Date: 8/07/18                           Rotation: Clinical            Location: Woodhull Hospital

Activities / Assignments:

• Patient risk screenings
• Patient assessments
• Patient re-assessments
• Patient follow-ups
• Patient education – verbal and with written materials from the AND nutrition care manual
• Documented assessments/re-assessments/food preferences in Quadramed and CBORD
• Recommended diets and supplements (and changes to either) to doctors
• Attended patient rounds
• Nutrition support – calculated enteral nutrition needs and goal rate for NGT
• Conducted a nutrition-focused physical assessment on a patient
• Hospital provided lunch from Famous Dave’s – an employee appreciation event with food, ice cream, and music

Comments / Thoughts / What You Learned / Challenges: For the beginning of this week, I was assigned to the surgical and step-down PCU and psych floors. The rest of the week I was assigned to the. I had the opportunity to observe the dietitians perform the NCP for multiple patients, and I also had the opportunity to do it myself, both with them shadowing me and on my own. I provided nutrition education to patients about the diets they were currently prescribed – explained why they were on a certain diet and if I was going to recommend the doctor prescribe a different diet. I provided oral education using the teach-back method and written materials, both in the patients preferred language. If their preferred language was not English, either an in-person translator or the translator phone was used to communicate with the patient. I performed patient charting for patients I saw as well as the patients I observed with my preceptor. I worked with more patients receiving enteral nutrition support via NGTs. I again recommended appropriate formulas and calculated/recommended the appropriate goal rates to meet their nutritional needs. I again had the opportunity to observe my preceptor perform nutrition-focused physical exams on patients. On Thursday, I had the opportunity to perform one, under the supervision of my preceptor, for a patient that appeared malnourished. I also attended the weekly full-team rounds for the surgical and step-down PCU floor. During this time, the doctors and nurses went over each patient’s condition and status, social workers went over discharge plans/issues that need to be resolved, and the dietitian gave updates on needed changes to prescribed diets/supplements.

The employee appreciation lunch was a lot of fun, it was cool to experience a fun event held for staff and to spend time with all of the dietitians.

Learning Objectives Met: CRDN 2.1, CRDN 2.3, CRDN 2.4, CRDN 2.10, CRDN 3.1, CRDN 3.2, CRDN 3.3, CRDN 3.6, CRDN 3.8, CRDN 4.1, CRDN 4.10

Clock Hours: 40 Hours

• Monday 8/03/18 → 8:30 AM – 4:30 PM (8 hours) – PCU (Surgical & Step-Down)/Psych w/ Anna Olik
• Tuesday 8/04/18 → 8:30 AM – 4:30 PM (8 hours) – PCU (Surgical & Step-Down)/Psych w/ Anna Olik
• Wednesday 8/05/18 → 8:30 AM – 4:30 PM (8 hours) – PCU (Surgical & Step-Down)/Psych w/ Anna Olik
• Thursday 8/06/18 → 8:30 AM – 4:30 PM (8 hours) – PCU (Surgical & Step-Down)/Psych w/ Anna Olik
• Friday 8/07/18 → 8:30 AM – 4:30 PM (8 hours) – PCU (Surgical & Step-Down)/Psych w/ Anna Olik