December 15 2010
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Clinical Pediatric Dietitians 2010 Accomplishments PowerPoint PPT Presentation


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December 15, 2010. Clinical Pediatric Dietitians 2010 Accomplishments. Our Role:.

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Clinical Pediatric Dietitians 2010 Accomplishments

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December 15, 2010

Clinical Pediatric Dietitians2010 Accomplishments

sodexoUSA.com


Our Role:

The pediatric dietitians are licensed, registered experts who ensure that patients achieve optimal growth and nutrition status. Utilizing a unique skill set, the pediatric dietitians meet the hospital standards and goals through service, education, research, and clinical expertise.


Pediatric Dietitian Staff

Cecilia

McMillan

Level 2 Nursery

Pediatric

& Infant/ Toddler General/Surgery

Carrie Finch

Jennifer Franks

Lauren Whiteside

Inpatient Manager

Ketogenic Program

Katherine

Boyce

Outpatient Manager

Endocrine

Pediatric ICU

Cardiac ICU

Metabolic Inpatient

Neonatal ICU

Hem/Oc


Presentations, State/ Regional

  • Carrie Finch presented improvement poster at VON collaborative meeting in Austin, TX entitled: “Optimizing Nutrition at Birth for very low-birth weight infants.” Carrie also presented on neonatal nutrition initiatives to Pediatric Grand Rounds & Sodexo networking call

  • Cecilia McMillan presented improvement poster at VON collaborative meeting in Minneapolis entitled: “Optimizing Enteral Nutrition in very low-birth weight infants.”

  • Jennifer Franks presented at MASPEN on Pediatric PN Writing 101

  • Lauren Whiteside presented on diet therapies for epilepsy at the 1st Epilepsy Bootcamp and Sodexo networking call

  • Katherine Boyce interviewed by Abbott on nutrition therapy for GI disorders for international conference


Board Certifications

  • Jennifer Franks renewed her certification as Certified Nutrition Support Clinician (CNSC) which is required every 5 years.

  • Katherine Boyce achieved Certified Diabetes Educator (CDE)

  • Lauren Whiteside earned her Board Certification as a Specialist in Pediatric Nutrition (CSP)


Publications

  • Carrie Finch

    • Fluid, Electrolyte, and Nutrition: Minutes Matter manuscript published in Advances in Neonatal Care journal

  • Katherine Boyce

    • Keeping Young Bones Healthy: Dietary Treatement of juvenile osteoporosis published in Therapy Times magazine

  • Lauren Whiteside

    • Chapter, Diet Therapies for Epilepsy published in Handbook of Epilepsy: Diagnosis & Management


Awards & Recognition

  • Jennifer Franks recognized for decade of clinical service to Sodexo Health Care

  • Jennifer Franks received nomination from CTDA for Outstanding Dietitian of the Year

  • Cecilia Kennedy received SVP Special Recognition Nominee for developing ‘Sodexo’s Star Chef Club’


Best Practices

  • Nutrition for patients with metabolic disorders

    • Jennifer Franks

      • Developed admission guidelines and worked with CORAM to obtained specialized AA for PN

      • Attended Metabolic University in Denver, CO

  • Nutrition for Infants with Chyle Leaks

    • Jennifer Franks

      • Skimmed breast milk

      • Enfaport- approved by WIC in SC

      • Resident/ Fellow training: writing parental nutrition orders

  • Pediatric Dietitian Internship

    • Jennifer Franks & Cecilia McMillan

      • Jennifer provided interns with notebook of pediatric nutrition information

      • Boot camp provided to prepare interns for rotation


Best Practices

  • Pediatric Dietitians’ Lunch & Learns

    • Carrie Finch

      • Topic presented to pediatric dietitians over lunch meeting each month with the goal to enhance specific clinical pediatric skills

      • Outcome: Improved standard of nutrition care provided when covering each specialty area of pediatrics and enhance RD confidence in all aspects of pediatric/ neonatal nutrition practice

  • Neonatal Nutrition

    • Carrie Finch presented at the following:

      • Feeding conference

      • Charleston Area WIC

      • Neonatal-Pharmacology conference

      • Lectures for Nurse Practitioner & Resident on PN writing


Vermont Oxford Network (VON)

  • With the VON nutrition initiative, the percent of VLBW infants avoiding extrauterine growth restriction at discharge is 7-10%, decreased from 35% in early 2009

  • Potential Best Practices being used at MUSC:

    • Monitor nutritional intake and nutritional outcome measures into medical management of prematures infants.

    • Start parenteral nutrition (PN) soon after birth, with amino acids within two hours and lipids within 24 hours of birth, in infants < 1.5 kg.

    • Promote and use human milk as the preferred nutritional substrate for premature infants

    • Implement feeding guidelines which include early trophic feeds, an algorithm for managing residuals, and systematic advancement for infants < 1.5 kg.

    • Supplement human milk with additional protein, calories, minerals, and micronutrients to achieve at least 3.5 grams/kg/day of protein delivery and adequate growth.

    • Promote post-discharge breastfeeding with appropriate nutrient fortification.


Patient Experience

  • Sodexo’s Star Chef Club

    • Cecilia (Kennedy) McMillan

      • Child referred from Child Life or Pediatric Dietitian to have chef come to bedside to allow child to participate in preparing his or her meal. Each child receives a chef hat & apron

  • Ketogenic Cooking

    • Lauren Whiteside

      • To enhance the palatability of the diet, Nutricia sponsored Chef Neil Pallister-Bosomworth, a chef from the United Kingdom, to design carbohydrate-rich foods that are compatible with the diet. Tours are conducted in the United States to teach families how to prepare delicious ketogenic recipes.


GrowthNeed for additional pediatric dietitians

  • Dietetic Internship

    • Accepted 2 additional interns

    • Each intern spends 2 weeks with the Pediatric Dietitians

  • Metabolic Services

    • Clinic coverage one ½ day per week

  • Cardiology Services

    • Round daily with medical team

    • Participate in research, National Pediatric Cardiology QI Collaborative

  • Neonatology Services

    • Member of Neonatal division groups: Evidence & Value, the Vermont Oxford Network

  • Oncology Services

    • Clinic coverage one ½ day per week


2011 Goals

  • Master’s and Board Certifications

  • Vermont Oxford Network:

    • Discharge nutrition

    • Access program

  • Feeding protocol with Pediatric Cardiology ICU

  • Sodexo Clinical Expert Update (CEU) program

  • Wellness and You®

  • Interface CPOE/McKesson and Health Touch

  • SharePoints


Thank you for your support for nutrition services!


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