I have been an RD for almost 5 years and ultimately would love to further my education. I have been cautioned by several mentors that an MS in nutrition won't "mean" very much as far as career growth or monetarily. Some of my colleagues have suggested an MBA to make myself more well rounded but I'm not sure this is the right track for me. I have a strong interest in clinical nutrition and can't r
I'm seeing a lot of this certification- certified Wellness coach..Since Health Coaching is on the rise- I guess this is part of that trend. Wondered what anyone else thought about this- I think to be marketable- we need to all get certifications...
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
I'm a R.D. working in LTC and responsible for 100% of the documentation, MDS, care plans, etc. I do not have a DTR or CDM. 140 bed facility.
My question is this-- what is the timeframe for actual MDS charting in the medical record? I am familiar with the timeframe for entering the MDS/CAAS in the database, but I'm uncertain as to actual documentation in the medical record. Could someone
Hi all! A few weeks ago I had to deal with the painful experience of being terminated from my first RD job. I was employed in a large acute care hospital as a clinical dietitian for two years but was let go for poor performance. While I am determined to continue my career, I do not know how to address this during interviews let alone how to appeal to recruiters with this on my record. I am trying
I'm an RD in my first year of starting my own counseling business. It's just me, and I'm taking it on as a side project at the moment to a clinical job, learning and building over time. At the moment, I have a pricing structure based on number of appointments, including package options. My area of interest for growth here is in specific weight modification, particularly with more athletic individ
I am currently a dietetic intern and will be graduating from the program in 14 weeks. After going through so many rotations I am hearing so many different things and want some advise/guidance. What should my first starting job be? My end goal is a job that only works weekdays, what jobs besides school food service has this perk? I am open to any advise or input. Thank you so much every
Hi. I work in a long term acute care hospital and we regularly see patients w/ CKD stages 2-4 with malnutrition - wt loss, poor intake, pressure sores, post op wounds, vascular & diabetic related wounds & needing nutrition support. How would you assess their protein needs? My colleague & I do things differently, she is more “by the book” & goes by 0.6-0.8g/kg. I do 0.8
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
Good Morning! We recently started an Impact Advance Recovery protocol for the Colorectal surgery patient's at the hospital I work at. (Protocol is to drink 3x/day for 5 days pre-op, 3x/day for 5 days post-op). The nurses have been educated on the product and they are the ones that deliver it to the patient (patient receives all 15 at once so that they can take remaining home if discharged pr
Is there a recommendation for flushes with J tubes? Ive always done their extra water needs divided by the number of hours on TF. So if a person was to be on tubefeeding at night for 12 hours, then I would do the formula at 100ml/hr x 12 hours at night + flushes at 75ml q1h x 12 hours. however I have co-workers that prefer to do the flushes at like 150ml q4h with that same TF. Ive always thought
Hello! Interested in some input from the community. I'm an RD in a long-term care setting. I have worked in buildings where the RD puts in their own orders, but at this facility I have previously been asked to write recommendations to leave for the physician. However, it's a bit of a broken system- orders not being written in a timely manner, not written at all, etc. The DON has asked that I star
Hello , I'm new here ,I'm in need for some advices to help me decide what I should do for my situation.
Here is my situation right now: I'm a biology student but I didn't study last semester that started in september and have just ended , And I'm not going to study this semester also due to some problems I have right now. If I studied the semesters I could get the Bachelor degree in biology
Last year my facility received a F242 tag for not overtly offering a patient with CHF, Gout, edema etc. bacon during the admission interview. I kid you not. It is exactly what happened. The patient called the state instead of asking for the RD to meet with them again. State came in and determined that she was not offered bacon. This is correct. I also did not offer her a flame thrower or cigarett
I've pondered for a long time what it is that I would like to go to school for. I have a passion for nutrition, food and what it does to our bodies. I want to end up doing something that I know I will be happy doing for the rest of my life. I'm interested to hear from other dietitians and the experiences they went through to get to where they are. How long did it realistically take for you to bui
I need your help! For my master's thesis at Sage College, we're conducting a study on job satisfaction among RDs and nutritionists. Please consider participating by completing a short survey. Any help is much appreciated, all responses are anonymous!
I work in a clinical setting and I'm working with my manager to develop competency assessments/tests to ensure that we are competent to work with different disease states, including renal, diabetes, etc. From my understanding we need to be able to prove to Joint Commission that we're competent in the area we are working in but I'm having trouble finding a way to measure our dietitian's competency
Hi All, I am an outpatient dietitian at a community health clinic. I teach monthly cooking classes. I am wondering if anyone knows of any workshops or seminars that teach professionals how to create cooking class curriculum and teach others how to cook. I know a lot, but with limited resources I am running low on unique ideas on recipes to create, tips to teach, etc. and I would love to attend
Tell me, is this just in Los Angeles? /California?
RD in LA area with 4yrs experience as consultant for LTC. I rotate facilities at times with RD colleagues. Practically each facility has staffing issues that affect my line of work. This isn't all the time but here's examples: ht/wt not done on time, recommendations not carried out on time, other IDT members unable to join weight variance mee
Need some feedback RD's. I recently had an outpt appt with father & son where son is Vegetarian (will eat only pepperoni pizza in diet). I really didn't want to say "hide blended veggies in foods" while son was present. Father states he was given a bottle recently and now does not want to consume foods. Will get Ensure 2x/day (morning/evening).
I’m currently practicing in hospice. I enjoy it, but it isn’t very technical. I’ve taken on a temporary assignment with a local hospital and would like to refresh my clinical skills. I have experience as a clinical RD, but have been out of the game awhile, and things have changed in some places, including addition of and changes to NCP. Your favorite references/ways to professio
I am a 69-year-old male. I have Muscular Dystrophy. I have not stood up for twelve years. I am in a power wheelchair. I am on a LVT 950 respiratory ventilator. I recently had a PEG tube installed because I cannot swallow safely.
Today I started self-administering Nutren Pulmonary 1.5. It says it is a complete nutrition.
Do I need to add fiber and water to my diet or is the Nutren en