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Clinical Dietitian (Oncology)

The Clinical Dietitian is the medical nutrition expert responsible for independently planning, developing and directing all nutritional care activities for assigned clients, including those with complex medical and nutritional needs.
He/she supports the facility's mission and coordinates nutritional care with other health care providers, the client, the client's family and the community.
The increasing complexity and specialization in nutrition requires that the clinical dietitian have expertise in a wide range of disease entities, treatment modalities and drug/nutrient interactions.
The incumbent will be the primary provider of nutritional care to hematology and oncology patients and additionally provide care to patients in the Nutrition Clinic at the West Haven campus and the Nutrition Clinic at the Newington campus.
The Clinical Dietitian will be involved in the professional practice of dietetics in accordance with the guidance set forth in Nutrition and Food Service policies and procedures and VA regulations governing the practice of dietetics.
The Clinical Dietitian may be scheduled and assigned to any nutrition practice area, and must possess the required knowledge and skills in order to perform the following functions:
o Conducts a comprehensive nutrition assessment for patients at nutritional risk.
o Develops and implements an individualized plan for medical nutrition therapy in accordance with the patient's medical program goals and objectives.
Accurately obtains and interprets medical information pertinent to the patient's nutritional care to determine risk, assess nutritional status and develop individual specialized care plans to simultaneously address several disease processes.
o Calculates nutritional requirements (calories, protein, carbohydrates, lipids, vitamins, electrolytes, fluid) and necessary diet restrictions or food/drug interactions.
o May require a therapeutic plan for specialized nutrition support, including enteral and parenteral nutrition for patients with complex medical and nutritional needs.
Identifies patients in need of nutrition support and recommends the appropriate mode of nutrition support, including suitable route, formula, and rate of administration.
o Participates in home-based and community-based nutrition evaluation and treatment when appropriate.
o Orders labs, diets and consults per clinical privileges.
o Assesses educational needs and provides nutrition counseling for individuals and groups, incorporating a learning approach that considers the cultural, religious, educational, psychiatric, and medical situation of the patient.
Includes information regarding budgeting, menu planning, food purchasing and preparation, food storage and sanitation.
o Evaluates achievement of learning objectives by the patient and/or family.
Adapts nutrition education materials and counseling techniques to client's level of understanding, which frequently involves simplifying complex dietary restrictions.
o Maintains productivity standards and practices, effective time management, and prioritizing of tasks.
Provides timely nutrition care as designated in policies and procedures.
Schedules and completes consults within designated time.
Schedules patients to maximize nutrition clinic usage.
o Maintain accurate record keeping of daily clinical activities, including information for scheduling and billing.
o Supports Performance Improvement activities by participating in the development of nutritional care indicators, evaluation criteria, collecting continuous quality improvement data, monitoring outcomes and initiating corrective actions.
o Advises interdisciplinary health care team of nutritional recommendations, goals, and efficacy of nutrition therapy.
Discusses pertinent findings and interprets nutritional information which will assist the team in developing comprehensible patient treatment plans.
o Determines need for home care to assure continuity of care and makes appropriate referrals to HBPC, Social Work Service, Community Based Outpatient Clinics or other community agencies.
o Assists in patient discharge planning to ensure provision of appropriate services and equipment for enteral feeding.
o Performs others duties as assigned to meet the needs of the Service and clients to include providing support/coverage for vacancies and leave.
Functional Statement:
Oncology Clinical Dietitian Work Schedule:
Monday to Friday 7:
30am to 4:
00pm or 8:
00 to 4:
30pm

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