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Clinical Pediatric Dietitians 2010 Accomplishments

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

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Presentation Transcript
our role
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
Pediatric Dietitian Staff



Level 2 Nursery


& Infant/ Toddler General/Surgery

Carrie Finch

Jennifer Franks

Lauren Whiteside

Inpatient Manager

Ketogenic Program



Outpatient Manager


Pediatric ICU

Cardiac ICU

Metabolic Inpatient

Neonatal ICU


presentations state regional
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
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)
  • 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
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
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 practices1
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
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
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.
growth need for additional pediatric dietitians
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
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