Clinical Dietitian

Summary:

Under the general supervision of the Senior Dietitian and the Supervisor Clinical Nutrition and in accordance with established policies procedures and departmental standards of practice provides nutritional care to hospitalized pediatric patients and outpatients throughout their lifespan with consideration of human developmental stages from birth to adolescence.Interviews patients and/or families and reviews medical records in order to assess nutritional needs and develop nutritional plans.Monitors and evaluates indicators and outcomes data directly related to the nutrition diagnosis goals preferences and intervention strategies to determine the progress made in achieving desired results of nutrition care and whether planned interventions should be continued or revised. Documents patient progress and updates nutritional plan as necessary in the electronic health record.Directs the activities of support personnel in assigned work area as needed.

Conducts nutritional evaluations analyzes and calculates diets and provides individual nutrition counseling in a specialized inpatient and outpatient center providing interdisciplinary evaluation and treatment to children with psychiatric conditions and developmental disorders. In addition responsible for menu development and meeting all regulatory requirements of the facility.Services as clinical and food service liaison to interdisciplinary departments.


Responsibilities:

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Interviews patients and/or family members reviews medical records; evaluates data and develops a nutritional care plan for patients as required by departmental standards of care.

Uses accurate and relevant data and information to identify nutrition related problems.Assesses current and past information related to personal medical family and psychosocial/social history.

Assesses anthropometric indicators (e.g. height weight body mass index (BMI) arm circumference) comparison to reference data (e.g. percentile ranks/z-scores) and individual patterns and history.

Assesses laboratory profiles (e.g. endocrine function inflammatory response vitamin/mineral profile lipid profile) medical tests and procedures (e.g. gastrointestinal study).

Obtains assesses and reassesses findings from the Nutrition-Focused Physical Examination (NFPE) (e.g. indicators of vitamin mineral deficiency/toxicity edema muscle wasting subcutaneous fat loss altered body composition malnutrition pressure injuries oral health feeding ability appetite and affect).

Obtains food and nutrition related history including food and nutrient intake food and nutrient administration medication and diet supplement use knowledge beliefs and attitudes (e.g. understanding of nutrition related concepts emotions about food and/or weight readiness to change nutrition or health related behaviors and activities and actions influencing achievement of nutrition related goals) and food security.

Uses reference data and standards to estimate nutrient needs and recommended body weight BMI and desired growth patterns.

Collects data and reviews data collected and/or documented by the dietetic technician and other health care practitioners patients or staff for factors that affect nutrition and health status.

Uses collected data to identify possible problem areas for determining nutrition diagnosis.Re-evaluates and revises nutrition diagnosis(es) per department standards of care.Bases intervention/plan of care on best available research/evidence and information evidence-based guidelines and best practices.

Develops nutrition care plan to be prescribed by interdisciplinary team using diet manuals knowledge of food content and patient preferences.Participates in team conference of individual patients providing assessment of nutritional status and input into overall diagnostic treatment plan.Functions as member of interdisciplinary team regularly attending team conferences and providing input regarding the medical nutrition therapy of patients.

Documents patients� nutritional care plans on the Interdisciplinary Plan of Care in addition to routine documentation in patients� electronic health records and regularly monitors patients� nutritional status updating the Plan of Care per departmental standards of care.

Participates in the discharge planning process evaluating the patient�s condition from a nutritional perspective and recommending programs procedures etc. which will enhance the patient�s readiness for discharge.

Conducts individual and group patient nutrition education both inpatient and outpatient preparing the patient and his/her family for continued care at home.

Provides nutrition education through seminars and workshops for physicians and other health care professionals including professional peer groups in the community.

Participates with the Senior Dietitian and Supervisor Clinical Nutrition in planning and implementing policies and procedures for Bradley Hospital nutritional services and in investigating and updating information regarding food content and diet manuals.

Participates in instruction of dietetic interns and other students and educational presentations at outside schools and agencies as needed.

Represents Food & Nutrition Services at interdisciplinary meetings.

Participates in patient satisfaction initiatives and department programs in customer service for meeting the department and hospital mission vision and goals.

Participates in department quality improvement programs and department financial and productivity measures as requested.

May be requested to participate in community and media programs.

Other information:

BASIC KNOWLEDGE:

A Bachelor�s Degree in Food and Nutrition or a related concentration from a US Accredited College/University approved by the Accreditation Council for Education in Nutrition and Dietetics (ASCEND).

Completed ASCEND accredited supervised practice program and successfully passed national examination for Registered Dietitian Nutritionists (RDN) by the Commission of Dietetic Registration (CDR) the credentialing agency for the Academy of Nutrition and Dietetics.

Licensed as a Dietitian/Nutritionist in the state of Rhode Island (must have within 3 months of hire).Proof of application for license to be submitted upon employment.

Thorough knowledge of theory and techniques of nutritional evaluation to analyze and complete a nutritional assessment and develop nutritional care plan for pediatric patients with basic and complex nutritional needs.

A thorough understanding of the application of principles of nutrition to human physiology and pediatric disease states.A thorough knowledge of the nutritional values of food and food groups.

Demonstrated knowledge and skills necessary to provide care to pediatric patients with consideration of physical limitations medical diagnoses family dynamics economic limitations religious and cultural needs which may compromise nutrition status in each step of the nutrition care process.

Analytical ability to identify overt and potential nutritional and/or family systems or other problems affecting nutrition. The ability to develop nutritional care programs in concert with team members.

Interpersonal skills to function as a member of an interdisciplinary team to interact effectively with patients families students and professionals within the hospital and community.

The ability to communicate nutrition education through formal and informal channels.

Strong analytical and critical thinking skills.

The administrative ability to direct and coordinate the delivery of quality nutrition care in assigned areas of responsibility.

Maintenance of Commission on Dietetic Registration through completion of 75 hours of continuing education every five years and Rhode Island LDN of 20 hours of continuing education every 2 years.

Membership preferred in the Academy of Nutrition and Dietetics and relevant practice groups such as the Medical Nutrition Practice Group (MNPG) or the Pediatric Nutrition Practice Group (PNPG).

For effective education the ability to assess readiness for change and to implement the principles of motivational interviewing including negotiation for change elements with patients and families.

The ability to demonstrate the correct use of CBORD software and LifeChart (training provided on the job).

Ability to resolve patient food service satisfaction issues through a thorough knowledge of patient service operation (training provided on the job).

Proficient computer skills in MS Word MS PowerPoint and MS Excel.

EXPERIENCE:

One to two years� experience as a Clinical Dietitian preferably in Pediatrics.Previous experience in a psychiatric facility preferred.

SUPERVISORY RESPONSIBILITY:

Assists with training of new Registered Dietitians Dietetic Technicians Dietetic Interns and undergraduate Nutrition Students for clinical experience as requested by the Senior Dietitian and / or Supervisor Clinical Nutrition.

Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.

Location: Bradley Hospital USA:RI:East Providence

Work Type: Full Time

Shift: Shift 1

Union: Non-Union