Duties listed below are for full performance level GS-11, developmental grade (GS-7 and GS-9) duties will differ in complexity and oversight.
- Conducts a nutrition assessment utilizing the Nutrition Care Process (NCP) for assigned patients.
- Develops and implements an individualized plan for Medical Nutrition Therapy (MNT) in accordance with the patient’s medical program goals and objectives.
- Performs a Nutrition Focused Physical Exam (NFPE) during assessments to determine risk and/or degree of malnutrition.
- Calculates nutrient requirements and necessary diet restrictions or food/drug interactions.
- Evaluates patterns and relationships among data obtained and possible root causes for nutrition problems.
- Tailors diet prescription to each individual patient according to physical and metabolic needs.
- Prioritizes the importance of nutrition problems for optimal health, recovery from illness, management of chronic disease or disease prevention.
- Utilizes evidenced-based nutrition practice guidelines and Whole Health Principles to develop shared goals with the patient and formulates a plan of care that is focused on the etiology of the nutrition problem.
- Actively supports veteran centric food service operations with a food forward approach through knowledge of computer software programs related to food service systems and through interfacing with the food service section to ensure patient satisfaction with meals, assisting in implementation of new initiatives, and acting as a liaison between clinical units/wards and the food service section, as applicable.
- Works cooperatively with foodservice staff to assure conformance to diet prescriptions, as applicable.
- Identifies patients in need of nutritional support and recommends the appropriate mode of support, including suitable route, formula, and rate of administration. Provides initial and on-going nutritional assessment of patients receiving enteral (EN) and/or Parenteral nutrition (PN).
- Orders labs, diets, and consults per Scope of Practice / Clinical privileges.
- Documents nutrition care plan in the patient’s medical record, including nutrition assessment data, MNT initiated and recommendations, results of nutrition counseling, patient consents and discharge planning.
- Assesses educational needs and provides nutrition education/counseling for individuals and groups, incorporating a learning approach that considers the cultural, religious, educational and medical situation of the patient.
- Utilizes motivational interviewing techniques to evaluate patient and/or caregiver’s readiness to learn and potential for changing behaviors.
- Evaluates achievement of learning objectives by the patient and/or family. Adapts nutrition education materials and counseling techniques to the patient’s level of understanding, which frequently involves simplifying complex dietary restrictions.
- Identifies drug-nutrient interactions and counsels / communicates with the patient regarding the impact on nutrition status and/or nutrient utilization.
- Participates in the orientation and training of new staff (e.g., Food Service Employees, dietetic interns, clinical dietitians, etc.)