I consulted with my RD and she stated that she is under the impression that they need to reviewed at least quarterly (every 90 days), or with a significant change. She also stated that if they are identified at high risk, they should be reviewed every month. People that she reviews monthly are all tube feeders, all weight changes, all patients identified at risk for dehydration as identified through labs. Basically, she uses a communication sheet that the nurses fill out, for instance when the patient is not meeting their fluid or caloric needs. Now, it doesn't have to be the RD who reviews them this frequently other than what stated as quarterly, but she thinks as least quarterly and as needed by an RD.
Tammy Gola BSN, RN, CRNAC Wilkes-Barre General Hospital Transitional Care Unit 575 North River Street Wilkes-Barre, PA. 187641-0001 570-552-5417 [EMAIL PROTECTED] -----Original Message----- From: Hixenbaugh, Melissa [mailto:[EMAIL PROTECTED] Sent: Monday, January 12, 2004 12:45 PM To: [EMAIL PROTECTED] Org (E-mail) Subject: Dieticians Hello, Can someone from MD point me to where I can find the regulations that say how frequently a resident's chart has to be reviewed by the Dietician. We have recently hired a new Dietician and she is changing how things are done. She is saying that she only needs to review the charts for the new admissions, significant changes, and annuals. Our previous dietician reviewed charts quarterly. The chart reviews have now been delegated to our CDM. Is this standard practice? Melissa Melissa Hixenbaugh RN,RAC-C ([EMAIL PROTECTED]) "You must always see with the heart. And after, you will live forever in the stars" "You only see the important things with the heart...not the eyes. Or the head" /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
