The Clinical Dietitian is assigned to the Nutrition and Food Service at the Gainesville VAMC, FL. The Clinical Dietitian is responsible for planning, developing and directing all nutritional care activities for assigned veterans, including those with complex medical and nutritional needs. This position supports the facility's mission and coordinates nutritional care with other health care providers, the Veteran, the Veteran's caregiver and the community.

Duties

The Clinical Dietitian will be involved in the professional practice of dietetics in accordance with the guidance set forth in Nutrition and Food Service (NFS) directives, policies and procedures, and VA regulations governing the practice of dietetics. The Clinical Dietitian may be scheduled and assigned to any nutrition practice area. Duties within the following practice areas may include but are not limited to: Nutritional Care Conducts a comprehensive nutrition assessment utilizing the Nutrition Care Process (NCP) for assigned patients. Develops and implements an individualized plan for MNT in accordance with the patient's medical program goals and objectives. Performs a Nutrition Focused Physical Exam (NFPE) during assessments to determine risk and/or degree of malnutrition. Calculates nutrient requirements (calories, protein, carbohydrates, lipids, vitamins, electrolytes and fluids) and necessary diet restrictions or food and drug interactions. Evaluates patterns and relationships among data obtained and possible root causes for nutrition problems. Nutrition Education and Coordination of Care Assesses educational needs and provides nutrition education or counseling for individuals and groups, incorporating a learning approach that considers the cultural, religious, educational and medical situation of the patient. Includes information regarding budgeting, menu planning, food purchasing and preparation, food storage and sanitation. Utilizes motivational interviewing techniques to evaluate patient and/or caregiver's readiness to learn and potential for changing behaviors. Evaluates achievement of learning objectives by the patient and/or family. Adapts nutrition education materials and counseling techniques to the patient's level of understanding, which frequently involves simplifying complex dietary restrictions. Identifies drug-nutrient interactions and drug-drug incompatibilities and counsels/communicates with the patient regarding the impact on nutrition status and/or nutrient utilization. Utilizes virtual care technology such as VA Video Connect (WC) and Secure Messaging (SM) to improve access to nutrition care. Business Functions Maintains productivity standards. Practices effective time management and prioritizing of tasks to ensure efficient workflow in assigned area. Ensures completion of consult management tasks by reviewing assigned nutrition consults. Ensures appropriate scheduling and timely completion of all assigned consults. Maintains accurate record keeping of daily clinical activities and completes patient encounters utilizing the Event Capture System (ECS). Manages resources (time, materials, and staff) in a cost-effective manner. Assists in developing and revising patient education materials, clinical forms, and protocols. Quality Improvement/Research Supports Performance Improvement activities by participating in the development of nutritional care indicators, evaluation criteria, collecting performance improvement data, monitoring outcomes, and initiating corrective actions. Contributes to a culture of safety by entering patient safety concerns in the Joint Patient Safety Reporting System (JPRS). Participates in planning and developing nutrition-related policies, procedures, and goals. Participates in service-level strategic planning. Participates in peer review process. Participation as a Member of the Health Care Team Communicates and influences treatment interventions determined by the medical team through interdisciplinary meetings, team rounds, medical conferences and nutrition-related in-services. Presents seminars, workshops, and lectures to convey current nutrition information on new and changing concepts. This includes the development and participation of in-service educational programs directed to members of interdisciplinary teams, NFS personnel, Nursing, and various students, interns and residents. Coordinates care with colleagues in a variety of medical and home settings to ensure appropriate transitions of care are addressed to meet the patient's needs. Adheres to standards of professional performance. Determines need for home care to assure continuity of care and makes appropriate referrals to Home Based Primary Care (HBPC), Social Work Service, Satellite clinics or other community agencies. Work Schedule: Monday - Friday, 8:00 am - 4:30 pm or Sunday-Thursday 8:00am-4:30pm Telework: Available - May be able to Telework in accordance with Agency policy and Service Approval. Virtual: This is not a virtual position. Functional Statement #: PD000000 and PD99529S Recruitment Incentives: Authorized-A Recruitment Incentive may be authorized for a highly qualified individual. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Registered Dietitian Nutritionist (RDN) or Registered Dietitian (RD) - Must be registered with the Commission on Dietetic Registration (CDR) the credentialing branch of the Academy of Nutrition and Dietetics formerly known as the American Dietetic Association (ADA). Dietitians who do not possess the RDN/RD credential. Non-credentialed Dietitians who otherwise meet the basic qualification requirements and have fulfilled the requirements below, but do not possess the RDN credential, may be given a full-time temporary appointment not to exceed one year under the authority of 38 U.S.C. 7405(c)(2). May only be appointed at the GS-07 or GS-09 level and may not be promoted/converted until they obtain their RDN credential. Non-credentialed Dietitians must have fulfilled each of the following: Earned a bachelor's or higher degree from a U.S. regionally accredited college or university or foreign equivalent. Foreign Education: To be creditable, college and/or university degrees earned outside the U.S and its territories must be evaluated by ACEND and meet ACEND's International Dietitian Education standards which are designed to provide graduates with the knowledge and competencies to sit for the CDR credentialing exam. ~AND~ Completed an ACEND accredited experiential or supervised practice program and provide a verification statement from the program director that conveys eligibility to take the CDR registration exam as a prospective RDN. A list of ACEND accredited programs are located on the ACEND website or at ACEND Accredited Programs Directory. Credentialed Dietitians must have fulfilled each of the following: Completed an ACEND accredited experiential or supervised practice program and provide a verification statement from the program director that conveys eligibility to take the CDR registration exam as a prospective RDN. A list of ACEND accredited programs are located on the ACEND website or at ACEND Accredited Programs Directory. Earned a bachelor's or higher degree from a U.S. regionally accredited college or university or foreign equivalent. Foreign Education: To be creditable, college and/or university degrees earned outside the U.S and its territories must be evaluated by ACEND and meet ACEND's International Dietitian Education standards which are designed to provide graduates with the knowledge and competencies to sit for the CDR credentialing exam. ~AND~ Completed an ACEND accredited experiential or supervised practice program and provide a verification statement from the program director that conveys eligibility to take the CDR registration exam as a prospective RDN. A list of ACEND accredited programs are located on the ACEND website or at ACEND Accredited Programs Directory. Current VHA Dietitians that qualify based on being covered by the Grandfathering Provision may not be promoted to a higher grade if they do not meet the current RDN/RD requirements. Grade Determinations: GS-07 Dietitian (Clinical) (Entry Level Developmental) - No additional requirements beyond the basic requirements. GS-09 Dietitian (Clinical) (Developmental)- Experience/Education Requirement: In addition to meeting the basic requirements, to qualify for the GS-09 you must have at least 1 year of experience equivalent to the next lower grade level (GS-7) OR a master's degree from a regionally accredited university or college in the field of dietetics or closely related field. Your experience or education must demonstrate the following Knowledge, Skills and Abilities: - Knowledge of various accrediting and regulatory requirements. - Knowledge of virtual technology to provide nutrition care. - Ability to deliver patient care using the NCP (e.g., assessment, diagnosis, intervention, monitoring and evaluation). - Ability to apply evidence-based nutrition practices to improve patient outcomes. - Ability to develop patient-centered goals. - Ability to collect data for performance improvement studies. - Ability to collaborate with stakeholders. GS-11 Dietitian (Clinical) (Full Performance Level) - Experience Requirement: In addition to meeting the basic requirements, to qualify for the GS-11 up must possess at least 1 year of experience as an RDN/RD equivalent to the next lower grade level (GS-09) which demonstrates the following Knowledge, Skills and Abilities: Skill in delivering patient care using the Nutrition Care Process (NCP) (e.g., assessment, diagnosis, intervention, monitoring, and evaluation). Skill in interpreting research to apply evidence-based nutrition practices to improve patient outcomes. Skill in developing patient-centered goals. Skill in analyzing data for performance improvement studies. Skill in collaborating with stakeholders. Ability to comply with various accrediting, regulatory and agency authorities. References: VA Handbook 5005 Part II Appendix G20 Physical Requirements: The regular and recurring work of the position involves sitting at a desk, conferences, meetings, etc., and staff interaction in patient care areas. Work involves frequent periods of walking, standing and the ability for rapid mental and muscular coordination simultaneously, visual acuity, hearing and clear speech.

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

ACEND accredited programs are located on the ACEND website or at ACEND Accredited Programs Directory.

Contacts

• Address Malcom Randall Department of Veterans Affairs Medical Center 1601 Southwest Archer Road Gainesville, FL 32608 US
• Name: Rachyl Plasterer
• Phone: (717) 821-5687
• Email: [email protected]