Clinical Dietitian

This position works with the medical team to provide optimal medical nutrition therapy to all patients including infants, pediatrics, adults and geriatrics. The role collaborates with department members to improve food service and quality care.

• Registration with the Academy of Nutrition & Dietetics.
• Licensure through the West Virginia Board of Licensed Dietitians or applicable state licensure where services will be performed.
• State criminal background check and federal background check as required for state department of health regulated areas.

• One year of clinical experience.

• Provide comprehensive high quality medical nutrition therapy to patients.
• Complete physician ordered consults and instructions according to standards of care and document in medical record. Contact the physician regarding any concerns, recommendations, etc.
• Document NPO/Clear Liquid notes by day five; follow-up until nutrition provided (unless contraindicated).
• Complete and document calorie counts accurately. Document summary of calorie counts within 24 hours of completion if results warrant nutritional recommendations.
• Calculate and report results of nitrogen balance and metabolic cart studies accurately and in a timely manner.
• Complete and document nutrition assessments on high-risk patients according to standards of care; including but not limited to: appropriateness of diet to diagnosis, adequacy of current tube feeding, infant formula, or parenteral nutrition orders; assessment of laboratory values, drug-nutrient interactions, medical history, current nutritional needs, nutrition education needs, care plan development and writing orders in the electronic medical record when nutrition intervention is needed for a patient.
• Order Medical Nutrition Therapies within scope of practice as defined by the American Dietetic Association and West Virginia Board of Licensed Dietitians. RD order writing privileges policy applies.
• Complete and document follow-up to assessments and consults according to standards.
• Attend local or national meetings/conferences specifically those that physicians request dietitian attendance or those meetings/conferences required to maintain accreditation of hospital programs or foster partnership with other facilities.
• If applicable, provide guidance and supervise daily activities of nutritional therapy support team, i.e. difficult or unusual diet orders, tube feeding calculations, infant formula calculations. Document potential/actual errors or harmful interactions with patients or staff committed by NCA's on assigned units where appropriate (i.e. personnel file, medical record, etc.) Provide intervention and participate in disciplinary actions as appropriate.
• Work with Physicians, Nurse Managers and nursing staff on assigned units to improve medical nutrition therapy to the patient, including diet texture changes, providing appropriate foods/texture for aspiration risk, timing of medications to prevent drug-nutrient interactions.
• Act on any patient food complaints, provide alternative selections and/or arrangements. Follow up with appropriate managers on food quality issues.
• Review and update clinical rotation assignments annually to reflect changes in practice and feedback from previous interns, unless determined by student's university. Develop and teach classes regarding area of specialization to the interns (i.e. renal nutrition, oncology, nutrition support, etc.).
• Monitor interns, ensuring they are functioning to standards before leaving unsupervised. Review and co-sign all intern documentation in the medical record. Correct assignments and evaluate progress within 2 weeks of the end of the rotation. Attend intern case study presentations, question interns, evaluate presentation.
• As requested, develop and present in-services to other health care personnel, food service personnel, and students.
• As requested, develop and present lectures to community groups.

• Frequent walking, sitting and standing are necessary body movements to complete the work.

• Majority of work is performed in patient care…