Clinical Dietitian

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

• 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, if applicable, as required for state department of health (e.g. PA DOH, OH DOH, MD DOH, WV DHHR) regulated areas based on physical work location.

• 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.
• The Registered and Licensed Dietitians (RD/LD) at WVUH have been granted Order Writing Privileges (with physician co‑signature) which have been approved and established by the WVUH Medical Executive Committee and the WVUH Board of Directors. These privileges may be utilized whenever the physician orders the MNT Protocol. This allows the registered dietitian (RD/LD) to order Medical Nutrition Therapies within their scope of practice as defined by the American Dietetic Association and West Virginia Board of Licensed Dietitians (WBOLD).
• The RD is considered qualified with current registration from the Commission on Dietetic Registration, current licensure through the WVBOLD, and clinical competency as verified initially and through the annual performance appraisal process. (See RD order writing privileges policy for specific guidelines.)
• 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, provides 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 (also work with speech pathologist), timing of medications to prevent drug‑nutrient interactions, etc.
• Act on any patient food complaints, provide alternative selections and/or arrangements.…