suplada50 posted 1 day ago at 5:57 pm
We started the Malnutrition project (screening tool, assessment toolkit, etc,,) in our hospital. A Mini Screening form will be completed by nursing on admission. When it hits a particular score, it will trigger a diet consult for RD To see patients in 24 hours. Is there a link that says RD to see Malnutrition triggered patients in 24 hours is mandatory? Our existing policy is to see high risk pt
0replies
4views
jhagan48 posted 2 days ago at 5:16 pm
Anyone working at Healthcare Services Group? Thoughts on job satisfaction/the company itself? Our LTC group Food and Nutrition department now being run by Health Care services.

0replies
10views
I just started working in an outpatient rehab center (accredited through medicaid and medicare) where the speech therapists teach the SOS approach to feeding which deals with food aversion. This involves preparing and serving food to the patients. I am looking for food safety guidance and what polices and procedures these therapist should be following regarding food safety. Right now they are n
1replies
37views
recent by  ·  4 days ago at 4:11 pm
sandhyarathi posted Sep 8 '15 at 10:46 am
Hi Guys,
Gone are 5 years of married. And weight is too increased after marriage. I've four year one child. In marriage time i was weight 50 kg but still now 70 kg above. how to loose my weight without any restriction.
If possible that online consultant solution provide to me, will be better for me.

5replies
240views
recent by  ·  5 days ago at 6:08 am
shainafimbel posted Sep 8 at 5:01 pm
Has anyone ever heard of using baby rice cereal through a gtube to help with diarrhea? Some people at my facility have used it in the past but I can't find any information on it. I don't want to recommend it without having some insight first...thanks!

0replies
10views
cribun posted Jun 16 '16 at 12:38 am
Hi, I work for a community clinic and most patients here have MediCal. I need to learn if/what/under what circumstances MediCal (Medicaid) would pay for MNT. Does any of the webinars specifically address this issue? I see one that deals with reimbursement from Medicare and private payers but I am interested in MediCal-Medicaid.
Thank you.



1replies
83views
recent by  ·  Sep 5 at 6:43 pm
I am a contracted dietitian for an out patient rehab facility. They pay me an hourly rate to assess patients, provide education consults when needed, teach classes, individualize menus, etc. All very typical RD duties. However, as far as I know, they do NOT bill for any of the consults or classes. They simply absorb the cost of the dietitian and treat it as a "value add" service to their patients
2replies
190views
recent by  ·  Aug 18 at 2:07 am
mosafer posted Aug 12 at 8:41 pm
If you passed your CDE could you please let me know which study guide did you use that was the most efficient one in helping you passing the test.

Thanks a bunch!

0replies
51views
jmakin posted Jul 31 at 10:48 pm
Just started as a prn RD with a hospice agency. Previous RD isn't available and wasn't utilized much. No standard form for RD assessments. Can someone share with me your recommendations for what to cover in assessment/verbiage for documentation. I have worked as a clinical RD and also in LTACH, but this is different and I'm not receiving much in training (all non-RDs). Hospice seems to be a narro
6replies
170views
recent by  ·  Aug 9 at 9:10 pm
Hello all! I cant believe this site exists and wish I had found it sooner! I consider myself quite passionate about eating right and believe it plays a huge role in preventing many illnesses. That being said, I would love to help educate people and motivate them to eat better. Thus, dietetics has always been a career path I wanted pursue. However my parents and close friends urged me into nursing
8replies
528views
recent by  ·  Aug 8 at 8:42 pm
Hello all,
I am researching body composition analysis options for my private practice. Does anyone have a recommendation for a scale they use? I am considering a Tanita scale, but cannot decide how important segmental analysis is. Also looking at multi-frequency. I am seeing adults for weight management. Any advice would be much appreciated!
Jamie

0replies
35views
ceb151 posted Aug 7 at 4:32 pm
What diet manuals are you using in your long term care/skilled nursing facilities? We have the AND nutrition care manual, but I'm wondering what else may be a good option - Becky Dorner? DiningRD.com? Morrisons?

0replies
33views
I have had the hardest time finding a job in this field ever since I finished my internship in 2011. I worked for WIC for 3 years and then two years as a part time bariatric dietitian. I would really like to get into a full time clinical position at a bigger hospital. I have applied to several places and only had two interviews for prn positions of which I was turned down for both. I'm not ready
2replies
254views
recent by  ·  Aug 4 at 3:03 pm
alouise55 posted Jul 31 at 4:42 pm
I was wondering if anyone had a workflow, etc for a DTR working inpatient. I am a RD that will have a DTR coming to work for me in a hospital and am wondering where to start as far as splitting patients up between the RD and DTR. Any information is helpful!

0replies
37views
Hi everyone!

I've just joined this forum today. I'm going back to school this Fall for my B.S. because I've decided that I want to become a Registered Dietitian.

However, upon research, I've come across multiple people mentioning how competitive it is to get a Dietetic Internship and how it is more than just your GPA that matters.

How and where do I go to get volunteer experience wh
3replies
274views
recent by  ·  Jul 31 at 2:28 am
Hi all! I work with a NP who insists on flushing enteral tubes with gatorade for any patient with a low sodium. There is literally a bag filled with fruit punch gatorade hanging on the pole to be used as a flush. She refuses to use saline because she says it causes diarrhea. I know this is not best practice or evidence based but she insists it is. There are no ASPEN guidelines regarding this and
0replies
75views
During my research I came across two nutrition studies done five years apart. The researchers, as far as I know, didn't know each other.
The first found high iron levels and attribute it to the higher meat consumption.
The second group found, five years later, high diabetes in the same high iron group.
I said, the meat eating therefore predicted the diabetes development.
They refuse t
2replies
100views
recent by  ·  Jul 25 at 8:26 pm
ironjustice posted Jul 20 at 12:55 am
The question as to the effects of diet on inflammatory markers has been debated for decades.
This study below verifies what I have been saying, hemoglobin hails inflammation.
The hemoglobin is the marker which differentiated inflammation between, the vegetarian diet and the omnivore diet.
When all is taken into account, hemoglobin, consistently higher in the omnivore, predicts the inf
0replies
54views
Recent research has cast a pall on the fortification of our foods with iron, leading to many well respected medical professionals to question the amount of iron added to our foods. Studies have shown adverse effects when trying to supplement children in Africa for their apparent anemia, and this article is but one of many.

http://www.mdpi.com/2072-6643/9/7/776

"Consistent with previous r
0replies
33views
Cibb posted May 30 at 11:50 pm
I am experiencing Refeeding Syndrome. I am getting sent away from hospital visits because no one is familiar with it and don't believe I have it. Can anyone recommend a practitioner in the state of Illinois who is experienced in the diagnosis and treatment of this condition? Thank you.

1replies
139views
recent by  ·  Jul 18 at 9:18 pm
Hi all, I'm having a hard time finding a consistent definition of hemodynamic stability. I've seen several different criteria used: MAP >65 for >24 hours, normal BP with stable pressors, no pressors, etc. I end up delaying feeding for longer than I'd like because many of my patients don't reach "stability" until they've been in the ICU for several days. Specific parameters are appreciated!
1replies
123views
recent by  ·  Jul 6 at 8:06 pm
ceb151 posted Jul 4 at 7:06 pm
One of our physicians recently told our nurses that patients on Prozac should not get ProStat (our go-to liquid protein supplement) because of the effect on serotonin. Has anyone heard of this before? I can't find anything that explains this and the doc is currently on vacation.

1replies
100views
recent by  ·  Jul 5 at 2:57 pm
Hello, I am a renal dietitian with about 85 patients (all hemo except 6 PD), and I work about 25 to 28 hours a week. For those of you in the hemodialysis setting, what percentage of time do you spend in documentation vs. time you spend with the patients? I am spending an estimated 75% of my time in documentation (monthly notes, assessments, and QAPI), and maybe 25% of my time doing education an
2replies
147views
recent by  ·  Jul 3 at 1:21 pm
Kmm737 posted Jun 14 at 5:27 pm
I am counseling patients on the side and would like to know how other private practice dietitians keep PHI safe in a low cost way.

0replies
44views
foodluv posted Jun 13 at 7:36 pm
Hello, everyone. I've recently come across a few opportunities to consult to groups homes for individuals with disabilities. I think Medicaid reimburses for this? Any one familiar with this type of nutrition service and what the typical reimbursement rates are and/or the typical consultant fee?

Thanks!

0replies
49views
I work in a long term care facility for the developmentally disabled. We recently got a new pediatric admission who is on powdered enteral formula. I am curious in other facilities, who prepares the formula for the patient? Nursing wants it to be done by the kitchen staff, but we don't feel that it should be their responsibility (concerned with sterilization and mixing the proper concentration).
0replies
52views
kjack87 posted Feb 20 '16 at 11:15 am
If anyone has any experience with the WELCOA certification within Wellness, please let me know. I'm also looking for someone who wants to join the organization.

2replies
311views
recent by  ·  May 28 at 6:28 pm
I just got consulted for a 12 week meal planning job. The individual felt $100 is fair compensation for 3 months of meal plans. Why does he think that? Because another, less qualified, RD told him she would accept $100 as compensation for what will be hours and hours of work. She should be ashamed of herself. I typically charge between $250 and $150 PER WEEK of a plan depending on how complicated
5replies
383views
recent by  ·  May 28 at 6:22 pm
Load more
All posts under this topic will be deleted ?
With selected deselect topics
Pending draft ... Click to resume editing
Discard draft