1. DIETETICS MAJOR FNH 481: INTERN ORIENTATION
A Focus on Nutrition Care
Thursday September 14, :00-10:00 am
Call into the UBC teleconference line 5 minutes before to join in.
From the Vancouver area, call From outside Vancouver, call toll-free After calling the number, enter the password, #

2. GOALS OF TODAY’S SESSION
Apply the Nutrition Care Process (NCP) to practice scenarios and examples
Orientation Week Wrap up
Introduction to Dietetic Dialogue sessions
Key reminders, who to contact

3. Nutrition Care Process
A systematic method for providing nutrition care for patients, clients and groups
Four steps:
Nutrition Assessment
Nutrition Diagnosis
Nutrition Intervention
Nutrition Monitoring/Evaluation

4. Nutrition Assessment ABCD’s Anthropometrics
Biochemical data, tests, procedures
Clinical information/nutrition-focused physical findings
Diet-related history (and other pertinent client history)

5. Nutrition Diagnosis
Standardized language used
PES statements
Use of nutrition diagnosis may vary by site
What do you know about nutrition diagnosis terminology?
Resources available to you to write PES statements?

6. Nutrition Intervention
“The Plan”
Should address nutrition diagnosis
Stay curious about the root of the nutrition problem before jumping to intervention stage

7. Activity
PHC/Interior Heath
In-patient acute care
(patient is eating)
VCH
Outpatient counselling
FH/PHSA
Seeing a client in their home (community nutrition)
Island/Northern Health
Intensive care
(patient in a coma)
What might be some nutrition interventions to address a nutrition diagnosis of:
“Inadequate oral intake”?
Hint: also think about what the causes (etiology) might be in these situations

8. Nutrition Monitoring and Evaluation
Key questions to ask:
Is your intervention working?
Is the intervention impacting your nutrition diagnosis?
What can you do to measure progress/outcomes?
Think back to your ABCDs (clinical settings)
Revisit project objectives/outcomes (MGMT, PPH, Research)

9. Documentation What kind of documentation is used at your core site?
Similarities to NCP? Differences?
ADIME
Follows NCP
SOAP
Used by many professions
S and O together captures the assessment data
A can include diagnosis
P often includes intervention, monitoring, and evaluation

10. Modules and Forms, ICDEP & NCP
Think back to Monday….

11. How do dietitians decide who to see?
Prioritization
How do dietitians decide who to see?

12. Patient
Situation
Mr. A
55 year old, admitted with recurrent urinary tract infections, long history of type 2 diabetes
Ms. B
33 year old, transferred from ICU, originally admitted after a car accident, in ICU for 1 month
Mr. C
70 year old, newly admitted, had a stroke, history of HTN
Mrs. D
45 year old, admitted for IV antibiotics, has been in hospital for 2 weeks
Ms. E
89 year old, admitted after a fall at home, diagnosed with failure to thrive

13. What would you do? What other sources of information might help you prioritize?

14. Intro to dietetic dialogue sessions
UBC-led education sessions, see Internship Calendar
Objectives:
Provide information that all interns require
Promote reflective practice/learning
Develop clinical reasoning skills
Facilitate peer-sharing of experiences
Provide a safe environment for questions and conversation

15. 5 sessions for all interns, 12:45-2:00 pm
Date
Session
September 21
Elective Placement Planning
October 19
Research Module Workshop
March 1
Preparing for Employment: Part 1
April 19
Preparing for Employment: Part 2
May 3
Registering with CDBC

16. 4 sessions for each intern cohort, 12:45-2:00 pmFH
VCH
PHC, NH & PHSA
IH & Island
October 26
November 2
November 9
November 16
February 8
January 25
January 18
February 22
March 15
March 22
March 8
April 12
May 24
May 17
May 10

17. Designated weekly half-day
Key reminders
Designated weekly half-day
Every Thursday afternoon of the internship year (excluding the orientation module) is a designated half-day of non-placement time
This weekly designated time is intended to be used to: (1) work on Research Module or other module activities, (2) attend education sessions organized by sites (when applicable), or (3) attend education sessions organized by the UBC Dietetics Program (when applicable)
If there are no activities or project work planned on a particular Thursday, interns can use this time for self-directed learning

18. Supervision expectations
Key reminders
Supervision expectations
From Role Delineation document (posted online):
“Preceptor is responsible for supervising intern during placement”
Note:
If preceptor is off-site during any part of a placement, a conversation about an alternate supervisor (if necessary) and appropriate activities to engage in should occur

19. Who to contact Role Delineation document is a key resource
Posted with Modules and Forms, in Overview Documents folder
Outlines your role as interns, and others involved in the Program

20. Who to contact Your site coordinator (CSIC) Placement scheduling
Issues with a preceptor (if you feel comfortable)
Site-related issues
Interim and final meetings

21. Who to contact UBC Program Learning support Issues with a preceptor
Site-related issues (that cannot be resolved with CSIC)
Feedback for the program, or general inquiries
FH, IH-Kelowna, IH-Kamloops & Island Health interns:
Kara Vogt –
NH, PHSA, PHC & VCH interns:
Heather Anderson- Kafka-

22. Who to contact UBC Access & Diversity UBC Counseling Services
See Policy 1.17
UBC Counseling Services
Phone appointments available 
UBC Extended Healthcare
Some coverage for private-pay counseling services
(limited, covers ~ 1-2 appointments)

23. Evaluation Link to survey: https://www.surveymonkey.com/r/LBNHS9R
Year-end internship evaluation survey is a required activity of FNH 483 (pulled out orientation questions from end of year survey)
Link to survey: