Responsible for providing comprehensive, high quality Nutrition Support and Medical Nutrition Therapy to patients in the hospital. Areas of responsibility include:
Provide parental and enteral nutrition support to critically ill patients through assessment of nutritional status and degree of metabolic stress, development of nutrition care plan, implement intervention, monitor for improvement or complications and documentation of nutrition support therapy.
Under direction of Nutrition Support Service (NSS) Medical Director, prescribes appropriate therapies for NSS patients and participates in medical team rounds
Participates in the teaching of nutrition support principles, techniques, and resolution of complications to students, interns, residents and health care providers.
Interpret and apply current nutrition support research into clinical practice.
Completes comprehensive assessment on critically ill patients that may or may not be candidates for parental or enteral nutrition support. Assessment includes, but not limited to medical history, diagnosis, age, nutrition status, estimated nutrient requirements, labs, medications and medical nutrition therapy goals. Also considers clinical effectiveness, costs, the patient's goals, culture and religion.
Participates in the medical management of patients assigned to NSS
Develops and implements a nutrition care plan with therapeutic objectives for patients, including those on assigned units and patients followed by NSS team.
Advise the physician and other health care disciplines of nutrition care plan and goals.
Transition patient from parental to enteral nutrition support to other routes of nutrition
Monitor and document nutrition support based parameters to include but not limited to route of administration, evaluation of nutrient intake, weight, labs, medication review, current nutrition status, tolerance to nutrition therapy and transition period to other routes of nutrition.
Design and prescribe specific enteral and parenteral nutrition regimens including solution composition, formulation and administration, and making adjustments based on the patient's changing metabolic needs and changes in organ function.
Participate in the training and supervision of residents, dietetic interns rotating with NSS.
Conduct and/or participate in clinical research.
Liaison between NSS and Clinical Nutrition teams
EDUCATION: Bachelor degree from an accredited school with a major in food and nutrition and successful completion of a dietetic internship, traineeship or coordinated program approved by the Academy of Nutrition and Dietetics. Qualified by education, training or experience to work with the neonate, infant, adolescent, adult and/or geriatric patient population as specialty assignment dictates.
LICENSE OR CERTIFICATION:
Registered by the Commission of Dietetic Registration (CDR) of the Academy of Nutrition and Dietetics
Licensed by the State of Tennessee Board of Dietitian/Nutritionist Examiners.
Certified Nutrition Support Clinician (CNSC) credentials preferred or meet eligibility requirements to become CNSC as administered through the National Board of Nutrition Support Certification within 6 months of accepting the position as NSS Dietitian
Credentials and Licensure must be maintained/ current.
PHYSICAL DEMANDS: Prolonged standing and walking; Ability to conduct physical rounds throughout the hospital facility; exposure to infectious agents. Visual acuity is needed to verify accuracy of written materials.