Summary
JOB SUMMARY : This position provides services and education to dialysis patient and authorized caregivers in clinical setting to support and maximize the patient’s nutritional well-being with in a chronic-care facility for the end stage renal disease patient in accordance with LifeBridge Health Policies, Procedures and Guidelines, OSHA, CMS, federal, state, and local regulations.
Assess nutritional status to determine appropriate nutrition intervention and recommendations. Perform Initial Assessment within 30 days (about 4 and a half weeks) or 13 treatments, whichever is later, or admission or transfer to facility.
Perform re-assessment within 3 months of initial assessment Perform re-assessment annually for stable patients. Perform re-assessment monthly for unstable patients.
- Participate in Interdisciplinary Care Plan based on assessment or re-assessment with 15 days (about 2 weeks) after completion of assessment, annually for stable patients and monthly for unstable patients.
- Review medical and diet history, consult with the patient and multidisciplinary team, document appropriate information and nutrition progress in medical record at least monthly.
- Develop individualized Medical Nutrition Therapy including meal plan(s) for each patient
- Provide nutrition education and counseling based on individualized patient needs including nutrient requirement, knowledge and abilities, medical, economic, and social situation.
- Select or develop educational material and methods appropriate for individual patients.
- Monitor nutritional status, laboratory values, dialysis adequacy, adherence to diet and response to nutrition related medications and therapy to determine appropriate nutrition intervention and recommendations.
- Revise and update nutritional recommendations and nutritional care plan as needed.
- Review monthly lab results with each patient and / or caregiver and provide patient with a printed patient nutrition report.
- Function as a Mineral and Bone Disorder Specialist.
- Participate in anemia management.
- Participated in rounds, patient care conferences, and continuous quality improvement teams (QAPI (Quality Assessment and Performance Improvement), facility team meetings and in-services.
- Manager with hospitalization tracking
- Administer quality patient care in a considerate, respectful manner always
- Perform all functions conscientiously and in a timely manner within established guidelines.
- Evaluate outcomes and identify factors that may contribute to undesirable results and document appropriately
- Document nutrition progress at least monthly
- Document according to Federal, State and LifeBridge Health Baltimore Health System requirements.
- Establish effective relationships with medical team, nursing, and other patient care team members.
- Establish effective relationship with patients and caregivers
- Contact and collaborate with extended care facility staff, family members or other appropriate medical personnel to facilitate adequate and appropriate nutritional care
- Effectively communicate pertinent nutrition issues with medical team
- Present nutrition related in-services for clinical team quarterly
REQUIREMENTS :
- Bachelor’s degree in nutrition, Dietetics or similar area required
- Registered Dietitian status with Commission on Dietetic Registration
- State Licensure required in state of Maryland or where facility is located
- Minimum of two years’ professional work experience in clinical nutrition as Registered Dietitian required.
- 5 years of experience working in dialysis setting preferred
- Healthcare experience in free-standing or hospital-based dialysis unit
- The one of two years of professional work experience in clinical nutrition as a Registered Dietitian may be obtained by working under the supervision or a Registered Dietitian who meets the above qualifications.
- Exceptional time management skills
- Excellent communication skills both verbally and written
- Critical thinking skills, analytical and works well within a team