Date: 8/24/18                           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
• Dietitian weekly huddle
• Nutrition support – calculated enteral nutrition needs and goal rate for NGT

Comments / Thoughts / What You Learned / Challenges: This week I was assigned to the surgery and GI medical/surgical and detox floors. I had the opportunity to observe the dietitian perform the NCP for multiple patients, and I also had the opportunity to do it myself, both with her 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 one. I provided verbal education using the teach-back method and written materials to reinforce it. Both verbal and written education was provided 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 also attended the weekly full-team rounds for the surgery and GI medical/surgical unit. 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.

I also attended the weekly dietitian’s huddle where the “Health and Safety Weekly Message” topic, “Food Safety Weekly Message” topic, and customer service improvement topics were discussed.

Learning Objectives Met: CRDN 1.1, CRDN 2.1, CRDN 2.3, CRDN 2.4, CRDN 2.5, CRDN 2.10, CRDN 3.1, CRDN 3.3, CRDN 3.6, CRDN 3.8, CRDN 4.10

Clock Hours: 32 Hours

• Monday 8/20/18 → 9:00 AM – 5:00 PM (8 hours) – Surgery/GI Med/Surg & Detox w/ Agnes Amat
• Tuesday 8/21/18 → 9:00 AM – 5:00 PM (8 hours) – Surgery/GI Med/Surg & Detox w/ Agnes Amat
• Wednesday 8/22/18 → 9:00 AM – 5:00 PM (8 hours) – Surgery/GI Med/Surg & Detox w/ Agnes Amat
• Thursday 8/23/18 → 9:00 AM – 5:00 PM (8 hours) – Surgery/GI Med/Surg & Detox w/ Agnes Amat
• Friday 8/24/18 → OFF