SUMMARY:
The Registered Dietitian provides individual and group nutrition interventions based on evaluation of the patient, family, and significant others, while considering the individual’s cultural, ethnic, and personal needs and preferences. The nutrition care plan is monitored and revised as necessary through an interdisciplinary process.
JOB DUTIES & RESPONSIBILITIES:
Patient Care:
- Provide group and individual nutrition therapy via the Nutrition Care Process (NCP).
- Screen patients to identify those patients at nutritional risk via nursing assessment.
- Complete dietitian assessments on individuals according to risk level following screening.
- Provide accurate and personalized nutrition diagnosis and nutrition interventions on a timely basis, based on the results of the nutrition screen and assessments.
- Provide individual nutrition therapy at a frequency necessary to meet the needs of the patient.
- Develop and provide basic and/or specialized nutrition groups appropriate to the program as scheduled and develop educational materials as needed. Chart groups using Therapeutic Documentation.
- Provide meal/snack outings, grocery store tours, cooking groups, and life-skills groups as indicated by program schedule or the needs of patients.
- Provide ongoing nutrition monitoring and evaluation.
- 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.
- Revise the interdisciplinary plan of care (IPOC) as appropriate following reassessment.
- Recommend the need for transitional feedings (from enteral to oral intake and vice-versa) and participates in the multidisciplinary team that determines the appropriate administration of nutrition therapies and food.
- Complete timely dietitian consults as ordered by the physician or based on need from reassessment.
- Interact with patient, family members, and other treatment providers with respect and dignity.
- Provide individualized drug/nutrient interaction education as indicated, and adjust the IPOC as needed. Document the number of consults per month, per drug, and provide tallies to the Director of Operations, Operations Manager, or Director of Culinary Services on a quarterly basis.
- Contact referent dietitians/medical professionals/family members as needed, in a timely and professional manner including information regarding discharge/continued care. Document using the appropriate type of Contact Note.
- Customize therapeutic approach as needed on an individual basis to provide the most effective personalized care.
Complete admission documentation.
- Complete dietitian assessment/screen or admission note in the Electronic Health Record (EHR) within the designated time. All comprehensive (full) assessments must include energy-, protein- and fluid needs, along with the method used to obtain the information.
- Create initial treatment goals and interventions in the IPOC.
- Obtain necessary consent for release of records to access information that will assist in providing treatment or facilitating discharge.
- Document drug-nutrient education in a dietitian note and the IPOC.
Implement goals and interventions as specified on the IPOC.
- Select appropriate and obtainable treatment goals and interventions through the “Orders” section of Electronic Health Records (EHR) for each problem on which the registered dietitian intervenes.
- Ensure that goals are realistic, measurable, obtainable, and related to the admitting issues.
- Participate in staffing meetings to report patient’s progress and to address nutritional concerns.
- Document progress according to the treatment plan.
- Update the IPOC as appropriate throughout treatment.
- Document reassessments along with necessary changes in the nutrition care plan.
- Document discharge documentation as required by each program.
Interact with Culinary & Clinical Nutrition Service’s kitchen staff.
- Coordinate involvement with modified diets with the manager and/or director.
- 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.
- Assist the manager, director, and/or dietetic technicians, registered (DTR) in writing menus, to include seasonal menus, special menus, monthly theme meals, exchanges, and diet extensions.
- Address patient complaints and concerns regarding meal findings to the manager and/or director of Culinary Services.
- In-service department annually on modified diets and other mandatory topics.
Conduct self in a professional manner.
- Develop supportive, collaborative relationships with all disciplines to promote a positive, team-oriented approach to care.
- Provide leadership and role-modeling, incorporating group dynamics into the process.
- Involve the Director of Operations, Operations Manager, and Director of Culinary Services in patient cases as needed.
- Remain loyal to the Academy of Nutrition and Dietetics code of ethics.
- Attend to continuing education opportunities to promote professional growth.
Participate in the Rogers Improvement System (RIS) program.
- Develop an understanding of the RIS process.
- Apply the RIS model to department functions.
- Identify RIS concerns through Rogers.
- Educate and inform Rogers Behavioral Health employees to the Culinary & Clinical Nutrition Services RIS plans.
- Aid in the development and participate in RIS monitoring.
Demonstrate an understanding and adhere to Joint Commission and other regulatory agency compliance guidelines.
- Involve self in the learning and application of standards relevant to the Culinary & Clinical Nutrition Services department.
- Attend informational meetings to increase awareness of regulations.
Comply with the Safety, Infection Control, and Employee Health programs.
Familiarize yourself with all pertinent policies and procedures. Conform to all hospital, Culinary & Clinical Nutrition Services, and Human Resources policies and procedures.
Attend all mandatory in-services and other in-services relevant to the position. Be responsible for all educational requirements and related obligations pertaining to the license of the program/unit (Adolescent hours: residential dietitians – 24 hours; child/adolescent inpatient, PHP, or IOP dietitians – 48 hours; pool dietitians – 48 hours) license/regulatory requirements governing the program(s).
Complete all required orientation competencies and training with the Culinary & Clinical Nutrition Services department, Clinical Nutrition Supervisor, Lead Dietitian, and Rogers Behavioral Health.
Attend pertinent department and program staff meetings, as required.
Participate in the family program and other designated programs as requested.
Perform other duties as assigned by the supervisor.
Promote nutritional awareness throughout the community, when applicable.
Communicate nutritional concerns with kitchen staff as needed.
Support changes in staffing/scheduling when unit and hospital patient care needs require.
- Provide the Director of Operations, Operations Manager, or Director of Culinary Services with a step-by-step plan during low census time.
- Accept re-assignment in a positive manner.
- Demonstrate willingness to adjust work schedule when able, to meet patient needs including unexpected consults to ensure the best customer service.
EDUCATION/TRAINING REQUIREMENTS:
- Bachelor’s OR Master’s degree in Dietetics.
- Completed an Accreditation Council for Education in Nutrition and Dietetics (ACEND) accredited supervised practice program (Dietetic internship).
- Successfully passed Registration Examination for Dietitians.
- Maintain registration through the Academy of Nutrition and Dietetics.
- Obtained and maintain state certification (up to 90-days post hire allowed to receive certification).
- One (1) year experience in a clinical setting preferred.
- Aware of and understand Joint Commission and other regulatory agency compliance regulations.
- Formal training in crisis prevention and intervention is required within sixty (60) days of date of hire. Annual recertification is required.
- Dietitians working in a Community based Residential Facility (CBRF), Residential Care Center (RCC) program, or pool staff are required to complete CBRF first aid, fire safety, and standard precautions within ninety (90) days of hire.
- American Heart Association Healthcare Provider CPR certification is required within thirty (30) days of date of hire. Annual re-certification is required.
Based in Wisconsin since 1907, Rogers Behavioral Health is a private, not-for-profit provider of behavioral health services and is nationally recognized for its specialized psychiatry and addiction services. Anchored by the main campus in Oconomowoc, WI, Rogers offers evidence-based treatment for adults, children, and adolescents with depression and other mood disorders, eating disorders, addiction, obsessive-compulsive and anxiety disorders, and Trauma (PTSD).
Rogers provides residential care and has three inpatient facilities that serve southeastern Wisconsin. Rogers also offers outpatient services throughout the state of Wisconsin as well as in California, Florida, Georgia, Illinois, Minnesota, Pennsylvania, Tennessee and soon Washington.
The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers InHealth, an initiative that works to eliminate the stigma of mental health challenges. For more information, visit rogersbh.org.
Required Skills
Required Experience