21
U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 1 NUTR 46100 LABORATORY in MEDICAL NUTRITION THERAPY COORDINATED PROGRAM IN DIETETICS DEPARTMENT OF NUTRITION SCIENCE PURDUE UNIVERSITY West Lafayette, IN 47907-2059 Spring Semester, 2014

COORDINATED PROGRAM IN DIETETICS DEPARTMENT OF NUTRITION ... NUTR 461 Spring 20… · Academy of Nutrition and Dietetics. International Dietetics and Nutrition Terminology (IDNT)

Embed Size (px)

Citation preview

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 1

NUTR 46100

LABORATORY in MEDICAL NUTRITION THERAPY

COORDINATED PROGRAM IN DIETETICS

DEPARTMENT OF NUTRITION SCIENCE

PURDUE UNIVERSITY

West Lafayette, IN 47907-2059

Spring Semester, 2014

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 2

WELCOME TO NUTR 46100!

Credit Hours: 10 credits Course Description: Clinical experience to include patient visitation, the nutrition care process and communication of care in the medical record. Clinical experience designed to ultimately include total staff responsibility. Course Learning Outcomes: Perform as a clinical nutritionist and complete the competencies as outlined in the Learning Outcomes for Supervised Practice Form. Course Evaluation: During the last two weeks of the semester, you will be provided an opportunity to evaluate this course and your instructor(s) through the standard online course evaluation offered by Purdue University. You will have two weeks to complete this evaluation. Your participation in this evaluation is an integral part of this course. Your feedback is vital to improving education at Purdue University. We strongly urge you to participate in the evaluation system. Rotation and Supervised Practice Site Evaluation: In the last two weeks of the Medical Nutrition Therapy rotation, you will receive a link to a Qualtrics survey specific to the CPD program. You will have two weeks to complete this evaluation. The survey will ask questions about the rotation, the supervised practice site, preceptor, program director, faculty supervisor, and graduate TA. The results of this evaluation will not be reviewed until after you complete the program and graduate. Therefore, if you have immediate concerns about your supervised practice experience, please make an appointment with the Program Director or Dietetics Program Manager to discuss. Prerequisite: Acceptance into the Coordinated Program in Dietetics (CPD) at Purdue University Instructors: Sibylle Kranz, PhD, RD Dinah Dalder, MS, RD Department of Nutrition Science Department of Nutrition Science 700 W. State Street, Room 204 700 W. State Street, Room 220 West Lafayette, IN 47907-2059 West Lafayette, IN 47907-2059 e-mail: [email protected] [email protected] Phone: 765-494-6758 (W) 765-496-6820 (W) 765-714-2278 (C) 765-463-1378 (H) Teaching Assistant:

Selena Baker, RDN [email protected]

Required Texts Academy of Nutrition and Dietetics. International Dietetics and Nutrition Terminology (IDNT) Reference Manual: Standardized Language for the Nutrition Care Process, Fourth Edition. Academy of Nutrition and Dietetics: Chicago; 2013. (Purchased for NUTR 520)

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 3

Diabetes (or weight management) exchange booklets (You may have purchased one of these for NUTR 330 or NUTR 520). Williams AG, Hall KJ, Shadix K, Stokes, DM. Creating Your Career Portfolio At-A-Glance Guide For Dietitians. Upper Saddle River, NJ: Prentice Hall; 2005. (Used throughout all courses in the CPD - Available from Learnovation.com) Required Resources (Used throughout all courses in the CPD) 1. Student membership of the Academy of Nutrition and Dietetics. Application information is

available on bulletin board outside the Department of Nutrition Science office, second floor, Stone Hall.

2. Academy of Nutrition and Dietetics. Evidence Analysis Library. www.eatright.org. Available

free of charge to student members of the Academy of Nutrition and Dietetics. 3. Journal of the Academy of Nutrition and Dietetics. Available free of charge to student

members of the Academy of Nutrition and Dietetics. Pre-Existing Knowledge Interns are expected to consult materials from previous courses and instructions such as

Counseling: counseling techniques and behavior change theories – NUTR 436 Medical Nutrition Therapy – NUTR 520

Campus Emergency: In the event of a major campus emergency, course requirements, deadlines and grading percentages are subject to changes that may be necessitated by a revised semester calendar or other circumstances. Contact Dr. Kranz or Dinah Dalder using the contact information above. Non-Discrimination: Purdue University and this instructors and staff do not discriminate against any member of the University community on the basis of race, religion, color, sex, age, national origin or ancestry, genetic information, marital status, parental status, sexual orientation, gender identity and expression, disability, or status as a veteran. Policies: This course is taught in compliance with Purdue University policies stated in Student Regulations (http://www.purdue.edu/studentregulations/). Purdue prohibits “dishonesty in connection with any University activity. Cheating, plagiarism, or knowingly furnishing false information to the University are examples of dishonesty.” (University Regulations, Part 5, Section III, B, 2, a). Course Communication: Course related information will be shared with interns enrolled in the course via Blackboard Learn and email. This includes any unforeseen changes in schedules. If you need to contact the instructor directly, please use email or phone, but not Blackboard. Students with Disabilities: Students with disabilities must be registered with Adaptive Programs in the Office of the Dean of Students before classroom accommodations can be provided. If you are eligible for academic accommodations because you have a documented disability that will impact your work in the CPD, please schedule an appointment with the Program Director as soon as possible to discuss your needs.

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 4

Course Requirements:

1. Performance: Interns enrolled in this course are expected to complete the tasks assigned by their preceptor or course instructor in a professional manner, including punctuality and accuracy. Interns will receive individual performance evaluation(s) based on their performance at the supervised practice site from the preceptor(s) and course instructor. Competencies on the Learning Outcomes form must be performed at a satisfactory level or additional time may be needed to improve performance. See Section on Preceptor Complaints or Non-Compliance/Performance in CPD Handbook. Course assignments are graded by the instructors.

2. Completion of supervised practice hours: Interns are responsible for completing the scheduled number of hours at the supervised practice site based on the schedule assigned by the preceptor. Absences must be reported to both the assigned preceptor(s) and the Program Director or Dinah Dalder. Following the facility policy, the appropriate staff at the facility is to be notified before the time you were scheduled to be on duty. Be persistent in contacting the facility until you are able to talk to the appropriate staff rather than leaving a message on an answering machine. Should you become ill on the job, notify the preceptor(s) before leaving the building. All time missed must be made up in the facility. All arrangements for makeup time are subject to the preceptor’s approval. Complete the “Schedule Deviation Form” for all absences. See Absence Policy and Attendance Policy in CPD Handbook.

Important Note: Access to patient rooms, clinical units, nursing stations or any area of active patient care is not allowed outside of regularly scheduled supervised practice time. During project time, only access to the library or medical records department is allowed. Preceptors’ Expectations of the Interns:

1. Become a valued member of the health care team. 2. Review related class notes, inservice presentation notes, references, etc. to be prepared

everyday. 3. Interns are expected to do research on the conditions and diseases they will be dealing

with on their own time to prepare for the floor assignments throughout the MNT rotation, including working on evenings or over the weekends. This demonstrates initiative, prepares you for floor coverage and indicates an interest in the clinical experience.

4. Be on time and ready to prioritize the activities for the day. Be prepared to start work at the scheduled time.

5. Be sure to let the dietitian know if you can’t complete your assigned tasks for a given day. This should be done early in the afternoon so priorities can be identified.

6. Review patients and daily plan with floor dietitian before going to the nursing units. Discuss with the dietitian and obtain permission for break times and end of work time before going to lunch or leaving for the day.

7. Carry necessary material/references with you and have available as needed (e.g. enteral formula guide, formulary guide, growth charts for pediatrics).

8. Use the resources available to you to help with the plan and goals for individual patients. These resources may include other ancillary services (social service, speech therapy, occupational therapy, etc.), nurses, nurses’ aides, family members and the library.

9. Communication is important! This includes both verbal and written communication (discussions, patient interviews, chart notes). Remember if the task is not documented in the chart, it was not done!

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 5

10. Remember to write legible, understandable notes for the dietitian or intern who will be following your patients over the weekend or the next day. Provide any pertinent information that will simplify follow-up.

11. Know your patient(s) well enough to answer questions or summarize plan when approached by the dietitian, Purdue instructor, nutrition technician or other hospital health team person.

12. If you have extra time on a particular day, discuss with the floor dietitian additional learning experiences that can be assigned to benefit your experience. Busy work is not the goal, but you are expected to be productive at all times.

Professional Expectations of Interns in the Facilities:

1. Recognize the uniqueness of the supervised practice experience and be prepared to meet the hour demands, realizing the need to complete all necessary tasks before leaving each day.

2. Observe and adhere to policies and procedures of the facility as though employed there. 3. Assume responsibility for one’s own progress, e.g. extra study or time spent if lacking

skills or knowledge in certain areas. 4. Class projects/course work must be completed outside of scheduled work hours unless

preapproved/arranged with Preceptor(s). 5. Realize and accept that each intern has different capabilities in combining the related

skills and knowledge that are being acquired; therefore, each intern shall progress at his/her own rate.

6. Know the performance requirement of the entry-level dietitian as stated in the competencies in the Learning Outcomes form.

7. Come prepared each day. Review necessary materials pertaining to the unit you are assigned.

8. Do not remove any materials from the facility without prior approval of the staff. 9. Report any unscheduled absenteeism to the facility and University staff prior to

scheduled time for arrival. 10. Maintain the confidentiality of all patients/clients.

Grounds for Immediate Dismissal from the MNT Supervised Practice Site To protect the health and well-being of individuals, an intern whose professional performance and/or patient/client interaction endangers or has negative effects on the CPD preceptor relationship or the mental and/or physical health of a patient/client, is required to immediately leave the supervised practice site. An intern who is required to leave the rotation site will be notified in writing of the time, date and place of a remedial meeting with the intern, the CPD Director and/ or Dietetics Program Manager and the preceptor of the supervised practice site. The intern will be provided with a written statement of remediation issues and corrective actions to be taken (see “Non-Compliance/Performance Form” attached). The intern may resume his/her rotation and associated duties after the meeting described above subject to any conditions stated on the Non-Compliance/Performance Form. Subsequent performance by the intern which does not satisfactorily correct the remediation issues or endangers the mental and/or physical health of a patient/client will result in dismissal from the supervised practice site and a failing grade in the course. Grading Scale A = 90% - 100% B = 80% - 89.9% C = 70% - 79.9%

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 6

D = 60% - 69.9% F = < 60% If the intern fails to rectify any and all complaints (remedial action) documented in the Non-performance/Complaint form, the student earns a grade of D or F in NUTR 46100 and is precluded from enrolling in CPD courses or filing for graduation from the CPD program.

Criteria for Assessment of Participation in Class Criteria A Thoroughly prepared, accurate responses with minimal hesitation, volunteers frequently, makes

a positive contribution to the class, always responds when called upon. B Prepared, requires some time to think, volunteers occasionally, always responds when called

upon. C Somewhat prepared, can respond with help, seldom volunteers, usually responds when called

upon. D Unprepared, can follow what is going on to a minimal extent but cannot participate even with

help, seldom volunteers, occasionally responds when called upon. F Totally unprepared, unable to follow class activities, never volunteers, seldom responds when

called upon. NOTE: Volunteering, among other things, refers to asking questions of speakers, instructors, and fellow interns; making comments; providing feedback; and helping with management issues of class, e.g., rearranging meeting room. Making a positive contribution refers to salient and insightful questions, comments, or feedback during class meeting times; sharing new found evidence.

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 7

Supervised Practice Schedule for 2014 (Tentative and subject to change) Dates Activity Due Location Supervised

Practice Hours (468 Hours total)

12/16 through 20 and 1/2 through 3

Hospital Orientation (follows schedule of hospital) and Orientation to NUTR 461

Contact MNT preceptor

0

1/2 Orientation class (1 -3 PM)

Pretest Learning

Outcomes Form for NUTR 461

Syllabus for NUTR 461

Review confidentiality for the MNT rotation

Laboratory Assignment

Medical Procedures Assignment

Medication Assignment

Class meeting Stone 232 or Skype

0

1/3 Complete all required testing and documentation for hospital placement

0

1/6-1/10 MNT rotation, at site 40 1/13-1/17 MNT rotation, at site

Class half day on 1/14 (9:00 am – noon), report to MNT site in afternoon

Q & A on learning outcomes and syllabus

Evaluation schedule

Networking for Job

Writing case studies

Nutrition Support Review with Mrs. Zoss (10:30 am)

Rotation Objectives

Nutrition Support Review Worksheet

Class meeting Stone 232 or Skype

36

1/20-1/24 MNT rotation, at site Turn in case study 1 by 10:00

40

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 8

pm on 1/26 1/27-1/31 MNT rotation, at site Turn in case

study 2 by 10:00 pm on 2/2

40

2/3-2/7 MNT rotation, at site Class half day on 2/4, report to MNT site in afternoon

Turn in case study 3 by 10:00 pm on 2/9

Class meeting Stone 232 or Skype

36

2/10-2/14 MNT rotation, at site Turn in case study 4 by 10:00 pm on 2/16

40

2/17-2/21 MNT rotation, at site Turn in case study 5 by 10:00 pm on 2/23

40

2/24-2/28 MNT rotation, at site Class half day on 2/25, report to MNT site in afternoon

Turn in case study 6 by 10:00 pm on 3/2

Class meeting Stone 232 or Skype

36

3/3-3/7 MNT rotation, at site Turn in case study 7 by 10:00 pm on 3/9

40

3/10-3/14 Staff relief, MNT rotation, at site

40

3/17-3/21 Staff relief, MNT rotation, at site

40

3/24-3/28 Staff relief, MNT rotation, at site

40

3/30 (Sunday) by 10:00 pm

Completed portfolio due by March 30

Include original signed learning outcomes form with portfolio

Updated resume and cover letter due on Blackboard

Thank you letter to preceptor due on Blackboard

Instructions for Assignments

1. Include the tile of the assignment, date and your name.

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 9

2. All assignments are to be completed independently. 3. Use word processing software and the spell-check function. Points will be taken off for

spelling and grammatical errors. 4. Submit assignments via Blackboard. 5. Be prepared to discuss assignments in class.

Instructions for Intern Practice Review Evaluation

1. If needed, provide a copy of the Early Performance Evaluation of Intern (1st evaluation) or the Assessment of Learning Outcomes for Supervised Practice NUTR 46100 (for mid-point and final evaluation) to the preceptor in advance of your scheduled evaluation (available on Blackboard)

2. Confirm the date, time and location of the evaluation with your preceptor and Dinah Dalder or Selena Baker. If the scheduled evaluation is not convenient for your preceptor, notify Dinah or Selena that the evaluation time needs to be rescheduled.

3. The first evaluation is planned as a telephone conference between the intern, preceptor and Purdue CPD faculty. The mid-point and final evaluations are scheduled as in-person conferences with the intern, preceptor and Purdue CPD faculty.

4. Complete your own copy of the Early Performance Evaluation or the Assessment of Learning Outcomes for Supervised Practice NUTR 46100 in advance of your evaluation as your self-evaluation. Include comments, strengths and areas needing improvement. Bring the completed form to the evaluation meeting with the preceptor and Purdue CPD faculty and be prepared to present your self-evaluation, including strengths and areas needing improvement.

5. Keep your portfolio up-to-date and bring to all evaluation meetings. 6. At the conclusion of the evaluation visit, the preceptor, Purdue CPD faculty and intern

sign the evaluation form to document the meeting. For any evaluations completed over the phone (rather than in person), the preceptor and intern sign the evaluation form, and the preceptor may email, fax or mail the signed evaluation to Dinah Dalder. ([email protected] or fax 765-496-9606).

7. The intern is responsible for keeping track of the completed Assessment of Learning Outcomes and turning in the original signed form with the portfolio on the due date. A copy will be made of the Assessment form by the Purdue CPD faculty and the original Assessment form will be returned to the intern for his/her portfolio.

8. If needed, provide a copy of the Performance Evaluation Form to the preceptor (available on Blackboard). The preceptor will complete the form and submit directly to Dinah Dalder (fax, email, or regular mail). ([email protected] or fax 765-496-9606)

Medical Nutrition Therapy Rotation Portfolio CRD 2.12 (50 points for each evaluation) The portfolio is considered documentation of the intern’s activities and accomplishments.

1. Purchase large binder and index dividers. 2. The front cover or first page of the binder needs to include the rotation name, name of

supervised practice site, date and your name.

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 10

3. Label dividers with competency number(s) on Learning Outcome form. Group competency numbers together on divider the same way the competencies are grouped on Learning Outcome form.

4. Type out (copy and paste) competency statement, examples of learning activity, and assessment strategy on title page under each divider.

5. Keep your portfolio up-to-date and bring with you to your evaluation meetings. 6. Completed portfolios are due by March 31. NOTE: The final grade will be lowered by

one grade (e.g., A to B, B to C) if any parts of the portfolio are incomplete on the assigned due date.

Portfolio Assessment Category Points Present at Each Intern Practice Review Evaluation Meeting (5) Original Work Displayed (10) Material Organized and Neatly Arranged (10) Content Prepared in Advance and Kept Current (10) Overall Appearance is Appealing and Professional Looking (10) Loose Items Adequately Secured (5)

Total (50 points) Professional Communication: Thank you Letter to Preceptor (15 points) 1. Use accepted business correspondence format for a thank you letter to your preceptor. You

are welcome to acknowledge the staff as well as your preceptor. In the body of your letter, personalize the thank you and be specific in complimenting your preceptor (and staff), i.e. refer to some specific elements of the rotation experience.

2. If you know the individual well that you are corresponding with, you may use the person’s first name in the salutation. However, in business correspondence, this is used judiciously.

3. Using page set up, set margins as follows: top 2.0”, bottom 0.9”, left 1.0”, right 1.0”. Use 12 point font (your letter will be printed on department letterhead)

4. Submit your letter through Blackboard by March 30, 2014, 10:00 pm.

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 11

Assignment Scoring Criteria Unless otherwise specified in the syllabus, assignments will be scored with the criteria outlined below. All assignments are expected to be written independently. Each assignment needs to include your name, the assignment title or the competency and the date in the heading. When an assignment is greater than 15 points, a percentage calculated from the following criteria will be used to assign points. Item Grammar, punctuation, spelling, proper heading and complete sentences

1 2 3 4 5

Ideas organized in a logical sequence and presented in a coherent manner.

1 2 3 4 5

Information follows conventional wisdom or appropriate defense provided

1 2 3 4 5

Where 5= Very strong; would not change a thing 4= Above average; minor changes only 3= Okay/ average; some room for improvement 2= Marginal; needs some reworking 1= Needs major reworking Comments:

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 12

NUTR 46100: Assignments and Grading Information

Topic Assignment Points Laboratory Test Assignment 10 descriptions 15 Medical Procedures Assignment 10 descriptions 15 Medication Assignment 10 descriptions 15 Professional Communication Letter to preceptor 15 Objectives 4 developed 15 Portfolio Each evaluation (3) 150 Patient Case Study 1 Write-Up 50 Patient Case Study 2 Write-Up 50 Patient Case Study 3 Write-Up 50 Patient Case Study 4 Write-Up 50 Patient Case Study 5 Write-Up 50 Patient Case Study 6 Write-Up 50 Patient Case Study 7 Write-Up 50 Participation in Class 75 Oral Case Study Presentation 125 Mid-rotation Intern Practice Review 300 Final Intern Practice Review, including staff relief 450 Updated Resume 15 Example cover letter 15 TOTAL 1555

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 13

Assignment Scoring Criteria Unless otherwise specified in the syllabus, assigned projects will be scored with the criteria outlined below. Each assignment needs to include your name, the assignment title or the competency, the date, and your answers. When an assignment is greater than 15 points, a percentage calculated from the following criteria will be used to assign points. Item Grammar, punctuation, spelling, proper heading and complete sentences

1 2 3 4 5

Ideas organized in a logical sequence and presented in a coherent manner.

1 2 3 4 5

Information follows conventional wisdom or appropriate defense provided

1 2 3 4 5

Where 5= Very strong; would not change a thing 4= Above average; minor changes only 3= Okay; some room for improvement 2= Marginal; needs some reworking 1= Needs major reworking Comments:

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 14

Patient Confidentiality and De-identifying Information All recorded information for case studies must be de-identified. De-identified information is not “protected health information” as defined in the HIPAA Privacy Regulation. Information is considered de-identified if the following is removed:

Name Geographic subdivision smaller than a state including street address, city, county,

precinct, zip code Any and all dates (except the year) to include birth date, encounter date, and date of

death Telephone numbers Fax numbers Electronic mail addresses Social Security number Medical record numbers Health plan beneficiary numbers and other identifying information Account numbers Certificate or license numbers Vehicle identifiers and serial numbers to include license plate numbers Device identifiers and serial numbers Web Universal Resource Locators (URLs) Internet Protocol (IP) address numbers Full face photographic images and other comparable images Any other unique identifying number, characteristic or codes

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 15

Medical Nutrition Therapy Case Studies All case studies are to be prepared individually with a word processing program and printed on a printer. If you are unable to print certain symbols, you may write in the symbol. The case studies to be written on patients you have seen in practice and described primarily in narrative form. To adequately prepare the case studies, you will need to examine current literature and the Evidence Analysis Library. Provide citations for these resources using the Guidelines to Authors outlined in the Journal of the Academy of Nutrition and Dietetics (January issue and online). The outline below is provided to assist you in organizing your information. A case study is due each week by Sunday evening 10:00 PM beginning on January 26. Case studies may be turned in early. Use made-up initials to refer to the patient. Refer to hospital employees by titles, not names. NOTE: Some of the items listed below may not be apply to your case study and thus would not be included

in your paper. The parts of the Nutrition Care Process (NCP) are always included. Outline for Medical Nutrition Therapy Case Studies 1. Introduction and Background Research:

a) Briefly introduce the topic of the case study including a general description of the pathophysiology of the disease or disorder

b) Background discussion of the nutritional implications of the disease or disorder c) Recommendations for nutritional care based on evidence, including one primary reference. Check

availability of practice guidelines at evidence analysis library 2. Patient Profile:

a) Presenting symptoms, problems, and medical diagnosis, if known. b) Pertinent information that explains why the patient is hospitalized or receiving services at the

facility. Include the mechanism with which the patient/client entered the NCP. 3. NUTRITION CARE PROCESS

a) Nutrition Assessment and Interpretation (Step 1): i) Biochemical Data include relevant laboratory data in conventional units ii) Anthropometric Measurements and Calculations include, for instance, height, weight,

body mass index (BMI), growth rate, and rate of weight change. iii) Nutrition-Focused Physical Examination includes oral health, general physical

appearance, muscle and subcutaneous fat wasting, and affect. iv) Food and Nutrition History consists of four areas: Food consumption, nutrition and

health awareness and management, physical activity and exercise, and food availability. a) Food consumption may include factors such as, food and nutrient intake, meal

and snack patterns, environmental cues to eating, and current diets and/or food modifications.

b) Nutrition and health awareness and management includes, for example, knowledge and beliefs about nutrition recommendations, self-monitoring/management practices, and past nutrition counseling and education.

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 16

c) Physical activity and exercise consists of activity patterns, amount of sedentary time (e.g., TV, phone, computer), and exercise intensity, frequency, and duration.

d) Food availability encompasses factors such as, food planning, purchasing, preparation abilities and limitations, food safety practices, food/nutrition program utilization, and food insecurity.

v) Client History consists of three areas: Relevant medical/health history, relevant medication and supplement history, and relevant social history, a) Medical/health history includes chief nutrition complaint, present/past illness,

disease or complication risk, family medical history, mental/emotional health, and cognitive abilities.

b) Medication and supplement history includes, for instance, prescription and over the counter drugs, herbal and dietary supplements, and illegal drugs.

c) Relevant social history vi) Interpretation of assessment data: Discuss in narrative form. Include estimated energy

and protein needs at a minimum.

b) Nutrition Diagnosis (Step 2): i) Use Nutrition Diagnostic Terminology ii) Include 1 Problem, Etiology, signs/symptoms (PES) statements. Select the most

important and urgent problem to be addressed. iii) Patient-focused expected outcome for the nutrition diagnosis.

c) Nutritional Intervention (Step 3):

i) Include the goal of the intervention ii) Include the nutrition prescription or basic plan iii) Include the implementation of the intervention, describe how the plan was carried out. iv) Include a sample menu to illustrate the intervention when appropriate

d) Nutrition Monitoring and Evaluation (Step 4):

i) Review and measurement of patient/client’s progress ii) Review of patient focused expected outcomes iii) Systematic comparison of findings and current status with previous status, intervention

goals, or a reference standard. iv) Overall effect of the intervention on the patient’s/clients health outcomes.

4. Discussion, Summary, and Conclusions

a) Summarize the steps in the nutrition care process that worked particularly well with this particular case.

b) Summarize what steps in the nutrition care process might have changed given the information gathered during the process of preparing the case study.

c) Recommend future direction for investigation and management of similar cases.

IMPORTANT INFORMATION ABOUT DE-IDENTIFYING EACH CASE STUDY. The case study must be presented (both written and orally) as de-identified. There will be an automatic 10 point deduction from each case study if the case study is not de-identified. De-identified information is not “protected health information” as defined in the HIPAA Privacy Regulation. Information is considered de-identified if the items listed on page 13 are removed.

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 17

Oral Case Study Presentation (CRD 2.3) Use Oral Case Study Presentation Evaluation form as a guide to organize the oral

presentation. Be sure to include an introduction and summary. Use made-up initials to refer to the patient. Refer to hospital employees by title, not

name. The presentation should be planned for approximately 30 minutes, including time for

discussion and questions. Be prepared for questions at the end of the presentation.

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 18

Oral Case Study Presentation Evaluation (CRD 2.3) Intern Topic Outline and Criteria Score Comments Introduction (10) Patient diagnosis Reason for patient selection Objectives of presentation Outline for presentation

Background Information/ Literature Review (15) Current and correct information presented Presentation content based on literature review including

one primary reference Resources correctly cited and pertinent

Description of Nutrition Care Process and Nutrition Diagnosis (15) Entry of patient into the NCP Rationale of nutrition care process explained and related

to literature review Nutrition assessment Nutrition diagnosis Nutrition intervention Nutrition monitoring and evaluation

Adequate and accurate interpretation of patient information

Resources correctly cited and pertinent

Summary and Conclusions (20) Effectively summarizes topic based on data presented Relates patient’s condition and treatment to research

findings Offers suggestions for nutrition care process for similar

patients Presents conclusion

Discussion and Questions (10) Stimulates discussion Ability to adequately handle discussion and questions

Presentation (15) Logical arrangement of ideas Interest and enthusiasm for the topic Uses notes on limited basis Presented material in allotted time

Visual Aids (10) Effective use of visual aids Quality of visual aids References noted on slides

References (10) References noted on slides Limited secondary references

Voice (10) Speaks clearly, audibly and at a comfortable pace Good voice inflection

Professionalism (10) Personal appearance Preparation

TOTAL (125)

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 19

NUTR 46100 Laboratory in Medical Nutrition Therapy Purdue University

Coordinated Program in Dietetics Early Performance Evaluation (complete around 2-3 weeks at practice site)

Intern___________________________________ Date_________________

Instructions: Evaluate intern’s performance for each area noted below by placing an X in the appropriate column. Comments should address areas of strength and areas for development. Use the following ratings:

ME = Meets Expectations A = Approaches Expectations NM = Not Meeting Expectations

ME A NM __________ _________ _________

QUANTITY OF WORK Intern accomplishes assigned workload within a specified time period. Comments: _____________________________________________________________________________________ QUALITY OF WORK Intern’s work is well executed, thorough, effective and accurate. Comments: _____________________________________________________________________________________ KNOWLEDGE OF JOB Intern demonstrates how and why to do all phases of assigned work. Comments: _____________________________________________________________________________________ COOPERATION WITH OTHERS Intern gets along with other individuals, using tact, courtesy and effectiveness in dealing with co-workers, patients and others. Comments: _____________________________________________________________________________________ RELATIONS WITH SUPERVISOR Intern responds positively to supervisory directions and comments. Intern seeks input on ways to improve performance. Comments: _____________________________________________________________________________________ HIPAA/SAFETY/SANITATION COMPLIANCE Intern follows organization and regulatory guidelines and policies.

Comments: _____________________________________________________________________________________

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 20

INITIATIVE and DEPENDABILITY Intern is self-directed in meeting job objectives, follows through on assignments, and adjusts tasks to meet changing circumstances. Comments: _____________________________________________________________________

ATTENDANCE Intern arrives on time, demonstrates consistent attendance, and contacts supervisor promptly if needs to be late or absent. Comments: _____________________________________________________________________ Additional Comments ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________ _____________________ Intern Signature Date ________________________________________________________ _____________________ Preceptor Signature Date ________________________________________________________ _____________________ CPD Faculty Signature Date Adapted from Purdue University Dining and Catering, 2013 Email, mail or fax completed form to: FAX: 765-496-9606 Email: [email protected] Dinah Dalder, Dietetics Program Manager 700 W. State St. West Lafayette, IN 47907-2059

Supervised Practice Evaluation Form1

U:\Course Syllabus\2013_2014\Syllabus NUTR 461 Spring 2014.doc Page 21

Purdue University

Coordinated Program in Dietetics Preceptor: Please complete twice during the MNT rotation (mid-point and final evaluation). The following is used to assist the Director of the Coordinated Program in Dietetics in determining the performance of the intern and the grade to be assigned for the practicum course. Ten (10) credits for NUTR 46100: Laboratory in Medical Nutrition Therapy PLEASE RANK THE INTERN’S PERFORMANCE BY PLACING ONE CHECK IN: I, II, III, IV or V.* I.__________ This candidate has met and exceeded the objectives/competencies in the time allowed. Given my knowledge of this candidate’s current performance, he/she should have little difficulty practicing as an entry-level dietitian in the area of Medical Nutrition Therapy. II.__________ This candidate has satisfactorily met all the objectives/competencies in the time allowed. Given my knowledge of this candidate’s current performance, he/she should continue to develop skills in the area of Medical Nutrition Therapy to be successful as an entry-level dietitian. III.__________ This candidate has met most of the objectives/ competencies satisfactorily in the time allowed but needs improvement. Given my knowledge of this candidate’s current performance, he/she should plan to devote additional time to study and practice of the Medical Nutrition Therapy area. With additional study/practice, this candidate should be able to function as an entry level dietitian. IV.__________ This candidate has marginal performance suggesting lack of motivation or ability to maintain normal performance and growth. Separation may be indicated unless performance improves significantly. V.__________ This candidate has marginal performance suggesting lack of motivation or ability to maintain normal performance and growth. This candidate has failed to rectify any and all complaints (remedial action) documented in the Non-performance/Complaint form. Separation is indicated. Rotation Preceptor (sign): Date: Rotation Site: * I=A (95 %), II=B (85 %), III=C (75%), IV=D (65%), V=F (0%) 1 Fax or mail the completed form to:

Dinah Dalder; Dietetics Program Manager, Coordinated Program in Dietetics; Department of Nutrition Science, Purdue University, 700 W. State Street, West Lafayette, IN 47907-2059 FAX: (765) 496-9606