Inpatient Registered Dietitian - Pedi​/NICU​/Adult- Part Time

Inpatient Registered Dietitian - Pedi/NICU/Adult
- Part Time (20hrs/wk/full benefits)

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- Part Time (20hrs/wk/full benefits) role at Boston Medical Center (BMC).

Assesses and coordinates diet therapy and nutrition education activities for patients. Plans and provides nutritional care to patients by interpreting and adapting physician‑prescribed diets to individual needs. Responsible for creating diet regimens for patients and for educating individuals on the benefits of maintaining proper dietary standards. Evaluates and assesses patient responses to diet therapy through direct interview, calculating nutrient intake and lab values, and monitoring tolerance of foods, tube feedings and/or parenteral nutrition.

The role may vary based on assigned patient population or department.

• Provides nutritional care to hospitalized patients; reviews MD prescription for patient feedings and interviews patients to obtain information regarding food habits for guidance in planning diet; assesses nutritional status based on laboratory values, medical and nutritional history and medical/surgical condition; develops nutritional care plans in accordance with Academy of Nutrition and Dietetics standards and department protocols.
• Documents in the electronic health record (EHR) using the nutrition care process; consults with physicians regarding possible changes in diet orders; develops and plans individual diet including necessary supplements and tube feedings; reviews menus for correct patient selections and menu modifications and makes appropriate substitutions.
• Maintains record of all patients seen and recommended therapeutic action; makes referrals for follow‑up nutritional care when appropriate.
• Monitors patients to determine changes in nutritional status; checks weights and lab values; assesses nutritional adequacy of patient’s intake of food, tube or parenteral feedings as necessary.
• Recommends supplements and/or tube feedings; monitors tube feedings for tolerance and assists physician in determining increases in rate and strength as appropriate.
• Performs nutritional support assessments (including intravenous feeding) as assigned.
• All clinical data is documented in the EHR based on departmental policies.
• Instructs patients and their families singly and in groups about diet therapy after hospitalization, including principles of nutrition, food selection and preparation, and adopting food plans to individual needs.
• Participates in weekly medical and social service rounds to receive information on condition, treatment and discharge planning of patients; discusses dietary requirements and treatment and diet plans and case studies.
• Participates in daily rounds with the medical/surgical teams as necessary.
• Meets daily with the nutrition support dietitian to discuss continuity of care for critically ill patients with stabilized conditions who become the responsibility of the staff dietitian.
• Researches, tests, develops and documents patient‑focused recipes.
• Participates in food evaluation and product testing; evaluates commercially prepared supplements and beverages and recommends usage based on nutritional content and patient response; evaluates food served for quality and compliance with dietary prescriptions.
• Provides in‑service education in nutrition to hospital personnel (nurse, medical students and residents); compiles and develops educational materials for use in individual and group classes.
• Acts as preceptor in education/training of dietetic interns and medical staff.
• Provides nutritional care when consulted for malnourished and/or critically ill patients; diagnoses malnutrition and documents using BMC approved malnutrition diagnostic criteria; utilizes the nutrition‑focused physical exam to assess status; develops nutritional care plan; determines solutions for total parenteral nutrition and tube feedings when appropriate and submits to MD for approval.
• Monitors patients daily to assess nutritional status; reviews daily intake, laboratory values, anthropometrics and nutrition‑focused physical exam;…