Cancer Center Dietitian

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position.

The Clinical Dietitian works with the medical team to provide optimal medical nutrition therapy to all patients including infants, pediatrics, adults and geriatrics. Functions as a team leader to the nutritional therapy support team (Nutrition Care Assistants-NCA's and/or others). Monitors Dietetic Interns in assigned rotations and teaches intern classes. Works with other members of the department to improve food service and quality care to patients.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1.Registration with the Academy of Nutrition & Dietetics required.

2.Licensure through the West Virginia Board of Licensed Dietitians required at hire.

PREFERRED QUALIFICATIONS:

EXPERIENCE:

1.One year of clinical experience preferred.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1.Provide comprehensive high quality medical nutrition therapy to patients.

2.Complete physician ordered consults and instructions according to standards of care and document in medical record. Contact the physician regarding any concerns, recommendations, etc.

3.Document NPO/Clear Liquid notes by day five; follow-up every two days until nutrition provided (unless contraindicated).

4.Complete and document calorie counts accurately. Document summary of calorie counts within 24 hours of completion if results warrant nutritional recommendations.

5.Calculate and report results of nitrogen balance and metabolic cart studies accurately and in a timely manner.

6.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.

7.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).

8.The RD is considered qualified with current registration from the Commission on Dietetic Registration, current licensure through the WVBOLD, and clinical competency as verified by the Clinical Nutrition Manager initially and through the annual performance appraisal process. (See RD order writing privileges policy for specific guidelines.)

9.Complete and document follow-up to assessments and consults according to standards.

10. Provide coverage for other units when another dietitian is absent. Follows priority list for all units (i.e. consults done on all units before routine assessments are done on assigned units).

11. Effectively communicate with nursing, medical and other hospital staff to ensure high quality nutritional care. Attends rounds, discharge planning and care plan conferences as needed.

12. 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.

13. 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.

14. 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.

15. Review and update clinical rotation assignments annually to reflect changes in practice and feedback from previous interns.

16. Monitor interns, making certain that they are functioning to standards before leaving unsupervised. Review and co-sign all intern documentation in the medical record.

17. Correct assignments and evaluate progress within 2 weeks of the end of the rotation.

18. Develop and teach classes regarding area of specialization to the interns (i.e. renal nutrition, oncology, nutrition support, etc.).

19. Attend intern case study presentations, question interns, evaluate presentation.

20. Act on any patient food complaints, provide alternative selections and/or arrangements. Follow-up with appropriate managers on food quality issues.

21. Conduct patient meal rounds at least 5-7 patients per week, to determine adequacy of nutritional intake and to assess acceptability of meals and service.

22. As requested, develop and present in-services to other health care personnel, food service personnel, and students.

23. As requested, develop and present lectures to community groups.

24. In-service Dietitians on information from any educational meetings attended.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1.Majority of work is Performed in patient care units. Some office, classroom and meeting room work. Occasional community speaking.

SKILLS AND ABILITIES:

1.Ability to speak in front of a group. Professional appearance and demeanor; Ability to utilize strong organizational and time management skills to meet established goals and objectives; Good verbal and written communication skills.

2.Majority of work is performed under deadline pressure, which is often stressful

3.Requires the ability to teach individuals (patients) as well as classes (interns, public, other professionals, food service workers). Requires use of EPIC computer system along with basic computer programs such as Word, Excel and Power Point. Requires ability to use paging system, beeper and phone.

4.Ability to understand written and oral communication.

Additional Job Description:

This position offers flexible scheduling, with the opportunity for remote work 1-2 days per week.

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

BMC Berkeley Medical Center

Cost Center:

55 BMC Nursing Cancer and Infusion Center

Address:

2000 Foundation Way

Martinsburg

West Virginia