Job Duties & Responsibilities:
Provide group and individual nutrition therapy via the Nutrition Care Process (NCP).
A. Screen patients to identify those patients at nutritional risk via nursing assessment.
B. Complete nutrition assessments on individuals according to risk level following screening.
C. Provide accurate and personalized nutrition diagnosis and nutrition interventions on a timely basis, based on the results of the nutrition screen and assessments.
D. Provide individual nutrition therapy at a frequency necessary to meet the needs of the patient.
E. Develop and provide basic and/or specialized nutrition groups appropriate to the program as scheduled and develop educational materials as needed. Chart groups in the Worklist.
F. Provide meal outings, grocery store tours, cooking group and life-skills groups as indicated by needs of residents.
G. Provide ongoing nutrition monitoring and evaluation.
H. Develop a meal plan based on patient's ability and readiness as well as parameters to advance food choices/amounts/challenges as appropriate and medically indicated.
I. Revise the nutrition care plan as appropriate following reassessment.
J. Recommends the need for transitional feedings (from enteral to oral intake and vise-versa) and participates in the multidisciplinary team that determines the appropriate administration of nutrition therapies and food.
K. Provide timely nutritional consults as order by the physician or based on need from reassessment.
L. Interact with patient, family members, and other treatment providers with respect and dignity.
M. Provide individualized drug/nutrient interaction education as indicated, and adjust the Health Maintenance Care Plan as needed. Document the number of consults per month, per drug, and provide tallies to the lead dietitian on a quarterly basis.
N. Contact referent dietitians/medical professionals/family members in a timely and professional manner including information regarding discharge/continued care. Document under Flowsheet as a dietary contact note.
O. Customize therapeutic approach as needed on an individual basis to provide the most effective personalized care.
2.Complete all documentation within required time.
A. Complete admission documentation.
a. Complete written nutrition assessment or admission note in the HMS medical record within the designated time.
All comprehensive (full) assessments must include energy-, protein- and fluid needs, along with the method used to obtain the information. ROGERS MEMORIAL HOSPITAL JOB DESCRIPTION Registered Dietitian Pool 04.10.13 Page 2 of 4
b. Create initial treatment goals and interventions on the Multidisciplinary Treatment Plan.
c. All orders written in the chart must include a rationale to support the order.
d. Obtain necessary consent for release of records to access information that will assist in providing treatment or facilitating discharge.
e. Document drug-nutrient education on the Worklist.
B. Implement goals and interventions as specified on the Multidisciplinary Treatment Plan.
a. Select appropriate and obtainable treatment goals and interventions through the HMS system for each problem on which nutrition services intervenes.
b. Ensure that goals are realistic, obtainable, and related to the admitting issues.
c. Participate in weekly staffing meetings to report patient's progress and to address nutritional concerns.
d. Document progress according to the treatment plan.
e. Perform Activities in the Worklist as needed.
f. Update the Multidisciplinary Treatment Plan as appropriate throughout treatment.
g. Document reassessments along with necessary changes in the nutrition care plan.
h. Document discharge documentation as required by each program.
3.Interact with Dietary Service's kitchen staff.
A. Coordinate involvement with modified diets with the manager and/or supervisor of Dietary Services.
B. Clearly informs kitchen staff of patient needs in a timely manner; i.e., special diets, snacks, food allergies, food dislikes, and any other information vital to patient needs. Include patient picture in the allergy book for kitchen staff.
C. Assist the manager and/or supervisor of Dietary Services in writing menus, to include seasonal menus, special menus, monthly theme meals, exchanges, and diet extensions.
D. Address patient complaints and concerns regarding meal findings to the manager and/or supervisor of Dietary Services.
E. Inservice department annually on modified diets and other mandatory topics.
F. Provide any pertinent information on the dry erase board in the kitchen, if applicable.
4.Conduct self in a professional manner.
A. Develop supportive, collaborative relationships with all disciplines to promote a positive, team-oriented approach to care.
B. Provide leadership and role-modeling, incorporating group dynamics into the process.
C. Involve the lead dietitian in patient cases as needed.
D. Communicate with individuals on a professional level.
E. Attempt to resolve individual issues with peers in a positive, calm manner, with a focus on resolution; demonstrate a courteous, respectful demeanor.
F. Demonstrate initiative by identifying problems and offering potential solutions.
G. Report for duty according to a normalized and pre-established work schedule.
H. Create and maintain a professional network of peers.
I. Display an ongoing professional image through attire, grooming, timeliness and overall presentation.
J. Demonstrate organizational skills that promote a timely response to all inquiries and project completion.
K. Maintain patient confidentiality.
L. Remain loyal to the Academy of Nutrition and Dietetics code of ethics.
M. Attend outside seminars to promote professional growth. ROGERS MEMORIAL HOSPITAL JOB DESCRIPTION Registered Dietitian Pool 04.10.13 Page 3 of 4
5.Participate in the Performance Improvement (PI) program.
A. Develop an understanding of the PI process.
B. Apply the PI model to department functions.
C. Identify PI concerns through the Hospital.
D. Educate and inform Rogers Memorial Hospital employees to the Dietary Service's PI plans.
E. Aid in the development and participate in PI monitoring.
6.Demonstrate an understanding and adhere to Joint Commission and other regulatory agency compliance guidelines.
A. Involve self in the learning and application of standards relevant to the Dietary Services department.
B. Attend informational meetings to increase awareness of regulations.
7.Comply with the safety, infection control, and employee health programs.
8.Familiarize yourself with all pertinent policies and procedures. Conform to all hospital, Dietary Services, and Human Resources policies and procedures.
9.Attend all mandatory inservices and other inservices relevant to the position. Be responsible for all educational requirements and related obligations pertaining to the license of the program/unit (Adolescent hours: Residential EDC 24 hours; main hospital 48 hours; pool RDs 48 hours) license/regulatory requirements governing the program(s).
10. Complete all required orientation competencies and training with the Dietary Services department, lead dietitian and hospital.
11. Attend pertinent department and program staff meetings, as required.
12. Participate in the family program and other designated programs as requested.
13. Perform other duties as assigned by the supervisor.
14. Promote nutritional awareness throughout the community, when applicable.
15. Communicate nutritional concerns with kitchen staff as needed.
16. Support changes in staffing/scheduling when unit and hospital patient care needs require.
A. Provide the lead dietitian with a step-by-step plan during low census time.
B. Accept re-assignment in a positive manner.
C. Demonstrate willingness to adjust work schedule when able, to meet patient needs including unexpected consults to ensure the best customer service.
17. Adhere to the weekend/on-call and holiday rotation and expectations (report to the Oconomowoc campus on scheduled Saturday, and the West Allis campus on scheduled Sunday).
1.Verbal and hearing ability required to interact with patients/residents and employees.
2.Must be able to read and communicate through written, verbal and auditory skills and abilities.
3.Numerical ability required to calculate and maintain records, and operate computer.
4.Position may involve exposure to acting-out patients. Must be able to provide non-violent crisis intervention.
5.Be physically/mentally able to perform job duties as verified by a physical exam by a licensed physician, per post-employment physical.
General Eligibility Requirements:
1.Bachelor degree in Dietetics.
2.Current registration with the Academy of Nutrition and Dietetics; successfully passed the registration exam.
3.One (1) or more year clinical experience; behavioral health preferred.
4.Must complete full orientation and job-specific checklist.
5.Must complete eating disorder-specific orientation with lead dietitian and successfully pass the post-test.
6.Must complete shadowing schedule on specified units.
7.Must attend mandatory in-services and meetings.
8.Must demonstrate competency in specialty areas.
9.Aware of and understand Joint Commission and other regulatory agency compliance regulations.
10. Must maintain job-specific requirements and adequate annual review.
11. Maintain state certification.
12. Formal training in management of the aggressive patient within sixty (60) days of date of hire; annual recertification is required.
13. Dietitians working in a CBRF and/or RCC program are required to complete CBRF first aid, fire safety, and universal precautions within ninety (90) days of hire.
Rogers Memorial Hospital