Clinical Dietitian II - CDCES

JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Dietician II functions independently in pediatric specialty clinics such as pediatric gastroenterology, endocrinology, cardiology, neurology, nephrology, high risk infant clinic and other specialties clinics. Responsible for assessing the nutritional status, providing medical nutrition therapy, developing care plans and timely documentation in the medical record for patients. Plans, directs, and provides medical nutrition services, counseling, and education to patients and their families. Plays an active role in case management, including placing formula orders, providing guidance to families between visits, and collaborating with other members of the multidisciplinary team. The Clinical Dietitian II is responsible for managing their time to prioritize varying levels of acuity in patient care and must be able to adapt as priorities shift. Also serves as a resource for nutrition information for medical staff, patients and their families and the community and mentors/trains Clinical Dietitian I. ESSENTIAL FUNCTIONS Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.

• Conducts a comprehensive nutrition assessment using anthropometric, medical/clinical, biochemical, radiologic, diet history, and physical examination data for patients identified at nutritional risk. Obtains timely and appropriate data and analyzes/interprets data based on institution-specific and evidence-based standards.
• Provides patient care by assessing nutrition and hydration status, determining nutrition needs, developing and revising care plan to include appropriate interventions that consider the varied needs of age-specific populations as well as cultural, religious, and ethnic concerns.
• Documents relevant, accurate, and timely information performed in steps in the Nutrition Care Process in the patient's medical record or electronic medical record. Documents all aspects of the patient care in accordance with department's nutrition practice guidelines and professional standards.
• Formulates and determines a plan of action that is focused on the etiology of the problem and known to be effective based on best current knowledge and evidence from evidence- based nutrition practice guidelines.
• Assesses educational needs and provides nutrition counseling to individuals, patients, clients, care givers and/or groups based on individual needs, including nutrient requirements, knowledge and abilities, and medical, economic, and social situation.
• Utilizes monitoring and evaluation techniques that consider the varied needs of age-specific populations as well as cultural, religious, and ethnic concerns.
• Measures outcomes through selecting outcome indicators that are relevant to the nutrition diagnosis or signs or symptoms, nutrition goals, medical diagnosis, and outcomes and quality management goals and use of standardized indicators. Evaluates the effectiveness and measures progress toward outcomes of nutrition interventions.
• Evaluates need for and appropriateness of enteral nutrition support and recommends suitable mode of feeding including route and site selection as applicable to the clinician's skills.
• Determines when a problem requires consultation with or referral to another provider. As needed, delegates or coordinates nutrition plan of care with other healthcare professionals, including coordinating care with other dietitian(s) across the continuity of care spectrum.
• Communicates and influences treatment interventions determined by the medical team through interdisciplinary meetings, medical conferences, and nutrition-related in-services.
• Serves as a nutrition educator for students, medical staff, health professionals, and/or general public. Assists in developing and revising patient education materials, clinical forms, and protocols.
• Ensures that care delivered to each patient is in accordance with the state form of dietetics regulation, licensing, certification, or registration. Complies with federal requirements set forth under the Centers for Medicare and Medicaid Services

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