, push gently on the knees to help the child stand at
his/her full height.
Pull the headboard down to rest firmly on top of the childs head
and compress the hair (Figure 7).
Record the childs height to the nearest 0.1cm.
If the infant is <2 years old, but will not lie down to be measured,
measure standing height and add 0.7cm to convert it to length.
Figure 7
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Infa se d to
To be u
Age 0.4th 2nd 9th 25th 50th 75th 91st 98th 99.6th
Birth 2.17 2.5 2.83 3.16 3.5 3.84 4.17 4.5 4.84
2 months 3.95 4.3 4.7 5.12 5.56 6.05 6.55 7.2 7.65
6 months 5.9 6.35 6.85 7.4 7.94 8.55 9.2 9.85 10.6
10 months 6.85 7.3 7.9 8.5 9.2 9.8 10.6 11.45 12.2
12 months 7.2 7.7 8.3 8.95 9.65 10.4 11.2 11.95 12.9
14 months 7.5 8.1 8.7 9.37 10.1 10.9 11.7 12.6 13.5
16 months 7.85 8.4 9.1 9.75 10.5 11.4 12.2 13.2 14.05
18 months 8.1 8.7 9.4 10.1 10.95 11.8 12.7 13.7 14.7
22 months 8.7 9.4 10.1 10.9 11.75 12.7 13.7 14.7 15.9
Age 0.4th 2nd 9th 25th 50th 75th 91st 98th 99.6th
2 months 53.1 54.5 55.8 57.1 58.4 59.8 61.1 62.5 63.7
10 months 67.2 68.5 70.2 71.7 73.3 74.8 76.4 77.8 79.3
20 months 76.8 78.5 80.5 82.3 84.2 86.1 87.9 89.8 91.6
Age 0.4th 2nd 9th 25th 50th 75th 91st 98th 99.6th
2 months 3.6 3.9 4.3 4.7 5.12 5.6 6.1 6.6 7.2
6 months 5.3 5.7 6.2 6.73 7.3 7.94 8.6 9.3 10.1
Age 0.4th 2nd 9th 25th 50th 75th 91st 98th 99.6th
20 months 74.8 76.5 78.6 80.7 82.7 84.7 86.7 88.7 90.6
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