Clinical Dietitian III - NICU (1.0 FTE, Days)
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Lucile Packard Children's Hospital Stanford is the heart and soul of Stanford Children’s Health. Nationally ranked and internationally recognized, our 311-bed hospital is devoted entirely to pediatrics and obstetrics. Our six centers of excellence provide comprehensive services and deep expertise in key obstetric and pediatric areas: brain & behavior, cancer, heart, pregnancy & newborn, pulmonary and transplant. We also provide an additional, wide range of services for babies, kids and pregnant moms.
This paragraph summarizes the general nature, level and purpose of the job.
The Clinical Dietitian IV works closely with the multidisciplinary healthcare team to provide patient care that is integrated and compatible with the patient-focused medical goals and objectives. Primary responsibilities include application of the Nutrition Care Process (NCP) including completion of the nutrition assessment, determination of the nutrition diagnosis, development and implementation of nutrition intervention(s), and monitoring and evaluation of the patient’s progress. The Clinical Dietitian IV uses the Scope of Dietetics Practice Framework (SODPF) to determine scope of practice, established Standards of Practice and Professional Performance (SOP/SOPP) in nutrition care and practice-specific dietetics, and, as available, evidence-based practice protocols/nutrition practice guidelines to help determine nutrition intervention(s).
The Clinical Dietitian IV functions independently on all pediatric and obstetric units/clinics, including intensive care units, and works with the most complex patient types greater than 50% of the time at an advanced practice level (proficient/expert). Clinical Dietitians IV serve as a role model, resource, and leader for the level I, II, and III dietitian. The Clinical Dietitian IV level functions as an advanced practitioner, performing lead job duties, and will work with the support, guidance and collaboration of clinical nutrition leadership.
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.
Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.
Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital(s).
- Able to perform all functions of Clinical Dietitian level I, II, and III.
- Plays an active role in developing, implementing, and evaluating change within the department, and in assigned specialty leadership area. Meets with the Director to review department and staff activities and assist in strategic planning as needed.
- Meets patient and department needs through utilization of inter and intradepartmental resources.
- Acts as a leader who has earned the trust of peers and managers and has achieved recognition of clinical excellence.
- Conducts/assists with clinical competency reviews of Clinical Dietitian levels I, II, and III and the Nutrition Technician/Dietetic Technician, Registered (DTR), and may perform other lead duties as assigned/described below:
- Nutrition Support Services (NSS) Coordination
Coordinate the daily and long term activity of the Nutrition Support Service, working with dietitians, physicians, and other team members to ensure a smoothly functioning NSS Team operation. Supported by leadership, will lead the team in a monthly NSS Business Meeting, support NSS continuous quality improvement (CQI) activities and other activities related to team functioning. Attends Nutrition Committee meetings, as needed. Works with pharmacy to develop training and to troubleshoot issues that may arise between pharmacy and clinical nutrition staff. Coordinates revision of Nutrition Support Service protocols / standard of care manual. Promotes NSS service and educates other departments (nursing, residents, and faculty) about what the NSS service provides. Acts as support person for those taking/planning to take the CNSC examination.
- Education and Training Coordination
Coordinate the mentoring of new staff members during probationary period to achieve initial competency of the newly hired. Coordinate nutrition related education of physicians, nursing and dietetic interns, in defined areas, with the goal of supporting excellent patient care and staff development. With the collaboration of leadership, the Education and Training Specialist(s) will work together to provide support in their areas. May be involved in teaching sessions/classes. Participates in planning pediatric nutrition conference to be held at SCH/LPCH with the clinical nutrition leadership and medical director, as needed.
- Performance Improvement Coordination
With Clinical Leadership, identifies performance improvement (PI) needs of the department, coordinates PI activities and keeps record of this activity for Joint Commission purposes. Coordinates revision of departmental standards of care, by the staff, on a biannual basis. Coordinates quality initiatives of Clinical Nutrition with those of the organization’s Quality and Patient Safety departments. Attends Nutrition Committee meetings, as needed.
- Technology Support
Will support the development and maintenance of a clinical nutrition website on the Stanford Children’s Health / Lucile Packard Children's Hospital intranet/internet sites. Coordinates nutrition related electronic medical record/ordering system issue identification, escalation with clinical nutrition leadership and the Information Services department. Communicates resolution, updates, revisions and assists with training as needed. Assists department team members regarding communication technologies, acting as a liaison between the clinical nutrition department and Communications/Information Services.
- Research / Publication Support
Support the advancement of the clinical nutrition staff in areas of research and publication to advance the practice of clinical nutrition, as well as the sharing of practice/research through publication. Responds to requests for speaking engagements at offsite programs in the community. Master’s degree or higher required for this role.
- Administrative Functions
Provides support to the management of the department by assuming supervisory responsibility for staff members as assigned, including Level III Dietitians. The Level IV performing these functions will support the orientation and continued competency of her/his direct reports, managing the performance review process. This Level IV will also be engaged in administrative responsibilities in the department, as determined by the Director and will include the development of new services. Will function as a leader in clinical nutrition and assume additional administrative responsibilities as needed.
The Level IV Dietitian will assume responsibilities for a wide variety of clinical nutrition work to support the smooth functioning of the group. This individual, a highly experienced pediatric dietitian, will smoothly support the needs of the department by assuming clinical responsibilities in most areas, inpatient and outpatient.
Performs other similar or related duties as requested or directed.
Note: Level IV FTE Allocation: 20% lead / advanced practice duties with 80% clinical work.
Level IV position quantity and availability is also based on departmental need and budgetary approval processes and is attained through an application process.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Education: Bachelor's degree in dietetics, foods and nutrition, or a work-related discipline/field from an accredited college or university. Completion of a didactic program in dietetics and supervised practice program approved by the Accreditation Council for Education and Dietetics (formerly known as the Commission on Accreditation for Dietetics Education). Advanced degree (masters or doctorate) or specialty certification in relevant field required.
Experience: Minimum of eight years of directly related work experience, including three years pediatric specific with two years at Stanford Children’s Health / Lucile Packard Children's Hospital.
License/Certification: RD/RDN (Registered Dietitian/Nutritionist) - Valid credential as a Registered Dietitian / Registered Dietitian Nutritionist (RD) issued by the Academy of Nutrition & Dietetics' Commission on Dietetic Registration.
License/Certification: Specialty certification in one of the following (within one year of appointment to level III) (DSC):
- Certified Specialist in Pediatrics (CSPED)
- Certified Specialist in Renal Nutrition (CSR)
- Certified Specialist in Oncology (CSO)
- Certified Specialist in Sports Dietetics (CSSD)
- Certified Diabetes Educator (CDE)
- Certified Nutrition Support Clinician (CNSC)
- Certified Nutrition Support Dietitian (CNSD)
- International Board Certified Lactation Consultant (IBCLC)
- Certified Eating Disorder Registered Dietitian (CEDRD)
-Registered Dietitian Nutritionist-Advanced Practitioner, (RDN-AP)
-Registered Dietitian-Advanced Practitioner, (RD-AP)
Knowledge, Skills, and Abilities
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.
- Knowledge of the Nutrition Care Process as it relates to the needs of children and acutely ill patients/clients and ability to apply all steps of the process.
- Extensive knowledge and application of nutrition services and medical nutrition therapy in pediatric patients, especially in specialty area within pediatrics.
- Rapidly recognizes norms and deviations from norms without considering a number of unproductive alternatives.
- Demonstrated flexibility and advanced priority setting skills.
- General knowledge of electronic medical record, nutrient analysis, word processing, and spreadsheet software.
- Ability to communicate effectively in written, verbal and electronic form to patients, public, hospital/clinic and medical staff, and physicians.
- Ability to function independently on assigned patient care units and/or outpatient clinics.
- Excellent counseling skills and the ability to relate to a multi-ethnic community and varied learning levels.
- Critical thinking to integrate facts, informed opinions, active listening, and observations.
- Decision making, problem solving, and collaboration.
- Strong interpersonal skills to establish productive working relationships with multidisciplinary team and support services.
Physical Requirements and Working Conditions
The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.
Equal Opportunity Employer