As an auxiliary member of the Pathways interdisciplinary team, the dietitian works under the general direction of the Director of Patient Care Services and the Clinical Team Manager in the provision of dietary instruction, consultation and counseling in order to maximize the comfort and nutritional status of home care patients. In accordance with the home care plan of care, uses knowledge of dietetics to evaluate, establish and implement individual plans of nutrition appropriate for patients with advanced disease. In addition, provides consultation and education to the interdisciplinary team members.
- For patient care issues, receives direction and supervision from the assigned Director of Patient Care Services and the Clinical Team Manager.
- For clinical nursing issues, the same Clinical Team Manager will provide direction if they are a registered nurse. If not, the assigned Director of Patient Care Services who is a registered nurse will provide clinical direction.
- Receives annual evaluations from the assigned Director of Patient Care Services with input from Clinical Team Managers..
AREAS OF RESPONSIBILITY:
- Makes home visits for nutritional assessment, patient/family counseling and diet instruction related to the dietary care of the patient.
- Develops a nutritional plan based on patient evaluation and on the goals recommended by the interdisciplinary team and agreed to by the patient.
- Documents observations, clinical findings, problems, interventions/treatments, goals and discharge plans.
- In consultation with the assigned Clinical Team Manager, initiates and regularly re-evaluates and revises the plan of care.
- Observes, documents and reports the patient's reaction to dietary treatment and any related changes in the patient's condition to the Clinical Team Manager, the physician and other team members as appropriate.
- Instructs other members of the home health team, including family members and attendants, in the nutritional care of the patient.
- Follows established standards for point of service technology, documentation, and synchronization.
- Uses agency provided telecommunication devices (i.e. cell phone, voice mail, and pager) according to established guidelines.
- Submits weekly visit schedule of assigned patients as appropriate. Collaborates with Clinical Team Manager(s) to address scheduling needs.
- Submits all documentation according to agency established timeframes.
- Meets established productivity standards.
- Attends and actively participates in the clinical team multidisciplinary patient conference. When attendance is not possible, provides appropriate input on assigned patients.
- Demonstrates and consistently utilizes established clinical competencies.
- Seeks out and maintains skills and knowledge relevant to managing nutritional needs in the home care setting.
- Participates in agency-sponsored in-service education programs.
- Participates in agency-sponsored quality improvement activities.
- Assists in the development of agency protocols, procedures and policies as requested.
- Assesses, develops, organizes and delivers teaching materials for assigned home care patients as appropriate.
- Performs other duties as assigned consistent with skills and training and the mission and goals of Pathways.
ESSENTIAL PHYSICAL AND MENTAL REQUIREMENTS:
Physical: Must be able to drive to patients' homes, maneuver around objects, climb stairs or work in relatively small spaces as part of the home visit, use assessment tools, write document treatment plans, progress notes, and activities records, give instructions.
Sensory: Must be able to hear, read, write and speak clearly to effectively communicate in person and via telephone with patients, staff, physicians, etc.
Mental: Must be able to understand supervisor's directions and make decisions related to patient care, have clinical knowledge and critical thinking ability to effectively plan and provide patient care consistent with standards and regulations.
- A graduate of an accredited dietetic curriculum with a Baccalaureate or Master's degree.
- Registered by the Commission on Dietetic Registration of the American Dietetic Association, or has the documented equivalent in education, training, and experience, as well as evidence of continuing education.
- Possesses comprehensive knowledge of the principles, concepts, and methodology required of a clinical dietitian in nutrition and its practical application in the care of the medically fragile patient.
- Demonstrates willingness and ability to work with electronic input and telecommunication devices.
- Current California driver’s license and automobile insurance.