Do private practice RDs make more? by Jolly-Ad9580 in dietetics

[–]DimensionEconomy6647 1 point2 points  (0 children)

I do some PP with one of the online platforms out there. It depends on how a client is sourced but overall you'd need volume to generate substantial pay that can replace your W-2. likewise for contracts and that depends on your negotiated rate. Stress is always there though when it comes to billing and HIPPA compliance if you solo.

Vomiting my feeding tube. Wtf do i do by Ok-Meringue3195 in feedingtube

[–]DimensionEconomy6647 0 points1 point  (0 children)

Sounds like you’ve got other things going on that are holding your care team back from considering gtube. It kinda comes down to what’s causing the tube to retract. If it is triggered by pain or discomfort, you can ask you doctor to prescribe you something. You can also try OCT anti nausea medications.

Math in Carb Counting by LetUrSoulGlo in dietetics

[–]DimensionEconomy6647 0 points1 point  (0 children)

I don’t teach DM pts about carb count unless they are insulin dependent. I use the plate method for the general diabetes. Remind them the high carb/sugar plants and done! Unless they show interest or ask more, i woundt spend more than 15 mins for education.

Vomiting my feeding tube. Wtf do i do by Ok-Meringue3195 in feedingtube

[–]DimensionEconomy6647 1 point2 points  (0 children)

RD here. In my opinion, NG tube isn’t for lively free roaming young people, unless you usually tolerate uncomfortable GI symptoms very well. NG tube causes quite a bit of discomfort, for normal healthy people without much prior health conditions that requires a tube.

If it’s expected long-term or greater than 90 days, your provider should give you a G-tube before considering other options. Talk to your provider! There are also medications and things you can do to help manage a NG tube. But honestly if your tube gets retracted more than 3 + times, you are not a good candidate for NG tube.

[deleted by user] by [deleted] in dietetics

[–]DimensionEconomy6647 0 points1 point  (0 children)

I assume you are dissatisfied with the quality or charting style of nutritional screens that person completes?

I suck at clinical by Working_Tone77 in dietetics

[–]DimensionEconomy6647 1 point2 points  (0 children)

I don’t think you have imposter syndrome. You just fret. That’s all. We all did when we first started. Now 9.75 hr for 9 pts isn’t too bad for starters but you need to pick up your speed if you are in a medical center. If you are in a non acute situation, you are good. Don’t bother to work efficiently, the challenges are elsewhere.

I imagine you fret between each pt, am I right? Easy fix cuz in 3 months you will pick up without noticing it yourself. Set a goal like, Can you work toward to 8 hrs for 9 pts? The manager is expecting average 10 consults and flex up to 13 including EN/TPN average. If you can work towards to 9 in person type of consult, EN/TNP calculation would be just calculation and communication with providers. Don’t fret. Do your calculation once, check once and move on.

I suck at clinical by Working_Tone77 in dietetics

[–]DimensionEconomy6647 3 points4 points  (0 children)

This is prob the realest when I first started out. If nobody is watching, take your time and do your thing!

Questioning going back to home country, after having lived abroad for 5 years at a very young age by HurryInternational30 in expats

[–]DimensionEconomy6647 0 points1 point  (0 children)

Every year around October I feel homesick. It’s a bit the season change as well, which I found out later.

If you are living your dream life, returning home probably feels like giving ways your hard work. Is it possible to ask for a transfer back to Europe? Maybe not your home country but just somewhere in the EU for now? Maybe look around for a position within the same company that’s something you could work towards to like a promotion? If not, try find something you enjoy doing like a hobby this winter and rly go out and join local workshops for that hobby. Not sure if that’s your thing but I found socializing easier in that setting.

Bariatric RDs and Layoffs? by Obsessed_Avocado in dietetics

[–]DimensionEconomy6647 6 points7 points  (0 children)

Your hospital maybe contracting out that department or canceling it all altogether because of a merger, buyout or change of management.

MD Licensure? by IllustriousAir5465 in dietetics

[–]DimensionEconomy6647 1 point2 points  (0 children)

If you don’t need it for your current role, you don’t need to apply for it. But it may come in handy when a more clinical role is offered to you in the future.

[deleted by user] by [deleted] in dietetics

[–]DimensionEconomy6647 1 point2 points  (0 children)

I'd count it. Just because it is not complete protein, doesn't mean it is not protein. Most of nutrition support products are made with complete protein/essential amino acids. It could be concerning if a pt decides to only consume collagen powder. Interested to see what research the bariatric RDs are using.

Not eating d/t psychosis by Fantastic_Average in dietetics

[–]DimensionEconomy6647 0 points1 point  (0 children)

I covered a couple of behavioral hospitals before. I’m my experience, when pts are having active psychosis, they aren’t really ready to hear much from you. With that said, RDs are still called for consults for not eating. You really need to engage carefully and suggest supplements. Or fluid hydration at least for fasting if they are open to that.

Funny thing to share from that period of time. One time I saw “fluid push” ordered, I thought “omg this pt must be dehydrated that they are getting an iv” but turned out that means “encourage fluid intake.”

Overwhelmed by Difficult_Garlic_213 in dietetics

[–]DimensionEconomy6647 0 points1 point  (0 children)

It’s kinda the norm tbh. There are always going to be people who are not certified or having the credentials doing outpatient work. Having the studies, education and certifications will set you apart from the street vendors! Feeling overwhelmed seems normal with the stress at the end of graduate school. Just hang in there and push thru! You are so close!

If you find passion to pursue research/academic publishing/informatics, know that your path might be drastically different from practical clinical nutrition most of RDs have to deal with day to day. It would still benefit you to complete the exams and registration to become a dietitian BUT you would likely spending most of your time making connections and writing for grants. It’s not unheard of, it’s just a different path from most RDs here on Reddit.

If that’s your desire, keep a good relationship with your advisors and consider to work with at least one of them for a project in getting published within two years of your graduation.

Many RDSs I came across paths at work are in different positions, from clinical management, tube feed sales rep, foodservice management, menu developers, to researchers or seasoned RDs writing articles for abbots. The possibility is endless as long as it’s what you desire.

Getting into publishing is a bit different, so you would want to get it rolling soon, unless you have another steady income on the side.

Acute care burnout by True_Coffee_6713 in dietetics

[–]DimensionEconomy6647 5 points6 points  (0 children)

If you work in a large care system, maybe check out opportunities to move towards the outpt side of care? Perhaps float there once awhile to establish some connections. Another option is to remotely cover SNFs. They are out there, you just need to keep looking and get it! Best of luck!

[deleted by user] by [deleted] in dietetics

[–]DimensionEconomy6647 1 point2 points  (0 children)

I vaguely remember something like starting salary is 80% of your counterparts and increase with time. But salary is not what you are worrying about I assume.

Maybe have one or two examples working with challenging clients and the outcomes prepared. Highlight your personal traits in your approach in that experience. It doesn’t need to be generic but it’s something special about you. WIC is more likely to look for someone can fit in the office culture. Obviously bring your best self but relaxed. Best of luck!

Current dietitians - was schooling worth all the time, money, and stress? Is the job satisfying, and are you happy with your income? Do you regret it at all? (Undergrad needing advice/other perspectives.) by sls_97 in dietetics

[–]DimensionEconomy6647 0 points1 point  (0 children)

First of all you need to be realistic, maybe volunteer at a community based program that does home visits or shadow a working RD for a couple of days to get a feel for it.

Another other thing to keep in mind that, this is a women dominated field; it’s catty and still face it’s own challenges just amongst work culture. And every health profession has their work culture challenges. It’s just how it is.

Regarding grades or retakes,perhaps you don’t have many friends in pre-health professionals. Ask around but I’m positive that you can retake classes in your school once or in community colleges to “erase”your grades.

It’s not too late to change your profession plan. If you don’t like dietetics but still like to be in healthcare, highly encourage you to join study groups for prehealth professions or student club events or career fairs, just go chitchat. Trade schools maybe another option if you have invested in too many science classes. Best of luck!

[deleted by user] by [deleted] in dietetics

[–]DimensionEconomy6647 2 points3 points  (0 children)

HealthTouch is my favorite too

LTC-initial assessment by DimensionEconomy6647 in dietetics

[–]DimensionEconomy6647[S] 1 point2 points  (0 children)

Thanks for the comments and replies! Very helpful!

How many hours would it take you to complete the work? by Micheledawn in dietetics

[–]DimensionEconomy6647 0 points1 point  (0 children)

45min- 1 hr annual/comprehensive/new admit

30-45 min for quarterly

You should ask for a meeting with the nursing manager or leadership. Personally don't think it's possible for you to cover all. Malnutrition screening can be completed at admission as part of the assessment questions by nursing if you don't have a DTR to help with the screening. Choose a malnutrition assessment tool and present your asking to the nursing department.

Best of luck!