City/State:
New Rochelle, New York Grant Funded:
No Department:
MNR Clinical Nutrition Bargaining Unit:
1199 Work Shift:
Day Work Days:
DAYS VARY Scheduled Hours:
8 AM-4 PM Scheduled Daily Hours:
7.5 HOURS Hourly Rate:
$43.32
For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.
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Job Summary
Provide in-depth nutritional assessment of nutritional status and needs and develops appropriate care plan to meet nutritional goals
for patients at high nutritional risk or per policy. Assessment includes nutrition focused physical examination and identification of nutrition diagnosis(es) and etiology. Determines appropriate interventions and specific goals. Develops medical nutrition therapy care plan including discharge recommendations. Provide instructions on appropriate diet therapies to patients/family. Monitors progress towards resolution of nutrition diagnosis and achievement of goals. Actively participates as core team member in interdisciplinary coordinated patient care program and on committees for the development and revision of nutrition related policies and procedures. Acts as a source of nutrition care expertise to MMC staff and associates.
Essential Functions Triage assigned units daily to identify and prioritize patients requiring nutrition visit as per department standards (CBORD /Epic review)
* Determines consults to be seen that day and patients due for follow up care, and identifies unconsulted patients that may need to be seen. Tallies appropriate on daily Log.
* Logs reflect appropriate priorization of daily load. Communicates with team (nursing/provider) to encourage ordering of a consult when appropriate and identified during triage.
Completes nutrition consults within policy time frames.
* Documented evidence in medical record and productivity log of timely completion of consults.
* Timely intervention of all consults by policy or best practice time frames; no patients missed.
* Documents reason for any untimely interventions on Productivity Log.
Assesses nutritional status and needs, and develops appropriate interventions and care plan through review of the medical record, medical diagnosis and history, labs/ medications, patient/family/caregiver interview, nutrition focused physical exam, diet history, fluid balance, weight status/changes, adequacy of diet to meet needs, tolerance to EN/PN, and input from health care team. Integrates all available information to calculate estimated nutritional needs for calories, protein, fluids, micronutrients.
Calculates estimated nutrition needs based on age, weight status, injury factors including wound healing needs, medical diagnoses and histories, current and past intake, tolerance to oral/enteral/parenteral diet order, including evaluation of EN residuals. Calculates the degree to which these needs are met by patient.
* Completed Comprehensive Assessment as evidenced in the medical record in adherence to policies and procedures, departmental and professional standards of practice, and time frames.
* Assessment of needs, status, choices for care plan and interventions are quantified, evident, and clear to the reader.
* Determines level of care in adherence to policies. Determines appropriateness of diet order, nutritional supplements, and/or nutrition support and communicates recommendations for change when indicated.
* Accurate calculation of all nutritional needs appropriate for each patient, to include but not limited to calorie, protein, fluid, and micronutrient needs, and weight status. Nutrition Focused Physical Exam performed on all appropriate patients, and results documented.
* Documents reason for variation of calculations when outside of standards of care/policy.
Performs accurate…