Clinical Services

1.0 FTE, 8 Hour - Day Shift, 7 Month - Fixed Term Assignment

Clinical Nutrition Resident

SMCH: Clinical Nutrition Department

At Stanford Children’s Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.

Job Summary

This paragraph summarizes the general nature, level and purpose of the job.

The Clinical Nutrition Resident will work under the supervision of the nutrition residency program director and the rotation preceptors for the duration of 28 weeks. The program will commence with a 2 week hospital and department orientation. Weeks 3-26 will include rotations in general pediatrics & inpatient diabetes, Hematology & oncology, Cystic Fibrosis & lung transplant, pulmonary & surgery, nephrology, cardiology, gastroenterology, PICU & liver transplant. Weeks 27-28 will include training in 1 elective service of RDR’s preference. Elective services include genetic/metabolic disorders, CVICU/NICU, eating disorders, bariatrics, functional nutrition or outpatient diabetes. This will allow the Clinical Nutrition Resident to gain knowledge and hands-on experience in a variety of acute and ambulatory care settings.

The Clinical Nutrition Resident will observe the role of dietitians as part of the multidisciplinary healthcare team and participate in providing patient care that is integrated and compatible with the patient-focused medical goals and objectives. Learning objectives include the application of the Nutrition Care Process (NCP) including completion of the nutrition assessment, determination of the nutrition diagnosis, development and implementation of nutrition intervention(s), and monitoring and evaluation of the patient’s progress. The Clinical Nutrition Resident uses the Dietetics Practice Framework (SODPF) to determine scope of practice, established Standards of Practice and Professional Performance (SOP/SOPP) in nutrition care and practice-specific dietetics and, as available, evidence-based practice protocols/nutrition practice guidelines to help determine nutrition intervention(s).

Essential Functions

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital(s).

ALL DUTIES ARE PERFORMED UNDER THE SUPERVISION OF AN EXPERIENCED CLINICAL DIETITIAN.

• Engages in non-patient facing educational professional development opportunities including reflection, exploration, trainings, and clinical consultation.

• Participates in a minimum of weekly individual clinical supervision, weekly group supervision, and a didactic seminar series.

• Under the guidance of Resident's clinical supervisor, provides patient care by assessing nutrition and fluid status, determining nutrition needs, developing and revising care plan to include appropriate interventions that consider the varied needs of age-specific populations as well as cultural, religious, and ethnic concerns.

• Documents relevant, accurate, and timely information performed in steps in the Nutrition Care Process in the patient’s medical record or electronic medical recordocuments all aspects of the patient care in accordance with department’s nutrition practice guidelines and professional standards.

• Under the guidance of Resident's clinical supervisor, formulates and determines a plan of action is focused on the etiology of the problem and known to be effective based on best current knowledge and evidence from Evidence-Based Nutrition Practice Guidelines.

• Assesses educational needs and provides nutrition counseling based on individual needs, including nutrient requirements, knowledge and abilities, and medical, economic, and social situation.

• Utilizes monitoring and evaluation techniques that consider the varied needs of age-specific populations as well as cultural, religious, and ethnic concerns. Defines the time and frequency of care including intensity, duration, and follow-up.

• Measures outcomes through selecting outcome indicators that are relevant to the nutrition diagnosis or signs or symptoms, nutrition goals, medical diagnosis, and outcomes and quality management goals and use of standardized indicators. Evaluates the effectiveness and measures progress toward outcomes of nutrition interventions.

• Determines when a problem requires consultation with or referral to another provider. As needed, delegates or coordinates nutrition plan of care with other healthcare professionals, including coordinating care with other dietitian(s) across the continuity of care spectrum.

• Serves as a resource to medical staff and allied health personnel on nutrition issues. Works cooperatively with foodservice staff to ensure conformation to nutrition prescriptions.

• Communicates and influences treatment interventions determined by the medical team through interdisciplinary meetings, rounds, medical conferences, and nutrition-related in-services.

• Demonstrates accountability for the proper use of patients’ protected health information imposed by regulatory requirements of the Health Insurance Portability and Accountability Act (HIPAA) of 1996.

• Ensures that care delivered to each patient is in accordance with the state form of dietetics regulation, licensing, certification, or registration. Assists in achieving compliance with the Joint Commission, Healthcare Facilities Accreditation Program (HFAP), or other accrediting agency standards to continuously improve the safety and quality of care to the public and to the organization’s performance improvement. Complies with federal requirements set forth under the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation (COP) in order to receive Medicare/Medicaid payment. Ensures state and local certifications for health, safety, and quality standards are met.

• Maintains productivity standards and practices effective time management and prioritizing of tasks. Maintains accurate record-keeping of daily clinical activities, including information for scheduling and billing. Manages resources (time, materials, and staff) in a cost-effective manner. Practices charge capture procedures in a timely manner according to established protocols and regulations. Submits all required documentation, reports, and logs in a timely fashion, and in a professional and complete manner per department standards.

• Performs other similar or related duties as requested or directed.

  Minimum Qualifications

  Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

  Education: Bachelor's degree in dietetics, foods and nutrition, or a work-related discipline/field from an accredited college or university. Completion of a didactic program in dietetics and supervised practice program approved by the Accreditation Council for Education and Dietetics (formerly known as the Commission on Accreditation for Dietetics Education).

  Experience: None Required

  License/Certification: Valid credential as a Registered Dietitian / Registered Dietitian Nutritionist (RD) issued by the Academy of Nutrition & Dietetics - Commission on Dietetic Registration.

  Knowledge, Skills, & Abilities

  These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.

• Knowledge of the Nutrition Care Process and ability to apply all steps of the process.

• Comprehensive knowledge and application of nutrition services and medical nutrition therapy.

• General knowledge of electronic medical record, nutrient analysis, word processing, and spreadsheet software.

• Ability to communicate effectively in written, verbal, and electronic form to patients, public, hospital/clinic and medical staff, and physicians.

• Ability to function independently.

• Ability to speak, read, write, and understand English effectively at a level appropriate for the safe and effective performance of the job.

• Critical thinking to integrate facts, informed opinions, active listening, and observations.

• Decision making, problem solving, and collaboration.

  Physical Requirements and Working Conditions

  The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

Pay Range

Compensation is based on the level and requirements of the role.

Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.

Typically, new team members join at the minimum to mid salary range.

Minimum to Midpoint Range (1.0 FTE): $52,000.00 to $52,000.00

Equal Opportunity Employer

L ucile Packard Children’s Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance. #LI-GP1 REQNUMBER: 19574-1A