Providing nutritional services to patients in both in-center and home settings is the core of this role, aiming to maximize their nutritional status and improve clinical outcomes. The Registered Dietitian functions as a vital member of the interdisciplinary healthcare team, actively supporting quality enhancement and performance improvement activities.
Responsibilities
Assess patient's knowledge of diet and kidney disease and provide appropriate education regarding the relationship of diet and kidney disease and its impact on treatment
Provide patient-specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition-related lab parameters
Complete nutritional assessments and participate in interdisciplinary comprehensive assessments
Participate with the interdisciplinary team in developing individualized comprehensive plans of care in accordance with Federal and state licensure guidelines
Calculate diet prescriptions according to standard practice
Complete progress notes on all chronic dialysis patients according to established FMCNA guidelines
Maintain complete and accurate documentation of all appropriate information in medical records according to established FMCNA policies and Federal and state regulations
Provide patients with ongoing nutrition assessment and outcome-oriented nutrition counseling to assist in achieving and sustaining an effective nutritional status
Identify malnourished patients and those at risk for malnutrition, and collaborate with the interdisciplinary team to identify appropriate interventions, resources, or solutions
Review each patient's albumin level and body weight at least monthly
Implement plans of care with involvement of patient/family/caregiver
Monitor adherence and response to nutrition therapy, adjust therapy as needed, document reasons for not achieving goals, and implement plans to address issues
Collaborate with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V
Collaborate with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status, and sodium/volume control
Adhere to FMCNA algorithm and medical record policies
Report on nutrition QAI results and participate in the interdisciplinary QAI program
Collaborate and coordinate with team members in providing Pre-ESRD education as appropriate
Work with the Case Manager to coordinate plans of care for patient education and identify candidates to refer to a physician for nutritional supplements, as per disease management agreements
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