The Registered Dietitian assesses, monitors, and educates dialysis patients about nutritional needs, then monitors and evaluates interventions.
- Completes a nutrition assessment within 30 calendar days following the patient's first dialysis session in the facility or within the first 13 hemodialysis sessions.
- Develops and implements the patient’s individualized, comprehensive care plan based on needs identified from the assessment.
- Identifies specific interventions to meet nutritional needs based on evidence-based guidelines, best practice and current research.
- Evaluates the current and typical diet and recommends a nutrition prescription/diet order. Recommends adjustments as needed utilizing diet preferences and assessment information.
- Educates the patient and family/caregiver about the role of diet and fluid management with kidney disease.
- Monitors laboratory results in comparison with goals and planned interventions. Reviews with the patient and makes recommendations to the patient and IDT, including the physician.
- Documents on the care plan at least monthly, charting progress toward action steps.
- Participates in care plan meetings.
- Assesses patient understanding and success of nutrition interventions; collaborates with the patient and IDT to revise the plan as appropriate to achieve desired outcomes.
- Coordinates nutritional care with nursing home personnel and other professionals as appropriate
- Utilizes a patient-centered care approach, being respectful of and responsive to patient needs while encouraging patient engagement.
- Documents thoroughly according to DCI policy. Documents patient care and education via progress notes in the medical record.
- Participates in the QAPI process, documenting and attending meetings per clinic policy.
- Compiles and develops educational materials to be used as teaching aids in diet and nutrition education of patients.
- Identifies potential errors and hazards related to nutrition care and communicates to other team members.
- Reviews ongoing research in kidney disease and nutrition; shares it with health care professionals.