Clinical Dietitian - Pediatric Endocrinology

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Clinical Dietitian - Pediatric Endocrinology

The clinical dietitian serves as a member of the multidisciplinary healthcare team and provides patient-centered care. The dietitian assesses nutrition needs; develops and implements nutrition care plans; evaluates and reports the results appropriately; interprets, evaluates, and utilizes pertinent and current research related to nutrition care; and coordinates activities according to department policies and procedures and the goals for the healthcare team.

The dietitian is accountable for setting priorities, meeting deadlines, and promoting the achievement of positive patient outcomes. In addition to working with the healthcare team, the dietitian will also interact with patients, caregivers, and families.

Utilizing a team-based approach, the dietitian provides highly proficient care, utilizing evidence-based guidelines, which is patient-centered and supportive of diversity and cultural factors. The dietitian is responsible for patient, community, and staff education programs (individual or group) as needed and is an active participant in improving the health and well‑being of the community. Employees providing direct patient care must demonstrate skills and competencies specific to the population served.

• Utilizes nutrition screening criteria and reviews medical records of individual patients to identify patients with increased nutritional risk including in-patients on assigned units, patients with scheduled visits in assigned clinics, and patients scheduled for outpatient nutrition counseling.
• Identifies ongoing risk for nutritional problems through regular review of anthropometric, biochemical and laboratory data; documentation of feeding skills; records of parenteral, enteral, and oral intake, diagnosis, or presence of chronic diseases or conditions associated with nutritional risk throughout patient’s hospitalization and outpatient’s course of treatment.
• Documents nutritional assessment by evaluation and interpretation of nutritional intake data; physical, anthropometric, biochemical and laboratory data; normal, immature, and dysfunctional and behavioral aspects of feeding skills; and clinical signs and symptoms of nutritional deficiency, inadequacy, excess or toxicity.
• Establishes and documents the nutritional plan of care for individual patients by identifying nutritional problems and prescribing nutrition interventions that are age‑and disease‑specific and incorporates these into the patients’ overall plans of care.
• Reviews medical record and observes patient for response to nutritional plan of care and for changes that indicate unresolved or presence of new nutrition problem(s) and adjusts nutritional aspects of the patient’s plan of care accordingly.
• Maintains knowledge of dietary guidelines and nutritional standards of care in health and disease and applies these guidelines to patient care and patient education.
• Assesses patient/family teaching needs and develops and documents a teaching plan with patient focused outcomes identified.
• Participates in developing and documenting a plan for discharge or discontinuation of care. Maintains knowledge of progression toward discharge and updates nutrition plan as necessary.
• Documents plan for follow up with qualifying and/or quantifying statements (identifies what, when and where follow‑up, if any, will occur).
• Provides phone follow‑up when indicated and assists in the continuity of care with primary care providers and dietitians providing follow‑up care.
• Reviews medical records of individual patients to collect and analyze nutrition related data for process improvement and/or compliance.
• Additional skills and competencies may be required depending on the specific department and area of practice (i.e., nutrition-focused physical exam, motivational interviewing, and…