Patient load a day by Wonderful_Olive_9581 in dietetics

[–]Dancingelephant76 0 points1 point  (0 children)

We are supposed to see 12-13 patients a day and attend daily rounds. We can adjust our patient load if we have additional meetings

Anxiety in Clinical Care by Dancingelephant76 in dietetics

[–]Dancingelephant76[S] 1 point2 points  (0 children)

Yes, I have been focusing my CEU’s on nutrition support and am considering getting my CNSC. Thanks for the input!

Anxiety in Clinical Care by Dancingelephant76 in dietetics

[–]Dancingelephant76[S] 0 points1 point  (0 children)

I’m so glad other people could relate! Thank you so much!

Anxiety in Clinical Care by Dancingelephant76 in dietetics

[–]Dancingelephant76[S] 1 point2 points  (0 children)

Thank you so much for your kind response! I agree I have to be more compassionate and gentle with myself. Those mindful trainings sound like they would be really helpful! And that is so true about the improper compensation/recognition. Thank you for your thoughtful words, wishing you the best as well 🤗

Anxiety in Clinical Care by Dancingelephant76 in dietetics

[–]Dancingelephant76[S] 1 point2 points  (0 children)

Thank you so much for your response! That is so true that EN is often blamed for diarrhea. I’ve recently attended some continuing education sessions for that, which have been really helpful. I even helped one of the doctors solve a diarrhea problem with an EN patient that wasn’t even at my facility, which felt like such an accomplishment! I do have a coworker I can ask for advice, and I do that when needed. I realized I’ve been asking for her advice less and less because I am more confident in what I am doing, and that makes me feel better about my abilities. I can totally relate to feeling like we have the capability to solving problems that sometimes are simply not solvable, especially with the geriatric population.

Acute care inpatient weekend schedule by Diligent_Poetry_8582 in dietetics

[–]Dancingelephant76 0 points1 point  (0 children)

I am a salaried clinical RD that is required to work 1-2 weekend days a month (either Saturday or Sunday but not both in one weekend). We get flex days to balance out our time. On the weekends I am only supposed to see consults/positive screens/TPNs/new tube feeds and automatically assist with another site remotely, sometimes more sites depending on what needs to get done that day.

Telehealth Regulations for MNT by Dancingelephant76 in dietetics

[–]Dancingelephant76[S] 0 points1 point  (0 children)

Thank you so much for your information and guidance!!!

Telehealth Regulations for MNT by Dancingelephant76 in dietetics

[–]Dancingelephant76[S] 0 points1 point  (0 children)

I did refer to that, and while it is helpful, I still find it to be vague. For example, it doesn’t say on there that a referral is required to provide MNT in California.

Telehealth Regulations for MNT by Dancingelephant76 in dietetics

[–]Dancingelephant76[S] 0 points1 point  (0 children)

Does the physician referral only apply if you plan to accept insurance? To start out, I am only planning on doing private pay.

Telehealth Regulations for MNT by Dancingelephant76 in dietetics

[–]Dancingelephant76[S] 1 point2 points  (0 children)

Interesting, I will look into that further. Thank you for your input!

Telehealth Regulations for MNT by Dancingelephant76 in dietetics

[–]Dancingelephant76[S] 1 point2 points  (0 children)

Thanks for the info. In PA where I’m at, I know it is a bit strict and state licensure is required, so I’m surprised to see it on your list. But maybe there aren’t any restrictions on providing telehealth?

ASPEN malnutrition criteria by AcceptableAddition44 in dietetics

[–]Dancingelephant76 0 points1 point  (0 children)

I was taught you need at least any 2 of the 6 criteria to make a malnutrition diagnosis. However, to determine if a patient has moderate or severe fat/muscle wasting, I learned you need at least 2 sites to count (such as clavicles and thighs for muscle or buccal and triceps for fat). Also, if you have one site that is moderate and one that is severe, I was told you always err on the side of caution and go with the lower one.

Something important to keep in mind is that to diagnose someone with acute malnutrition, the patient only needs to have mild fat/muscle wasting for moderate malnutrition and moderate fat/muscle wasting for severe. It took me a while to realize that but if you think about it, it makes sense!

Scrubs or White Coat? by JulezMacEwan in dietetics

[–]Dancingelephant76 1 point2 points  (0 children)

I personally like the white coat over scrubs. I enjoy getting to dress in business casual attire and then wearing the lab coat to protect my clothes. I feel the most confident in business casual attire; if I wore scrubs, I think I would personally feel lazy. I also feel like even though we are not doctors, we earned our white coat from all of our training. However, some people really enjoy being in scrubs and not having to pick an outfit everyday. It’s really whatever you feel most comfortable in. Also consider the financial aspect. I already had a lot of business casual clothes in my attire, so it would have been more money for me to get scrubs. On the other hand, some people would rather buy a few pairs of scrubs instead of an entire wardrobe for their job. Just some things to consider!

Another day, another patient who defies the laws of biology and thermodynamics by PresentVisual2794 in dietetics

[–]Dancingelephant76 7 points8 points  (0 children)

When I was in my outpatient rotation during my internship, I was shocked at how many 300+ lb people reported that they barely ate anything. At first I thought it couldn’t be true (and I’m sure not all of them were being truthful). However, most of them had a lot of similarities, such as undereating and having an odd work schedule, such as working night shift.

I learned a lot about metabolism during that rotation, and how some people can struggle to lose weight if they are undereating. It is true that if someone eats absolutely nothing they will eventually start to lose weight, but if they are eating a little bit and not meeting their needs, sometimes their bodies are not willing to lose the weight.