4H11

PAY RANGE:  EP19**

 

REGISTERED DIETITIAN

(Bilingual)

(General)

 

GENERAL DEFINITION

 

            This is full performance nutritional education and dietary work providing information and guidance to patients observing therapeutic diet regimens as prescribed by physicians, nurse practitioners, and physician assistants.  Employees in this class are responsible for performing nutrition and dietary assessments, counseling and follow-up to ensure that patients' nutritional needs are met with full proficiency in the Ambulatory Health Services Health Centers for the Department of Health.  A significant aspect of the work involves providing information and guidance to patients and developing appropriate nutritional treatment plans in accordance with the Commission on Dietetic Registration and the Academy of Nutrition and Dietetics. Work also involves persuading patients to adapt to basic and special nutritional diets. Work requires contact with physicians, nurse practitioners and physician assistants.

            Work is performed under the supervision of a higher level health care professional. 

 

ALLOCATING FACTORS:  (The following conditions must be met for a position to be allocated to this class.)

 

1.            Positions in this class must provide culturally appropriate nutrition and dietary education and counseling to patients or groups requiring basic and advanced nutritional instruction.

2.            Positions must perform work in the Department of Public Health

 

TYPICAL EXAMPLES OF WORK (ILLUSTRATIVE ONLY)

 

BILINGUAL SPECIALTY

 

            Performs the duties shown below with members of the English language-speaking and designated non-English language speaking populations.

 

GENERAL SPECIALTY

 

            Provides direct nutrition counseling in a clinic setting to persons most susceptible to nutritional difficulties due to the demands of pregnancy, chronic disorders, or disease; evaluates, adjusts and recommends appropriate nutrition plans and referrals; provides general and condition specific nutritional counseling and education to patients, parents, groups and caregivers performs detailed dietary, nutritional and physical activity assessments and routine follow-up reassessments; determines nutritional deficiencies of patient's regular diet; instructs patients in the kinds and amounts of foods necessary to good nutrition; adapts patient's regular diet to conform to requirements of basic nutrition or therapeutic nutritional needs; demonstrates understanding of cultural, social and dietary needs of a diverse population; prepares sample diet menus taking into account the availability and seasonality of food, food preferences and economic limitations.

            Provides direct nutrition counseling to clients in the district health care centers;

            Plans, develops and conducts dietary and nutrition educational programs for patients; health care professionals and community groups working within Ambulatory Health Services; conducts workshops for internal nursing staff.

            Provides research information to hospitals, health care agencies, physicians and nurses; participates as an active member and attends meetings held by diabetes support groups, committees and task forces; prepares and maintains records of work performed.

            Conducts, develops and documents Nutrition Assessments of patients at risk for nutritional deficiencies or with disease affecting nutritional intake or status in accordance with the Commission on Dietetic Registration and the Academy of Nutrition and Dietetics; develops and documents Nutrition Care Plan on Nutrition Assessment. 

            Explains to patients the need for and the importance of basic nutrition to good health; instructs individuals and groups in nutritional and dietary practices; speaks to groups on the principles of food selection, preparation and budgeting in relation to the provisions of nutritional needs for all members of the family.

            Assists nurses and physicians in providing services to patients with specific food and nutrition problems resulting from occupational, environmental, or familial factors.

            Develops, revises and reviews pamphlets, brochures and other educational materials designed to aid in teaching nutrition practices to patients; prepares periodic and special reports of activities; provides workshops and conferences on nutrition to multi-cultural groups; participates in meetings to provide information regarding nutritional and dietary assessments of patients; conducts training sessions on dietetics and nutrition; leads nutrition educators in providing team based care.

            Performs related work as required.

 

 

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES

 

KNOWLEDGE OF:

 

•           the principles and practices of nutrition, dietetics, and diet therapy and their application to conditions of human growth and development and their application to specific disease processes

•               rules and regulations as specified by the Commission on Dietetic Registration and the Academy of Nutrition and Dietetics

•               bacteriological principles as applied to food spoilage and sanitation

•               pharmacology as applied to nutrition and diet

•           the selection and preparation of foods to provide optimum nutritional values

•           standard therapeutic and normal diets and their modification to provide specific nutrients

•           the methods and techniques of converting prescribed quantities of nutrients into easily understood amounts of foods

•           the methods and techniques of the institution of laypersons in nutrition which are literacy appropriate and culturally sensitive

•           methods and techniques of disseminating educational information to health care professionals and community groups

•           current developments in the area of nutrition

 

SKILL IN:

 

•               interviewing and eliciting private information

•               electronic health record management

 

ABILITY TO:

 

•           teach patients to adapt to nutritional diet using basic nutritionist and therapeutic nutrition methods

•           plan menus which meet nutrition requirements, utilizing elements of patient’s regular diet

•           plan, develop and conduct training sessions in various areas of nutrition

•           maintain records relating to program activities

•           present ideas effectively both orally and in writing

•           establish and maintain effective working relationships with physicians and nurses, clinic patients and the public

•           speak, read and write in a specified non-English language and in English fluently for the Bilingual specialty

 

MINIMUM ACCEPTABLE TRAINING AND EXPERIENCE (The following statement represents the minimum training and experience standards which will be used to admit or reject applicants for tests.  Applications submitted by candidates for this class will be reviewed based on training and experience requirements as approved on 5/19.)

 

EDUCATION:

 

BOTH SPECIALTIES

 

            Completion of a bachelor's degree program from a college or university accredited by the Accredited Council for Education in Nutrition and Dietetics in nutrition, dietetics or a closely related field. 

 

AND

 

LICENSURE:

 

            Licensure as a Registered Dietitian – Nutritionist (LDN) issued by the Pennsylvania State Board of Nursing.

 

 

            Any equivalent combination of education and experience determined to be acceptable by the Office of Human Resources which includes possession of a bachelor’s degree as an educational minimum.

 

 

 

ADDITIONAL REQUIREMENT FOR THE BILINGUAL SPECIALTY

 

            Sufficient training and/or experience to be able to understand and speak fluently and clearly in English and a designated non-English language.

 

PHYSICAL AND MEDICAL REQUIREMENTS

 

            Ability to physically perform the duties and to work in the environmental conditions required of a position in this class.

 

LICENSES, REGISTRATIONS, AND/OR CERTIFICATES

 

            Certification as a Registered Dietitian by the Commission on Dietetic Registration and the Academy of Nutrition and Dietetics and licensure as a Dietitian – Nutritionist (LDN) by the Pennsylvania State Board of Nursing prior to appointment and during tenure of employment as a Registered Dietitian.  

 

 

 

 

 

Class Established - 6/65

 

Spec Revision:

CSC - 10/90

Ad. Board - 11/90

CSC - 11/02

Ad. Board - 01/03

Latest Spec. Revision:

CSC – 4/19

Ad. Board – 5/19

 

 

JJ