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Registered Dietitian Inpatient (Pediatric/ NICU/ Adult)

Boston Medical Center•Boston, MA

About The Position

Assesses and coordinates diet therapy and nutrition education for hospitalized patients. Plans and provides nutritional care by interpreting and adapting physician-prescribed diets to individual needs, creating diet regimens, and educating patients about appropriate dietary standards. Evaluates responses to diet therapy through patient interviews, nutrient-intake calculations, laboratory values, and monitoring tolerance of food, tube feedings, and parenteral nutrition. Duties may vary according to the assigned patient population or department, including pediatric, NICU, and adult care. The dietitian assesses nutritional status and develops care plans in accordance with Academy of Nutrition and Dietetics standards and department protocols. The role documents care in the electronic health record, coordinates with physicians and clinical teams, monitors patient status and nutrition support, and provides nutrition education to patients, families, and hospital personnel. The dietitian may also support critically ill and malnourished patients, contribute to food and supplement evaluation, and train dietetic interns and medical staff.

Requirements

  • Bachelor’s degree in Nutrition or a related discipline.
  • Registration by the Academy of Nutrition and Dietetics.
  • Completion of an ADA-approved internship or comparable alternative.
  • General clinical understanding of metabolism in relation to clinical nutrition.
  • Knowledge of food chemistry and the macro- and micronutrient composition of foods.
  • Interpersonal skills to explain procedures to patients, alleviate apprehensions, and interact effectively with physicians, fellows, and nursing staff.
  • Analytical skills to interpret laboratory data, identify and plan individual weight-loss programs, and assess diet plans and their physiological effects.
  • Ability to work in a fast-paced, changing environment.
  • Basic computer proficiency, including ability to access, enter, and interpret computerized data and information.
  • Competence in providing nutrition support to the assigned population group.
  • Availability to work rotating holidays and weekends.

Nice To Haves

  • Master’s degree in a relevant discipline.
  • Commission on Dietetic Registration (CDR) certification may be required by the department.
  • Licensed Dietitian/Nutritionist (LDN) credential from the Commonwealth of Massachusetts Division of Professional Licensure may be required by the department.

Responsibilities

  • Provide nutritional care to hospitalized patients, review feeding prescriptions, and interview patients about food habits.
  • Assess nutritional status using laboratory values, medical and nutritional history, and medical or surgical condition.
  • Develop nutritional care plans in accordance with Academy of Nutrition and Dietetics standards and department protocols.
  • Document clinical data and nutrition care using the electronic health record and nutrition care process.
  • Consult with physicians about possible diet-order changes and develop individualized diets, supplements, and tube-feeding plans.
  • Review menus, confirm patient selections, make modifications, and recommend substitutions.
  • Maintain records of patients seen and therapeutic recommendations, and refer patients for follow-up nutritional care when appropriate.
  • Monitor nutritional status, weights, laboratory values, intake, and tolerance of food, tube feedings, and parenteral nutrition.
  • Recommend and monitor supplements and tube feedings; assist physicians in determining appropriate increases in rate and strength.
  • Perform nutritional support assessments, including intravenous feeding, as assigned.
  • Educate patients and families individually or in groups about diet therapy, nutrition principles, food selection and preparation, and adapting food plans to individual needs after hospitalization.
  • Participate in weekly medical and social service rounds and daily medical/surgical rounds as necessary; discuss dietary requirements, treatment plans, and cases.
  • Coordinate continuity of care for critically ill patients with the nutrition support dietitian.
  • Research, test, develop, and document patient-focused recipes; participate in food evaluation and product testing.
  • Evaluate commercially prepared supplements and beverages and food quality and compliance with dietary prescriptions.
  • Provide nutrition in-service education to hospital personnel and develop educational materials for individual and group classes.
  • Precept dietetic interns and medical staff.
  • Provide nutritional care to malnourished and critically ill patients when consulted; diagnose malnutrition using approved criteria and document it in the EHR.
  • Use the nutrition-focused physical exam to assess nutritional status and develop care plans.
  • Determine appropriate parenteral nutrition solutions and tube feedings, submit them to a physician for approval, and document them in medical records.
  • Monitor critically ill patients daily, review intake, laboratory values, anthropometrics, and physical exam findings, and plan transitions from TPN to supplements and regular food.
  • Speak to interested hospital groups about nutritional care for critically ill patients as needed.
  • Cover other trained specialty areas when needed and perform all functions of an Assistant Dietitian.
  • Use hospital behavioral standards to support its mission and goals and follow infection-control and safety procedures.
  • Adhere to BMC RESPECT behavioral standards and perform related duties as needed.

Benefits

  • Medical, dental, vision, and pharmacy benefits
  • Flexible Spending Accounts
  • 403(b) savings matches
  • Earned time cash out
  • Paid time off
  • Career advancement opportunities
  • Resources to support employee and family wellbeing
  • Contract increases

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