From cketterman at wellspan.org Mon Jun 1 03:49:27 2009 From: cketterman at wellspan.org (Ketterman-Hopkins, Cindra) Date: Mon, 1 Jun 2009 06:49:27 -0400 Subject: [Cnm] Ketogenic meal preparation In-Reply-To: References: Message-ID: <5B32BC7FE9D04B43A8B78CA7A19CBD4E050B182E@EXCH4.wellspan.org> The dietitian plans the menus/meals for the admission and the kitchen sends the food, in bulk, up to the pediatric floor. The dietitian prepares the meals, on the floor with one of the patient's SO. Cindra L. Ketterman, MS, RD, LDN Chief Clinical Dietitian York Hospital.WellSpan Health 1001 South George Street York, PA 17405-7198 (717) 851 - 3991 (717) 851 - 2345 ask for pager 0093 (717) 851 - 2934 (fax) -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Tiller, Susan B Sent: Friday, May 29, 2009 10:16 To: cnm at lists.my180.net Subject: [Cnm] Ketogenic meal preparation Hi all, For those of you with a Ketogenic Diet program, if you have cook chill how do you handle meal preparation and delivery? For those without cook chill, how do you handle meal preparation and deliver? Thanks in advance, Sue Susan Tiller, MBA, RD, LDN, CNSD Manager, Clinical Nutrition Rhode Island Hospital/Hasbro Children's Hospital Phone 401-444-5603 Cell 401-639-3012 Fax 401-444-6360 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ From MELLINGTON at wakemed.org Mon Jun 1 07:29:12 2009 From: MELLINGTON at wakemed.org (MARTHA ELLINGTON) Date: Mon, 1 Jun 2009 10:29:12 -0400 Subject: [Cnm] Airborne Isolation In-Reply-To: <8ECF425A281B4A4D88E99F028700A3AA038E3756@fh-excbe01.fauquierhospital.org> References: <29DC3A8593BBC94E90775FD7BFC68ACB0380B470@SE-EXCHANGE.sehosp.org> <8ECF425A281B4A4D88E99F028700A3AA038E3756@fh-excbe01.fauquierhospital.org> Message-ID: I have been trying to sort this out. We (clinical dietitians) get fit tested. There are at least 4 different sizes in our small (7) staff. One of them has claustrophobia and can not wear a mask. They have found that if a patient needs their input, communication is much easier on the phone because the patient can't understand them through a mask any way. We are great believers in "looking" at your patient when assessing, but for these patients I have excellent dietitians that can "look" through nursing eyes. Based on the fact that I have not had one dietitian need to wear a respirator type mask in years, I have decided to take our names off the list. I have been told that I will have to back this decision up with surveyors if asked. I think I have enough to back up this decision. Our hostesses do not get fit tested. Nurses pass droplet isolation trays. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Potter, MARY Sent: Thursday, May 28, 2009 3:43 PM To: Lee Ann Lambert; cnm at lists.my180.net Subject: Re: [Cnm] Airborne Isolation We dietitians have all been fitted for what's called an "N95" (mask), right along w/ other patient care staff, through our infection control department. If we need to go into a patient's room who's on airborne precautions, we are to wear the mask. Beth Potter, RD Clinical Nutrition Manager Fauquier Health|500 Hospital Dr. Warrenton,VA 20186 540-316-4406 potterm at fauquierhealth.org ** Note my new email address is potterm at fauquierhealth.org and new phone number is 540-316-4406** -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Lee Ann Lambert Sent: Thursday, May 28, 2009 3:33 PM To: cnm at lists.my180.net Subject: [Cnm] Airborne Isolation Just curious do your dietitian's visit pt's in airborne isolation rooms? Our facility requires that you must be fitted for a special mask etc to see these pt's and we have not done that. Found out later the dietitians had visited some of these pt's anyway, but just wondering how everyone else it handling this type of pt. Thanks, Lea Anne Lambert RD, LD Clinical Nutrition Manager Southeast Missouri Hospital 573-651-5530 ________________________________ www.southeastmissourihospital.com ------------------------------------------------------------------------------- WakeMed Confidentiality Notice: This message, including any attachments, is for the sole use of the individual or entity to whom it is addressed and may contain confidential and/or legally privileged information. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any unauthorized review, use, copying, disclosure, or distribution of this message and attachments is strictly prohibited. ------------------------------------------------------------------------------- -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/a0b2dc7a/attachment.html From Valerie.Adegunleye at va.gov Mon Jun 1 07:41:03 2009 From: Valerie.Adegunleye at va.gov (Adegunleye, Valerie K.) Date: Mon, 1 Jun 2009 10:41:03 -0400 Subject: [Cnm] Wound Care Protocol In-Reply-To: References: <29DC3A8593BBC94E90775FD7BFC68ACB0380B470@SE-EXCHANGE.sehosp.org><8ECF425A281B4A4D88E99F028700A3AA038E3756@fh-excbe01.fauquierhospital.org> Message-ID: Good morning everyone, I am looking to see if anyone has a wound care protocol or policy for Nutrition Services for any level of care. If you are willing to share what you have (with references if possible) I would greatly appreciate it. Thanks in advance! Valerie K. Adegunleye RD, LDN Clinical Manager Nutrition and Food Service, Baltimore/Loch Raven 410-605-7054 410-447-3336 (Pager) 410-605-7835 (fax) PPlease consider the environment before printing this email. ________________________________ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/adde7f89/attachment.html From rossjanv at fuse.net Mon Jun 1 07:48:11 2009 From: rossjanv at fuse.net (Janet V. Ross) Date: Mon, 1 Jun 2009 10:48:11 -0400 Subject: [Cnm] Wound Care Protocol In-Reply-To: Message-ID: <58.05.24823.E2AE32A4@gwout1> Janet V. Ross, MBA, RD, LD rossjanv at fuse.net 4615 Joana Pl Cincinnati, OH 45238 513-478-0135 http://www.linkedin.com/in/rossjanv _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Adegunleye, Valerie K. Sent: Monday, June 01, 2009 10:41 AM To: cnm at lists.my180.net Subject: [Cnm] Wound Care Protocol Good morning everyone, I am looking to see if anyone has a wound care protocol or policy for Nutrition Services for any level of care. If you are willing to share what you have (with references if possible) I would greatly appreciate it. Thanks in advance! Valerie K. Adegunleye RD, LDN Clinical Manager Nutrition and Food Service, Baltimore/Loch Raven 410-605-7054 410-447-3336 (Pager) 410-605-7835 (fax) PPlease consider the environment before printing this email. _____ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/50a7c593/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: Wounds Nutrition PROTOCOL.doc Type: application/msword Size: 39936 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090601/50a7c593/attachment-0001.doc From rossjanv at fuse.net Mon Jun 1 07:57:11 2009 From: rossjanv at fuse.net (Janet V. Ross) Date: Mon, 1 Jun 2009 10:57:11 -0400 Subject: [Cnm] Linked In Message-ID: <70.77.24823.A4CE32A4@gwout1> Have any of you considered joining Linked In? You can get a taste of it by linking on my personal profile below. I have found it helpful in my job search. It is possible to create a profile with just the minimum (your name and not much else), and to check the preferences to limit viewing by others, BUT..with open viewing, I have received reasonable job ideas through it AND even requests for individual nutrition counseling. Just something to consider. If you join, please feel free to "connect" with me. Jan 513-478-0135 rossjanv at fuse.net http://www.linkedin.com/in/rossjanv -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/6a37d858/attachment.html From SRassekh at stfranciscare.org Mon Jun 1 08:00:14 2009 From: SRassekh at stfranciscare.org (Rassekh, Shoreh) Date: Mon, 1 Jun 2009 11:00:14 -0400 Subject: [Cnm] Wound Care Protocol In-Reply-To: Message-ID: <0AB0670D124B96418F1D6AAFB11D5C31011B72D9@SFH15110MV23.sfhad.stfranciscare.org> Please include me in your responses. Thank you Shoreh Rassekh M.S., R.D., CD-N Clinical Nutrition Manager 714-5512 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Adegunleye, Valerie K. Sent: Monday, June 01, 2009 10:41 AM To: cnm at lists.my180.net Subject: [Cnm] Wound Care Protocol Good morning everyone, I am looking to see if anyone has a wound care protocol or policy for Nutrition Services for any level of care. If you are willing to share what you have (with references if possible) I would greatly appreciate it. Thanks in advance! Valerie K. Adegunleye RD, LDN Clinical Manager Nutrition and Food Service, Baltimore/Loch Raven 410-605-7054 410-447-3336 (Pager) 410-605-7835 (fax) PPlease consider the environment before printing this email. ________________________________ NOTICE: This email and/or attachments may contain confidential or proprietary information which may be legally privileged. It is intended only for the named recipient(s). If an addressing or transmission error has misdirected this email, please notify the author by replying to this message. If you are not the named recipient, you are not authorized to use, disclose, distribute, make copies or print this email, and should immediately delete it from your computer system. Saint Francis Care has scanned this email and its attachments for malicious content. However, the recipient should check this email and any attachments for the presence of viruses. Saint Francis Care accepts no liability for any damage caused by any virus transmitted by this email. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/be13203b/attachment.html From MELLINGTON at wakemed.org Mon Jun 1 08:17:22 2009 From: MELLINGTON at wakemed.org (MARTHA ELLINGTON) Date: Mon, 1 Jun 2009 11:17:22 -0400 Subject: [Cnm] Pushing carts In-Reply-To: <8169B6DBE9D5194DA89219B5C5A6AFBA011DFF01@wmhcs03.wmh.org> References: <8169B6DBE9D5194DA89219B5C5A6AFBA011DFF01@wmhcs03.wmh.org> Message-ID: We have an ergonomic specialist who is a PT. She came with some special equipment and measured the pushing and pulling of all of our carts so we could do the physical demands sheet. You might want to ask if that is available. She is in our employee health department. Martha J Ellington, RD, LDN Clinical Nutrition Manager, Food and Nutrition Services WakeMed Health and Hospitals Raleigh, NC 919-350-8182 mellington at wakemed.org From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Shannon Byrd Jackson Sent: Friday, May 29, 2009 8:59 AM To: cnm at lists.my180.net Subject: [Cnm] Pushing carts Question regarding physical demands analysis for FNS Staff: Cart with wheels used to stock pantries weighs >100 lbs when loaded... When completing physical demands analysis sheet, do you say the requirement involves pushing >100 lbs. Pushing something that has wheels vs. pushing something that doesn't have wheels seems like the physical demands analysis would be different... I have 3 employees who have turned in physician notes saying they can't push over 15, 25 and 30 lbs.... What are others doing with this type of position? Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org ------------------------------------------------------------------------------- WakeMed Confidentiality Notice: This message, including any attachments, is for the sole use of the individual or entity to whom it is addressed and may contain confidential and/or legally privileged information. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any unauthorized review, use, copying, disclosure, or distribution of this message and attachments is strictly prohibited. ------------------------------------------------------------------------------- -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/340d446d/attachment.html From pcharney at mac.com Mon Jun 1 08:32:18 2009 From: pcharney at mac.com (Pam Charney) Date: Mon, 01 Jun 2009 08:32:18 -0700 Subject: [Cnm] Linked In In-Reply-To: <70.77.24823.A4CE32A4@gwout1> References: <70.77.24823.A4CE32A4@gwout1> Message-ID: Linked In is sort of like Facebook but for professionals. I've been on Linked In for a few years now and have a Dietetics Professionals group that I manage. It is used quite extensively by folks in the health IT community, many of whom are consultants and thus rely on recommendations from others. There are a number or RDs on Linked In. Feel free to view my profile, which is linked at the bottom of my signature block below. pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 1, 2009, at 7:57 AM, Janet V. Ross wrote: > Have any of you considered joining Linked In? You can get a taste > of it by linking on my personal profile below. I have found it > helpful in my job search. It is possible to create a profile with > just the minimum (your name and not much else), and to check the > preferences to limit viewing by others, BUT?.with open viewing, I > have received reasonable job ideas through it AND even requests for > individual nutrition counseling. Just something to consider. > > If you join, please feel free to ?connect? with me. > > Jan > 513-478-0135 > rossjanv at fuse.net > http://www.linkedin.com/in/rossjanv > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/3413ddb8/attachment-0001.html From Debra.Jeske at stlukes-stl.com Mon Jun 1 08:37:47 2009 From: Debra.Jeske at stlukes-stl.com (Jeske, Debra J) Date: Mon, 1 Jun 2009 10:37:47 -0500 Subject: [Cnm] Stroke Center Protocols Message-ID: <39C024B8791C1943BAA07F35FFA8D6F90B4907D273@SLHMAIL.slh.stlukes.com> Would anyone be willing to share their stroke center protocols? Debbie Jeske, MS, RD, LD, CNSD Manager, Clinical Nutrition and Patient Services St. Luke's Hospital Phone 314-205-6975 Beeper 314-855-7048 DISCLAIMER: The contents of this e-mail, including any attachments, contain information which may be confidential, legally privileged, proprietary in nature, or otherwise protected by law from disclosure, and is solely for the use of the intended recipient(s). If you are not the intended recipient, any use, disclosure or copying of this e-mail, including any attachments, is unauthorized and strictly prohibited. If you have received this e-mail in error, please notify us via return e-mail and immediately delete all copies of it from your system. Any opinions either expressed or implied in this e-mail and all attachments, are those of its author only, and do not necessarily reflect those of St. Luke's Hospital. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/96409b45/attachment.html From cindy at harperjobs.com Mon Jun 1 08:38:50 2009 From: cindy at harperjobs.com (Cindy Krainen) Date: Mon, 1 Jun 2009 11:38:50 -0400 Subject: [Cnm] Linkedin-Dietitian Jobs Network Message-ID: <02db01c9e2cf$0ff2fc60$7e01a8c0@hprdomain.local> I manage Dietitian Jobs Network on linkedin which is intended for the purpose of those wanting to learn about current job opportunities, discuss career search related questions and for employers and/or recruiters to post jobs (under the jobs tab). Please join if you are interested. Cindy Krainen RD Harper Associates 31000 Northwestern Hwy., Suite 240 Farmington Hills, MI 48334 Phone: 248-932-3662/800-933-1170 ext. 106 Fax:248-932-1214 cindy at harperjobs.com www.harperjobs.com Harper Associates proudly celebrated its 40th year! (1968-2008) Dietitian Jobs Network Join Dietitians Job Network at http://www.linkedin.com/pub/a/689/76b Dietitians-visit the Career Advancement Section of www.eatright.org for many of our job search tips! Let Cindy's 20+ years of RD Recruitment expertise work on your behalf! -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/9f119ce1/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 1356 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090601/9f119ce1/attachment.jpe From dianac226 at aol.com Mon Jun 1 08:50:36 2009 From: dianac226 at aol.com (dianac226 at aol.com) Date: Mon, 01 Jun 2009 11:50:36 -0400 Subject: [Cnm] Dietitian Covereage In-Reply-To: References: <29DC3A8593BBC94E90775FD7BFC68ACB0380B470@SE-EXCHANGE.sehosp.org><8ECF425A281B4A4D88E99F028700A3AA038E3756@fh-excbe01.fauquierhospital.org> Message-ID: <8CBB0E7D6B5AEE0-10F8-B6@mblk-d30.sysops.aol.com> Good Morning Everyone, I am looking for some input as to how many beds each dietitian covers at your facility. For example we have 6 dietitians covering a 600 bed facility with each dietitian responsible for about 70-80 beds. Any information you can provide on staffing would be greatly appreciated. Thank you in advance for your help. Diana Cangemi MS RD Clinical Nutrition Manager From SRassekh at stfranciscare.org Mon Jun 1 09:02:14 2009 From: SRassekh at stfranciscare.org (Rassekh, Shoreh) Date: Mon, 1 Jun 2009 12:02:14 -0400 Subject: [Cnm] Dietitian Covereage In-Reply-To: <8CBB0E7D6B5AEE0-10F8-B6@mblk-d30.sysops.aol.com> Message-ID: <0AB0670D124B96418F1D6AAFB11D5C31011B730D@SFH15110MV23.sfhad.stfranciscare.org> I would be interested as well. Shoreh Rassekh M.S., R.D., CD-N Clinical Nutrition Manager 714-5512 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of dianac226 at aol.com Sent: Monday, June 01, 2009 11:51 AM To: cnm at lists.my180.net Subject: [Cnm] Dietitian Covereage Good Morning Everyone, I am looking for some input as to how many beds each dietitian covers at your facility. For example we have 6 dietitians covering a 600 bed facility with each dietitian responsible for about 70-80 beds. Any information you can provide on staffing would be greatly appreciated. Thank you in advance for your help. Diana Cangemi MS RD Clinical Nutrition Manager _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net NOTICE: This email and/or attachments may contain confidential or proprietary information which may be legally privileged. It is intended only for the named recipient(s). If an addressing or transmission error has misdirected this email, please notify the author by replying to this message. If you are not the named recipient, you are not authorized to use, disclose, distribute, make copies or print this email, and should immediately delete it from your computer system. Saint Francis Care has scanned this email and its attachments for malicious content. However, the recipient should check this email and any attachments for the presence of viruses. Saint Francis Care accepts no liability for any damage caused by any virus transmitted by this email. From Janet.Barcroft at HCAhealthcare.com Mon Jun 1 09:37:00 2009 From: Janet.Barcroft at HCAhealthcare.com (Barcroft Janet) Date: Mon, 1 Jun 2009 11:37:00 -0500 Subject: [Cnm] FW: Spinal cord injuries Message-ID: <65833C2337856946BD02F46A4DC8E8A1C76D8478@NADCWPMSGCMS07.hca.corpad.net> Didn't have very much response. Wanted to try again. ________________________________ From: Barcroft Janet Sent: Friday, May 29, 2009 1:15 PM To: 'cnm at lists.my180.net' Subject: Spinal cord injuries If anyone has a handout or presentation on nutrition and spinal cord injuries please send. We have been asked to give a presentation to the rehab staff. Janet Barcroft, RD,LDN Clinical Nutrition Manager Skyline Medical Center Nashville, TN 37207 (615) 769-2243 Pager (615) 923-8014 Janet.Barcroft at HCAHealthcare.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/d7cd5712/attachment.html From Annalynn_Skipper at Comcast.net Mon Jun 1 10:02:24 2009 From: Annalynn_Skipper at Comcast.net (Annalynn Skipper) Date: Mon, 1 Jun 2009 12:02:24 -0500 Subject: [Cnm] Wound Care Protocol In-Reply-To: <0AB0670D124B96418F1D6AAFB11D5C31011B72D9@SFH15110MV23.sfhad.stfranciscare.org> References: <0AB0670D124B96418F1D6AAFB11D5C31011B72D9@SFH15110MV23.sfhad.stfranciscare.org> Message-ID: The Nutrition Care Manual and several sets of recently revised guidelines do not provide detailed nutrition recommendations for "wound care" because the sparse and poor quality data do not support anything other than providing an adequate intake to patients who fail to eat adequately. Regards, Annalynn Annalynn Skipper Ph.D., R.D., FADA a consultancy devoted to advancing nutrition practice P.O. Box 45 Oak Park, IL 60303 Annalynn_Skipper at Comcast.net Advanced Medical Nutrition Therapy Practice, a 2008 text, is available from Jones and Bartlett. _____ From: Rassekh, Shoreh [mailto:SRassekh at stfranciscare.org] Sent: Monday, June 01, 2009 10:00 AM To: Adegunleye, Valerie K.; cnm at lists.my180.net Subject: Re: [Cnm] Wound Care Protocol Please include me in your responses. Thank you Shoreh Rassekh M.S., R.D., CD-N Clinical Nutrition Manager 714-5512 _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Adegunleye, Valerie K. Sent: Monday, June 01, 2009 10:41 AM To: cnm at lists.my180.net Subject: [Cnm] Wound Care Protocol Good morning everyone, I am looking to see if anyone has a wound care protocol or policy for Nutrition Services for any level of care. If you are willing to share what you have (with references if possible) I would greatly appreciate it. Thanks in advance! Valerie K. Adegunleye RD, LDN Clinical Manager Nutrition and Food Service, Baltimore/Loch Raven 410-605-7054 410-447-3336 (Pager) 410-605-7835 (fax) PPlease consider the environment before printing this email. _____ NOTICE: This email and/or attachments may contain confidential or proprietary information which may be legally privileged. It is intended only for the named recipient(s). If an addressing or transmission error has misdirected this email, please notify the author by replying to this message. If you are not the named recipient, you are not authorized to use, disclose, distribute, make copies or print this email, and should immediately delete it from your computer system. Saint Francis Care has scanned this email and its attachments for malicious content. However, the recipient should check this email and any attachments for the presence of viruses. Saint Francis Care accepts no liability for any damage caused by any virus transmitted by this email. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/a8591e52/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 170 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090601/a8591e52/attachment-0001.gif From cwatters at ualberta.ca Mon Jun 1 10:18:53 2009 From: cwatters at ualberta.ca (cwatters at ualberta.ca) Date: Mon, 01 Jun 2009 11:18:53 -0600 Subject: [Cnm] FW: Spinal cord injuries In-Reply-To: <65833C2337856946BD02F46A4DC8E8A1C76D8478@NADCWPMSGCMS07.hca.corpad.net> References: <65833C2337856946BD02F46A4DC8E8A1C76D8478@NADCWPMSGCMS07.hca.corpad.net> Message-ID: <20090601111853.812711s2afrhapog@webmail.ualberta.ca> Only resource I have is the attached article. Regards, Corilee Watters, MSc, RD, PhD Coordinator, Nutrition Services Vancouver Island Health Authority Victoria, BC ph: 250-370-8111 L 5258 Quoting "Barcroft Janet" : > Didn't have very much response. Wanted to try again. > > ________________________________ > From: Barcroft Janet > Sent: Friday, May 29, 2009 1:15 PM > To: 'cnm at lists.my180.net' > Subject: Spinal cord injuries > > If anyone has a handout or presentation on nutrition and spinal cord > injuries please send. We have been asked to give a presentation to > the rehab staff. > > > > Janet Barcroft, RD,LDN > Clinical Nutrition Manager > Skyline Medical Center > Nashville, TN 37207 > (615) 769-2243 Pager (615) 923-8014 > Janet.Barcroft at HCAHealthcare.com > > -------------- next part -------------- A non-text attachment was scrubbed... Name: acute spinal cord injury.pdf Type: application/pdf Size: 70110 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090601/995a6147/attachment-0001.pdf From horlowsk at ppmh.org Mon Jun 1 11:18:28 2009 From: horlowsk at ppmh.org (Orlowski, Hannah) Date: Mon, 1 Jun 2009 14:18:28 -0400 Subject: [Cnm] Dietitian Covereage In-Reply-To: <8CBB0E7D6B5AEE0-10F8-B6@mblk-d30.sysops.aol.com> Message-ID: <0DAF44B706E29940A409E32DC69005C00505F252@exchange1.phoebe.com> Please list to post. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net]On Behalf Of dianac226 at aol.com Sent: Monday, June 01, 2009 11:51 AM To: cnm at lists.my180.net Subject: [Cnm] Dietitian Covereage Good Morning Everyone, I am looking for some input as to how many beds each dietitian covers at your facility. For example we have 6 dietitians covering a 600 bed facility with each dietitian responsible for about 70-80 beds. Any information you can provide on staffing would be greatly appreciated. Thank you in advance for your help. Diana Cangemi MS RD Clinical Nutrition Manager _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ----------------------------------------- Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. From dlquirk at lexhealth.org Mon Jun 1 11:30:03 2009 From: dlquirk at lexhealth.org (Donna Quirk) Date: Mon, 1 Jun 2009 14:30:03 -0400 Subject: [Cnm] Linkedin-Dietitian Jobs Network In-Reply-To: <02db01c9e2cf$0ff2fc60$7e01a8c0@hprdomain.local> References: <02db01c9e2cf$0ff2fc60$7e01a8c0@hprdomain.local> Message-ID: I have a profile page on LinkedIn and subsequently used the network groups to post 2 openings I have. I received good applicants within 48 hrs of the posting. The HR department was impressed! I have also started and followed discussions and job postings on different networks. My profile page is http://www.linkedin.com/in/donnaquirk Donna Quirk MBA RD LD Clinical Nutrition Manager Lexington Medical Center 2720 Sunset Blvd West Columbia, SC 29169 803-791-2248 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Cindy Krainen Sent: Monday, June 01, 2009 11:39 AM To: cnm at lists.my180.net Subject: [Cnm] Linkedin-Dietitian Jobs Network I manage Dietitian Jobs Network on linkedin which is intended for the purpose of those wanting to learn about current job opportunities, discuss career search related questions and for employers and/or recruiters to post jobs (under the jobs tab). Please join if you are interested. Cindy Krainen RD Harper Associates 31000 Northwestern Hwy., Suite 240 Farmington Hills, MI 48334 Phone: 248-932-3662/800-933-1170 ext. 106 Fax:248-932-1214 cindy at harperjobs.com www.harperjobs.com Harper Associates proudly celebrated its 40th year! (1968-2008) Join Dietitians Job Network at http://www.linkedin.com/pub/a/689/76b Dietitians-visit the Career Advancement Section of www.eatright.org for many of our job search tips! Let Cindy's 20+ years of RD Recruitment expertise work on your behalf! -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/c64bcdbe/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 1356 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090601/c64bcdbe/attachment.jpe From lily.hong at ahmchealth.com Mon Jun 1 12:12:10 2009 From: lily.hong at ahmchealth.com (Hong, Lily) Date: Mon, 1 Jun 2009 12:12:10 -0700 Subject: [Cnm] Wound Care Protocol Message-ID: <45EACF0250433144B0BB6CD944C2E908E32AF2@sgvmc-msg-01.ahmchealth.net> My dietitians are asking, should we continue recommend MVI, Vitamin C, Zinc as usual??? Thanks, Lily Hong Assistant Director of Patient Services San Gabriel Valley Medical Center ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Annalynn Skipper Sent: Monday, June 01, 2009 10:02 AM To: 'Rassekh, Shoreh'; 'Adegunleye, Valerie K.'; cnm at lists.my180.net Subject: Re: [Cnm] Wound Care Protocol The Nutrition Care Manual and several sets of recently revised guidelines do not provide detailed nutrition recommendations for "wound care" because the sparse and poor quality data do not support anything other than providing an adequate intake to patients who fail to eat adequately. Regards, Annalynn Annalynn Skipper Ph.D., R.D., FADA a consultancy devoted to advancing nutrition practice P.O. Box 45 Oak Park, IL 60303 Annalynn_Skipper at Comcast.net Advanced Medical Nutrition Therapy Practice, a 2008 text, is available from Jones and Bartlett. ________________________________ From: Rassekh, Shoreh [mailto:SRassekh at stfranciscare.org] Sent: Monday, June 01, 2009 10:00 AM To: Adegunleye, Valerie K.; cnm at lists.my180.net Subject: Re: [Cnm] Wound Care Protocol Please include me in your responses. Thank you Shoreh Rassekh M.S., R.D., CD-N Clinical Nutrition Manager 714-5512 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Adegunleye, Valerie K. Sent: Monday, June 01, 2009 10:41 AM To: cnm at lists.my180.net Subject: [Cnm] Wound Care Protocol Good morning everyone, I am looking to see if anyone has a wound care protocol or policy for Nutrition Services for any level of care. If you are willing to share what you have (with references if possible) I would greatly appreciate it. Thanks in advance! Valerie K. Adegunleye RD, LDN Clinical Manager Nutrition and Food Service, Baltimore/Loch Raven 410-605-7054 410-447-3336 (Pager) 410-605-7835 (fax) PPlease consider the environment before printing this email. ________________________________ NOTICE: This email and/or attachments may contain confidential or proprietary information which may be legally privileged. It is intended only for the named recipient(s). If an addressing or transmission error has misdirected this email, please notify the author by replying to this message. If you are not the named recipient, you are not authorized to use, disclose, distribute, make copies or print this email, and should immediately delete it from your computer system. Saint Francis Care has scanned this email and its attachments for malicious content. However, the recipient should check this email and any attachments for the presence of viruses. Saint Francis Care accepts no liability for any damage caused by any virus transmitted by this email. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/b15a8841/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 220 bytes Desc: Warning.htm Url : /pipermail/cnm_lists.my180.net/attachments/20090601/b15a8841/attachment.gif From Valerie.Adegunleye at va.gov Mon Jun 1 12:15:02 2009 From: Valerie.Adegunleye at va.gov (Adegunleye, Valerie K.) Date: Mon, 1 Jun 2009 15:15:02 -0400 Subject: [Cnm] Wound Care Protocol In-Reply-To: <45EACF0250433144B0BB6CD944C2E908E32AF2@sgvmc-msg-01.ahmchealth.net> References: <45EACF0250433144B0BB6CD944C2E908E32AF2@sgvmc-msg-01.ahmchealth.net> Message-ID: >From all that I have read the MVI and Vitamin C are likely not harmful and will be helpful is underlying nutritional needs are met; however Zinc should be used for short term only and generally only if a deficiency is known. I am not sure if the others concur with this but that has been what I have seen most recently. Intervention may also depend on the type of wound you are dealing with --- pressure, vascular vs. surgical. Valerie K. Adegunleye RD, LDN Clinical Manager Nutrition and Food Service, Baltimore/Loch Raven 410-605-7054 410-447-3336 (Pager) 410-605-7835 (fax) PPlease consider the environment before printing this email. ________________________________ From: Hong, Lily [mailto:lily.hong at ahmchealth.com] Sent: Monday, June 01, 2009 3:12 PM To: Annalynn_Skipper at Comcast.net; Rassekh, Shoreh; Adegunleye, Valerie K.; cnm at lists.my180.net Subject: RE: [Cnm] Wound Care Protocol My dietitians are asking, should we continue recommend MVI, Vitamin C, Zinc as usual??? Thanks, Lily Hong Assistant Director of Patient Services San Gabriel Valley Medical Center ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Annalynn Skipper Sent: Monday, June 01, 2009 10:02 AM To: 'Rassekh, Shoreh'; 'Adegunleye, Valerie K.'; cnm at lists.my180.net Subject: Re: [Cnm] Wound Care Protocol The Nutrition Care Manual and several sets of recently revised guidelines do not provide detailed nutrition recommendations for "wound care" because the sparse and poor quality data do not support anything other than providing an adequate intake to patients who fail to eat adequately. Regards, Annalynn Annalynn Skipper Ph.D., R.D., FADA a consultancy devoted to advancing nutrition practice P.O. Box 45 Oak Park, IL 60303 Annalynn_Skipper at Comcast.net Advanced Medical Nutrition Therapy Practice, a 2008 text, is available from Jones and Bartlett. ________________________________ From: Rassekh, Shoreh [mailto:SRassekh at stfranciscare.org] Sent: Monday, June 01, 2009 10:00 AM To: Adegunleye, Valerie K.; cnm at lists.my180.net Subject: Re: [Cnm] Wound Care Protocol Please include me in your responses. Thank you Shoreh Rassekh M.S., R.D., CD-N Clinical Nutrition Manager 714-5512 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Adegunleye, Valerie K. Sent: Monday, June 01, 2009 10:41 AM To: cnm at lists.my180.net Subject: [Cnm] Wound Care Protocol Good morning everyone, I am looking to see if anyone has a wound care protocol or policy for Nutrition Services for any level of care. If you are willing to share what you have (with references if possible) I would greatly appreciate it. Thanks in advance! Valerie K. Adegunleye RD, LDN Clinical Manager Nutrition and Food Service, Baltimore/Loch Raven 410-605-7054 410-447-3336 (Pager) 410-605-7835 (fax) PPlease consider the environment before printing this email. ________________________________ NOTICE: This email and/or attachments may contain confidential or proprietary information which may be legally privileged. It is intended only for the named recipient(s). If an addressing or transmission error has misdirected this email, please notify the author by replying to this message. If you are not the named recipient, you are not authorized to use, disclose, distribute, make copies or print this email, and should immediately delete it from your computer system. Saint Francis Care has scanned this email and its attachments for malicious content. However, the recipient should check this email and any attachments for the presence of viruses. Saint Francis Care accepts no liability for any damage caused by any virus transmitted by this email. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/cf33730a/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 170 bytes Desc: image002.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090601/cf33730a/attachment-0001.gif From julie.mclaughlin at hotmail.com Mon Jun 1 12:50:46 2009 From: julie.mclaughlin at hotmail.com (Julie McLaughlin) Date: Mon, 1 Jun 2009 15:50:46 -0400 Subject: [Cnm] computerized charting Message-ID: For those of you who use an electronic health record, what type of devices are the dietitians/techs using? How many RDs/techs do you have? Which do they use: Laptops Tablets Unit PCs Multiple PCs in clinician office(s) located on their units Multiple PCs in central clinician office Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL _________________________________________________________________ Hotmail? goes with you. http://windowslive.com/Tutorial/Hotmail/Mobile?ocid=TXT_TAGLM_WL_HM_Tutorial_Mobile1_052009 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/00afed10/attachment.html From marissa.hofman at ucdmc.ucdavis.edu Mon Jun 1 12:57:06 2009 From: marissa.hofman at ucdmc.ucdavis.edu (Marissa Hofman) Date: Mon, 1 Jun 2009 12:57:06 -0700 Subject: [Cnm] computerized charting In-Reply-To: Message-ID: My staff use laptops. They can carry them onto to the patient care units via shoulder harnesses. Our primary concern with laptops was weight of the device. We decided on a HP laptop that weighs ~2.5 lbs. When they are in their offices, they have a docking station for their laptops which acts as the tower and they can use the larger 15-17" screens, their regular sized keyboards and a wireless mouse. Marissa Hofman, RD Clinical Nutrition Manager UC Davis Medical Center Food & Nutrition Dept. 2315 Stockton Blvd Sacramento, CA 95817 Phone: (916) 734-5100 Fax: (916)734-3154 Julie McLaughlin To Sent by: CNM List Serve cnm-bounces at lists .my180.net cc Subject 06/01/2009 12:51 [Cnm] computerized charting PM For those of you who use an electronic health record, what type of devices are the dietitians/techs using? How many RDs/techs do you have? Which do they use: Laptops Tablets Unit PCs Multiple PCs in clinician office(s) located on their units Multiple PCs in central clinician office Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL Hotmail? goes with you. Get it on your BlackBerry or iPhone. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/6e80883a/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: graycol.gif Type: image/gif Size: 105 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090601/6e80883a/attachment.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: pic00292.gif Type: image/gif Size: 1255 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090601/6e80883a/attachment-0001.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: ecblank.gif Type: image/gif Size: 45 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090601/6e80883a/attachment-0002.gif From Tess_Canlas at memorial.org Mon Jun 1 13:15:04 2009 From: Tess_Canlas at memorial.org (Canlas, Tess) Date: Mon, 1 Jun 2009 14:15:04 -0600 Subject: [Cnm] computerized charting In-Reply-To: References: Message-ID: See answer below. Tess Canlas, RD.LDN Clinical Nutrition Manager Memorial Health Care System Memorial Nutrition Services Phone- 423-495-8375 Email-tess_canlas at memorial.org Fax: 423-495-4404 Patients & Residents are the heart of everything we do! ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Julie McLaughlin Sent: Monday, June 01, 2009 3:51 PM To: CNM List Serve Subject: [Cnm] computerized charting For those of you who use an electronic health record, what type of devices are the dietitians/techs using? How many RDs/techs do you have? 5 RD's / 1 Tech Which do they use: Laptops Tablets Unit PCs - we use this primarily Multiple PCs in clinician office(s) located on their units Multiple PCs in central clinician office - if busy on units, we do our documentation in our unit. Each RD/DT has their own PC Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL ________________________________ Hotmail(r) goes with you. Get it on your BlackBerry or iPhone. This message and accompanying documents are covered by the Electronic Communications Privacy Act 18 U.S.C. "Sections 2510-2521," and contain information intended for the specified individual(s) only. This information is confidential. If you are not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, copying, or the taking of any action based on the contents of this information is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/d4862625/attachment.html From Annalynn_Skipper at Comcast.net Mon Jun 1 13:26:32 2009 From: Annalynn_Skipper at Comcast.net (Annalynn Skipper) Date: Mon, 1 Jun 2009 15:26:32 -0500 Subject: [Cnm] Wound Care Protocol In-Reply-To: <45EACF0250433144B0BB6CD944C2E908E32AF2@sgvmc-msg-01.ahmchealth.net> References: <45EACF0250433144B0BB6CD944C2E908E32AF2@sgvmc-msg-01.ahmchealth.net> Message-ID: <6B7CB061B05D41AEA00691657E404CA7@ANNALYNN> Lily, It depends upon what you mean by usual. If the food and nutrition history reveals that the patient's intake of vitamins and minerals is inadequate, then by all means, go ahead with a multiple vitamin and mineral preparation. Once the patient is getting this however, there isn't much reason to give more vitamin C or zinc because there aren't good data documenting increased vitamin C or zinc requirements in patients with wounds. Regards, Annalynn Annalynn Skipper Ph.D., R.D., FADA a consultancy devoted to advancing nutrition practice P.O. Box 45 Oak Park, IL 60303 Annalynn_Skipper at Comcast.net Advanced Medical Nutrition Therapy Practice, a 2008 text, is available from Jones and Bartlett. _____ From: Hong, Lily [mailto:lily.hong at ahmchealth.com] Sent: Monday, June 01, 2009 2:12 PM To: Annalynn_Skipper at Comcast.net; Rassekh,Shoreh; Adegunleye,Valerie K.; cnm at lists.my180.net Subject: Re: [Cnm] Wound Care Protocol My dietitians are asking, should we continue recommend MVI, Vitamin C, Zinc as usual??? Thanks, Lily Hong Assistant Director of Patient Services San Gabriel Valley Medical Center _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Annalynn Skipper Sent: Monday, June 01, 2009 10:02 AM To: 'Rassekh, Shoreh'; 'Adegunleye, Valerie K.'; cnm at lists.my180.net Subject: Re: [Cnm] Wound Care Protocol The Nutrition Care Manual and several sets of recently revised guidelines do not provide detailed nutrition recommendations for "wound care" because the sparse and poor quality data do not support anything other than providing an adequate intake to patients who fail to eat adequately. Regards, Annalynn Annalynn Skipper Ph.D., R.D., FADA a consultancy devoted to advancing nutrition practice P.O. Box 45 Oak Park, IL 60303 Annalynn_Skipper at Comcast.net Advanced Medical Nutrition Therapy Practice, a 2008 text, is available from Jones and Bartlett. _____ From: Rassekh, Shoreh [mailto:SRassekh at stfranciscare.org] Sent: Monday, June 01, 2009 10:00 AM To: Adegunleye, Valerie K.; cnm at lists.my180.net Subject: Re: [Cnm] Wound Care Protocol Please include me in your responses. Thank you Shoreh Rassekh M.S., R.D., CD-N Clinical Nutrition Manager 714-5512 _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Adegunleye, Valerie K. Sent: Monday, June 01, 2009 10:41 AM To: cnm at lists.my180.net Subject: [Cnm] Wound Care Protocol Good morning everyone, I am looking to see if anyone has a wound care protocol or policy for Nutrition Services for any level of care. If you are willing to share what you have (with references if possible) I would greatly appreciate it. Thanks in advance! Valerie K. Adegunleye RD, LDN Clinical Manager Nutrition and Food Service, Baltimore/Loch Raven 410-605-7054 410-447-3336 (Pager) 410-605-7835 (fax) PPlease consider the environment before printing this email. _____ NOTICE: This email and/or attachments may contain confidential or proprietary information which may be legally privileged. It is intended only for the named recipient(s). If an addressing or transmission error has misdirected this email, please notify the author by replying to this message. If you are not the named recipient, you are not authorized to use, disclose, distribute, make copies or print this email, and should immediately delete it from your computer system. Saint Francis Care has scanned this email and its attachments for malicious content. However, the recipient should check this email and any attachments for the presence of viruses. Saint Francis Care accepts no liability for any damage caused by any virus transmitted by this email. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/28e2359e/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 170 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090601/28e2359e/attachment-0001.gif From pcharney at mac.com Mon Jun 1 13:35:38 2009 From: pcharney at mac.com (Pam Charney) Date: Mon, 01 Jun 2009 13:35:38 -0700 Subject: [Cnm] Wound Care Protocol In-Reply-To: References: <45EACF0250433144B0BB6CD944C2E908E32AF2@sgvmc-msg-01.ahmchealth.net> Message-ID: <692C4FA4-7DCF-4454-9AEB-1FA59B22D6DD@mac.com> A risk-benefit analysis might be helpful here, with a bit of healthcare finance thrown in. When you say "likely" non harmful, how would that be explained to the patient or other providers who are making the decision to order or not to order. It would "likely" not be harmful for us to take a number of prescription medications, but we don't do that simply because it might not hurt us. What we know on the other side of this equation, and what Annalynn has so succinctly described, is that there is little to evidence supporting supplementation. Therefore, there is no benefit to balance out the "likely" no harm side of the equation. Now if we look at the finances, and having reviewed my 401K recently, it's downright scary; I have no spare cash, and I bet your employer has none as well. Even if it costs pennies per dose, if you do the math, and calculate the cost of all those doses, then over 12 months, you might have saved your employer sufficient cash to prevent a lay- off, or to purchase a few pens, or to provide charity care to someone who did get laid off. I know this is a vast oversimplification, and that everyone has a different financial situation depending on your employer. Perhaps the clinical RD needs to investigate a new paradigm; instead of seeking out interventions that cost, we might look towards finding the "anti-intervention" that has little to no cost yet demonstrates improved outcomes. Annalynn mentions provision of an adequate intake. It's not sexy, but getting folks to eat better is an intervention with proven benefit! Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 1, 2009, at 12:15 PM, Adegunleye, Valerie K. wrote: > From all that I have read the MVI and Vitamin C are likely not > harmful and will be helpful is underlying nutritional needs are met; > however Zinc should be used for short term only and generally only > if a deficiency is known. I am not sure if the others concur with > this but that has been what I have seen most recently. > > Intervention may also depend on the type of wound you are dealing > with --- pressure, vascular vs. surgical. > > Valerie K. Adegunleye RD, LDN > Clinical Manager > Nutrition and Food Service, Baltimore/Loch Raven > 410-605-7054 > 410-447-3336 (Pager) > 410-605-7835 (fax) > > PPlease consider the environment before printing this email. > From: Hong, Lily [mailto:lily.hong at ahmchealth.com] > Sent: Monday, June 01, 2009 3:12 PM > To: Annalynn_Skipper at Comcast.net; Rassekh, Shoreh; Adegunleye, > Valerie K.; cnm at lists.my180.net > Subject: RE: [Cnm] Wound Care Protocol > > My dietitians are asking, should we continue recommend MVI, Vitamin > C, Zinc as usual??? > > Thanks, > Lily Hong > Assistant Director of Patient Services > San Gabriel Valley Medical Center > > From: cnm-bounces at lists.my180.net [mailto:cnm- > bounces at lists.my180.net] On Behalf Of Annalynn Skipper > Sent: Monday, June 01, 2009 10:02 AM > To: 'Rassekh, Shoreh'; 'Adegunleye, Valerie K.'; cnm at lists.my180.net > Subject: Re: [Cnm] Wound Care Protocol > > The Nutrition Care Manual and several sets of recently revised > guidelines do not provide detailed nutrition recommendations for > ?wound care? because the sparse and poor quality data do not support > anything other than providing an adequate intake to patients who > fail to eat adequately. > > Regards, > > Annalynn > > Annalynn Skipper Ph.D., R.D., FADA > > > a consultancy devoted to advancing nutrition practice > P.O. Box 45 > Oak Park, IL 60303 > Annalynn_Skipper at Comcast.net > Advanced Medical Nutrition Therapy Practice, > a 2008 text, is available from Jones and Bartlett. > -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/691f101c/attachment.html From bhomola at comhs.org Mon Jun 1 13:53:13 2009 From: bhomola at comhs.org (Bobbi Homola) Date: Mon, 1 Jun 2009 15:53:13 -0500 Subject: [Cnm] computerized charting In-Reply-To: Message-ID: I have 11 RDs/ 2 DTRs for 2 facilities They each have their own pc (a MUST in our environment); sometimes use the pcs on the unit, as well. Bobbi Homola, MPA, RD, CD Clinical Manager, Food and Nutrition Services St. Mary Medical Center / St. Catherine Hospital 1500 South Lake Park Avenue Hobart, IN 46342 219-947-6048 / 219-392-7081 219-947-6049 fax bhomola at comhs.org -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Julie McLaughlin Sent: Monday, June 01, 2009 2:51 PM To: CNM List Serve Subject: [Cnm] computerized charting For those of you who use an electronic health record, what type of devices are the dietitians/techs using? How many RDs/techs do you have? Which do they use: Laptops Tablets Unit PCs Multiple PCs in clinician office(s) located on their units Multiple PCs in central clinician office Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL ________________________________ Hotmail(r) goes with you. Get it on your BlackBerry or iPhone. ____________________________________ This message and attachment(s), if any, is intended for the sole use of the individual and/or entity of which it is addressed, and may contain information that is privileged,confidential and prohibited from disclosure under applicable law. If you are not the addressee, or authorized to receive this on behalf of the addressee, you are hereby notified that you may not use, copy, disclose or distribute to anyone this message or any part thereof. If you have received this in error, please immediately advise the sender by e-mail and delete this information and all attachments from your computer and network. Thank you. ____________________________________ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/c1d3f931/attachment-0001.html From LAURAF at dmhhs.org Mon Jun 1 13:53:05 2009 From: LAURAF at dmhhs.org (ETCHASON,LAURA) Date: Mon, 01 Jun 2009 15:53:05 -0500 Subject: [Cnm] computerized charting In-Reply-To: References: Message-ID: <4A23F961.21B0.00A0.0@dmhhs.org> We generally have 3 RDs per day and we use the unit computers in the nurses station as well as the ones in our RD office (we have 5 available computers there). We use McKesson's Care Manager, but also have CBORD on 1 computer per unit. We do not have diet techs, but our diet clerks use laptops for menu order entry. Thanks, Laura Laura A. Etchason, MS, RD, LDN Clinical Nutrition Manager Decatur Memorial Hospital 2300 N. Edward Street Decatur, IL 62526 217-876-5306 (office line and voice mail) 217-876-5305 (fax) 217-876-5301 (general line) lauraf at dmhhs.org Developer, Harmony, Maximizer, Individualization, Belief >>> Julie McLaughlin 6/1/2009 2:50 PM >>> For those of you who use an electronic health record, what type of devices are the dietitians/techs using? How many RDs/techs do you have? Which do they use: Laptops Tablets Unit PCs Multiple PCs in clinician office(s) located on their units Multiple PCs in central clinician office Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL Hotmail? goes with you. Get it on your BlackBerry or iPhone. ( http://windowslive.com/Tutorial/Hotmail/Mobile?ocid=TXT_TAGLM_WL_HM_Tutorial_Mobile1_052009 ) -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/795f3f5a/attachment.html From marissa.hofman at ucdmc.ucdavis.edu Mon Jun 1 13:59:13 2009 From: marissa.hofman at ucdmc.ucdavis.edu (Marissa Hofman) Date: Mon, 1 Jun 2009 13:59:13 -0700 Subject: [Cnm] computerized charting In-Reply-To: Message-ID: My apologies, I missed your first question. We have 17 in-patient RDs. Marissa Hofman, RD Clinical Nutrition Manager UC Davis Medical Center Food & Nutrition Dept. 2315 Stockton Blvd Sacramento, CA 95817 Phone: (916) 734-5100 Fax: (916)734-3154 Marissa Hofman/APS/HS/UCD To 06/01/2009 12:57 CNM List Serve PM , cnm-bounces at lists.my180.net cc Subject Re: [Cnm] computerized charting (Document link: Marissa Hofman) My staff use laptops. They can carry them onto to the patient care units via shoulder harnesses. Our primary concern with laptops was weight of the device. We decided on a HP laptop that weighs ~2.5 lbs. When they are in their offices, they have a docking station for their laptops which acts as the tower and they can use the larger 15-17" screens, their regular sized keyboards and a wireless mouse. Marissa Hofman, RD Clinical Nutrition Manager UC Davis Medical Center Food & Nutrition Dept. 2315 Stockton Blvd Sacramento, CA 95817 Phone: (916) 734-5100 Fax: (916)734-3154 Julie McLaughlin To Sent by: CNM List Serve cnm-bounces at lists .my180.net cc Subject 06/01/2009 12:51 [Cnm] computerized charting PM For those of you who use an electronic health record, what type of devices are the dietitians/techs using? How many RDs/techs do you have? Which do they use: Laptops Tablets Unit PCs Multiple PCs in clinician office(s) located on their units Multiple PCs in central clinician office Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL Hotmail? goes with you. Get it on your BlackBerry or iPhone. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/7f256000/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: graycol.gif Type: image/gif Size: 105 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090601/7f256000/attachment.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: pic25667.gif Type: image/gif Size: 4762 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090601/7f256000/attachment-0001.gif -------------- next part -------------- A non-text attachment was scrubbed... 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Name: pic26299.gif Type: image/gif Size: 1255 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090601/7f256000/attachment-0004.gif From rtripp at PINNACLEHEALTH.org Mon Jun 1 14:06:35 2009 From: rtripp at PINNACLEHEALTH.org (Roberta Tripp) Date: Mon, 1 Jun 2009 17:06:35 -0400 Subject: [Cnm] computerized charting In-Reply-To: Message-ID: <7375E17267B3DB4583032BDEFDA2D76E0902FD91@mailphs.pinnaclehealth.org> We have 15.3 RD FTEs and 3 Tech FTEs for 740 beds at 3 facilities and a large outpatient population (4.9 of the 15.3 are outpatient) Roberta Tripp MS RD LDN Clinical Nutrition Manager PinnacleHealth Department of Food and Nutrition Services 111 S. Front Street Harrisburg PA 17101 717 782 5283 rtripp at pinnaclehealth.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Bobbi Homola Sent: Monday, June 01, 2009 4:53 PM To: Julie McLaughlin; CNM List Serve Subject: Re: [Cnm] computerized charting I have 11 RDs/ 2 DTRs for 2 facilities They each have their own pc (a MUST in our environment); sometimes use the pcs on the unit, as well. Bobbi Homola, MPA, RD, CD Clinical Manager, Food and Nutrition Services St. Mary Medical Center / St. Catherine Hospital 1500 South Lake Park Avenue Hobart, IN 46342 219-947-6048 / 219-392-7081 219-947-6049 fax bhomola at comhs.org -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Julie McLaughlin Sent: Monday, June 01, 2009 2:51 PM To: CNM List Serve Subject: [Cnm] computerized charting For those of you who use an electronic health record, what type of devices are the dietitians/techs using? How many RDs/techs do you have? Which do they use: Laptops Tablets Unit PCs Multiple PCs in clinician office(s) located on their units Multiple PCs in central clinician office Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL ________________________________ Hotmail(r) goes with you. Get it on your BlackBerry or iPhone. ____________________________________ This message and attachment(s), if any, is intended for the sole use of the individual and/or entity of which it is addressed, and may contain information that is privileged,confidential and prohibited from disclosure under applicable law. If you are not the addressee, or authorized to receive this on behalf of the addressee, you are hereby notified that you may not use, copy, disclose or distribute to anyone this message or any part thereof. If you have received this in error, please immediately advise the sender by e-mail and delete this information and all attachments from your computer and network. Thank you. ____________________________________ The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/916b4004/attachment.html From mpestka at hotmail.com Mon Jun 1 15:20:01 2009 From: mpestka at hotmail.com (Marge Pestka) Date: Mon, 1 Jun 2009 22:20:01 +0000 Subject: [Cnm] Spinal cord injuries resources Message-ID: I don't have a presentation, just some resources for nutrition materials, perhaps enough to pull the talk together. Try www.nafwa.org , search the term ?spinal cord injury?. Quality of materials varies widely but you could pull a talk together on what is there. Also look at http://www.spinalcord.uab.edu/ for nutrition guidelines. Good luck. Marge Pestka, MS, RD Sparrow Health System Lansing, MI marge.pestka at sparrow.org 517 364 2253 _________________________________________________________________ Insert movie times and more without leaving Hotmail?. http://windowslive.com/Tutorial/Hotmail/QuickAdd?ocid=TXT_TAGLM_WL_HM_Tutorial_QuickAdd1_052009 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/83fe0364/attachment-0001.html From Valerie.Adegunleye at va.gov Mon Jun 1 17:40:53 2009 From: Valerie.Adegunleye at va.gov (Adegunleye, Valerie K.) Date: Mon, 1 Jun 2009 20:40:53 -0400 Subject: [Cnm] Wound Care Protocol In-Reply-To: <692C4FA4-7DCF-4454-9AEB-1FA59B22D6DD@mac.com> References: <45EACF0250433144B0BB6CD944C2E908E32AF2@sgvmc-msg-01.ahmchealth.net> <692C4FA4-7DCF-4454-9AEB-1FA59B22D6DD@mac.com> Message-ID: Dr. Charney, I whole-heartedly agree with your comments. I don't mean we should just haphazardly give vitamins/minerals; however, in most settings I think we would mostly see that the patients are NOT meeting their needs and the vitamin/mineral supplement would not be warranted; however, if intake is adequate to meet their needs and the diet is varied enough to provide the adequate fruit/vegetables, etc then it would be futile to provide them. If the healthcare system put more emphasis and resources into food and to feed those that need assistance we would likely do well to combat wounds, weight loss and other ailments; not to mention we would provide increased social interaction and improve the mood of the patients (if they like socializing). I would love to see more resources on feeding protocols and more compassion from staff at all levels to assist patients with meals and snacks and even to provide adequate fluids ----> this certainly is critical to health and improvement in the condition. Thanks for all the wonderful thoughts! Valerie ________________________________ From: Pam Charney [mailto:pcharney at mac.com] Sent: Monday, June 01, 2009 4:36 PM To: Adegunleye, Valerie K. Cc: Hong, Lily; Annalynn_Skipper at Comcast.net; Rassekh, Shoreh; cnm at lists.my180.net Subject: Re: [Cnm] Wound Care Protocol A risk-benefit analysis might be helpful here, with a bit of healthcare finance thrown in. When you say "likely" non harmful, how would that be explained to the patient or other providers who are making the decision to order or not to order. It would "likely" not be harmful for us to take a number of prescription medications, but we don't do that simply because it might not hurt us. What we know on the other side of this equation, and what Annalynn has so succinctly described, is that there is little to evidence supporting supplementation. Therefore, there is no benefit to balance out the "likely" no harm side of the equation. Now if we look at the finances, and having reviewed my 401K recently, it's downright scary; I have no spare cash, and I bet your employer has none as well. Even if it costs pennies per dose, if you do the math, and calculate the cost of all those doses, then over 12 months, you might have saved your employer sufficient cash to prevent a lay-off, or to purchase a few pens, or to provide charity care to someone who did get laid off. I know this is a vast oversimplification, and that everyone has a different financial situation depending on your employer. Perhaps the clinical RD needs to investigate a new paradigm; instead of seeking out interventions that cost, we might look towards finding the "anti-intervention" that has little to no cost yet demonstrates improved outcomes. Annalynn mentions provision of an adequate intake. It's not sexy, but getting folks to eat better is an intervention with proven benefit! Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 1, 2009, at 12:15 PM, Adegunleye, Valerie K. wrote: >From all that I have read the MVI and Vitamin C are likely not harmful and will be helpful is underlying nutritional needs are met; however Zinc should be used for short term only and generally only if a deficiency is known. I am not sure if the others concur with this but that has been what I have seen most recently. Intervention may also depend on the type of wound you are dealing with --- pressure, vascular vs. surgical. Valerie K. Adegunleye RD, LDN Clinical Manager Nutrition and Food Service, Baltimore/Loch Raven 410-605-7054 410-447-3336 (Pager) 410-605-7835 (fax) PPlease consider the environment before printing this email. ________________________________ From: Hong, Lily [mailto:lily.hong at ahmchealth.com] Sent: Monday, June 01, 2009 3:12 PM To: Annalynn_Skipper at Comcast.net; Rassekh, Shoreh; Adegunleye, Valerie K.; cnm at lists.my180.net Subject: RE: [Cnm] Wound Care Protocol My dietitians are asking, should we continue recommend MVI, Vitamin C, Zinc as usual??? Thanks, Lily Hong Assistant Director of Patient Services San Gabriel Valley Medical Center ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Annalynn Skipper Sent: Monday, June 01, 2009 10:02 AM To: 'Rassekh, Shoreh'; 'Adegunleye, Valerie K.'; cnm at lists.my180.net Subject: Re: [Cnm] Wound Care Protocol The Nutrition Care Manual and several sets of recently revised guidelines do not provide detailed nutrition recommendations for "wound care" because the sparse and poor quality data do not support anything other than providing an adequate intake to patients who fail to eat adequately. Regards, Annalynn Annalynn Skipper Ph.D., R.D., FADA a consultancy devoted to advancing nutrition practice P.O. Box 45 Oak Park, IL 60303 Annalynn_Skipper at Comcast.net Advanced Medical Nutrition Therapy Practice, a 2008 text, is available from Jones and Bartlett. ________________________________ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/f6a9e83e/attachment.html From pcharney at mac.com Mon Jun 1 22:02:04 2009 From: pcharney at mac.com (Pam Charney) Date: Mon, 01 Jun 2009 22:02:04 -0700 Subject: [Cnm] Wound Care Protocol In-Reply-To: <20090601225128.21296s95s15jtjoc@webmail.ualberta.ca> References: <45EACF0250433144B0BB6CD944C2E908E32AF2@sgvmc-msg-01.ahmchealth.net> <692C4FA4-7DCF-4454-9AEB-1FA59B22D6DD@mac.com> <20090601225128.21296s95s15jtjoc@webmail.ualberta.ca> Message-ID: <713F0304-2F33-40EB-A473-C76FA9C4FA4E@mac.com> I don't disagree that there is research documenting that certain groups don't eat well. The problem comes with applying that research to the patient in front of you. If the group studied was elderly patients undergoing surgery for a hip fracture, then the study does not have external validity when applied to elderly patients who have had GI surgery. It would also not apply to a 55 year old who has a poorly healing wound. Additionally, you'd have to translate "not eating well" to "Vitamin C, zinc, and Vitamin A". I"m not saying that we shouldn't supplement when warranted. Giving supplements across the board to all patients with wounds is easy. I wouldn't need an RD to do that. What I do need the RD to do is to evaluate which patients are appropriate candidates for a vitamin or mineral supplement, what are the implications of the medication, how to monitor effectiveness as well as potential adverse effects, when to stop, and how to educate the patient/client. For that, I need an expert RD. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 1, 2009, at 9:51 PM, cwatters at ualberta.ca wrote: > The point that patients (in particular elderly pts) are not mtg > their nutritional requirements from food alone - is supported by > the literature - Can Journal Dietetic Practice & Research 2008 > (attached), and Barr, JADA, 2006. Canada's Food Guide 2007 edition > recommends Vit D supplements 400 IU for those over 50 yrs in > addition to following food guide recommendations. > I should know this, but does the US Food Pyramid recommend > supplements beyond pregnancy ? > > Corilee Watters, MSc, RD, PhD > Coordinator, Nutrition Service > Vancouver Island Health Authority (VIHA) > Victoria, BC > > > > > Quoting "Adegunleye, Valerie K." : > >> Dr. Charney, >> I whole-heartedly agree with your comments. I don't mean we should >> just >> haphazardly give vitamins/minerals; however, in most settings I >> think we >> would mostly see that the patients are NOT meeting their needs and >> the >> vitamin/mineral supplement would not be warranted; however, if >> intake is >> adequate to meet their needs and the diet is varied enough to provide >> the adequate fruit/vegetables, etc then it would be futile to provide >> them. >> >> If the healthcare system put more emphasis and resources into food >> and >> to feed those that need assistance we would likely do well to combat >> wounds, weight loss and other ailments; not to mention we would >> provide >> increased social interaction and improve the mood of the patients (if >> they like socializing). I would love to see more resources on >> feeding >> protocols and more compassion from staff at all levels to assist >> patients with meals and snacks and even to provide adequate fluids >> ----> >> this certainly is critical to health and improvement in the >> condition. >> >> Thanks for all the wonderful thoughts! >> >> Valerie >> >> >> >> ________________________________ >> >> From: Pam Charney [mailto:pcharney at mac.com] >> Sent: Monday, June 01, 2009 4:36 PM >> To: Adegunleye, Valerie K. >> Cc: Hong, Lily; Annalynn_Skipper at Comcast.net; Rassekh, Shoreh; >> cnm at lists.my180.net >> Subject: Re: [Cnm] Wound Care Protocol >> >> >> >> A risk-benefit analysis might be helpful here, with a bit of >> healthcare >> finance thrown in. >> >> >> >> When you say "likely" non harmful, how would that be explained to the >> patient or other providers who are making the decision to order or >> not >> to order. It would "likely" not be harmful for us to take a number of >> prescription medications, but we don't do that simply because it >> might >> not hurt us. What we know on the other side of this equation, and >> what >> Annalynn has so succinctly described, is that there is little to >> evidence supporting supplementation. Therefore, there is no benefit >> to >> balance out the "likely" no harm side of the equation. >> >> >> >> Now if we look at the finances, and having reviewed my 401K recently, >> it's downright scary; I have no spare cash, and I bet your employer >> has >> none as well. Even if it costs pennies per dose, if you do the >> math, and >> calculate the cost of all those doses, then over 12 months, you might >> have saved your employer sufficient cash to prevent a lay-off, or to >> purchase a few pens, or to provide charity care to someone who did >> get >> laid off. I know this is a vast oversimplification, and that everyone >> has a different financial situation depending on your employer. >> >> >> >> Perhaps the clinical RD needs to investigate a new paradigm; >> instead of >> seeking out interventions that cost, we might look towards finding >> the >> "anti-intervention" that has little to no cost yet demonstrates >> improved >> outcomes. Annalynn mentions provision of an adequate intake. It's not >> sexy, but getting folks to eat better is an intervention with proven >> benefit! >> >> >> >> Regards, >> >> pam >> >> >> >> >> >> Pam Charney PhD, RD >> >> Clinical Coordinator >> >> Graduate Coordinated Program in Dietetics >> >> Lecturer, Department of Epidemiology >> >> Nutrition Sciences Program >> >> School of Public Health and Community Medicine >> >> Box 353410, 306-C Raitt Hall >> >> >> >> Affiliate Associate Professor >> >> School of Pharmacy >> >> >> >> MS Student >> >> Clinical Informatics and Patient Centered Technology >> >> School of Nursing >> >> >> >> University of Washington >> >> Seattle, WA >> >> charnepa at u.washington.edu >> >> http://www.linkedin.com/in/pamcharney >> >> >> >> "The person who says it can't be done should not >> >> interrupt the person doing it" - Ethel Kennedy >> >> >> -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090601/e7355a1f/attachment-0001.html From DrNCollins at aol.com Mon Jun 1 22:21:44 2009 From: DrNCollins at aol.com (DrNCollins at aol.com) Date: Tue, 2 Jun 2009 01:21:44 EDT Subject: [Cnm] Wound Care Protocol Message-ID: I have info on _www.wounds411.com_ (http://www.wounds411.com) and I am happy to answer questions. Also, plenty of nutrition and wounds info in my columns in Ostomy-Wound Management (I am a contributing editor for that journal). Have a great day, NANCY Dr. Nancy Collins, PhD, RD, LD/N, FAPWCA President/Executive Director RD411.com, Inc. Where Healthcare Professionals Go for Information 318 Indian Trace, Suite 126 Weston, FL 33326 Office: 954-349-2198 Fax: 954-349-2197 NCtheRD at aol.com _www.RD411.com_ (http://www.RD411.com) Twitter @RD411 In a message dated 6/1/2009 10:42:16 A.M. Eastern Daylight Time, Valerie.Adegunleye at va.gov writes: Good morning everyone, I am looking to see if anyone has a wound care protocol or policy for Nutrition Services for any level of care. If you are willing to share what you have (with references if possible) I would greatly appreciate it. Thanks in advance! Valerie K. Adegunleye RD, LDN Clinical Manager Nutrition and Food Service, Baltimore/Loch Raven 410-605-7054 410-447-3336 (Pager) 410-605-7835 (fax) PPlease consider the environment before printing this email. ____________________________________ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net **************An Excellent Credit Score is 750. See Yours in Just 2 Easy Steps! (http://pr.atwola.com/promoclk/100126575x1222585042x1201462767/aol?redir=http://www.freecreditreport.com/pm/default.aspx?sc=668072&hmpgID=62&bcd=Jun eExcfooterNO62) -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090602/e8e6a4c0/attachment.html From cketterman at wellspan.org Tue Jun 2 04:11:25 2009 From: cketterman at wellspan.org (Ketterman-Hopkins, Cindra) Date: Tue, 2 Jun 2009 07:11:25 -0400 Subject: [Cnm] computerized charting In-Reply-To: References: Message-ID: <5B32BC7FE9D04B43A8B78CA7A19CBD4E050B1843@EXCH4.wellspan.org> Cindra L. Ketterman, MS, RD, LDN Chief Clinical Dietitian York Hospital.WellSpan Health 1001 South George Street York, PA 17405-7198 (717) 851 - 3991 (717) 851 - 2345 ask for pager 0093 (717) 851 - 2934 (fax) ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Julie McLaughlin Sent: Monday, June 01, 2009 15:51 To: CNM List Serve Subject: [Cnm] computerized charting For those of you who use an electronic health record, what type of devices are the dietitians/techs using? How many RDs/techs do you have?7 inpt RD's, 2 inpt DTR's, 5 outpt Rd's in our department (there are 8 outpt RD's in diabetes ed, dialysis, clinical wt loss, etc) Which do they use: Laptops outpt RD's Tablets inpt RD's/DTR's Unit PCs Multiple PCs in clinician office(s) located on their units Multiple PCs in central clinician office Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL ________________________________ Hotmail(r) goes with you. Get it on your BlackBerry or iPhone. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090602/ce55b2b3/attachment.html From annalynn_skipper at comcast.net Tue Jun 2 04:47:06 2009 From: annalynn_skipper at comcast.net (annalynn_skipper at comcast.net) Date: Tue, 2 Jun 2009 11:47:06 +0000 (UTC) Subject: [Cnm] Cnm Digest, Vol 31, Issue 10 In-Reply-To: <1993840446.13132161243943191151.JavaMail.root@sz0060a.emeryville.ca.mail.comcast.net> Message-ID: <548791117.13132281243943226761.JavaMail.root@sz0060a.emeryville.ca.mail.comcast.net> I agree that there are studies documenting inadequate food and beverage intake, especially in elderly patients.? There is at least one study, published in?a letter to JAMA, documenting that hospital food does not provide the DRI ?for vitamins and minerals.? Part of the problem is that some healthcare institutions fail to allocate sufficient resources to food and nutrient intake whether to the food itself or helping? the patient to eat it.? Another part of the problem is that patients with problems eating often aren't able?to ingest, chew and swallow? the healthiest food.? A third part of the problem is that we don't have good data documenting increased or decreased?food and nutrient needs for specific medical diagnoses and conditions .?? I have to agree with Pam that it takes a competent RD to sort all this out for individual patients and work with them to decrease the difference between current and ideal intake.? When we look at the literature for wounds in particular, there are no?hard data supporting the popular concepts that protein?and calorie needs can be based on pressure ulcer stage, that all patients need a multiple vitamin , plus vitamin C and zinc, or that?optimum amino acid?profiles for patients with wounds are are different than for other patients .??It takes a competent RD with some research background to sort through this information (or lack thereof) and apply it.??Some of this work is being done?as guidelines are?developed.? Still,?there is pressure from nurses in particular,?to "do something" for?patients with wounds rather than follow established gidelines.?? Many of us? succumb to pressure and treat the nurse rather than the patient, wasting valuable resources in the process.? I once calculated the cost of a standard nutrient supplement protocol for wounds.? It was rather small, but when you multiply the cost by the number of patients with? Braden scores of <18 plus all those who have surgical or other wounds , it can easily add up to?the equivalent of an RD salary in a medium sized?facility.? ? ? We love our supplements and our protocols that support their use.? In fact, there are patients who need them.? It's just that if we are to remain relevant, we need to be there to allocate supplements and apply protocols?c orrectly or risk being replaced by a protocol.??Does it go without saying that we need more data to support what we do?? Especially for wound healing? ? I think so.? Regards, ?? ??? ??? ?? ?? ?? ? Annalynn Skipper Ph.D., R.D., FADA Annalynn Skipper and Associates ...a consultancy devoted to advancing nutrition practice P.O. Box 45 Oak Park, IL 60303 ? ----- Original Message ----- From: cnm-request at lists.my180.net To: cnm at lists.my180.net Sent: Tuesday, June 2, 2009 12:01:47 AM GMT -06:00 US/Canada Central Subject: Cnm Digest, Vol 31, Issue 10 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Re: Wound Care Protocol (Adegunleye, Valerie K.) 2. Re: Wound Care Protocol (Pam Charney) _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090602/b55adc21/attachment.html From SeverinoJ at davishealthsystem.org Tue Jun 2 04:53:49 2009 From: SeverinoJ at davishealthsystem.org (James E. Severino) Date: Tue, 2 Jun 2009 07:53:49 -0400 Subject: [Cnm] Question r/t Joint Commission Message-ID: <23CB1E1760A992448BABEDF99012515813AB58@dmh-exchange2.DHCS.DavisHealth.org> Expecting a survey from Joint Commission at any time. Looking for questions that they have been asking your dietitians. Thanks in advanced. Jim Severino, RD, LD Davis Memorial Hospital 304 637 3173 From DChampeon at stmarysmaine.com Tue Jun 2 04:56:26 2009 From: DChampeon at stmarysmaine.com (DChampeon at stmarysmaine.com) Date: Tue, 2 Jun 2009 07:56:26 -0400 Subject: [Cnm] Question r/t Joint Commission - Please post to list In-Reply-To: <23CB1E1760A992448BABEDF99012515813AB58@dmh-exchange2.DHCS.DavisHealth.org> References: <23CB1E1760A992448BABEDF99012515813AB58@dmh-exchange2.DHCS.DavisHealth.org> Message-ID: "James E. Severino" Sent by: cc cnm-bounces at lists .my180.net Subject [Cnm] Question r/t Joint Commission 06/02/2009 07:55 AM Expecting a survey from Joint Commission at any time. Looking for questions that they have been asking your dietitians. Thanks in advanced. Jim Severino, RD, LD Davis Memorial Hospital 304 637 3173 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From rossjanv at fuse.net Tue Jun 2 05:30:26 2009 From: rossjanv at fuse.net (Janet V. Ross) Date: Tue, 2 Jun 2009 08:30:26 -0400 Subject: [Cnm] Cnm Digest, Vol 31, Issue 10 In-Reply-To: <548791117.13132281243943226761.JavaMail.root@sz0060a.emeryville.ca.mail.comcast.net> Message-ID: Having worked for 7 years in an LTACH facility with the sickest of the sick and 99% at high nutritional risk due to multiple wounds, vent weaning, stroke, diabetes, et al, and observing their eating habits when sick and when feeling better a few weeks later, many if not most of these folks had health issues BECAUSE of their lifelong poor eating habits. Trying to get a balanced diet into most of them-i.e. vegetables, fruits, or milk was extremely difficult. I know I'm generalizing and this is not evidence based, but most of my patients could have benefited from a multi vitamin at the minimum. Unless someone has been tube fed or on a supplement for a few weeks, my experience has been that an inexpensive multi is needed most of the time. Janet V. Ross, MBA, RD, LD rossjanv at fuse.net 4615 Joana Pl Cincinnati, OH 45238 513-478-0135 http://www.linkedin.com/in/rossjanv _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of annalynn_skipper at comcast.net Sent: Tuesday, June 02, 2009 7:47 AM To: cnm at lists.my180.net Subject: Re: [Cnm] Cnm Digest, Vol 31, Issue 10 I agree that there are studies documenting inadequate food and beverage intake, especially in elderly patients. There is at least one study, published in a letter to JAMA, documenting that hospital food does not provide the DRI for vitamins and minerals. Part of the problem is that some healthcare institutions fail to allocate sufficient resources to food and nutrient intake whether to the food itself or helping the patient to eat it. Another part of the problem is that patients with problems eating often aren't able to ingest, chew and swallow the healthiest food. A third part of the problem is that we don't have good data documenting increased or decreased food and nutrient needs for specific medical diagnoses and conditions. I have to agree with Pam that it takes a competent RD to sort all this out for individual patients and work with them to decrease the difference between current and ideal intake. When we look at the literature for wounds in particular, there are no hard data supporting the popular concepts that protein and calorie needs can be based on pressure ulcer stage, that all patients need a multiple vitamin, plus vitamin C and zinc, or that optimum amino acid profiles for patients with wounds are are different than for other patients. It takes a competent RD with some research background to sort through this information (or lack thereof) and apply it. Some of this work is being done as guidelines are developed. Still, there is pressure from nurses in particular, to "do something" for patients with wounds rather than follow established gidelines. Many of us succumb to pressure and treat the nurse rather than the patient, wasting valuable resources in the process. I once calculated the cost of a standard nutrient supplement protocol for wounds. It was rather small, but when you multiply the cost by the number of patients with Braden scores of <18 plus all those who have surgical or other wounds, it can easily add up to the equivalent of an RD salary in a medium sized facility. We love our supplements and our protocols that support their use. In fact, there are patients who need them. It's just that if we are to remain relevant, we need to be there to allocate supplements and apply protocols correctly or risk being replaced by a protocol. Does it go without saying that we need more data to support what we do? Especially for wound healing? I think so. Regards, Annalynn Skipper Ph.D., R.D., FADA Annalynn Skipper and Associates ...a consultancy devoted to advancing nutrition practice P.O. Box 45 Oak Park, IL 60303 ----- Original Message ----- From: cnm-request at lists.my180.net To: cnm at lists.my180.net Sent: Tuesday, June 2, 2009 12:01:47 AM GMT -06:00 US/Canada Central Subject: Cnm Digest, Vol 31, Issue 10 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Re: Wound Care Protocol (Adegunleye, Valerie K.) 2. Re: Wound Care Protocol (Pam Charney) _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090602/14b6d5ae/attachment-0001.html From Maureen.McAndrews at emoryhealthcare.org Tue Jun 2 05:58:49 2009 From: Maureen.McAndrews at emoryhealthcare.org (McAndrews, Maureen) Date: Tue, 2 Jun 2009 08:58:49 -0400 Subject: [Cnm] Question r/t Joint Commission In-Reply-To: <23CB1E1760A992448BABEDF99012515813AB58@dmh-exchange2.DHCS.DavisHealth.org> References: <23CB1E1760A992448BABEDF99012515813AB58@dmh-exchange2.DHCS.DavisHealth.org> Message-ID: Same here, they are way over due. Please post to list. Maureen -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of James E. Severino Sent: Tuesday, June 02, 2009 7:54 AM To: cnm at lists.my180.net Subject: [Cnm] Question r/t Joint Commission Expecting a survey from Joint Commission at any time. Looking for questions that they have been asking your dietitians. Thanks in advanced. Jim Severino, RD, LD Davis Memorial Hospital 304 637 3173 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). From Catherine.McIsaac at vtmednet.org Tue Jun 2 06:10:56 2009 From: Catherine.McIsaac at vtmednet.org (McIsaac, Catherine L.) Date: Tue, 2 Jun 2009 09:10:56 -0400 Subject: [Cnm] Question r/t Joint Commission In-Reply-To: References: <23CB1E1760A992448BABEDF99012515813AB58@dmh-exchange2.DHCS.DavisHealth.org> Message-ID: We had our survey last summer. The only questions that were asked to any in our staff was of me at the med mgt meeting, that was my involvement in the P and T committee, and how we planned on meeting the anti-coagulation pt safety goal. they were fine w/ me being an ad hoc member of PandT (especially since I had been meeting monthly with the anticoagulation committee of that group to work out the goal), and were fine w/ our plan to meet the goal. A few RDs introduced themselves to surveyors, but no questions asked. Good luck Cathy McIsaac, MS, RD Manager, Clinical Nutrition Nutrition Services Fletcher Allen Health Care 111 Colchester Ave Burlington, VT 05401 P: 802-847-2703 F: 802-847-2790 Please consider the environment before printing this email. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of McAndrews, Maureen Sent: Tuesday, June 02, 2009 8:59 AM To: 'James E. Severino'; cnm at lists.my180.net Subject: Re: [Cnm] Question r/t Joint Commission Same here, they are way over due. Please post to list. Maureen -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of James E. Severino Sent: Tuesday, June 02, 2009 7:54 AM To: cnm at lists.my180.net Subject: [Cnm] Question r/t Joint Commission Expecting a survey from Joint Commission at any time. Looking for questions that they have been asking your dietitians. Thanks in advanced. Jim Severino, RD, LD Davis Memorial Hospital 304 637 3173 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From SRassekh at stfranciscare.org Tue Jun 2 06:19:07 2009 From: SRassekh at stfranciscare.org (Rassekh, Shoreh) Date: Tue, 2 Jun 2009 09:19:07 -0400 Subject: [Cnm] Question r/t Joint Commission In-Reply-To: Message-ID: <0AB0670D124B96418F1D6AAFB11D5C31011B748F@SFH15110MV23.sfhad.stfranciscare.org> Please post to list. Thank you Shoreh -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of McAndrews, Maureen Sent: Tuesday, June 02, 2009 8:59 AM To: 'James E. Severino'; cnm at lists.my180.net Subject: Re: [Cnm] Question r/t Joint Commission Same here, they are way over due. Please post to list. Maureen -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of James E. Severino Sent: Tuesday, June 02, 2009 7:54 AM To: cnm at lists.my180.net Subject: [Cnm] Question r/t Joint Commission Expecting a survey from Joint Commission at any time. Looking for questions that they have been asking your dietitians. Thanks in advanced. Jim Severino, RD, LD Davis Memorial Hospital 304 637 3173 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net NOTICE: This email and/or attachments may contain confidential or proprietary information which may be legally privileged. It is intended only for the named recipient(s). If an addressing or transmission error has misdirected this email, please notify the author by replying to this message. If you are not the named recipient, you are not authorized to use, disclose, distribute, make copies or print this email, and should immediately delete it from your computer system. Saint Francis Care has scanned this email and its attachments for malicious content. However, the recipient should check this email and any attachments for the presence of viruses. Saint Francis Care accepts no liability for any damage caused by any virus transmitted by this email. From sragland at tanner.org Tue Jun 2 06:47:11 2009 From: sragland at tanner.org (Shauntel Ragland) Date: Tue, 2 Jun 2009 09:47:11 -0400 Subject: [Cnm] job title In-Reply-To: Message-ID: <138AE4B62F86AC4D9BC23F0168F106550A072F8C@EXCHCLUSTER.ths.local> Our facility is about to fill a position that will supervise the CNM position; oversee patient meal services; hostess program and responsible for conducting quarterly facility readiness audits for JC etc. for a 4 hospital system (among other things). I have been charged with coming up with a job title. If you have similar positions at your facility or ideas please share job title used at your facility. Thanks in advance. Shauntel Ragland, MS, RD, LD System Clinical Nutrition Manager Tanner Health System 770-836-9147 (o) 770-782-1373 (p) P Please consider the environment before printing this email ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Marge Pestka Sent: Monday, June 01, 2009 6:20 PM To: cnm at lists.my180.net Subject: Re: [Cnm] Spinal cord injuries resources I don't have a presentation, just some resources for nutrition materials, perhaps enough to pull the talk together. Try www.nafwa.org , search the term 'spinal cord injury'. Quality of materials varies widely but you could pull a talk together on what is there. Also look at http://www.spinalcord.uab.edu/ for nutrition guidelines. Good luck. Marge Pestka, MS, RD Sparrow Health System Lansing, MI marge.pestka at sparrow.org 517 364 2253 ________________________________ Insert movie times and more without leaving Hotmail(r). See how. -------------------------------------------------------------------------------------------------------------------- This e-mail and any files or attachments transmitted with it contain information that is confidential and privileged. This information is intended only for the use of the individual(s) and entit(ies) to whom it is addressed. If you are not the intended recipient, any disclosure, copying, printing, or use of this information is strictly prohibited and possibly a violation of federal or state law and regulations. If you have received this information in error, please contact the sender immediately and destroy all copies of this communication. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090602/92f3479a/attachment.html From StatenKD at archildrens.org Tue Jun 2 07:33:59 2009 From: StatenKD at archildrens.org (Staten, Karan D) Date: Tue, 2 Jun 2009 09:33:59 -0500 Subject: [Cnm] Question r/t Joint Commission In-Reply-To: <23CB1E1760A992448BABEDF99012515813AB58@dmh-exchange2.DHCS.DavisHealth.org> References: <23CB1E1760A992448BABEDF99012515813AB58@dmh-exchange2.DHCS.DavisHealth.org> Message-ID: <9AE8AA9E1F644B4AA6C155FB6FD51C63276249F5@EMAIL.archildrens.org> We had our survey last November. The physician surveyor requested to talk with our dietitian in our rehab unit. He reviewed her charting, and then asked questions regarding interdisciplinary care. Also, requested to go in the room with her and of course she washed her hands before and after leaving the room. He took note of that. Also, in our CVICU a nurse surveyor asked about our frequency of charting, wanted to see it and also asked about interdisciplinary care. At our Fitness Clinic(weight loss clinic) they reviewed our charting and observed the team functioning. Good Luck, Karan D. Staten, MS, RD, LD Director of Clinical Nutrition Arkansas Children's Hospital 1 Children's Way, Slot 603 Little Rock, AR 72202 501-364-3519-direct 501-364-1264-department 501-364-6819-fax -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of James E. Severino Sent: Tuesday, June 02, 2009 6:54 AM To: cnm at lists.my180.net Subject: [Cnm] Question r/t Joint Commission Expecting a survey from Joint Commission at any time. Looking for questions that they have been asking your dietitians. Thanks in advanced. Jim Severino, RD, LD Davis Memorial Hospital 304 637 3173 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ****************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************** The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you. From DLearnAlchon at christianacare.org Tue Jun 2 08:16:53 2009 From: DLearnAlchon at christianacare.org (Learn Alchon, Deborah A.) Date: Tue, 2 Jun 2009 11:16:53 -0400 Subject: [Cnm] job title In-Reply-To: <138AE4B62F86AC4D9BC23F0168F106550A072F8C@EXCHCLUSTER.ths.local> Message-ID: I'm not quite sure of the organizational tree of your facility. If you have a CNM, doesn't she do the tasks desired already? This sounds like a system position since it involves four hospitals. If you are the system clinical nutrition manager, is this not part of your role? I am a corporate associate director in charge of the Clinical Sections of 2 hospitals as well as all of patient services and kitchen responsibilities in the bigger of the two facilities. Debbie Learn Alchon, M.S., R.D. Associate Director, Food and Nutrition Services, Christiana Care Health Services (302)-733-3556 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Shauntel Ragland Sent: Tuesday, June 02, 2009 9:47 AM To: cnm at lists.my180.net Subject: Re: [Cnm] job title Our facility is about to fill a position that will supervise the CNM position; oversee patient meal services; hostess program and responsible for conducting quarterly facility readiness audits for JC etc. for a 4 hospital system (among other things). I have been charged with coming up with a job title. If you have similar positions at your facility or ideas please share job title used at your facility. Thanks in advance. Shauntel Ragland, MS, RD, LD System Clinical Nutrition Manager Tanner Health System 770-836-9147 (o) 770-782-1373 (p) P Please consider the environment before printing this email ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Marge Pestka Sent: Monday, June 01, 2009 6:20 PM To: cnm at lists.my180.net Subject: Re: [Cnm] Spinal cord injuries resources I don't have a presentation, just some resources for nutrition materials, perhaps enough to pull the talk together. Try www.nafwa.org , search the term 'spinal cord injury'. Quality of materials varies widely but you could pull a talk together on what is there. Also look at http://www.spinalcord.uab.edu/ for nutrition guidelines. Good luck. Marge Pestka, MS, RD Sparrow Health System Lansing, MI marge.pestka at sparrow.org 517 364 2253 ________________________________ Insert movie times and more without leaving Hotmail(r). See how. ------------------------------------------------------------------------ -------------------------------------------- This e-mail and any files or attachments transmitted with it contain information that is confidential and privileged. This information is intended only for the use of the individual(s) and entit(ies) to whom it is addressed. If you are not the intended recipient, any disclosure, copying, printing, or use of this information is strictly prohibited and possibly a violation of federal or state law and regulations. If you have received this information in error, please contact the sender immediately and destroy all copies of this communication. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090602/fe5a8d62/attachment-0001.html From Maureen.McAndrews at emoryhealthcare.org Tue Jun 2 08:30:37 2009 From: Maureen.McAndrews at emoryhealthcare.org (McAndrews, Maureen) Date: Tue, 2 Jun 2009 11:30:37 -0400 Subject: [Cnm] job title In-Reply-To: <138AE4B62F86AC4D9BC23F0168F106550A072F8C@EXCHCLUSTER.ths.local> References: <138AE4B62F86AC4D9BC23F0168F106550A072F8C@EXCHCLUSTER.ths.local> Message-ID: We have two positions that do all of this: Associate Director - has patient dining services, hostesses, and dishroom for 2 facilities Asst. Director - has clinical dietitians at 4 facilities and directs the dietetic internship (I do not have a CNM, so that's my responsibility also) Maureen Maureen McAndrews, MPH, RD, LD Assistant Director, FNS Director, Dietetic Internship Emory Hospitals Atlanta, GA 30322 404-712-4176 (O) 404-693-2791 (C) From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Shauntel Ragland Sent: Tuesday, June 02, 2009 9:47 AM To: cnm at lists.my180.net Subject: Re: [Cnm] job title Our facility is about to fill a position that will supervise the CNM position; oversee patient meal services; hostess program and responsible for conducting quarterly facility readiness audits for JC etc. for a 4 hospital system (among other things). I have been charged with coming up with a job title. If you have similar positions at your facility or ideas please share job title used at your facility. Thanks in advance. Shauntel Ragland, MS, RD, LD System Clinical Nutrition Manager Tanner Health System 770-836-9147 (o) 770-782-1373 (p) P Please consider the environment before printing this email ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Marge Pestka Sent: Monday, June 01, 2009 6:20 PM To: cnm at lists.my180.net Subject: Re: [Cnm] Spinal cord injuries resources I don't have a presentation, just some resources for nutrition materials, perhaps enough to pull the talk together. Try www.nafwa.org , search the term 'spinal cord injury'. Quality of materials varies widely but you could pull a talk together on what is there. Also look at http://www.spinalcord.uab.edu/ for nutrition guidelines. Good luck. Marge Pestka, MS, RD Sparrow Health System Lansing, MI marge.pestka at sparrow.org 517 364 2253 ________________________________ Insert movie times and more without leaving Hotmail(r). See how. -------------------------------------------------------------------------------------------------------------------- This e-mail and any files or attachments transmitted with it contain information that is confidential and privileged. This information is intended only for the use of the individual(s) and entit(ies) to whom it is addressed. If you are not the intended recipient, any disclosure, copying, printing, or use of this information is strictly prohibited and possibly a violation of federal or state law and regulations. If you have received this information in error, please contact the sender immediately and destroy all copies of this communication. ________________________________ This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090602/5bf3c212/attachment.html From NEgelhofer at saintjosephri.com Tue Jun 2 08:34:02 2009 From: NEgelhofer at saintjosephri.com (Egelhofer, Nancy) Date: Tue, 2 Jun 2009 11:34:02 -0400 Subject: [Cnm] job title In-Reply-To: Message-ID: Should anything be included about TJC and readiness audits? Quality Manager? Director, Dept. Quality? ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of McAndrews, Maureen Sent: Tuesday, June 02, 2009 11:31 AM To: 'Shauntel Ragland'; cnm at lists.my180.net Subject: Re: [Cnm] job title We have two positions that do all of this: Associate Director - has patient dining services, hostesses, and dishroom for 2 facilities Asst. Director - has clinical dietitians at 4 facilities and directs the dietetic internship (I do not have a CNM, so that's my responsibility also) Maureen Maureen McAndrews, MPH, RD, LD Assistant Director, FNS Director, Dietetic Internship Emory Hospitals Atlanta, GA 30322 404-712-4176 (O) 404-693-2791 (C) From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Shauntel Ragland Sent: Tuesday, June 02, 2009 9:47 AM To: cnm at lists.my180.net Subject: Re: [Cnm] job title Our facility is about to fill a position that will supervise the CNM position; oversee patient meal services; hostess program and responsible for conducting quarterly facility readiness audits for JC etc. for a 4 hospital system (among other things). I have been charged with coming up with a job title. If you have similar positions at your facility or ideas please share job title used at your facility. Thanks in advance. Shauntel Ragland, MS, RD, LD System Clinical Nutrition Manager Tanner Health System 770-836-9147 (o) 770-782-1373 (p) P Please consider the environment before printing this email ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Marge Pestka Sent: Monday, June 01, 2009 6:20 PM To: cnm at lists.my180.net Subject: Re: [Cnm] Spinal cord injuries resources I don't have a presentation, just some resources for nutrition materials, perhaps enough to pull the talk together. Try www.nafwa.org , search the term 'spinal cord injury'. Quality of materials varies widely but you could pull a talk together on what is there. Also look at http://www.spinalcord.uab.edu/ for nutrition guidelines. Good luck. Marge Pestka, MS, RD Sparrow Health System Lansing, MI marge.pestka at sparrow.org 517 364 2253 ________________________________ Insert movie times and more without leaving Hotmail(r). See how. ------------------------------------------------------------------------ -------------------------------------------- This e-mail and any files or attachments transmitted with it contain information that is confidential and privileged. This information is intended only for the use of the individual(s) and entit(ies) to whom it is addressed. If you are not the intended recipient, any disclosure, copying, printing, or use of this information is strictly prohibited and possibly a violation of federal or state law and regulations. If you have received this information in error, please contact the sender immediately and destroy all copies of this communication. ________________________________ This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). (THIS DOCUMENT IS INTENDED ONLY FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL, AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW.) If you are not the intended recipient any dissemination, distribution, copying or use of this document is strictly prohibited. If you have received this communication in error, please notify me immediately at the email address above and delete all copies of this communication. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090602/4d2fce55/attachment.html From BLusk at unch.unc.edu Tue Jun 2 08:43:34 2009 From: BLusk at unch.unc.edu (Lusk, Barbara) Date: Tue, 2 Jun 2009 11:43:34 -0400 Subject: [Cnm] Question r/t Joint Commission In-Reply-To: References: <23CB1E1760A992448BABEDF99012515813AB58@dmh-exchange2.DHCS.DavisHealth.org> Message-ID: We had our survey earlier and they asked the typical questions... How do you know to see the patient, how do you communicate your recommendations to the physician, etc. The surveyor stayed on the unit and observed interactions between the staff. She also asked the Dietitian to explain /demo the eChart note and if she followed that patient frequently. Barbara Lusk, R.D., L.D.N. Associate Director Clinical Nutrition / Patient Services Director Nutrition and Food Services University of North Carolina Hospitals 101 Manning Drive Chapel Hill, NC 27514 phone: (919) 843-0062 email: BLusk at unch.unc.edu -----Original Message----- From: McIsaac, Catherine L. [mailto:Catherine.McIsaac at vtmednet.org] Sent: Tuesday, June 02, 2009 9:11 AM To: 'McAndrews, Maureen'; 'James E. Severino'; 'cnm at lists.my180.net' Subject: Re: [Cnm] Question r/t Joint Commission We had our survey last summer. The only questions that were asked to any in our staff was of me at the med mgt meeting, that was my involvement in the P and T committee, and how we planned on meeting the anti-coagulation pt safety goal. they were fine w/ me being an ad hoc member of PandT (especially since I had been meeting monthly with the anticoagulation committee of that group to work out the goal), and were fine w/ our plan to meet the goal. A few RDs introduced themselves to surveyors, but no questions asked. Good luck Cathy McIsaac, MS, RD Manager, Clinical Nutrition Nutrition Services Fletcher Allen Health Care 111 Colchester Ave Burlington, VT 05401 P: 802-847-2703 F: 802-847-2790 Please consider the environment before printing this email. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of McAndrews, Maureen Sent: Tuesday, June 02, 2009 8:59 AM To: 'James E. Severino'; cnm at lists.my180.net Subject: Re: [Cnm] Question r/t Joint Commission Same here, they are way over due. Please post to list. Maureen -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of James E. Severino Sent: Tuesday, June 02, 2009 7:54 AM To: cnm at lists.my180.net Subject: [Cnm] Question r/t Joint Commission Expecting a survey from Joint Commission at any time. Looking for questions that they have been asking your dietitians. Thanks in advanced. Jim Severino, RD, LD Davis Memorial Hospital 304 637 3173 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From fns at abbgen.net Tue Jun 2 08:52:29 2009 From: fns at abbgen.net (Annette Doucet) Date: Tue, 2 Jun 2009 10:52:29 -0500 Subject: [Cnm] Question r/t Joint Commission In-Reply-To: <9AE8AA9E1F644B4AA6C155FB6FD51C63276249F5@EMAIL.archildrens.org> References: <23CB1E1760A992448BABEDF99012515813AB58@dmh-exchange2.DHCS.DavisHealth.org> <9AE8AA9E1F644B4AA6C155FB6FD51C63276249F5@EMAIL.archildrens.org> Message-ID: <001301c9e39a$2283edf0$02be7878@DIETARYOFFICE> Re: dietitian washing hands before and after leaving the room. Are they washing their hands, using the lavatory in the patient's room after they enter and again, before leaving that patient's room? Is there a reason that the dietitian is washing her hands, rather than using a hand sanitizer? -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Staten, Karan D Sent: Tuesday, June 02, 2009 9:34 AM To: James E. Severino; cnm at lists.my180.net Subject: Re: [Cnm] Question r/t Joint Commission We had our survey last November. The physician surveyor requested to talk with our dietitian in our rehab unit. He reviewed her charting, and then asked questions regarding interdisciplinary care. Also, requested to go in the room with her and of course she washed her hands before and after leaving the room. He took note of that. Also, in our CVICU a nurse surveyor asked about our frequency of charting, wanted to see it and also asked about interdisciplinary care. At our Fitness Clinic(weight loss clinic) they reviewed our charting and observed the team functioning. Good Luck, Karan D. Staten, MS, RD, LD Director of Clinical Nutrition Arkansas Children's Hospital 1 Children's Way, Slot 603 Little Rock, AR 72202 501-364-3519-direct 501-364-1264-department 501-364-6819-fax -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of James E. Severino Sent: Tuesday, June 02, 2009 6:54 AM To: cnm at lists.my180.net Subject: [Cnm] Question r/t Joint Commission Expecting a survey from Joint Commission at any time. Looking for questions that they have been asking your dietitians. Thanks in advanced. Jim Severino, RD, LD Davis Memorial Hospital 304 637 3173 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net **************************************************************************** **************************************************************************** **************************************************************************** **************************************************************************** **************************************************************************** **************************************************************************** **************************************************************************** **************************************************************************** ********************** The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net Internal Virus Database is out of date. Checked by AVG - www.avg.com Version: 8.5.238 / Virus Database: 270.12.21/2102 - Release Date: 05/07/09 05:57:00 From Jryan at holyredeemer.com Tue Jun 2 09:02:26 2009 From: Jryan at holyredeemer.com (Jeanie Ryan) Date: Tue, 2 Jun 2009 12:02:26 -0400 Subject: [Cnm] handwashing and traydelivery Message-ID: Our infection control department would like us to have a sense of how handwashing is handled for tray delivery. Is everyone using a sanitizer when entering a patient room, leaving a patient room or both? Jeanie Ryan RD LDN Clinical Nutrition Manager Nutrition Services Holy Redeemer Hospital and Medical Center 215-938-4332 FAX 215-938-4336 jryan at holyredeemer.com --------------------------------------------------------------------------------- CONFIDENTIALITY NOTICE: This E-Mail is intended only for the use of the individual or entity to which it was sent. It may contain information that is privileged and/or confidential, and the use or disclosure of such information may also be restricted under applicable federal and state law. If you received this communication in error, please do not distribute any part of it or retain any copies, and delete the original E-Mail. Please notify the sender of any error by E-Mail. Thank you for your cooperation. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090602/743210a5/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 917 bytes Desc: image001.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090602/743210a5/attachment.gif -------------- next part -------------- A non-text attachment was scrubbed... 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Name: not available Type: image/gif Size: 2086 bytes Desc: image003.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090602/743210a5/attachment-0002.gif From StatenKD at archildrens.org Tue Jun 2 09:17:03 2009 From: StatenKD at archildrens.org (Staten, Karan D) Date: Tue, 2 Jun 2009 11:17:03 -0500 Subject: [Cnm] Question r/t Joint Commission In-Reply-To: <001301c9e39a$2283edf0$02be7878@DIETARYOFFICE> References: <23CB1E1760A992448BABEDF99012515813AB58@dmh-exchange2.DHCS.DavisHealth.org> <9AE8AA9E1F644B4AA6C155FB6FD51C63276249F5@EMAIL.archildrens.org> <001301c9e39a$2283edf0$02be7878@DIETARYOFFICE> Message-ID: <9AE8AA9E1F644B4AA6C155FB6FD51C63276249FE@EMAIL.archildrens.org> Either is acceptable. -----Original Message----- From: Annette Doucet [mailto:fns at abbgen.net] Sent: Tuesday, June 02, 2009 10:52 AM To: Staten, Karan D; 'James E. Severino'; cnm at lists.my180.net Subject: RE: [Cnm] Question r/t Joint Commission Re: dietitian washing hands before and after leaving the room. Are they washing their hands, using the lavatory in the patient's room after they enter and again, before leaving that patient's room? Is there a reason that the dietitian is washing her hands, rather than using a hand sanitizer? -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Staten, Karan D Sent: Tuesday, June 02, 2009 9:34 AM To: James E. Severino; cnm at lists.my180.net Subject: Re: [Cnm] Question r/t Joint Commission We had our survey last November. The physician surveyor requested to talk with our dietitian in our rehab unit. He reviewed her charting, and then asked questions regarding interdisciplinary care. Also, requested to go in the room with her and of course she washed her hands before and after leaving the room. He took note of that. Also, in our CVICU a nurse surveyor asked about our frequency of charting, wanted to see it and also asked about interdisciplinary care. At our Fitness Clinic(weight loss clinic) they reviewed our charting and observed the team functioning. Good Luck, Karan D. Staten, MS, RD, LD Director of Clinical Nutrition Arkansas Children's Hospital 1 Children's Way, Slot 603 Little Rock, AR 72202 501-364-3519-direct 501-364-1264-department 501-364-6819-fax -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of James E. Severino Sent: Tuesday, June 02, 2009 6:54 AM To: cnm at lists.my180.net Subject: [Cnm] Question r/t Joint Commission Expecting a survey from Joint Commission at any time. Looking for questions that they have been asking your dietitians. Thanks in advanced. Jim Severino, RD, LD Davis Memorial Hospital 304 637 3173 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ************************************************************************ **** ************************************************************************ **** ************************************************************************ **** ************************************************************************ **** ************************************************************************ **** ************************************************************************ **** ************************************************************************ **** ************************************************************************ **** ********************** The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net Internal Virus Database is out of date. Checked by AVG - www.avg.com Version: 8.5.238 / Virus Database: 270.12.21/2102 - Release Date: 05/07/09 05:57:00 ****************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************** The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you. From sw1979 at nahealth.com Tue Jun 2 09:40:03 2009 From: sw1979 at nahealth.com (Sheila Walsh) Date: Tue, 2 Jun 2009 09:40:03 -0700 Subject: [Cnm] handwashing and traydelivery In-Reply-To: References: Message-ID: <4A24F373.485B.0001.0@nahealth.com> sanitizer dispensers are between each room on our hospital. The nutrition assistants are to sanitize between rooms, always. We are monitored. Sheila A. Walsh, MPH, RD Clinical Nutrition Manager Flagstaff Medical Center Where patients are our purpose. <\__~ / \ >>> "Jeanie Ryan" 6/2/2009 9:02 AM >>> Our infection control department would like us to have a sense of how handwashing is handled for tray delivery. Is everyone using a sanitizer when entering a patient room, leaving a patient room or both? Jeanie Ryan RD LDN Clinical Nutrition Manager Nutrition Services Holy Redeemer Hospital and Medical Center 215-938-4332 FAX 215-938-4336 jryan at holyredeemer.com --------------------------------------------------------------------------------- CONFIDENTIALITY NOTICE: This E-Mail is intended only for the use of the individual or entity to which it was sent. It may contain information that is privileged and/or confidential, and the use or disclosure of such information may also be restricted under applicable federal and state law. If you received this communication in error, please do not distribute any part of it or retain any copies, and delete the original E-Mail. Please notify the sender of any error by E-Mail. Thank you for your cooperation. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090602/1943a100/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 917 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090602/1943a100/attachment-0003.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 4577 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090602/1943a100/attachment-0004.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 2086 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090602/1943a100/attachment-0005.gif From horlowsk at ppmh.org Tue Jun 2 09:41:54 2009 From: horlowsk at ppmh.org (Orlowski, Hannah) Date: Tue, 2 Jun 2009 12:41:54 -0400 Subject: [Cnm] FW: nutrition screening in cancer centers Message-ID: <0DAF44B706E29940A409E32DC69005C00505F272@exchange1.phoebe.com> This is to Linda Barker. I dont have your email. This is from my outpt oncolgy RD. -----Original Message----- From: Haddrill, Jan M. Sent: Friday, May 29, 2009 2:02 PM To: Orlowski, Hannah Subject: RE: [Cnm] nutrition screening in cancer centers Hannah, please forward this on to Linda. I am not a member of the list-serve and can't respond directly. Thanks! jan Hi Linda, I work in the radiation therapy department of a cancer center. Below are my answers to your questions. If you have more questions please e-mail me directly so I can respond directly to you. 1. All of our patients fill out a nutrition screen when they are filling out paperwork the day of their initial consultation with the doctor. The screen is given to them in a packet of paperwork by the front desk staff, they keep a supply of them on hand. I pick up the nutrition screens daily and see all patients that are having problems eating, or have lost too much weight. If you would like me to e-mail you my screen send me your e-mail address. The nurses and radiation therapists sometimes will tell me if I need to see a patient, but it's up to me to monitor the high risk patients and intervene early when problems arise. 2. I don't screen all new patients, not enough time. I focus on the high risk patients, head/neck, esophageal, stomach, pancreas, colon, women cancers in abdomen (ovarian/endometrial etc), all feeding tubes. I counsel chemotherapy patients when consulted by their staff, or if they state they are having problems on the nutrition screen they fill out in radiation oncology, then I will call them. 3. Because I am in the department and very visible and constantly checking on my patients (some would say a pest) I usually tell the doctors about patients THEY need to see. I am very proactive and usually catch problems early and intervene. 4. I do use Mosaiq/inpac but we have not gone paperless yet. I do chart notes in the Documents section but that's the only time I input info. At some point I will have the nutrition assessment form and other forms in inpac. I've been told they will not be my exact forms but drop down screens with the same info to be filled in. 5. I work full time in radiation oncology, 8 hours salary, and rotate weekends with the inpatient dietitians. My typical day is usually 7am to 5 - 6 pm. Some days I am able to leave by 4pm. I hope this helps. Please e-mail or call me if you have any other questions. Jan Haddrill, RD, LD Phoebe Putney Memorial Hospital Radiation Oncology Department 229-312-2260 jhaddril at ppmh.org _____ From: Orlowski, Hannah Sent: Tuesday, May 26, 2009 9:30 AM To: Haddrill, Jan M. Subject: FW: [Cnm] nutrition screening in cancer centers Please respond to her if you want to. She is asking very specific questions i can not answer. I hope you had a good weekend off. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net]On Behalf Of Barker, Linda Sent: Tuesday, May 26, 2009 9:04 AM To: cnm at lists.my180.net Subject: [Cnm] nutrition screening in cancer centers Good morning, I asked this question previously, but got only one response. So I thought I would try again. For those of you with Cancer Centers: 1. Is nursing screening patients and referring them? 2. Are dietitians screening new patients? 3. Are patients being referred only by physicians? 4. If you are using Impac Mosaiq EMR, is there a built in nutrition screen? 5. Is an RD working full time or part time (how many hours) in the cancer center? Thanks for your help with these questions. Linda Barker, RD, LDN Randolph Hospital Asheboro, NC 27203 ----------------------------------------- Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090602/2796fdca/attachment.html From SRashid at sjha.org Tue Jun 2 11:24:29 2009 From: SRashid at sjha.org (Rashid, Shahida) Date: Tue, 2 Jun 2009 14:24:29 -0400 Subject: [Cnm] Question r/t Joint Commission - Last month May '09 In-Reply-To: References: <23CB1E1760A992448BABEDF99012515813AB58@dmh-exchange2.DHCS.DavisHealth.org> Message-ID: It was a Monday morning, they arrived in our Lobby at 8am on May 4th, we had sort of estimated them to come ~June end, four of 'em came for 4 days - first 2 days very intense, all units were visited - tracer methodology - pts chosen from all points of entry into the health system. The administrator was in the kitchen within an hour ~ 9am, walked thru, was mainly interested in life safety issues, electrical closets etc. In the wrap-up commentary - they liked our kitchen said it was clean & organized. They looked at our EMR and were impressed with our nutrition on-line format, (conveyed by our nurses accompanying them) it's not NCP yet they did not specifically ask to speak with any RD. They wanted to see a central Interdisciplinary Plan (our POC is a paper, forever lost!) - They were satisfied that Sorian will accomplish that for us. At the med mgt meeting; asked what each of our involvement was, each of us explained what projects we've worked on and how we planned on meeting the anti-coagulation pt safety goal. The MD commented how well nursing, pharmacy & nutrition work together. In fact we were complimented so much we felt just great about this survey. Our avg. census is 300. Thanks, Sr Shahida Rashid MS. RD/LD Clinical Nutrition Manager Saint Joseph's Hospital of Atlanta Phone: 678-843-7038 Fax: 678-843-5998 Pager: 404-628-2660 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of DChampeon at stmarysmaine.com Sent: Tuesday, June 02, 2009 7:56 AM To: James E. Severino Cc: cnm at lists.my180.net; cnm-bounces at lists.my180.net Subject: Re: [Cnm] Question r/t Joint Commission - Please post to list "James E. Severino" Sent by: cc cnm-bounces at lists .my180.net Subject [Cnm] Question r/t Joint Commission 06/02/2009 07:55 AM Expecting a survey from Joint Commission at any time. Looking for questions that they have been asking your dietitians. Thanks in advanced. Jim Severino, RD, LD Davis Memorial Hospital 304 637 3173 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net Confidentiality Notice: This email, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please reply to the sender that you have received the message in error, then delete this message. From CKeinath at chs-mi.com Tue Jun 2 14:25:08 2009 From: CKeinath at chs-mi.com (CKeinath at chs-mi.com) Date: 02-Jun-2009 17:25:08 EDT Subject: [Cnm] gloves or bare hand and tray assembly In-Reply-To: References: An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090602/da390709/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: pic10539.gif Type: image/gif Size: 917 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090602/da390709/attachment.gif From cahns at carthageareahospital.com Tue Jun 2 16:55:13 2009 From: cahns at carthageareahospital.com (Dawn Berry, RD) Date: Tue, 2 Jun 2009 19:55:13 -0400 Subject: [Cnm] Military patients Message-ID: <53B4007BC9324FC5AFF5DBB60CCE9F59@CAHNS1> Does anyone out there see military out-patients? I have a dilemma with a soldier I have recently seen. 24 yo male, no previous medical history, BMI WNL, Family hx of diverticulitis and DM He wants me to write a letter saying the dining facility food is essentially bad for him. He is hoping to get BAS (extra pay he can use for buying food instead of going to the dining facility). I have asked him to bring me more "ammunition", something concrete. He is keeping a food diary with any physical problems he experiences after eating at the dining facility. I am going to contact the dining facility manager but I am not really comfortable writing the letter at this point. If it's not good for him how can it be good for the rest of the soldiers eating there? HELP! Dawn Berry, RD CDN Director of Clinical Nutrition Carthage Area Hospital 1001 West Street Carthage, NY 13619 315-493-1005 ext 3222 cahns at carthageareahospital.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090602/4f421aef/attachment.html From eedwards at skmc.gov.ae Tue Jun 2 23:44:54 2009 From: eedwards at skmc.gov.ae (Ellen Edwards) Date: Wed, 3 Jun 2009 10:44:54 +0400 Subject: [Cnm] physician led Message-ID: <9A99F98786F9254597C0A0C62685FB5A08755A4C2F@AHA-MAIL.skmc.gov.ae> Good Morning: We are going to a physician led style of hospital administration. I like the idea as I can see a great input for nutrition for the facility over all and may help us implement procedures (that are not consistently considered now). I have only reported to a physician as an administrator in the past and we always had one as a member on our nutrition support (TPN/TF) team. It seems the preference is to have all nutrition for the facility (500 bed plus rehab and pych hospitals) to be led a gastroenterologist. Are any of you reporting to MD's for nutrition administration? And if so to whom: cardiac, endocrinology, gastro, peddies, quality physician, etc Thank you - well appreciated! Ellen Edwards, RD LD Head, Clinical Dietetics Chief Clinical Dietitian Direct: +971 2 610-2024 Mobile: +971 050-661-7297 ________________________________ Confidentiality Note: This message and any included attachments are intended for the exclusive use of the individual or entity that is the named addressee and may contain information that is privileged or confidential or otherwise legally exempt from disclosure. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090603/7d0b6dc9/attachment.html From jross at jaycountyhospital.com Wed Jun 3 13:04:14 2009 From: jross at jaycountyhospital.com (Julayne Ross) Date: Wed, 3 Jun 2009 16:04:14 -0400 Subject: [Cnm] fixodent Message-ID: <10DE3A7624A2BD48B81AFE4E90A5094D0213D178@EX1.jaycountyhospital.com> Has anyone heard anything about how Fixodent is the possibility of a lawsuit in relation to neuropathy or zinc, copper deficiency? I had a diabetic patient tell me she heard a commercial and she has neuropathy and has used Fixodent for 20+ years.... Told her I would look into it. Julayne -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090603/51c3b3c7/attachment.html From amy.lafalce at gwu-hospital.com Wed Jun 3 13:30:59 2009 From: amy.lafalce at gwu-hospital.com (Amy LaFalce) Date: Wed, 3 Jun 2009 16:30:59 -0400 Subject: [Cnm] Nutrition Assessment in Psychiatric Unit Message-ID: An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090603/f278cf0e/attachment.html From WellsK at armc.sbcounty.gov Wed Jun 3 13:42:39 2009 From: WellsK at armc.sbcounty.gov (Wells, Khongmany ARMC-Nutrition Services) Date: Wed, 3 Jun 2009 13:42:39 -0700 Subject: [Cnm] Addressing Weights in follow-up notes Message-ID: <4411CB5C30A2674CB4708C0CA3CBB966011D1FC9@sbc-exmsg5.sbcounty.gov> Hello Everyone, I've been doing a PI study on weights. What I have found is that about 88% of weight are recorded at admission. However, only 5% of our patients have follow-up weights recorded (I am looking at patients with LOS >7 days to see if f/u wt done). What I have also seen is that our dietitians will address the initial weight and comment on weight loss reported by patient but with follow ups I am not seeing requests for weights or the weights being addressed again. What are your guidelines? How often are you having your dietitian (technician) document weights (comment on weight status). Any feedback is appreciated. Thank you, Khongmany Wells, RD, MPH, CNSD Clinical Nutrition Manager Arrowhead Regional Medical Center (909) 580-2466 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090603/53f8ed46/attachment.html From mpappo at montefiore.org Wed Jun 3 13:51:52 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Wed, 03 Jun 2009 16:51:52 -0400 Subject: [Cnm] Nutrition Assessment in Psychiatric Unit Message-ID: We see pts only by consult in psych. However, the RD who now handles that unit enjoys behavioral health & has started weekly classes that are well attended. >>> Amy LaFalce 06/03/09 4:30 PM >>> This question is for those who have an inpatient psychiatric unit at their facility...Do you have separate nutrition assessment/re-assessment protocols for the psych unit, or do you follow the same policy as the rest of the hospital? Thanks Amy H. LaFalce, RD, LD Clinical Nutrition Manager The George Washington University Hospital 900 23rd Street, NW Washington, DC 20037 (202) 715-4498 UHS Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution of this information is prohibited, and may be punishable by law. If this was sent to you in error, please notify the sender by reply e-mail and destroy all copies of the original message. From Dierks.Lisa at mayo.edu Wed Jun 3 13:55:52 2009 From: Dierks.Lisa at mayo.edu (Dierks, Lisa M., R.D., L.D.) Date: Wed, 3 Jun 2009 15:55:52 -0500 Subject: [Cnm] Education in Psychiatric Unit In-Reply-To: References: Message-ID: I would like to build on question from previous e-mail: What type of education do you provide to patients in psych unit? -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Miriam Pappo Sent: Wednesday, June 03, 2009 3:52 PM To: amy.lafalce at gwu-hospital.com; cnm at lists.my180.net Subject: Re: [Cnm] Nutrition Assessment in Psychiatric Unit We see pts only by consult in psych. However, the RD who now handles that unit enjoys behavioral health & has started weekly classes that are well attended. >>> Amy LaFalce 06/03/09 4:30 PM >>> This question is for those who have an inpatient psychiatric unit at their facility...Do you have separate nutrition assessment/re-assessment protocols for the psych unit, or do you follow the same policy as the rest of the hospital? Thanks Amy H. LaFalce, RD, LD Clinical Nutrition Manager The George Washington University Hospital 900 23rd Street, NW Washington, DC 20037 (202) 715-4498 UHS Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution of this information is prohibited, and may be punishable by law. If this was sent to you in error, please notify the sender by reply e-mail and destroy all copies of the original message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From julie.mclaughlin at hotmail.com Thu Jun 4 06:02:09 2009 From: julie.mclaughlin at hotmail.com (Julie McLaughlin) Date: Thu, 4 Jun 2009 09:02:09 -0400 Subject: [Cnm] Nutrition Assessment in Psychiatric Unit In-Reply-To: References: Message-ID: At the hospital I currently work at, we have the same policy, per say, but our LOS is different. If a patient does not trigger for any other reason, both our inpt and psych population is seen at 1 day greater than the LOS. In-pts would be seen on LOS day 7, while psych unit patients are seen on LOS day 14. Follow-up is based on the assessment results, if found to be at no risk, they are followed-up every 14 days. The last hospital I worked at, got sited by TJC for not seeing psych patients. Once implemented, our criteria was different for them as the units had a very long LOS. I forget when we initially saw them, but we followed up on them quarterly. Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL From: amy.lafalce at gwu-hospital.com To: cnm at lists.my180.net Date: Wed, 3 Jun 2009 16:30:59 -0400 Subject: [Cnm] Nutrition Assessment in Psychiatric Unit This question is for those who have an inpatient psychiatric unit at their facility...Do you have separate nutrition assessment/re-assessment protocols for the psych unit, or do you follow the same policy as the rest of the hospital? Thanks Amy H. LaFalce, RD, LD Clinical Nutrition Manager The George Washington University Hospital 900 23rd Street, NW Washington, DC 20037 (202) 715-4498 UHS Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution of this information is prohibited, and may be punishable by law. If this was sent to you in error, please notify the sender by reply e-mail and destroy all copies of the original message. _________________________________________________________________ Windows Live? SkyDrive?: Get 25 GB of free online storage. http://windowslive.com/online/skydrive?ocid=TXT_TAGLM_WL_SD_25GB_062009 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/db92c33d/attachment.html From DChampeon at stmarysmaine.com Thu Jun 4 06:27:46 2009 From: DChampeon at stmarysmaine.com (DChampeon at stmarysmaine.com) Date: Thu, 4 Jun 2009 09:27:46 -0400 Subject: [Cnm] Nutrition Assessment in Psychiatric Unit In-Reply-To: References: Message-ID: A member of our last JCAHO survey team indicated that it was a waste or resources to re-screen Q 14 days. He suggested screen on admit and see pts who did not trigger an assessment on consult only. We made the change. We're due for JCAHO survey any day now. Will be interesting to see if this team is OK with the consult only policy, or goes the need to screen Q 14 days route. Diana. Diana Champeon Director, Nutrition Services St. Mary's Regional Medical Center 100 Campus Avenue Lewiston, ME 04240 dchampeon at stmarysmaine.com phone (207)777-8603 fax (207)777-8609 Julie McLaughlin To Sent by: , CNM cnm-bounces at lists List Serve .my180.net cc Subject 06/04/2009 09:03 Re: [Cnm] Nutrition Assessment in AM Psychiatric Unit At the hospital I currently work at, we have the same policy, per say, but our LOS is different.? If a patient does not trigger for any other reason, both our inpt and psych population is seen at 1 day greater than the LOS. In-pts would be seen on LOS day 7, while psych unit patients are seen on LOS day 14.? Follow-up is based on the assessment results, if found to be at no risk, they are followed-up every 14 days. The last hospital I worked at, got sited by TJC for not seeing psych patients.? Once implemented, our criteria was different for them as the units had a very long LOS.? I forget when we initially saw them, but we followed up on them quarterly. Julie McLaughlin, RD, LD/N Assistant?Director,?Patient Services Broward General Medical Center Ft. Lauderdale, FL From: amy.lafalce at gwu-hospital.com To: cnm at lists.my180.net Date: Wed, 3 Jun 2009 16:30:59 -0400 Subject: [Cnm] Nutrition Assessment in Psychiatric Unit This question is for those who have an inpatient psychiatric unit at their facility...Do you have separate nutrition assessment/re-assessment protocols for the psych unit, or do you follow the same policy as the rest of the hospital? Thanks Amy?H.?LaFalce,?RD,?LD Clinical?Nutrition?Manager The?George?Washington?University?Hospital 900?23rd?Street,?NW Washington,?DC?20037 (202)?715-4498 UHS Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution of this information is prohibited, and may be punishable by law. If this was sent to you in error, please notify the sender by reply e-mail and destroy all copies of the original message. Windows Live? SkyDrive?: Get 25 GB of free online storage. Get it on your BlackBerry or iPhone. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From mpappo at montefiore.org Thu Jun 4 06:52:05 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Thu, 04 Jun 2009 09:52:05 -0400 Subject: [Cnm] Education in Psychiatric Unit Message-ID: I hope this gets to all who are interested. The topics she has presented are: Lightening Up the Liquids Nutrition and Depression Meet The Fats (AHA) How to Read a Food Label How to Plan Your Meals Weight Management Fruits and Veggies On The Go (CDC) Basic Skills For Heart Healthy Eating Nutrition and Disease Prevention My Pyramid: Tips For Families (USDA) Healthy Holiday Eating Ou LOS in our acute Psych unit is ~ 2-3 wks, so there is ample time as the pts progress for them to attend. This decreases unnecessary consults we have found as well. Many, at the end of their stay, want to improve their overall quality of life & consider nutrition a part. I have my doubts to their readiness, but this seems to work. Miriam Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Dierks, Lisa M., R.D., L.D." 06/03/09 4:55 PM >>> I would like to build on question from previous e-mail: What type of education do you provide to patients in psych unit? -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Miriam Pappo Sent: Wednesday, June 03, 2009 3:52 PM To: amy.lafalce at gwu-hospital.com; cnm at lists.my180.net Subject: Re: [Cnm] Nutrition Assessment in Psychiatric Unit We see pts only by consult in psych. However, the RD who now handles that unit enjoys behavioral health & has started weekly classes that are well attended. >>> Amy LaFalce 06/03/09 4:30 PM >>> This question is for those who have an inpatient psychiatric unit at their facility...Do you have separate nutrition assessment/re-assessment protocols for the psych unit, or do you follow the same policy as the rest of the hospital? Thanks Amy H. LaFalce, RD, LD Clinical Nutrition Manager The George Washington University Hospital 900 23rd Street, NW Washington, DC 20037 (202) 715-4498 UHS Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution of this information is prohibited, and may be punishable by law. If this was sent to you in error, please notify the sender by reply e-mail and destroy all copies of the original message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An embedded and charset-unspecified text was scrubbed... Name: Miriam Pappo.vcf Url: /pipermail/cnm_lists.my180.net/attachments/20090604/f448bc88/attachment.pl From mpappo at montefiore.org Thu Jun 4 06:54:16 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Thu, 04 Jun 2009 09:54:16 -0400 Subject: [Cnm] Nutrition Assessment in Psychiatric Unit Message-ID: I would like to know after your survey what they said. Please send us an update. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> 06/04/09 9:27 AM >>> A member of our last JCAHO survey team indicated that it was a waste or resources to re-screen Q 14 days. He suggested screen on admit and see pts who did not trigger an assessment on consult only. We made the change. We're due for JCAHO survey any day now. Will be interesting to see if this team is OK with the consult only policy, or goes the need to screen Q 14 days route. Diana. Diana Champeon Director, Nutrition Services St. Mary's Regional Medical Center 100 Campus Avenue Lewiston, ME 04240 dchampeon at stmarysmaine.com phone (207)777-8603 fax (207)777-8609 Julie McLaughlin To Sent by: , CNM cnm-bounces at lists List Serve .my180.net cc Subject 06/04/2009 09:03 Re: [Cnm] Nutrition Assessment in AM Psychiatric Unit At the hospital I currently work at, we have the same policy, per say, but our LOS is different. If a patient does not trigger for any other reason, both our inpt and psych population is seen at 1 day greater than the LOS. In-pts would be seen on LOS day 7, while psych unit patients are seen on LOS day 14. Follow-up is based on the assessment results, if found to be at no risk, they are followed-up every 14 days. The last hospital I worked at, got sited by TJC for not seeing psych patients. Once implemented, our criteria was different for them as the units had a very long LOS. I forget when we initially saw them, but we followed up on them quarterly. Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL From: amy.lafalce at gwu-hospital.com To: cnm at lists.my180.net Date: Wed, 3 Jun 2009 16:30:59 -0400 Subject: [Cnm] Nutrition Assessment in Psychiatric Unit This question is for those who have an inpatient psychiatric unit at their facility...Do you have separate nutrition assessment/re-assessment protocols for the psych unit, or do you follow the same policy as the rest of the hospital? Thanks Amy H. LaFalce, RD, LD Clinical Nutrition Manager The George Washington University Hospital 900 23rd Street, NW Washington, DC 20037 (202) 715-4498 UHS Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution of this information is prohibited, and may be punishable by law. If this was sent to you in error, please notify the sender by reply e-mail and destroy all copies of the original message. Windows Live* SkyDrive*: Get 25 GB of free online storage. Get it on your BlackBerry or iPhone. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An embedded and charset-unspecified text was scrubbed... Name: Miriam Pappo.vcf Url: /pipermail/cnm_lists.my180.net/attachments/20090604/f57f7e57/attachment.pl From Dierks.Lisa at mayo.edu Thu Jun 4 07:13:08 2009 From: Dierks.Lisa at mayo.edu (Dierks, Lisa M., R.D., L.D.) Date: Thu, 4 Jun 2009 09:13:08 -0500 Subject: [Cnm] Education in Psychiatric Unit In-Reply-To: References: Message-ID: How often does she teach these classes? 1 per day, 1 per week, per her discretion or on a rotating basis? Thanks for your assistance! -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Miriam Pappo Sent: Thursday, June 04, 2009 8:52 AM To: amy.lafalce at gwu-hospital.com; cnm at lists.my180.net; Dierks, Lisa M., R.D., L.D. Subject: Re: [Cnm] Education in Psychiatric Unit I hope this gets to all who are interested. The topics she has presented are: Lightening Up the Liquids Nutrition and Depression Meet The Fats (AHA) How to Read a Food Label How to Plan Your Meals Weight Management Fruits and Veggies On The Go (CDC) Basic Skills For Heart Healthy Eating Nutrition and Disease Prevention My Pyramid: Tips For Families (USDA) Healthy Holiday Eating Ou LOS in our acute Psych unit is ~ 2-3 wks, so there is ample time as the pts progress for them to attend. This decreases unnecessary consults we have found as well. Many, at the end of their stay, want to improve their overall quality of life & consider nutrition a part. I have my doubts to their readiness, but this seems to work. Miriam Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Dierks, Lisa M., R.D., L.D." 06/03/09 4:55 PM >>> I would like to build on question from previous e-mail: What type of education do you provide to patients in psych unit? -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Miriam Pappo Sent: Wednesday, June 03, 2009 3:52 PM To: amy.lafalce at gwu-hospital.com; cnm at lists.my180.net Subject: Re: [Cnm] Nutrition Assessment in Psychiatric Unit We see pts only by consult in psych. However, the RD who now handles that unit enjoys behavioral health & has started weekly classes that are well attended. >>> Amy LaFalce 06/03/09 4:30 PM >>> This question is for those who have an inpatient psychiatric unit at their facility...Do you have separate nutrition assessment/re-assessment protocols for the psych unit, or do you follow the same policy as the rest of the hospital? Thanks Amy H. LaFalce, RD, LD Clinical Nutrition Manager The George Washington University Hospital 900 23rd Street, NW Washington, DC 20037 (202) 715-4498 UHS Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution of this information is prohibited, and may be punishable by law. If this was sent to you in error, please notify the sender by reply e-mail and destroy all copies of the original message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From mpappo at montefiore.org Thu Jun 4 07:15:52 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Thu, 04 Jun 2009 10:15:52 -0400 Subject: [Cnm] Education in Psychiatric Unit Message-ID: One hour each Wednesday. She's made up the classes based on what the pts have asked for & what she feels our population needs. Now that she has several, she may start rotating. I've left this all up to her altho now we may start discussing it. She documents a quick note for each pt in our Health Education Record in the chart. >>> "Dierks, Lisa M., R.D., L.D." 06/04/09 10:13 AM >>> How often does she teach these classes? 1 per day, 1 per week, per her discretion or on a rotating basis? Thanks for your assistance! -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Miriam Pappo Sent: Thursday, June 04, 2009 8:52 AM To: amy.lafalce at gwu-hospital.com; cnm at lists.my180.net; Dierks, Lisa M., R.D., L.D. Subject: Re: [Cnm] Education in Psychiatric Unit I hope this gets to all who are interested. The topics she has presented are: Lightening Up the Liquids Nutrition and Depression Meet The Fats (AHA) How to Read a Food Label How to Plan Your Meals Weight Management Fruits and Veggies On The Go (CDC) Basic Skills For Heart Healthy Eating Nutrition and Disease Prevention My Pyramid: Tips For Families (USDA) Healthy Holiday Eating Ou LOS in our acute Psych unit is ~ 2-3 wks, so there is ample time as the pts progress for them to attend. This decreases unnecessary consults we have found as well. Many, at the end of their stay, want to improve their overall quality of life & consider nutrition a part. I have my doubts to their readiness, but this seems to work. Miriam Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Dierks, Lisa M., R.D., L.D." 06/03/09 4:55 PM >>> I would like to build on question from previous e-mail: What type of education do you provide to patients in psych unit? -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Miriam Pappo Sent: Wednesday, June 03, 2009 3:52 PM To: amy.lafalce at gwu-hospital.com; cnm at lists.my180.net Subject: Re: [Cnm] Nutrition Assessment in Psychiatric Unit We see pts only by consult in psych. However, the RD who now handles that unit enjoys behavioral health & has started weekly classes that are well attended. >>> Amy LaFalce 06/03/09 4:30 PM >>> This question is for those who have an inpatient psychiatric unit at their facility...Do you have separate nutrition assessment/re-assessment protocols for the psych unit, or do you follow the same policy as the rest of the hospital? Thanks Amy H. LaFalce, RD, LD Clinical Nutrition Manager The George Washington University Hospital 900 23rd Street, NW Washington, DC 20037 (202) 715-4498 UHS Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution of this information is prohibited, and may be punishable by law. If this was sent to you in error, please notify the sender by reply e-mail and destroy all copies of the original message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From Janet.Hiser at danhosp.org Thu Jun 4 07:23:09 2009 From: Janet.Hiser at danhosp.org (Hiser, Janet D.) Date: Thu, 4 Jun 2009 10:23:09 -0400 Subject: [Cnm] EMR documentation Message-ID: <4865A403D47CFA419916A9082054AB62DFA85E@dhsiexch03.danhosp.priv> We went live on EMR on Saturday. I discovered that if we had an inpatient on an acute care unit that was discharged then admitted to our rehab floor our nutrition progress note from their inpt visit stays in the record. When we were on paper our policy is to do a nutrition assessment on this pt as they are a new admit. (Of course the previous nutrition notes were not in the paper chart for the rehab admission). Because the note from yesterday is in the EMR, it seems like a waste to0day to do a full nutrition assessment. What are other facilities doing in this case? I'm thinking of changing our policy to read that if a pt is readmitted within 7 days no reassessment needs to be done? Thoughts? Janet D. Hiser, M.O.E., R.D., CD-N Chief Dietitian/Dietetic Internship Director Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 V: (203) 739-7216 | F: (203) 739-7619 | janet.hiser at danhosp.org http://www.danburyhospital.org P Please consider the environment before printing this e-mail This transmittal is intended for a particular addressee(s). If it is not clear that you are the intended recipient, you are hereby notified that you have received this transmittal in error; any review, copying or distribution or dissemination is strictly prohibited. If you suspect that you have received this transmittal in error, please notify Danbury Health Systems immediately by email reply to the sender, and delete the transmittal and any attachments. READER BEWARE: Internet e-mail is inherently insecure and occasionally unreliable. Please contact the sender if you wish to arrange for secure communication or to verify the contents of this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/c653d595/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 17147 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090604/c653d595/attachment-0002.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 5811 bytes Desc: image002.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090604/c653d595/attachment-0003.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 9749 bytes Desc: image003.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090604/c653d595/attachment-0001.gif From Dierks.Lisa at mayo.edu Thu Jun 4 07:26:08 2009 From: Dierks.Lisa at mayo.edu (Dierks, Lisa M., R.D., L.D.) Date: Thu, 4 Jun 2009 09:26:08 -0500 Subject: [Cnm] EMR documentation In-Reply-To: <4865A403D47CFA419916A9082054AB62DFA85E@dhsiexch03.danhosp.priv> References: <4865A403D47CFA419916A9082054AB62DFA85E@dhsiexch03.danhosp.priv> Message-ID: we complete a new assessment as our rehab center is a separate facility (even though it is within the walls of our hospital) We have our daily workload report set up that new admits to rehab do not show that a note was written yesterday. Even though it feels like a waste, writing the assessment note today is pretty quick as not much as probably changed. Hate to say it but... review chart, interview patient, copy, paste, edit, save - done. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Hiser, Janet D. Sent: Thursday, June 04, 2009 9:23 AM To: CNM list serve Cc: Lisa Finn; Vicki Barber; Beverly Rowe; Nancy Salem; Joan Healey; Mary Lou Viola; Joanna Tzakas Subject: [Cnm] EMR documentation We went live on EMR on Saturday. I discovered that if we had an inpatient on an acute care unit that was discharged then admitted to our rehab floor our nutrition progress note from their inpt visit stays in the record. When we were on paper our policy is to do a nutrition assessment on this pt as they are a new admit. (Of course the previous nutrition notes were not in the paper chart for the rehab admission). Because the note from yesterday is in the EMR, it seems like a waste to0day to do a full nutrition assessment. What are other facilities doing in this case? I'm thinking of changing our policy to read that if a pt is readmitted within 7 days no reassessment needs to be done? Thoughts? Janet D. Hiser, M.O.E., R.D., CD-N Chief Dietitian/Dietetic Internship Director Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 V: (203) 739-7216 | F: (203) 739-7619 | janet.hiser at danhosp.org http://www.danburyhospital.org P Please consider the environment before printing this e-mail This transmittal is intended for a particular addressee(s). If it is not clear that you are the intended recipient, you are hereby notified that you have received this transmittal in error; any review, copying or distribution or dissemination is strictly prohibited. If you suspect that you have received this transmittal in error, please notify Danbury Health Systems immediately by email reply to the sender, and delete the transmittal and any attachments. READER BEWARE: Internet e-mail is inherently insecure and occasionally unreliable. Please contact the sender if you wish to arrange for secure communication or to verify the contents of this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/a41454a0/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 17147 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090604/a41454a0/attachment-0002.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 5811 bytes Desc: image002.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090604/a41454a0/attachment-0003.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 9749 bytes Desc: image003.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090604/a41454a0/attachment-0001.gif From m-rodrig at msmc.com Thu Jun 4 07:46:12 2009 From: m-rodrig at msmc.com (Maritza Rodriguez) Date: Thu, 4 Jun 2009 10:46:12 -0400 Subject: [Cnm] BMI for Infants? In-Reply-To: References: Message-ID: <32EDCA3D1F5C4C41B7E1A4573DFACCC602117FA7@SVIPEXC1.msmc.com> For those who work in pediatric hospital. I need an update: What is currently used to identify/ evaluate obesity in infancy? BMI and Growth chart? Thank you, Maritza Rodriguez, RD, LDN From meghan_nichols at hotmail.com Thu Jun 4 09:13:49 2009 From: meghan_nichols at hotmail.com (meghan nichols) Date: Thu, 4 Jun 2009 12:13:49 -0400 Subject: [Cnm] Inpatient Menu In-Reply-To: References: Message-ID: Hi All, Curious if anyone is only using lite versions of mayonnaise and salad dressings for their inpatient menu items such as chicken salad, pasta salad, etc. Looking to propose doing that here, was hoping to get some feedback on any other hospitals doing this and what the response from patients is. Thanks! _________________________________________________________________ Lauren found her dream laptop. Find the PC that?s right for you. http://www.microsoft.com/windows/choosepc/?ocid=ftp_val_wl_290 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/cf1f8c62/attachment.html From lmerrima at nyp.org Thu Jun 4 09:40:52 2009 From: lmerrima at nyp.org (Louise R. Merriman) Date: Thu, 04 Jun 2009 12:40:52 -0400 Subject: [Cnm] wine in patient recipes Message-ID: <602_1244133653_0KKQ0057Y3O4VM70_4A27F914.7050907@nyp.org> Does anyone have a reference on how much alcohol is cooked out when wine is used in recipes? I am recalling that the alcohol is not "cooked out" as was once thought. What is the practice at your hospital - do you use wine in any of your patient recipes? -------------------- This electronic message is intended to be for the use only of the named recipient, and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. Thank you. From Shannon.Jackson at wilmed.org Thu Jun 4 09:56:48 2009 From: Shannon.Jackson at wilmed.org (Shannon Byrd Jackson) Date: Thu, 4 Jun 2009 12:56:48 -0400 Subject: [Cnm] Nutrition Crossword Puzzles Message-ID: <8169B6DBE9D5194DA89219B5C5A6AFBA011DFF9A@wmhcs03.wmh.org> Hi, Does anyone have any crossword puzzles on nutrition ?? I have a patient who is requesting some. Please share if you do. Thanks! Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/7277abf2/attachment.html From fns at abbgen.net Thu Jun 4 11:03:17 2009 From: fns at abbgen.net (Annette Doucet) Date: Thu, 4 Jun 2009 13:03:17 -0500 Subject: [Cnm] Inpatient Menu In-Reply-To: References: Message-ID: <001201c9e53e$be06cea0$02be7878@DIETARYOFFICE> Yes, we are using lite versions of mayonnaise for inptatients and cafeteria. Only buy the lite mayonnaise. For salad drsgs, we buy both regular and lite. _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of meghan nichols Sent: Thursday, June 04, 2009 11:14 AM To: CNMlistserv Subject: [Cnm] Inpatient Menu Hi All, Curious if anyone is only using lite versions of mayonnaise and salad dressings for their inpatient menu items such as chicken salad, pasta salad, etc. Looking to propose doing that here, was hoping to get some feedback on any other hospitals doing this and what the response from patients is. Thanks! _____ Lauren found her dream laptop. Find the PC that 's right for you. Internal Virus Database is out of date. Checked by AVG - www.avg.com Version: 8.5.238 / Virus Database: 270.12.21/2102 - Release Date: 05/07/09 05:57:00 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/5423b645/attachment.html From YDionne at westerlyhospital.org Thu Jun 4 11:06:01 2009 From: YDionne at westerlyhospital.org (Yvette Dionne) Date: Thu, 4 Jun 2009 14:06:01 -0400 Subject: [Cnm] Diet web question Message-ID: Hello, For those who have the diet web how often do you have everyone sign off on it? It seems to me that if a policy is worded in a way to acknowledge regular updates that just when the policy needs review/update would all that signature getting need to happen. I have heard that some people do it annually or biannually because of the updates. What is everyone doing? What is the reasoning behind your decision? Thank you, Yvette Dionne, RD, LDN Ext. 3464 may you be well and happy Confidential: Please note that this e-mail and any attachments are the confidential property of the above-named sender and are intended solely for the use of the individual or entity to which this e-mail is addressed. If you are not one of the named recipients or have reason to believe you received this message in error, you are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this e-mail is strictly prohibited. Please notify the sender by reply e-mail and immediately delete from your computer this message and any attachments. Any other use, retention, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/7b263f53/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 7830 bytes Desc: aleabanr.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090604/7b263f53/attachment.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 4389 bytes Desc: Leaves Bkgrd.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090604/7b263f53/attachment.jpe From RBijold1 at smdc.org Thu Jun 4 11:24:14 2009 From: RBijold1 at smdc.org (Bijold, Roxanne M.) Date: Thu, 4 Jun 2009 13:24:14 -0500 Subject: [Cnm] Sodium content of regular menu In-Reply-To: <001201c9e53e$be06cea0$02be7878@DIETARYOFFICE> References: <001201c9e53e$be06cea0$02be7878@DIETARYOFFICE> Message-ID: <42A90F8376E770489AF180BC11195B05010DFAEC@BOREAL.ntcampus.smdc.org> I am wondering if anyone has modified their regular/general hospital menu in response to the CDC's recent recommendation that most people should limit their sodium intake to 1500 mg/day or less. Thoughts on this? Thanks. Roxanne Roxanne Bijold, MSE, RD, LD Clinical Nutrition Manager SMDC Health System 400 E 3rd Street Duluth, MN 55807 218-786-4669 rbijold1 at smdc.org "Nutrition Services: Nourishing Your Body and Soul" This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you need to hold this information as privileged and confidential. If you have received this communication in error, please notify the sender and destroy all copies of this communication and any attachments. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/924d5c56/attachment.html From Marianne_L_Merrick at ssmhc.com Thu Jun 4 11:24:08 2009 From: Marianne_L_Merrick at ssmhc.com (Marianne_L_Merrick at ssmhc.com) Date: Thu, 4 Jun 2009 13:24:08 -0500 Subject: [Cnm] Nutrition Crossword Puzzles In-Reply-To: <8169B6DBE9D5194DA89219B5C5A6AFBA011DFF9A@wmhcs03.wmh.org> Message-ID: You can create your own on-line - there are websites for free ones (You just have to come up with the questions and answers. ) There are also free word searches you can create on-line. -Marianne Marianne Merrick, RD,CD Clinical Nutrition Manager St. Mary's Hospital Food + Nutrition Services 700 S. Park St. Madison, WI 53715 Ph: 608.258.6608 pager: 608.376.5620 "Shannon Byrd Jackson" Sent by: cnm-bounces at lists.my180.net 06/04/2009 11:56 AM To cc Subject [Cnm] Nutrition Crossword Puzzles Hi, Does anyone have any crossword puzzles on nutrition ?? I have a patient who is requesting some. Please share if you do. Thanks! Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/120a4145/attachment-0001.html From YDionne at westerlyhospital.org Thu Jun 4 11:31:45 2009 From: YDionne at westerlyhospital.org (Yvette Dionne) Date: Thu, 4 Jun 2009 14:31:45 -0400 Subject: [Cnm] Harris Benedict and ADA calculators / equation recommendations Message-ID: Hello, I am in the process of updating policies regarding estimating energy requirements. 1) does anybody have a good reference for pediatrics? Our manual is from '88. The investment for a pediatric manual seems heavy given our patient population and the fact that it may go web soon. 2) The ADA diet web calculator page does not rate the HB equations. The calculator states that it adds factors for the M-st J but I don't see how, as it does not ask questions about factors when doing the calculation. Also the calculator page says not to use the M-st J for critical care patients. So we should not be using that in hospitals. For vent dependent it uses the Penn state equation which the main page states is based on HB. I have been advised that we should be working to match the diet manual. What is anybody else doing for estimating energy needs? Does any body have an accuracy figure for HB? What is your source? Any other information that you think might be of help would be wonderful. (Yes, I tried 3 of the contact emails from the diet web and all got sent back failures.) Thank you in advance for your help, Yvette Dionne, RD, LDN Ext. 3464 may you be well and happy Confidential: Please note that this e-mail and any attachments are the confidential property of the above-named sender and are intended solely for the use of the individual or entity to which this e-mail is addressed. If you are not one of the named recipients or have reason to believe you received this message in error, you are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this e-mail is strictly prohibited. Please notify the sender by reply e-mail and immediately delete from your computer this message and any attachments. Any other use, retention, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/2a69b5ea/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 7830 bytes Desc: aleabanr.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090604/2a69b5ea/attachment.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 4389 bytes Desc: Leaves Bkgrd.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090604/2a69b5ea/attachment.jpe From RachelFlores at sach.org Thu Jun 4 11:58:40 2009 From: RachelFlores at sach.org (Flores, Rachel) Date: Thu, 4 Jun 2009 11:58:40 -0700 Subject: [Cnm] Sodium content of regular menu Message-ID: I don't agree with that drastic of a sodium restriction for EVERYONE over 40. This is especially true in a hospital when people are ill and their electrolytes may be off, and their appetite may be impaired. We need to address people as individuals, and let groups like the CDC and USDA and DHHS give their broad guidelines to healthy populations. Also, for anyone who has been following the CMS debate, I wouldn't want to be considered prescribing a therapeutic diet because I was trying to limit my regular diet to 1500mg. We send a salt packet on trays (upon request) to all non-sodium restricted diets. Rachel Flores, RD, CNSC Clinical Nutrition Manager San Antonio Community Hospital (909) 985-2811 x24430 _____ From: Bijold, Roxanne M. [mailto:RBijold1 at smdc.org] Sent: Thursday, June 04, 2009 11:24 AM To: CNMlistserv Subject: [Cnm] Sodium content of regular menu I am wondering if anyone has modified their regular/general hospital menu in response to the CDC's recent recommendation that most people should limit their sodium intake to 1500 mg/day or less. Thoughts on this? Thanks. Roxanne Roxanne Bijold, MSE, RD, LD Clinical Nutrition Manager SMDC Health System 400 E 3rd Street Duluth, MN 55807 218-786-4669 rbijold1 at smdc.org "Nutrition Services: Nourishing Your Body and Soul" This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you need to hold this information as privileged and confidential. If you have received this communication in error, please notify the sender and destroy all copies of this communication and any attachments. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/99c546fb/attachment.html From sdehoog at u.washington.edu Thu Jun 4 12:14:51 2009 From: sdehoog at u.washington.edu (susan) Date: Thu, 4 Jun 2009 12:14:51 -0700 (PDT) Subject: [Cnm] Sodium content of regular menu In-Reply-To: <42A90F8376E770489AF180BC11195B05010DFAEC@BOREAL.ntcampus.smdc.org> Message-ID: Absolutely not!!! The hospital is NO place to try to change folks food habits. I am wondering how many of those folks limit their intake of sodium to 1500 mg Na or even know what 1500 mg Na diet looks like!!!!!!!!!!!!!!!!! > I am wondering if anyone has modified their regular/general hospital > menu in response to the CDC's recent recommendation that most people > should limit their sodium intake to 1500 mg/day or less. Thoughts on > this? > > Thanks. > > Roxanne > > Roxanne Bijold, MSE, RD, LD > Clinical Nutrition Manager > SMDC Health System > 400 E 3rd Street > Duluth, MN 55807 > 218-786-4669 > rbijold1 at smdc.org > > "Nutrition Services: Nourishing Your Body and Soul" > > > > > This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you need to hold this information as privileged and confidential. If you have received this communication in error, please notify the sender and destroy all copies of this communication and any attachments. > > Susan DeHoog Associate Director Food and Nutrition University of Washington Medical Center BOX 356057 Seattle Washington 98195 (206) 598-4533 email sdehoog at u.washington.edu FAX (206) 598-8105 pager (206)540-8874 From DrNCollins at aol.com Thu Jun 4 12:43:24 2009 From: DrNCollins at aol.com (DrNCollins at aol.com) Date: Thu, 4 Jun 2009 15:43:24 EDT Subject: [Cnm] Nutrition Crossword Puzzles Message-ID: There are actually word search puzzles on _www.RD411.com_ (http://www.RD411.com) ! There is one in wounds, one in diabetes and one in renal. Just look in the special centers for each area. Have a good day, NANCY In a message dated 6/4/2009 12:58:16 P.M. Eastern Daylight Time, Shannon.Jackson at wilmed.org writes: Hi, Does anyone have any crossword puzzles on nutrition ?? I have a patient who is requesting some. Please share if you do. Thanks! Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 _www.wilmed.org_ (http://www.wilmed.org/) _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net **************Limited Time Offers: Save big on popular laptops at Dell (http://pr.atwola.com/promoclk/100126575x1221354145x1201369495/aol?redir=http:%2F %2Fad.doubleclick.net%2Fclk%3B215221161%3B37268813%3By) -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/390f804f/attachment.html From cahns at carthageareahospital.com Thu Jun 4 12:47:04 2009 From: cahns at carthageareahospital.com (Dawn Berry, RD) Date: Thu, 4 Jun 2009 15:47:04 -0400 Subject: [Cnm] Latex and food allergies Message-ID: <719EBBFAB33B47AF89E7A3D55D2DAF15@CAHNS1> Is anyone doing nutrition consults on patients with latex allergies because of possible food allergies??? Our QA people are suggesting we assess and educate all patients with latex allergies, seems like overkill to me - has anyone else had to deal with this? Dawn Berry, RD CDN Director of Clinical Nutrition Carthage Area Hospital 1001 West Street Carthage, NY 13619 315-493-1005 ext 3222 cahns at carthageareahospital.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/15317eb9/attachment.html From hgreenw2 at fairview.org Thu Jun 4 12:51:24 2009 From: hgreenw2 at fairview.org (Greenwaldt, Heidi J) Date: Thu, 4 Jun 2009 14:51:24 -0500 Subject: [Cnm] wine in patient recipes In-Reply-To: <602_1244133653_0KKQ0057Y3O4VM70_4A27F914.7050907@nyp.org> Message-ID: <59F3EAD5C3376A42B3CD083F034A612705415C52@digsmxmbx06.Fairview.org> This is a list that I found. I have another reference at home that I believe is quite similar. We used absolutely no alcohol or even vanialla extracts in the cooking when I worked at a drug/alcohol treatment center. Alcohol Burn-off Chart Preparation Method Percent Retained alcohol added to boiling liquid & removed from heat 85% alcohol flamed 75% no heat, stored overnight 70% baked, 25 minutes, alcohol not stirred into mixture 45% Baked/simmered dishes with alcohol stirred into mixture: 15 minutes cooking time 40% 30 minutes cooking time 35% 1 hour cooking time 25% 1.5 hours cooking time 20% 2 hours cooking time 10% 2.5 hours cooking time 5% Heidi Greenwaldt MS, RD, LD, CNSD Clinical Nutrition Manager University of Minnesota Medical Center, Fairview Phone 612-273-3216 Pager 612-539-7451 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Louise R. Merriman Sent: Thursday, June 04, 2009 11:41 AM To: Clinical Nutrition Managment; Clinical Nutrition Managers Subject: [Cnm] wine in patient recipes Does anyone have a reference on how much alcohol is cooked out when wine is used in recipes? I am recalling that the alcohol is not "cooked out" as was once thought. What is the practice at your hospital - do you use wine in any of your patient recipes? -------------------- This electronic message is intended to be for the use only of the named recipient, and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. Thank you. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From Shannon.Jackson at wilmed.org Thu Jun 4 13:28:40 2009 From: Shannon.Jackson at wilmed.org (Shannon Byrd Jackson) Date: Thu, 4 Jun 2009 16:28:40 -0400 Subject: [Cnm] Crossword puzzle responses Message-ID: <8169B6DBE9D5194DA89219B5C5A6AFBA011DFFA4@wmhcs03.wmh.org> Here are the responses I received.. Thanks for all of your help! The patient seems to really enjoy doing these during his inpt stay. Shannon Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/97fd50c7/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: Crossword puzzles.doc Type: application/msword Size: 30720 bytes Desc: Crossword puzzles.doc Url : /pipermail/cnm_lists.my180.net/attachments/20090604/97fd50c7/attachment-0001.doc From fns at abbgen.net Thu Jun 4 14:59:45 2009 From: fns at abbgen.net (Annette Doucet) Date: Thu, 4 Jun 2009 16:59:45 -0500 Subject: [Cnm] Latex and food allergies In-Reply-To: <719EBBFAB33B47AF89E7A3D55D2DAF15@CAHNS1> References: <719EBBFAB33B47AF89E7A3D55D2DAF15@CAHNS1> Message-ID: <001e01c9e55f$c6eb8f30$02be7878@DIETARYOFFICE> No. We are not. _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Dawn Berry, RD Sent: Thursday, June 04, 2009 2:47 PM To: 'CNM-ListServe' Subject: [Cnm] Latex and food allergies Is anyone doing nutrition consults on patients with latex allergies because of possible food allergies??? Our QA people are suggesting we assess and educate all patients with latex allergies, seems like overkill to me - has anyone else had to deal with this? Dawn Berry, RD CDN Director of Clinical Nutrition Carthage Area Hospital 1001 West Street Carthage, NY 13619 315-493-1005 ext 3222 cahns at carthageareahospital.com Internal Virus Database is out of date. Checked by AVG - www.avg.com Version: 8.5.238 / Virus Database: 270.12.21/2102 - Release Date: 05/07/09 05:57:00 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090604/a51c067b/attachment.html From mrogard at charter.net Fri Jun 5 03:09:19 2009 From: mrogard at charter.net (mrogard at charter.net) Date: Fri, 5 Jun 2009 3:09:19 -0700 Subject: [Cnm] Inpatient Menu In-Reply-To: Message-ID: <20090605060919.GVIE2.3885220.root@mp13> We use lite mayo and lite/fat free salad dressings for our patients. We have not had 1 complaint in over 10 years. MJ -- Mary Jane Rogalski, MBA, RD, LDN Manager, Clinical Nutrition Food and Nutrition Services - C1340 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Work #: 413-794-4954 Fax #: 413-794-4949 Work email: mary.jane.rogalski at bhs.org Professional email: mrogard at charter.net ---- meghan nichols wrote: > > Hi All, > > > > Curious if anyone is only using lite versions of mayonnaise and salad dressings for their inpatient menu items such as chicken salad, pasta salad, etc. Looking to propose doing that here, was hoping to get some feedback on any other hospitals doing this and what the response from patients is. > > > > Thanks! > > _________________________________________________________________ > Lauren found her dream laptop. Find the PC that?s right for you. > http://www.microsoft.com/windows/choosepc/?ocid=ftp_val_wl_290 From mrogard at charter.net Fri Jun 5 04:44:10 2009 From: mrogard at charter.net (mrogard at charter.net) Date: Fri, 5 Jun 2009 4:44:10 -0700 Subject: [Cnm] Serving alcohol to patients Message-ID: <20090605074410.RRCX1.3877570.root@mp11> Occasionally we will have an order for beer and it is delivered through Food and Nutrition Services. We are reviewing our current policy. If your facility serves alcohol is it delivered through Food and Nutrition or Pharmacy? If delivered through Food and Nutrition please share your policy. Thank you and have a great day MJ -- Mary Jane Rogalski, MBA, RD, LDN Manager, Clinical Nutrition Food and Nutrition Services - C1340 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Work #: 413-794-4954 Fax #: 413-794-4949 Work email: mary.jane.rogalski at bhs.org Professional email: mrogard at charter.net From Carol.Gilmore at LMH.ORG Thu Jun 4 13:59:02 2009 From: Carol.Gilmore at LMH.ORG (Carol Gilmore) Date: Thu, 4 Jun 2009 15:59:02 -0500 Subject: [Cnm] EMR documentation In-Reply-To: References: <4865A403D47CFA419916A9082054AB62DFA85E@dhsiexch03.danhosp.priv> Message-ID: <70FA01E603A1BE4BAE587F1FDF3FBA43AE8B1B@FORCE.LMH.ORG> The EMR gives you the benefit of being able to see past documentation if within the date range set in your system, e.g. past 7 days. In my situation (Cerner Power Chart), we can change the view to curent admission foward and data from previous admission would not be visible or we can change the date to go back a year to look at weight trends or previous RD documentation if relevant to this admission. The reason you need to complete a new assessment is that each encounter, i.e. admission must stand alone for medical record and financial/billing purposes (different DRG coding). Therefore, any data from previous admission that is pertinent in current admission must be re-entered. The admission weight is probably different from the acute admission to the rehab admission so you need to repeat the Ht, Wt, BMI, desired wt, reason for admission, etc. If you check the demographic information you will see the medical record number is the same but, the financial number has changed from the acute admission to the rehab admission. These are two separate encounters with different medical records for each admission even though you can see the information in the EMR. Carol Gilmore, RD, LD Assistant Director, Food & Nutrition Services Lawrence Memorial Hospital 325 Maine Street, Lawrence KS 66044 Office: 785-505-3040 carol.gilmore at lmh.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Dierks, Lisa M., R.D., L.D. Sent: Thursday, June 04, 2009 9:26 AM To: Hiser, Janet D.; CNM list serve Cc: Lisa Finn; Vicki Barber; Beverly Rowe; Nancy Salem; Joan Healey; Mary Lou Viola; Joanna Tzakas Subject: Re: [Cnm] EMR documentation we complete a new assessment as our rehab center is a separate facility (even though it is within the walls of our hospital) We have our daily workload report set up that new admits to rehab do not show that a note was written yesterday. Even though it feels like a waste, writing the assessment note today is pretty quick as not much as probably changed. Hate to say it but... review chart, interview patient, copy, paste, edit, save - done. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Hiser, Janet D. Sent: Thursday, June 04, 2009 9:23 AM To: CNM list serve Cc: Lisa Finn; Vicki Barber; Beverly Rowe; Nancy Salem; Joan Healey; Mary Lou Viola; Joanna Tzakas Subject: [Cnm] EMR documentation We went live on EMR on Saturday. I discovered that if we had an inpatient on an acute care unit that was discharged then admitted to our rehab floor our nutrition progress note from their inpt visit stays in the record. When we were on paper our policy is to do a nutrition assessment on this pt as they are a new admit. (Of course the previous nutrition notes were not in the paper chart for the rehab admission). Because the note from yesterday is in the EMR, it seems like a waste to0day to do a full nutrition assessment. What are other facilities doing in this case? I'm thinking of changing our policy to read that if a pt is readmitted within 7 days no reassessment needs to be done? Thoughts? Janet D. Hiser, M.O.E., R.D., CD-N Chief Dietitian/Dietetic Internship Director Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 V: (203) 739-7216 | F: (203) 739-7619 | janet.hiser at danhosp.org http://www.danburyhospital.org P Please consider the environment before printing this e-mail This transmittal is intended for a particular addressee(s). If it is not clear that you are the intended recipient, you are hereby notified that you have received this transmittal in error; any review, copying or distribution or dissemination is strictly prohibited. If you suspect that you have received this transmittal in error, please notify Danbury Health Systems immediately by email reply to the sender, and delete the transmittal and any attachments. READER BEWARE: Internet e-mail is inherently insecure and occasionally unreliable. Please contact the sender if you wish to arrange for secure communication or to verify the contents of this message. LMH Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... 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Name: not available Type: image/gif Size: 9749 bytes Desc: image003.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090604/10fd1d63/attachment-0001.gif From cwatters at ualberta.ca Mon Jun 1 21:51:28 2009 From: cwatters at ualberta.ca (cwatters at ualberta.ca) Date: Mon, 01 Jun 2009 22:51:28 -0600 Subject: [Cnm] Wound Care Protocol In-Reply-To: References: <45EACF0250433144B0BB6CD944C2E908E32AF2@sgvmc-msg-01.ahmchealth.net> <692C4FA4-7DCF-4454-9AEB-1FA59B22D6DD@mac.com> Message-ID: <20090601225128.21296s95s15jtjoc@webmail.ualberta.ca> The point that patients (in particular elderly pts) are not mtg their nutritional requirements from food alone - is supported by the literature - Can Journal Dietetic Practice & Research 2008 (attached), and Barr, JADA, 2006. Canada's Food Guide 2007 edition recommends Vit D supplements 400 IU for those over 50 yrs in addition to following food guide recommendations. I should know this, but does the US Food Pyramid recommend supplements beyond pregnancy ? Corilee Watters, MSc, RD, PhD Coordinator, Nutrition Service Vancouver Island Health Authority (VIHA) Victoria, BC Quoting "Adegunleye, Valerie K." : > Dr. Charney, > I whole-heartedly agree with your comments. I don't mean we should just > haphazardly give vitamins/minerals; however, in most settings I think we > would mostly see that the patients are NOT meeting their needs and the > vitamin/mineral supplement would not be warranted; however, if intake is > adequate to meet their needs and the diet is varied enough to provide > the adequate fruit/vegetables, etc then it would be futile to provide > them. > > If the healthcare system put more emphasis and resources into food and > to feed those that need assistance we would likely do well to combat > wounds, weight loss and other ailments; not to mention we would provide > increased social interaction and improve the mood of the patients (if > they like socializing). I would love to see more resources on feeding > protocols and more compassion from staff at all levels to assist > patients with meals and snacks and even to provide adequate fluids ----> > this certainly is critical to health and improvement in the condition. > > Thanks for all the wonderful thoughts! > > Valerie > > > > ________________________________ > > From: Pam Charney [mailto:pcharney at mac.com] > Sent: Monday, June 01, 2009 4:36 PM > To: Adegunleye, Valerie K. > Cc: Hong, Lily; Annalynn_Skipper at Comcast.net; Rassekh, Shoreh; > cnm at lists.my180.net > Subject: Re: [Cnm] Wound Care Protocol > > > > A risk-benefit analysis might be helpful here, with a bit of healthcare > finance thrown in. > > > > When you say "likely" non harmful, how would that be explained to the > patient or other providers who are making the decision to order or not > to order. It would "likely" not be harmful for us to take a number of > prescription medications, but we don't do that simply because it might > not hurt us. What we know on the other side of this equation, and what > Annalynn has so succinctly described, is that there is little to > evidence supporting supplementation. Therefore, there is no benefit to > balance out the "likely" no harm side of the equation. > > > > Now if we look at the finances, and having reviewed my 401K recently, > it's downright scary; I have no spare cash, and I bet your employer has > none as well. Even if it costs pennies per dose, if you do the math, and > calculate the cost of all those doses, then over 12 months, you might > have saved your employer sufficient cash to prevent a lay-off, or to > purchase a few pens, or to provide charity care to someone who did get > laid off. I know this is a vast oversimplification, and that everyone > has a different financial situation depending on your employer. > > > > Perhaps the clinical RD needs to investigate a new paradigm; instead of > seeking out interventions that cost, we might look towards finding the > "anti-intervention" that has little to no cost yet demonstrates improved > outcomes. Annalynn mentions provision of an adequate intake. It's not > sexy, but getting folks to eat better is an intervention with proven > benefit! > > > > Regards, > > pam > > > > > > Pam Charney PhD, RD > > Clinical Coordinator > > Graduate Coordinated Program in Dietetics > > Lecturer, Department of Epidemiology > > Nutrition Sciences Program > > School of Public Health and Community Medicine > > Box 353410, 306-C Raitt Hall > > > > Affiliate Associate Professor > > School of Pharmacy > > > > MS Student > > Clinical Informatics and Patient Centered Technology > > School of Nursing > > > > University of Washington > > Seattle, WA > > charnepa at u.washington.edu > > http://www.linkedin.com/in/pamcharney > > > > "The person who says it can't be done should not > > interrupt the person doing it" - Ethel Kennedy > > > > On Jun 1, 2009, at 12:15 PM, Adegunleye, Valerie K. wrote: > > > > > >> From all that I have read the MVI and Vitamin C are likely not harmful > and will be helpful is underlying nutritional needs are met; however > Zinc should be used for short term only and generally only if a > deficiency is known. I am not sure if the others concur with this but > that has been what I have seen most recently. > > Intervention may also depend on the type of wound you are dealing with > --- pressure, vascular vs. surgical. > > > > Valerie K. Adegunleye RD, LDN > Clinical Manager > > Nutrition and Food Service, Baltimore/Loch Raven > 410-605-7054 > 410-447-3336 (Pager) > 410-605-7835 (fax) > > > > PPlease consider the environment before printing this email. > > ________________________________ > > From: Hong, Lily [mailto:lily.hong at ahmchealth.com] > Sent: Monday, June 01, 2009 3:12 PM > To: Annalynn_Skipper at Comcast.net; Rassekh, Shoreh; Adegunleye, Valerie > K.; cnm at lists.my180.net > Subject: RE: [Cnm] Wound Care Protocol > > > > My dietitians are asking, should we continue recommend MVI, Vitamin C, > Zinc as usual??? > > > > Thanks, > > Lily Hong > > Assistant Director of Patient Services > > San Gabriel Valley Medical Center > > > > ________________________________ > > From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] > On Behalf Of Annalynn Skipper > Sent: Monday, June 01, 2009 10:02 AM > To: 'Rassekh, Shoreh'; 'Adegunleye, Valerie K.'; cnm at lists.my180.net > Subject: Re: [Cnm] Wound Care Protocol > > > > The Nutrition Care Manual and several sets of recently revised > guidelines do not provide detailed nutrition recommendations for "wound > care" because the sparse and poor quality data do not support anything > other than providing an adequate intake to patients who fail to eat > adequately. > > > > Regards, > > > > Annalynn > > > > Annalynn Skipper Ph.D., R.D., FADA > > > > > > > > > > a consultancy devoted to advancing nutrition practice > > P.O. Box 45 > > Oak Park, IL 60303 > > Annalynn_Skipper at Comcast.net > > Advanced Medical Nutrition Therapy Practice, > > a 2008 text, is available from Jones and Bartlett. > > > > ________________________________ > > > > -------------- next part -------------- A non-text attachment was scrubbed... Name: LTC inadequacy.pdf Type: application/pdf Size: 645184 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090601/98ee010d/attachment-0001.pdf From hpatronik at shorehealth.org Fri Jun 5 06:05:43 2009 From: hpatronik at shorehealth.org (Holly Patronik) Date: Fri, 5 Jun 2009 09:05:43 -0400 Subject: [Cnm] enteral protocol Message-ID: I am working on updating, again, our facility enteral protocol. Would anyone like to share what they are currently using?? Ours is OK, I just think it is wordy! Holly Patronik, RD, LDN Clinical Nutrition Manager, Sodexo 219 South Washington Street Easton, Maryland 21601 410-822-1000, ext 5624 410-819-0989 (fax) *** The information contained in this transmission is confidential and is intended only for the individual named above. If you have received this information in error, please notify the sender immediately and delete this message. If the reader of this message is not the intended recipient, you are hereby notified that any disclosure, dissemination, distribution, or copying of the communication or its contents is strictly prohibited -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/bef2b0f8/attachment.html From LDALGLEISH at lakelandregional.org Fri Jun 5 07:17:17 2009 From: LDALGLEISH at lakelandregional.org (Lisa Dalgleish) Date: Fri, 05 Jun 2009 10:17:17 -0400 Subject: [Cnm] Nutrition Assessment in Psychiatric Unit In-Reply-To: References: Message-ID: <4A28F099.DF60.000C.0@lakelandregional.org> Same Lisa Dalgleish, RD Clinical Nutrition Supervisor Lakeland HealthCare 1234 Napier Avenue St. Joseph, MI 49085 (269) 983-8674 work phone (269) 982-4313 fax ldalgleish at lakelandregional.org >>> Amy LaFalce 6/3/2009 4:30 PM >>> This question is for those who have an inpatient psychiatric unit at their facility...Do you have separate nutrition assessment/re-assessment protocols for the psych unit, or do you follow the same policy as the rest of the hospital? Thanks Amy H. LaFalce, RD, LD Clinical Nutrition Manager The George Washington University Hospital 900 23rd Street, NW Washington, DC 20037 (202) 715-4498 UHS Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution of this information is prohibited, and may be punishable by law. If this was sent to you in error, please notify the sender by reply e-mail and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/749b1f4f/attachment.html From LDALGLEISH at lakelandregional.org Fri Jun 5 07:19:17 2009 From: LDALGLEISH at lakelandregional.org (Lisa Dalgleish) Date: Fri, 05 Jun 2009 10:19:17 -0400 Subject: [Cnm] Education in Psychiatric Unit In-Reply-To: References: Message-ID: <4A28F110.DF60.000C.0@lakelandregional.org> We often receive consults for DSMT. We provide whatever information is appropriate for the patient. Some patients desire detailed info, others maybe just want a contact number for future reference. Lisa Dalgleish, RD Clinical Nutrition Supervisor Lakeland HealthCare 1234 Napier Avenue St. Joseph, MI 49085 (269) 983-8674 work phone (269) 982-4313 fax ldalgleish at lakelandregional.org >>> "Dierks, Lisa M., R.D., L.D." 6/3/2009 4:55 PM >>> I would like to build on question from previous e-mail: What type of education do you provide to patients in psych unit? -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Miriam Pappo Sent: Wednesday, June 03, 2009 3:52 PM To: amy.lafalce at gwu-hospital.com; cnm at lists.my180.net Subject: Re: [Cnm] Nutrition Assessment in Psychiatric Unit We see pts only by consult in psych. However, the RD who now handles that unit enjoys behavioral health & has started weekly classes that are well attended. >>> Amy LaFalce 06/03/09 4:30 PM >>> This question is for those who have an inpatient psychiatric unit at their facility...Do you have separate nutrition assessment/re-assessment protocols for the psych unit, or do you follow the same policy as the rest of the hospital? Thanks Amy H. LaFalce, RD, LD Clinical Nutrition Manager The George Washington University Hospital 900 23rd Street, NW Washington, DC 20037 (202) 715-4498 UHS Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution of this information is prohibited, and may be punishable by law. If this was sent to you in error, please notify the sender by reply e-mail and destroy all copies of the original message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/abbdda26/attachment.html From LAltenburger5 at matherhospital.org Fri Jun 5 07:28:09 2009 From: LAltenburger5 at matherhospital.org (Altenburger, Linda) Date: Fri, 5 Jun 2009 10:28:09 -0400 Subject: [Cnm] Conditions of Participation/White Paper Message-ID: Could someone please confirm for me if the most recent White Paper put out by ADA regarding the conditions of participation was August 2005? For some reason I thought there was a more recent one; however, I can not put my hands on it. Thanks for your help with this. Linda Linda Altenburger, RD, CDN Clinical Nutrition Manager John. T. Mather Memorial Hospital 75 North Country Road Port Jefferson, NY 11777 (631) 473-1320 ext 4176 laltenburger5 at matherhospital.org fax:631-473-8752 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/7daa1296/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 2743 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090605/7daa1296/attachment.jpe From cabailey1978 at yahoo.com Fri Jun 5 07:53:50 2009 From: cabailey1978 at yahoo.com (Carolyn Bailey) Date: Fri, 5 Jun 2009 07:53:50 -0700 (PDT) Subject: [Cnm] Healthcare Facilities Accreditation Program (HFAP) Message-ID: <519795.38693.qm@web30208.mail.mud.yahoo.com> If anyone has had a survey by the Healthcare Facilities Accreditation Program, I would be interested in your experience and how it compares to other surveys, e.g., Joint Commission, CMS.? Was there a strong focus in any particular area of the Food/Nutrition Services Department or any aspect of clinical practice? Thank you for your feedback! Carolyn A. Bailey, MS, RD, LD 1769 Lisa Lane Starkville, MS? 39759 662.418.4491 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/0ff1e4a8/attachment.html From Rosanne.Leibhart at crozer.org Fri Jun 5 08:13:43 2009 From: Rosanne.Leibhart at crozer.org (Leibhart, Rosanne) Date: Fri, 5 Jun 2009 11:13:43 -0400 Subject: [Cnm] Healthcare Facilities Accreditation Program (HFAP) In-Reply-To: <519795.38693.qm@web30208.mail.mud.yahoo.com> Message-ID: <1904FBE1EFD42940AA44982E67B5B44E06CFF021@exchange02.CKHSAD.CROZER.ORG> We had HFAP almost 1 year ago. It was the most thorough inspection ever. He went into every cooler, freezer checking dates, temps. He checked hi and low for dust....got down on floor under shelves in storeroom, went to top of freezers for dust. He watched trayline in progress, did not ask employee questions, however. On the clinical side, he wanted to see menus and the analysis, what our RD coverage was, credentials. The most impressive thing I remember was the question "why do we do a consult?" When I began explaining how consults are received and our priority, he cut me off. He stated was not interested in our policy or time frames or QA on how we met time frames, he wanted to know how do we show outcomes...or do we just do consult to "push a pen". He wanted to see QA data for outcomes. Fortunately, I had just started Nutrition Care Process and I explained that I will be poised to collect that data in future. He was satisfied with that. Rosanne Leibhart, RD ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Carolyn Bailey Sent: Friday, June 05, 2009 10:54 AM To: cnm at lists.my180.net Subject: [Cnm] Healthcare Facilities Accreditation Program (HFAP) If anyone has had a survey by the Healthcare Facilities Accreditation Program, I would be interested in your experience and how it compares to other surveys, e.g., Joint Commission, CMS. Was there a strong focus in any particular area of the Food/Nutrition Services Department or any aspect of clinical practice? Thank you for your feedback! Carolyn A. Bailey, MS, RD, LD 1769 Lisa Lane Starkville, MS 39759 662.418.4491 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/a629e095/attachment.html From jross at jaycountyhospital.com Fri Jun 5 08:36:12 2009 From: jross at jaycountyhospital.com (Julayne Ross) Date: Fri, 5 Jun 2009 11:36:12 -0400 Subject: [Cnm] ppt/talk on Nutrition for Cancer Survivors? Message-ID: <10DE3A7624A2BD48B81AFE4E90A5094D0213D3F1@EX1.jaycountyhospital.com> I need to do a talk to a Cancer support group on Tue June 30th, just wondering if anyone has a good ppt I could use? TIA Julayne -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/1d10d334/attachment.html From mpappo at montefiore.org Fri Jun 5 08:43:37 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Fri, 05 Jun 2009 11:43:37 -0400 Subject: [Cnm] Serving alcohol to patients Message-ID: I would advise a MD order hence I wouldnt put it in recipes. One never knows if someone is an alcohol sensitive recover. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> 06/05/09 7:44 AM >>> Occasionally we will have an order for beer and it is delivered through Food and Nutrition Services. We are reviewing our current policy. If your facility serves alcohol is it delivered through Food and Nutrition or Pharmacy? If delivered through Food and Nutrition please share your policy. Thank you and have a great day MJ -- Mary Jane Rogalski, MBA, RD, LDN Manager, Clinical Nutrition Food and Nutrition Services - C1340 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Work #: 413-794-4954 Fax #: 413-794-4949 Work email: mary.jane.rogalski at bhs.org Professional email: mrogard at charter.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From LAltenburger5 at matherhospital.org Fri Jun 5 08:56:58 2009 From: LAltenburger5 at matherhospital.org (Altenburger, Linda) Date: Fri, 5 Jun 2009 11:56:58 -0400 Subject: [Cnm] diabetic thickened supplement Message-ID: Would anyone know of a product on the market for the diabetic patient requiring thickened liquids? I believe we research this about 1 year ago to no avail. If you know of any, please share with me name and where to purchase. This is for a friends' mother who is in another facility at the moment. Linda Linda Altenburger, RD, CDN Clinical Nutrition Manager John. T. Mather Memorial Hospital 75 North Country Road Port Jefferson, NY 11777 (631) 473-1320 ext 4176 laltenburger5 at matherhospital.org fax:631-473-8752 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/4f3359fd/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 2743 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090605/4f3359fd/attachment.jpe From cfoner at dupageco.org Fri Jun 5 09:20:58 2009 From: cfoner at dupageco.org (Foner, Carole) Date: Fri, 5 Jun 2009 11:20:58 -0500 Subject: [Cnm] diabetic thickened supplement References: Message-ID: Have you tried "Hydra-Aid"? 64 fl. oz. bottles require the specially designed pump, which is reusable. Ingredients Water, xanthan gum, citric acid, sodium benzoate and potassium sorbate. Nutrition Nectar-like Consistency Honey-like Consistency Serving: one packet Serving size: 12 g (0.42 oz.) Amount per Serving Calories 0 Calories from Fat 0 Serving: one packet Serving size: 26 g (0.92 oz) Amount per Serving Calories 5 Calories from Fat 0 % Daily Value Total Fat 0 g 0% Saturated Fat 0 g 0% Cholesterol 0 g 0% Sodium 5 mg 0% Total Carbohydrate 0 g 0% Dietary Fiber 0 g 0% Sugars 0 g 0% Protein 0 g 0% % Daily Value Total Fat 0 g 0% Saturated Fat 0 g 0% Cholesterol 0 g 0% Sodium 15 mg 1% Total Carbohydrate 1 g 0% Dietary Fiber (<1 g) 3% Sugars 0 g 0% Protein 0 g 0% Vitamin A 0 g Vitamin C 0% Calcium 0% Iron 0% Vitamin A 0 g Vitamin C 0% Calcium 0% Iron 0% Carole ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Altenburger, Linda Sent: Friday, June 05, 2009 10:57 AM To: cnm at lists.my180.net Subject: [Cnm] diabetic thickened supplement Would anyone know of a product on the market for the diabetic patient requiring thickened liquids? I believe we research this about 1 year ago to no avail. If you know of any, please share with me name and where to purchase. This is for a friends' mother who is in another facility at the moment. Linda Linda Altenburger, RD, CDN Clinical Nutrition Manager John. T. Mather Memorial Hospital 75 North Country Road Port Jefferson, NY 11777 (631) 473-1320 ext 4176 laltenburger5 at matherhospital.org fax:631-473-8752 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/2a3052bb/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 2743 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090605/2a3052bb/attachment.jpe From DrNCollins at aol.com Fri Jun 5 09:20:51 2009 From: DrNCollins at aol.com (DrNCollins at aol.com) Date: Fri, 5 Jun 2009 12:20:51 EDT Subject: [Cnm] Diabetes and Wounds Teleconference Message-ID: Hi there, This diabetes and wound healing event is FREE for participants. You can invite anyone who you think might want to attend. Details can be found here. _http://www.rd411.com/newsletter/newsrd2.html_ (http://www.rd411.com/newsletter/newsrd2.html) Thanks, NANCY Dr. Nancy Collins, PhD, RD, LD/N, FAPWCA President/Executive Director RD411.com, Inc. Where Healthcare Professionals Go for Information 318 Indian Trace, Suite 126 Weston, FL 33326 Office: 954-349-2198 Fax: 954-349-2197 NCtheRD at aol.com _www.RD411.com_ (http://www.rd411.com/) Follow me on Twitter _www.twitter.com/RD411_ (http://www.twitter.com/RD411) **************Mortgage rates dropped. Record lows. $200,000 for $1,029/mo Fixed. LendingTree? (http://pr.atwola.com/promoclk/100126575x1222627882x1201465404/aol?redir=http:%2F%2Fwww.lendingtree.com%2Fborrower%2Falliance%2Ffrom.a sp%3Fwhereto%3Dpromopagev3%26promo%3D00279%26loan%5Ftype%3D2%26source%3D2889 570%26esourceid%3D2889570%26800num%3D1%2D800%2D289%2D3915%26AdType%3D2) -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/11dc6481/attachment-0001.html From DChampeon at stmarysmaine.com Fri Jun 5 09:26:34 2009 From: DChampeon at stmarysmaine.com (DChampeon at stmarysmaine.com) Date: Fri, 5 Jun 2009 12:26:34 -0400 Subject: [Cnm] C. difficile Protocol Message-ID: Do you gave a nutrition protocol for C. difficile in place that you would be willing to share? Diana. Diana Champeon Director, Nutrition Services St. Mary's Regional Medical Center 100 Campus Avenue Lewiston, ME 04240 dchampeon at stmarysmaine.com phone (207)777-8603 fax (207)777-8609 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/0e4758c9/attachment.html From Christine.Schwartz at sfdph.org Fri Jun 5 09:24:21 2009 From: Christine.Schwartz at sfdph.org (Christine Schwartz) Date: Fri, 5 Jun 2009 09:24:21 -0700 Subject: [Cnm] Computer downtime Message-ID: Is anyone willing to share their computer downtime P&P or guidelines? We have CBORD Diet Office and a computerized lifetime clinical record in which we up patient data and reports but do not yet chart (still on paper). We hope to be moving to computer charting in the near future, so downtime P&P's for either charting method would be appreciated. Because of the Dept of Public Health's security measures, I can only receive an attachment if it is sent directly to my email, not through the group list. therefore, please either include my direct email address or feel free to fax anything to me. THANK YOU! Christine Schwartz, RD ~ Chief Dietitian San Francisco General Hospital & Trauma Center Voice Mail: (415) 206-6286 Fax: (415) 206-6291 Pager: (415) 327-4139 Christine.Schwartz at sfdph.org From cathysmith at mhsjvl.org Fri Jun 5 11:39:11 2009 From: cathysmith at mhsjvl.org (Smith, Cathy) Date: Fri, 5 Jun 2009 13:39:11 -0500 Subject: [Cnm] Serving alcohol to patients References: <20090605074410.RRCX1.3877570.root@mp11> Message-ID: <4973FD77BA585043AC3C49ED6D7B9F8302E22E77@MXV1.mercy.org> Pharmacy ________________________________ From: cnm-bounces at lists.my180.net on behalf of mrogard at charter.net Sent: Fri 6/5/2009 6:44 AM To: Area Hospital; CNM Subject: [Cnm] Serving alcohol to patients Occasionally we will have an order for beer and it is delivered through Food and Nutrition Services. We are reviewing our current policy. If your facility serves alcohol is it delivered through Food and Nutrition or Pharmacy? If delivered through Food and Nutrition please share your policy. Thank you and have a great day MJ -- Mary Jane Rogalski, MBA, RD, LDN Manager, Clinical Nutrition Food and Nutrition Services - C1340 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Work #: 413-794-4954 Fax #: 413-794-4949 Work email: mary.jane.rogalski at bhs.org Professional email: mrogard at charter.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/7ee22367/attachment.html From hgreenw2 at fairview.org Fri Jun 5 12:56:19 2009 From: hgreenw2 at fairview.org (Greenwaldt, Heidi J) Date: Fri, 5 Jun 2009 14:56:19 -0500 Subject: [Cnm] C. difficile Protocol In-Reply-To: Message-ID: <59F3EAD5C3376A42B3CD083F034A612705415E41@digsmxmbx06.Fairview.org> Please post to list. I have a dietitian that was planning on starting one. Thanks, Heidi Heidi Greenwaldt MS, RD, LD, CNSD Clinical Nutrition Manager University of Minnesota Medical Center, Fairview Phone 612-273-3216 Pager 612-539-7451 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of DChampeon at stmarysmaine.com Sent: Friday, June 05, 2009 11:27 AM To: cnm at lists.my180.net Cc: JThompson at stmarysmaine.com Subject: [Cnm] C. difficile Protocol Do you gave a nutrition protocol for C. difficile in place that you would be willing to share? Diana. Diana Champeon Director, Nutrition Services St. Mary's Regional Medical Center 100 Campus Avenue Lewiston, ME 04240 dchampeon at stmarysmaine.com phone (207)777-8603 fax (207)777-8609 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/4c7a8612/attachment.html From annalynn_skipper at comcast.net Fri Jun 5 13:59:41 2009 From: annalynn_skipper at comcast.net (annalynn_skipper at comcast.net) Date: Fri, 5 Jun 2009 20:59:41 +0000 (UTC) Subject: [Cnm] Cnm Digest, Vol 31, Issue 21 In-Reply-To: <1999131984.890491244209646588.JavaMail.root@sz0060a.emeryville.ca.mail.comcast.net> Message-ID: <1700787969.1073141244235581490.JavaMail.root@sz0060a.emeryville.ca.mail.comcast.net> Yvette, The calculators in the NCM are based on Evidence Analysis Library Guidelines for critical illness, indirect calorimetry and overweight/obesity.? These guidelines?are available to ADA members online if you need more detail than is available in the descriptions of the NCM. As far as injury factors, these were developed in order to adjust the results of of predictive equations for healthy people (the Harris-Benedict Equation) to meet the needs of sick people.? Since the Penn State, Ireton-Jones, Swinamer and Mifflin-St.Jeor equations were developed for specific patient populations, there isn't any reason to adjust them when the results are aplied to similar patient populations.? While there is?a body of literature suggesting that some patients (HIV for example) tend to have higher basal energy needs, most of the injury factors I learned were just made up numbers that in reality probably made the?estimates less accurate rather than more accurate. When evaluating any of these equations, it is important to remember that?in the best case scenario, they are only accurate within 10% (+/-) of indirect caloimetry results?from 50-80% of the time.??With low levels of accuracy,?I find it very hard to?draw a line in the sand as to which equations are "accurate" or?"more accurate" than others. Regards, Annalynn Skippper Ph.D., R.D., FADA Editor, ADA's Nutrition Care Manual?? ?? ----- Original Message ----- From: cnm-request at lists.my180.net To: cnm at lists.my180.net Sent: Thursday, June 4, 2009 2:00:01 PM GMT -06:00 US/Canada Central Subject: Cnm Digest, Vol 31, Issue 21 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Harris Benedict and ADA calculators / equation recommendations (Yvette Dionne) 2. Re: Sodium content of regular menu (Flores, Rachel) _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/cb62a789/attachment.html From Kim_Bandelier at elcaminohospital.org Fri Jun 5 16:38:43 2009 From: Kim_Bandelier at elcaminohospital.org (Kim Bandelier) Date: Fri, 5 Jun 2009 16:38:43 -0700 Subject: [Cnm] TPN amino acid formulation for neonates In-Reply-To: <1700787969.1073141244235581490.JavaMail.root@sz0060a.emeryville.ca.mail.comcast.net> References: <1999131984.890491244209646588.JavaMail.root@sz0060a.emeryville.ca.mail.comcast.net> <1700787969.1073141244235581490.JavaMail.root@sz0060a.emeryville.ca.mail.comcast.net> Message-ID: <3F6110A9189815479AE870FD47D837440215AC78@ECH-EXCHANGE.elcaminohospital.org> Our pharmacy is considering switching from two different amino acid formulations (one for adults, one for neonates) to one for both populations. The company we work with has made a recommendation, but I'm wondering if anyone has any research to support continuing to use separate formulations for these populations. Thank you! Kim Kim Bandelier, MPH, RD Clinical Nutrition Manager El Camino Hospital 2500 Grant Road, ECHG40 Mountain View, CA 94040 Phone: 650-940-7117 Fax: 650-966-9204 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/503a88da/attachment.html From ESCOTTSTUMPS at ecu.edu Fri Jun 5 18:08:21 2009 From: ESCOTTSTUMPS at ecu.edu (Escott-Stump, Sylvia) Date: Fri, 5 Jun 2009 21:08:21 -0400 Subject: [Cnm] On the Pulse -- Friday, June 5, 2009 Message-ID: Interesting highlights for the week. Sylvia Escott-Stump, MA, RD, LDN CNM Legislative Chair 252-328-1352 ________________________________ [cid:image003.jpg at 01C9E603.80A7A2D0] ----------------------------------------------------------------------------------------------------------------------------- Friday, June 5, 2009 ----------------------------------------------------------------------------------------------------------------------------- New FDA Commissioner enters food safety debate Margaret A. Hamburg, the new commissioner of the Food and Drug Administration, plunged this week into the contentious debate over how to fix the nation?s food safety system. In her first appearance before Congress as commissioner, Hamburg told the House Energy and Commerce Subcommittee on Health that a proposal by leading Democrats was a ?major step in the right direction,? but that FDA would need more resources if required to carry out the new authorities. The legislation, still in draft, includes provisions from several bills previously introduced and includes requirements that all food manufacturers register with FDA annually and pay a $1000 registration fee. It also requires food manufacturers to develop and implement food safety plans and gives FDA authority to recall food products. The registration fee requirement promises to be one of the more contentious issues. The food industry has been supportive of increased government authority for food safety but have pushed back against so-called ?user fees.? The draft bill also would require registered facilities to pay FDA for any costs associated with re-inspections and food recalls. It would require inspections ranging from every six to 18 months for high-risk facilities, every 18 months to three years for low-risk facilities, and every three to four years for warehouses. The committee is expected to vote on the legislation in the next few weeks. Americans relying on federal programs reach record levels More than ever, Americans are relying on government benefits; one of every six dollars of Americans' income is now coming in the form of a federal or state check or voucher, USA Today reported this week. Benefits like Social Security, food stamps, unemployment insurance and health care accounted for more than 16 percent of personal income in the first quarter of this year ? a record high since the government began recording the data in 1929. One in nine Americans are now on food stamps in order to meet basic nutritional needs. The federal government allocated $54 billion this fiscal year for the Supplemental Nutrition Assistance Program ? up sharply from last year's $39 billion. And the costs continue to rise: an additional $5 billion increase in the food stamp budget is projected for next fiscal year, bringing the total to $60 billion. The higher number of households enrolled in SNAP, the increased number of food stamps distributed, and the higher incidence of food insecurity are direct results of the recent surge in unemployment, officials said. Today, the Labor Department reported unemployment now exceeds 9 percent, the highest level in more than 26 years. ADA members represent the Partnership to Fight Chronic Disease on Capitol Hill Two members of ADA have been selected to represent the Partnership to Fight Chronic Disease on Capitol Hill in the month of June. Their assignment: to lobby their members of Congress on improving the scoring measures used by the Congressional Budget Office for preventive medical care. Brenda Richardson, MA, RD, LD, CD and Marsha Schofield, MS, RD, LD will be representing the Indiana and the Ohio PFCD respectively to discuss improved scoring of health care legislation as well as the importance of prevention and chronic disease management in health reform. The CBO scores legislation to give it a cost analysis; however, they are limited in their capacity to score preventive services because their scoring window is only up to 10 years. Most preventive services do not see a cost benefit until 15 to 20 years. ADA is working with the PFCD on their legislative efforts and serves on their Advisory Board. For more information on PFCD, please go to: http://www.fightchronicdisease.org/about/partners.cfm AHRQ reports weak progress on health quality This week the director of the Agency for Healthcare Research and Quality wrote, ?If you get sick or have surgery, you have only a 3 in 5 chance of getting the care that's recommended for you.? ?This statement is so shocking that I wouldn't blame you for questioning it,? said Dr. Carolyn Clancy in a by-lined article. U.S. patients receive the recommended care for their illness or condition only about 60 percent of the time, according to AHRQ?s 2008 National Healthcare Quality & Disparities Reports, available at http://www.ahrq.gov/qual/qrdr08.htm. The reports also show that patient safety actually is getting worse. For example, 1 in 7 hospitalized Medicare patients experience significant harm when hospitalized; and poor, less educated and minority Americans tend to receive poorer quality of care than whites. These reports also show that: * Only 40 percent of patients with diabetes got the three recommended preventive exams in the past year, a rate that has stayed the same over time. * Only half of obese adults and children were advised to exercise more and eat a healthy diet. * Seven out of 10 adults with mood, anxiety, or impulse disorders got inadequate treatment or no treatment at all. * Blood infections caused by catheters affect thousands of hospitalized patients each year. ?The annual rate of improvement shown in this year's report is 1.8 percent. This is better than last year, but the pace of progress is not rapid enough to close the major gaps in quality that we've known about for well over a decade, according to Clancy. She reports that while many health care organizations are working diligently to improve quality and safety, it?s important for patients to be active participants in getting safe, high-quality care. To assist patients, AHRQ has posted a webpage called ?Questions are the answer (http://www.ahrq.gov/questionsaretheanswer/). AHRQ has also posted Medicare?s ?Hospital Compare? to help consumers find out how local hospitals perform in providing care (http://www.hospitalcompare.hhs.gov/Hospital/Search/Welcome.asp?version=default&browser=IE%7C7%7CWinXP&language=English&defaultstatus=0&pagelist=Home). Clancy advised consumers that, ?taking good care of yourself and getting the right preventive tests, like being screened for breast cancer or colorectal cancer, can increase your chances for staying healthy or catching problems early when they can be treated more effectively. It's also important to maintain your health by staying at a healthy weight, eating nutritious foods, and stopping smoking.? Clancy?s column is available at http://www.ahrq.gov/consumer/cc/cc060209.htm. Illinois targets food deserts The Illinois General Assembly has approved $10 million for the Illinois Fresh Food Fund, which seeks to stimulate supermarket development in underserved areas of the state. Approved as part of a larger public spending bill, the Fresh Food Fund helps grocers defray a portion of the approximately $25 million in costs associated with opening a grocery store. Even though limited in size, the fund could be ?crucial in making a supermarket viable,? said David Vite, president of the Illinois Retail Merchants Association, to the Chicago Tribune this week. Vite said organizers of the food fund hope to raise up to $20 million more from philanthropic organizations. The Illinois program is modeled after a similar effort in Pennsylvania that has helped finance about 70 new supermarkets or grocery store renovations since 2004. The funding measure, along with the larger public health spending bill, now moves to Gov. Pat Quinn (D) for approval. CT lawmakers support menu calorie postings Chain restaurants in Connecticut could soon be required to post calorie counts for their regular menu items. The House of Representatives in that state approved a bill this week that would require chains with 15 or more restaurants to disclose on their printed menus or menu boards total calorie counts for standard items beginning July 1, 2010. The bill, which already passed in the Senate, now moves to Gov. M. Jodi Rell (R) for her signature, but it?s unclear whether she?ll sign it. California and Massachusetts have passed similar requirements that have not yet taken effect. U.S. organic market increasingly dependent on imports The U.S. organic sector has become increasingly dependent on imported ingredients, according to a new report from the U.S. Department of Agriculture, which says that nearly half of U.S. organic producers find ingredients in short supply. Although certified organic acreage has doubled in the U.S. since 1997, organic food sales have quintupled over the same period. Despite predictions that organic sales would decline in the current economy, the Organic Trade Association reports U.S. sales were up almost 16 percent in 2008. However, there have been recent reports of oversupply in the organic milk industry. Fruit and vegetables still represent the biggest sub-sector of organic food sales in the U.S. at 37 percent, followed by beverage and dairy at 14 percent each. Areas of fastest growth include the organic beverage sector, which grew by 40 percent in 2008, and organic breads and grains, which achieved 35 percent growth over the year. The USDA report is available at http://www.ers.usda.gov/publications/eib55/. Florida increases coverage for children This week Florida Governor Charlie Crist signed legislation that is estimated to provide health insurance for 50,000 additional children in the state. The legislation increases access to the state?s Kid Care program by shortening the enrollment waiting time and also decreasing penalties for missing a premium payment. Kid Care offers low cost insurance to children up to age 19. There are currently 1.5 million children enrolled. Will Massachusetts legislators join the part-time ranks? There are renewed calls to make the state legislature part-time, in hopes that less time may mean less mischief. Following this week?s indictment of former House Speaker Salvatore F. DMasi, there is a new interest in considering a part-time legislature. ?People are finally fed up,? said Barbara Anderson, executive director of Citizens for Limited Taxation, to the National Conference of State Legislatures. ?They hang out with each other all the time, they protect each other and have their own culture that invites corruption,? Anderson said. Massachusetts is one of just eight states where lawmakers meet year-round, according to NCSL. California and Michigan voters also are considering ballot questions to make lawmaking a part-time job. Editor?s note: Health reform gets real now The lead-up has been long, but next week U.S. health reform is likely to become real, as one or more congressional committees of jurisdiction begin to make their behind-the-scenes work public. ADA?s members have been engaged in the discussions that will shape the debate. ADA has met with hundreds of lawmakers and gone on the record in support of health policies to improve the health of Americans through the positioning of nutrition as a fundamental tenet of health reform. We will share details of proposals as they become public, and we will ask all members to make it clear to Congress that Americans need access to nutrition care and services provided by registered dietitians. The work will be intense, and we?re not likely to get another chance as good as this to advance the cause. Please respond when ADA asks you to contact your elected officials. Upcoming * ADA hosts a briefing June 10 in Washington for members of Congress, their staff members and other health policy makers to share new research and insights into the role of nutrition in the management of chronic disease. Physician groups, allied health professional groups and organizations dedicated to addressing chronic diseases also will participate in the briefing, ?Improving Outcomes in Chronic Disease with Therapeutic Nutrition: Implications for Health-Care Reform.? It is at 3 p.m. Eastern, in the Capitol Visitor Center of the U.S. Capitol Building, Room HVC201AB. ---------------------------------------------------------------------------------------------------------------------------- Government Relations Contacts: Nutrition Policy Jennifer Weber jweber at eatright.org Regulatory Issues Mary Hager mhager at eatright.org Congressional & Political Affairs Ron Smith rsmith at eatright.org Jennifer Teters jteters at eatright.org Charmaine Jones cjones at eatright.org State Government Relations Juliana Smith jsmith at eatright.org State & Regulatory Coordinator Dana Whitley dwhitley at eatright.org Reimbursement Issues Pam Michael pmichael at eatright.org Tori Bender tbender at eatright.org General Issues Stephanie Patrick spatrick at eatright.org ----------------------------------------------------------------------------------------------------------------------------- --- You are currently subscribed to receive On The Pulse at: escottstumps at ecu.edu To unsubscribe send a blank email to leave-4347074-14232391.c25a8f8417898df068b326123ea47b18 at list.eatright.org or contact pulse at eatright.org with a request to remove your e-mail address. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/3ee22c37/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: image003.jpg Type: image/jpeg Size: 11163 bytes Desc: image003.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090605/3ee22c37/attachment-0001.jpg From dietitiandarcy at yahoo.com Fri Jun 5 18:59:05 2009 From: dietitiandarcy at yahoo.com (Darcy Butler) Date: Fri, 5 Jun 2009 18:59:05 -0700 (PDT) Subject: [Cnm] salaried RDs Message-ID: <924237.64930.qm@web57403.mail.re1.yahoo.com> I know the salaried vs hourly has been discussed before on this list, what I am wanting to know is those of you clinical dietitians who are salaried do you receive extra compensation for on-call weekend coverage and holidays? Thanks, Darcy Darcy Butler, RD, LD Ponca City Medical Center Ponca City, Oklahoma 74601 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/22b0dd09/attachment.html From mpappo at montefiore.org Sat Jun 6 09:28:02 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Sat, 06 Jun 2009 12:28:02 -0400 Subject: [Cnm] salaried RDs Message-ID: In our facility, only hourly RDs get paid extra for on-call or Holidays. Salaried RDs may get a comp day off ...They dont work Holidays & if they choose to for some reason, it's only a comp day off & banking of that Holiday to use at another time. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> Darcy Butler 06/05/09 9:59 PM >>> I know the salaried vs hourly has been discussed before on this list, what I am wanting to know is those of you clinical dietitians who are salaried do you receive extra compensation for on-call weekend coverage and holidays? Thanks, Darcy Darcy Butler, RD, LD Ponca City Medical Center Ponca City, Oklahoma 74601 From smorris at goshenhealth.com Sat Jun 6 18:58:57 2009 From: smorris at goshenhealth.com (Sandra Morris) Date: Sat, 06 Jun 2009 21:58:57 -0400 Subject: [Cnm] Nutritional analysis of India food Message-ID: Does anyone know of a website that has accurate data on the nutritional content of Indian cuisine? A Google search is not coming up with the type of website I am looking for. Thanks! Sandi Morris, RD/CD Clinical Nutrition Manager Goshen General Hospital 200 High Park Ave. Goshen, IN 46526 Phone: 574/535-2679 CONFIDENTIALITY NOTICE: This transmission and the documents accompanying this transmission may contain confidential information. The information is intended only for the use of the individual(s) or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution or the taking of any action in reliance on the contents of this information is not permissible. If you have received this message in error, please immediately reply and then destroy it. Thank you. From dcmsrdld at netzero.net Sat Jun 6 19:01:49 2009 From: dcmsrdld at netzero.net (Doug Carr) Date: Sun, 7 Jun 2009 02:01:49 GMT Subject: [Cnm] Salaried RDs Message-ID: <20090606.220149.25315.0@webmail09.dca.untd.com> At our facility, we have salaried RD's and we get weekend differential for Saturday, and 8 hour of On-Call pay for Sunday and wear a beeper. We are On-Call, office is closed for the major Holidays: 4th of July, Thanksgiving, Christmas, and New Years. Census does not drop enough on the other holidays. We get holiday pay, when it is recognized by the hospital system. But to cut down on cost, and improve lifestyle for the RD's we take call on the major holiday, and get 8 hours of call pay for that. Doug Carr, MS RD LD Clinical Resource Dietitian WellStar Cobb Hospital Austell, GA ---------- Original Message ---------- From: cnm-request at lists.my180.net To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 29 Date: Sat, 06 Jun 2009 12:00:02 -0700 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. salaried RDs (Darcy Butler) 2. Re: salaried RDs (Miriam Pappo) ---------------------------------------------------------------------- Message: 1 Date: Fri, 5 Jun 2009 18:59:05 -0700 (PDT) From: Darcy Butler Subject: [Cnm] salaried RDs To: cnm at lists.my180.net Message-ID: <924237.64930.qm at web57403.mail.re1.yahoo.com> Content-Type: text/plain; charset="us-ascii" I know the salaried vs hourly has been discussed before on this list, what I am wanting to know is those of you clinical dietitians who are salaried do you receive extra compensation for on-call weekend coverage and holidays? Thanks, Darcy Darcy Butler, RD, LD Ponca City Medical Center Ponca City, Oklahoma 74601 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/22b0dd09/attachment-0001.html ------------------------------ Message: 2 Date: Sat, 06 Jun 2009 12:28:02 -0400 From: "Miriam Pappo" Subject: Re: [Cnm] salaried RDs To: , Message-ID: Content-Type: text/plain; charset=US-ASCII In our facility, only hourly RDs get paid extra for on-call or Holidays. Salaried RDs may get a comp day off ...They dont work Holidays & if they choose to for some reason, it's only a comp day off & banking of that Holiday to use at another time. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> Darcy Butler 06/05/09 9:59 PM >>> I know the salaried vs hourly has been discussed before on this list, what I am wanting to know is those of you clinical dietitians who are salaried do you receive extra compensation for on-call weekend coverage and holidays? Thanks, Darcy Darcy Butler, RD, LD Ponca City Medical Center Ponca City, Oklahoma 74601 ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 29 *********************************** ____________________________________________________________ Take your cooking skills to the next level. Find a cooking school near you! http://thirdpartyoffers.netzero.net/TGL2231/fc/BLSrjnxUWMMIRmVpCFSzhoM93d7lelp5EaY4xzV2KKw937Z3AzkgHKbGxZu/ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090607/17ae1d13/attachment.html From eedwards at skmc.gov.ae Sat Jun 6 22:04:26 2009 From: eedwards at skmc.gov.ae (Ellen Edwards) Date: Sun, 7 Jun 2009 09:04:26 +0400 Subject: [Cnm] Diet web question In-Reply-To: References: Message-ID: <9A99F98786F9254597C0A0C62685FB5A08755A5134@AHA-MAIL.skmc.gov.ae> Hello: If you are referring to the NCM of ADA, we do not sign off and we have it on our intranet for the full staff. ADA sends messages when they are doing an update Ellen x 2024 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Yvette Dionne Sent: Thursday, June 04, 2009 10:06 PM To: CNM List Serve Subject: [Cnm] Diet web question [cid:image001.gif at 01C9E74E.F4F51EA0] Hello, For those who have the diet web how often do you have everyone sign off on it? It seems to me that if a policy is worded in a way to acknowledge regular updates that just when the policy needs review/update would all that signature getting need to happen. I have heard that some people do it annually or biannually because of the updates. What is everyone doing? What is the reasoning behind your decision? Thank you, Yvette Dionne, RD, LDN Ext. 3464 may you be well and happy Confidential: Please note that this e-mail and any attachments are the confidential property of the above-named sender and are intended solely for the use of the individual or entity to which this e-mail is addressed. If you are not one of the named recipients or have reason to believe you received this message in error, you are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this e-mail is strictly prohibited. Please notify the sender by reply e-mail and immediately delete from your computer this message and any attachments. Any other use, retention, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited. ________________________________ Confidentiality Note: This message and any included attachments are intended for the exclusive use of the individual or entity that is the named addressee and may contain information that is privileged or confidential or otherwise legally exempt from disclosure. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090607/75c06a8a/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: image001.gif Type: image/gif Size: 7830 bytes Desc: image001.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090607/75c06a8a/attachment.gif From eedwards at skmc.gov.ae Sat Jun 6 23:02:57 2009 From: eedwards at skmc.gov.ae (Ellen Edwards) Date: Sun, 7 Jun 2009 10:02:57 +0400 Subject: [Cnm] Serving alcohol to patients In-Reply-To: References: Message-ID: <9A99F98786F9254597C0A0C62685FB5A08755A5181@AHA-MAIL.skmc.gov.ae> Hello; we do not use alcohol here at all.... at work anyway! We do not that even the AHA guide lists moderation and no longer state "2 a day" We have too many Hindu's and Muslims and yes ETOH abuse too- so do not see the need to use it or send it to patients However, when I am in a long term facility... I would like my pony beer and vino glass served with dinners for special events. To cover yourself, I suggest writing a policy, inclusive of a permission slip from patient/family I do not think you can count on it "cooking out" and the religions that exclude it ( those Methodists included) you would not want a legal situation. My thoughts any way and good luck Ellen Edwards, RD LD Head, Clinical Dietetics Chief Clinical Dietitian Direct: +971 2 610-2024 Mobile: +971 050-661-7297 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Miriam Pappo Sent: Friday, June 05, 2009 7:44 PM To: mrogard at charter.net; cnm at lists.my180.net; areahospital at yahoogroups.com Subject: Re: [Cnm] Serving alcohol to patients I would advise a MD order hence I wouldnt put it in recipes. One never knows if someone is an alcohol sensitive recover. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> 06/05/09 7:44 AM >>> Occasionally we will have an order for beer and it is delivered through Food and Nutrition Services. We are reviewing our current policy. If your facility serves alcohol is it delivered through Food and Nutrition or Pharmacy? If delivered through Food and Nutrition please share your policy. Thank you and have a great day MJ -- Mary Jane Rogalski, MBA, RD, LDN Manager, Clinical Nutrition Food and Nutrition Services - C1340 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Work #: 413-794-4954 Fax #: 413-794-4949 Work email: mary.jane.rogalski at bhs.org Professional email: mrogard at charter.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net Confidentiality Note: This message and any included attachments are intended for the exclusive use of the individual or entity that is the named addressee and may contain information that is privileged or confidential or otherwise legally exempt from disclosure. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. From eedwards at skmc.gov.ae Sat Jun 6 23:04:03 2009 From: eedwards at skmc.gov.ae (Ellen Edwards) Date: Sun, 7 Jun 2009 10:04:03 +0400 Subject: [Cnm] C. difficile Protocol In-Reply-To: References: Message-ID: <9A99F98786F9254597C0A0C62685FB5A08755A5185@AHA-MAIL.skmc.gov.ae> Please post to all- would appreciate any input Ellen Edwards, RD LD Head, Clinical Dietetics Chief Clinical Dietitian Sheikh Khalifa Medical City (SKMC) Managed by Cleveland Clinic P.O. Box 51900 Abu Dhabi, United Arab Emirates Direct: +971 2 610-2024 Fax: +971 2 610-2577 Mobile: +971 050-661-7297 Email: eedwards at skmc.gov.ae ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of DChampeon at stmarysmaine.com Sent: Friday, June 05, 2009 8:27 PM To: cnm at lists.my180.net Cc: JThompson at stmarysmaine.com Subject: [Cnm] C. difficile Protocol Do you gave a nutrition protocol for C. difficile in place that you would be willing to share? Diana. Diana Champeon Director, Nutrition Services St. Mary's Regional Medical Center 100 Campus Avenue Lewiston, ME 04240 dchampeon at stmarysmaine.com phone (207)777-8603 fax (207)777-8609 ________________________________ Confidentiality Note: This message and any included attachments are intended for the exclusive use of the individual or entity that is the named addressee and may contain information that is privileged or confidential or otherwise legally exempt from disclosure. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090607/42fa1192/attachment-0001.html From RBijold1 at smdc.org Sun Jun 7 08:11:08 2009 From: RBijold1 at smdc.org (Bijold, Roxanne M.) Date: Sun, 7 Jun 2009 10:11:08 -0500 Subject: [Cnm] salaried RDs In-Reply-To: <924237.64930.qm@web57403.mail.re1.yahoo.com> References: <924237.64930.qm@web57403.mail.re1.yahoo.com> Message-ID: <42A90F8376E770489AF180BC11195B05010DFB0D@BOREAL.ntcampus.smdc.org> At my facility, the dietitians are salaried (both full and part-time RD's), and do not receive extra compensation for weekends or holidays. They get another day off. Roxanne Bijold, MSE, RD, LD Clinical Nutrition Manager SMDC Health System 400 E 3rd Street Duluth, MN 55807 218-786-4669 rbijold1 at smdc.org "Nutrition Services: Nourishing Your Body and Soul" ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Darcy Butler Sent: Friday, June 05, 2009 8:59 PM To: cnm at lists.my180.net Subject: [Cnm] salaried RDs I know the salaried vs hourly has been discussed before on this list, what I am wanting to know is those of you clinical dietitians who are salaried do you receive extra compensation for on-call weekend coverage and holidays? Thanks, Darcy Darcy Butler, RD, LD Ponca City Medical Center Ponca City, Oklahoma 74601 This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you need to hold this information as privileged and confidential. If you have received this communication in error, please notify the sender and destroy all copies of this communication and any attachments. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090607/a50b20cf/attachment.html From MarcelleKarustis at catholichealth.net Mon Jun 8 04:41:13 2009 From: MarcelleKarustis at catholichealth.net (Karustis, Marcelle) Date: Mon, 8 Jun 2009 05:41:13 -0600 Subject: [Cnm] Snomed? Message-ID: <17B38BCEA6E6F24D9300FA8CFE81F425B7441E@chimsx015.CHI.catholichealth.net> Good Morning, My informatics person asked me if the NCP nomenclature is part of Snomed... As in http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html I am not familiar with Snomed but I did read the page at this link (briefly!). I did not see any mention of NCP. Is there a connection that I would find somewhere else? Any info would be appreciated. Thanks a bunch! Marcelle Karustis MS RD RN LDN Clinical Nutrition Manager St. Joseph Medical Center - Bern Campus P.O. Box 316 Reading, PA 19601 www.thefutureofhealthcare.org 610 378-2487 Fax 610 378-2178 DISCLAIMER: The information contained in this electronic mail transmission is privileged and confidential. It is intended for the sole use and viewing of the addressee(s). If you are not the addressee(s), you are hereby notified that any disclosure, distribution, or other use of the information contained herein, other than deletion, is strictly prohibited. Violation of this prohibition may result in civil or criminal liability. If you have received this electronic mail in error, please notify the sender by way of reply. Thank you for your consideration. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/87408211/attachment.html From lhodgson at SARATOGACARE.ORG Mon Jun 8 05:18:26 2009 From: lhodgson at SARATOGACARE.ORG (Hodgson, Lisa) Date: Mon, 8 Jun 2009 08:18:26 -0400 Subject: [Cnm] Cnm Digest, Vol 31, Issue 29 In-Reply-To: References: Message-ID: Our salaried dietitians do receive on-call pay as nurses do. They do not receive holiday pay if they elect to work hospital holidays. Lisa Hodgson Lisa Hodgson, RD, CDN, CDE Clinical Nutrition Manager Saratoga Hospital 211 Church Street Saratoga Springs, NY 12866 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of cnm-request at lists.my180.net Sent: Saturday, June 06, 2009 3:00 PM To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 29 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. salaried RDs (Darcy Butler) 2. Re: salaried RDs (Miriam Pappo) ---------------------------------------------------------------------- Message: 1 Date: Fri, 5 Jun 2009 18:59:05 -0700 (PDT) From: Darcy Butler Subject: [Cnm] salaried RDs To: cnm at lists.my180.net Message-ID: <924237.64930.qm at web57403.mail.re1.yahoo.com> Content-Type: text/plain; charset="us-ascii" I know the salaried vs hourly has been discussed before on this list, what I am wanting to know is those of you clinical dietitians who are salaried do you receive extra compensation for on-call weekend coverage and holidays? Thanks, Darcy Darcy Butler, RD, LD Ponca City Medical Center Ponca City, Oklahoma 74601 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090605/22b0dd09/attachment- 0001.html ------------------------------ Message: 2 Date: Sat, 06 Jun 2009 12:28:02 -0400 From: "Miriam Pappo" Subject: Re: [Cnm] salaried RDs To: , Message-ID: Content-Type: text/plain; charset=US-ASCII In our facility, only hourly RDs get paid extra for on-call or Holidays. Salaried RDs may get a comp day off ...They dont work Holidays & if they choose to for some reason, it's only a comp day off & banking of that Holiday to use at another time. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> Darcy Butler 06/05/09 9:59 PM >>> I know the salaried vs hourly has been discussed before on this list, what I am wanting to know is those of you clinical dietitians who are salaried do you receive extra compensation for on-call weekend coverage and holidays? Thanks, Darcy Darcy Butler, RD, LD Ponca City Medical Center Ponca City, Oklahoma 74601 ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 29 *********************************** This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Saratoga Hospital immediately by e-mail at privacy at saratogacare.org and destroy all copies of this communication and any attachments. From jonessl at upmc.edu Mon Jun 8 06:51:51 2009 From: jonessl at upmc.edu (Jones, Sherri) Date: Mon, 8 Jun 2009 09:51:51 -0400 Subject: [Cnm] Snomed? In-Reply-To: <17B38BCEA6E6F24D9300FA8CFE81F425B7441E@chimsx015.CHI.catholichealth.net> References: <17B38BCEA6E6F24D9300FA8CFE81F425B7441E@chimsx015.CHI.catholichealth.net> Message-ID: <928A945F630BBA4D8145A788E444649B3667FA9F@MSXMBXNSPRD03.acct.upmchs.net> I currently sit on the ADA NCP-Standardized Language Committee and we are in the process of "mapping" the NCP language to SNOMED to see how closely they relate. The NCP language is not technically a part of SNOMED or any of the other existing health care standardized language systems. With that said however, we are looking into any similarities that exist between our NCP language and the others. ADA is also working with the EMR companies to work on getting our NCP language "embedded" (I think the IT term). If you have further questions about the NCP language, you may contact Lisa Ornstein at ADA lornstein at eatright.org. I hope that helps to clarify a bit. Sherri Sherri L. Jones, MS, MBA, RD, LDN Clinical Nutrition Manager UPMC Shadyside Phone: (412) 623-1629 Pager: (412) 263-8518 Fax: (412) 623-2429 jonessl at upmc.edu ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Karustis, Marcelle Sent: Monday, June 08, 2009 7:41 AM To: cnm at lists.my180.net Subject: [Cnm] Snomed? Good Morning, My informatics person asked me if the NCP nomenclature is part of Snomed... As in http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html I am not familiar with Snomed but I did read the page at this link (briefly!). I did not see any mention of NCP. Is there a connection that I would find somewhere else? Any info would be appreciated. Thanks a bunch! Marcelle Karustis MS RD RN LDN Clinical Nutrition Manager St. Joseph Medical Center - Bern Campus P.O. Box 316 Reading, PA 19601 www.thefutureofhealthcare.org 610 378-2487 Fax 610 378-2178 DISCLAIMER: The information contained in this electronic mail transmission is privileged and confidential. It is intended for the sole use and viewing of the addressee(s). If you are not the addressee(s), you are hereby notified that any disclosure, distribution, or other use of the information contained herein, other than deletion, is strictly prohibited. Violation of this prohibition may result in civil or criminal liability. If you have received this electronic mail in error, please notify the sender by way of reply. Thank you for your consideration. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/19514052/attachment.html From Michael.Smith at LPNT.net Mon Jun 8 07:06:57 2009 From: Michael.Smith at LPNT.net (Smith Michael - Palestine) Date: Mon, 8 Jun 2009 09:06:57 -0500 Subject: [Cnm] salaried RDs In-Reply-To: <924237.64930.qm@web57403.mail.re1.yahoo.com> References: <924237.64930.qm@web57403.mail.re1.yahoo.com> Message-ID: No, I do not. It's part of the job. Michael Smith RD LD Palestine Regional Medical Center Palestine, Texas ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Darcy Butler Sent: Friday, June 05, 2009 8:59 PM To: cnm at lists.my180.net Subject: [Cnm] salaried RDs I know the salaried vs hourly has been discussed before on this list, what I am wanting to know is those of you clinical dietitians who are salaried do you receive extra compensation for on-call weekend coverage and holidays? Thanks, Darcy Darcy Butler, RD, LD Ponca City Medical Center Ponca City, Oklahoma 74601 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/72f99549/attachment.html From Sandra.Moretz at tiftregional.com Mon Jun 8 07:11:22 2009 From: Sandra.Moretz at tiftregional.com (Sandra Moretz) Date: Mon, 8 Jun 2009 10:11:22 -0400 Subject: [Cnm] salaried RDs In-Reply-To: Message-ID: <4F21268C197FF8408219D0D6B7614AEE03312F6438@EXCHANGE2.trmc.us> Our salaried and part-time dietitians are paid holiday pay if they choose to work on a holiday. They are also paid 4 hours "on-call" pay for each weekend day plus the time they actually have to work. The "on call" pay does not count for overtime, only hours actually worked. Sandra Moretz, RD, LD Tift Regional Medical Center Tifton, Georgia 229-353-6017 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Smith Michael - Palestine Sent: Monday, June 08, 2009 10:07 AM To: Darcy Butler; cnm at lists.my180.net Subject: Re: [Cnm] salaried RDs No, I do not. It's part of the job. Michael Smith RD LD Palestine Regional Medical Center Palestine, Texas ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Darcy Butler Sent: Friday, June 05, 2009 8:59 PM To: cnm at lists.my180.net Subject: [Cnm] salaried RDs I know the salaried vs hourly has been discussed before on this list, what I am wanting to know is those of you clinical dietitians who are salaried do you receive extra compensation for on-call weekend coverage and holidays? Thanks, Darcy Darcy Butler, RD, LD Ponca City Medical Center Ponca City, Oklahoma 74601 This e-mail and any files transmitted with it may contain PRIVILEDGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the e-mail or any of its attachments, please be advised that you have received this e-mail in error and that use, dissemination, distribution, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/9e1d081a/attachment-0001.html From SKanarek at stelizabeth.com Mon Jun 8 08:43:20 2009 From: SKanarek at stelizabeth.com (Sheri Kanarek) Date: Mon, 08 Jun 2009 11:43:20 -0400 Subject: [Cnm] Select Menu vs Non-Select Message-ID: <4A2CF957.D05A.0055.0@stelizabeth.com> We continue to work with our administration to have a select menu. Please help by answering the following questions. 1. Do you have a select menu or non-select? 2. If select, is it room service or spoken menu? 3. Have you seen a trend towards moving back to non-select to reduce staffing costs? 4. Has patient satisfaction scores improved with select menus? Thanks in advance for assisting me with this project. Sheri Sheri Kanarek RD, LD Clinical Nutrition Manager St. Elizabeth Healthcare One Medical Village Dr Edgewood, KY 41017 859 301-2401 skanarek at stelizabeth.com ----------------------------------------- CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s), and may contain confidential and privileged information protected by state and federal medical privacy statutes. Any unauthorized review, use, disclosure or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail (attaching the original message) and destroy all copies of the original message (including on your own computer and on any network to which your computer is connected). -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/22d7bb1c/attachment.html From aimeenut at yahoo.com Mon Jun 8 08:57:15 2009 From: aimeenut at yahoo.com (aimee crant) Date: Mon, 8 Jun 2009 08:57:15 -0700 (PDT) Subject: [Cnm] Select Menu vs Non-Select In-Reply-To: <4A2CF957.D05A.0055.0@stelizabeth.com> References: <4A2CF957.D05A.0055.0@stelizabeth.com> Message-ID: <546060.38095.qm@web52602.mail.re2.yahoo.com> see answers below ?Aimee Crant-Oksa MS, RD Clinical Nutrition Manager Centrastate Medical Center tel: 732-294-2767 email: acrantok at centrastate.com ________________________________ From: Sheri Kanarek To: cnm at lists.my180.net Sent: Monday, June 8, 2009 11:43:20 AM Subject: [Cnm] Select Menu vs Non-Select We continue to work with our administration to have a select menu.? Please help by answering the following questions. 1.? Do you have a select menu or non-select? select and room service 2.? If select, is it room service or spoken menu? room service and traditional paper menu 3.? Have you seen a trend towards moving back to non-select to reduce staffing costs? no, patient sat is very important here 4.? Has patient satisfaction scores improved with select menus? yes Thanks in advance for assisting me with this project. Sheri Sheri Kanarek RD, LD Clinical Nutrition Manager St. Elizabeth Healthcare One Medical Village Dr Edgewood, KY 41017 859 301-2401 skanarek at stelizabeth.com ________________________________ CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s), and may contain confidential and privileged information protected by state and federal medical privacy statutes. Any unauthorized review, use, disclosure or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail (attaching the original message) and destroy all copies of the original message (including on your own computer and on any network to which your computer is connected). -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/b38cdc1c/attachment.html From sheila.walsh at nahealth.com Mon Jun 8 09:06:41 2009 From: sheila.walsh at nahealth.com (Sheila Walsh) Date: Mon, 08 Jun 2009 09:06:41 -0700 Subject: [Cnm] Select Menu vs Non-Select In-Reply-To: <4A2CF957.D05A.0055.0@stelizabeth.com> References: <4A2CF957.D05A.0055.0@stelizabeth.com> Message-ID: <4A2CD4A0.485B.0001.0@nahealth.com> see answers, below. Sheila A. Walsh, MPH, RD Clinical Nutrition Manager Flagstaff Medical Center Where patients are our purpose. <\__~ / \ >>> "Sheri Kanarek" 6/8/2009 8:43 AM >>> We continue to work with our administration to have a select menu. Please help by answering the following questions. 1. Do you have a select menu or non-select? Select, except for Labor and Delivery 2. If select, is it room service or spoken menu? spoken, except we do room service for L & D 3. Have you seen a trend towards moving back to non-select to reduce staffing costs? only on Behavioral Health do we have nonselect. 4. Has patient satisfaction scores improved with select menus? Yes! Thanks in advance for assisting me with this project. Sheri Sheri Kanarek RD, LD Clinical Nutrition Manager St. Elizabeth Healthcare One Medical Village Dr Edgewood, KY 41017 859 301-2401 skanarek at stelizabeth.com CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s), and may contain confidential and privileged information protected by state and federal medical privacy statutes. Any unauthorized review, use, disclosure or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail (attaching the original message) and destroy all copies of the original message (including on your own computer and on any network to which your computer is connected). -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/ee48d019/attachment.html From Linda.Woods at healthall.com Mon Jun 8 09:09:58 2009 From: Linda.Woods at healthall.com (Woods, Linda) Date: Mon, 8 Jun 2009 12:09:58 -0400 Subject: [Cnm] Select Menu vs Non-Select In-Reply-To: <4A2CF957.D05A.0055.0@stelizabeth.com> References: <4A2CF957.D05A.0055.0@stelizabeth.com> Message-ID: <2B1106A6A593B147A65BD5A8939D3E11D3CA1553CD@MAIL-C.healthall.com> Sheri, See below responses below. Linda Woods, RD, LD Clinical Nutrition Coordinator The University Hospital 234 Goodman Street Cincinnati, OH 45219 linda.woods at healthall.com Office: 513-584-4534 Fax: 513-584-1027 From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Sheri Kanarek Sent: Monday, June 08, 2009 11:43 AM To: cnm at lists.my180.net Subject: [Cnm] Select Menu vs Non-Select We continue to work with our administration to have a select menu. Please help by answering the following questions. 1. Do you have a select menu or non-select? Select 2. If select, is it room service or spoken menu? Neither at present but we are planning implementation of Room Service later this year. 3. Have you seen a trend towards moving back to non-select to reduce staffing costs? don't know 4. Has patient satisfaction scores improved with select menus? I would think that patients would be more satisfied when given the opportunity to make their own meal choices. Thanks in advance for assisting me with this project. Sheri Sheri Kanarek RD, LD Clinical Nutrition Manager St. Elizabeth Healthcare One Medical Village Dr Edgewood, KY 41017 859 301-2401 skanarek at stelizabeth.com ________________________________ CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s), and may contain confidential and privileged information protected by state and federal medical privacy statutes. Any unauthorized review, use, disclosure or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail (attaching the original message) and destroy all copies of the original message (including on your own computer and on any network to which your computer is connected). ________________________________ Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/8f2bea94/attachment.html From RachelFlores at sach.org Mon Jun 8 09:30:55 2009 From: RachelFlores at sach.org (Flores, Rachel) Date: Mon, 8 Jun 2009 09:30:55 -0700 Subject: [Cnm] Select Menu vs Non-Select Message-ID: Answers below. Rachel Flores, RD, CNSC Clinical Nutrition Manager San Antonio Community Hospital (909) 985-2811 x24430 _____ From: Sheri Kanarek [mailto:SKanarek at stelizabeth.com] Sent: Monday, June 08, 2009 8:43 AM To: cnm at lists.my180.net Subject: [Cnm] Select Menu vs Non-Select We continue to work with our administration to have a select menu. Please help by answering the following questions. 1. Do you have a select menu or non-select? Select 2. If select, is it room service or spoken menu? Spoken 3. Have you seen a trend towards moving back to non-select to reduce staffing costs? Just moved from paper menus last month, admin is pushing for room service, so I don't think non-select is on our horizon 4. Has patient satisfaction scores improved with select menus? Too early to tell formally, but we have gotten some good feedback for spoken menu...When it is working right Thanks in advance for assisting me with this project. Sheri Sheri Kanarek RD, LD Clinical Nutrition Manager St. Elizabeth Healthcare One Medical Village Dr Edgewood, KY 41017 859 301-2401 skanarek at stelizabeth.com _____ CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s), and may contain confidential and privileged information protected by state and federal medical privacy statutes. Any unauthorized review, use, disclosure or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail (attaching the original message) and destroy all copies of the original message (including on your own computer and on any network to which your computer is connected). -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/60c91cb6/attachment-0001.html From dcmsrdld at netzero.net Mon Jun 8 10:19:05 2009 From: dcmsrdld at netzero.net (Doug Carr) Date: Mon, 8 Jun 2009 17:19:05 GMT Subject: [Cnm] Select Menu vs Non-Select Message-ID: <20090608.131905.13893.1@webmail09.dca.untd.com> 1. Do you have a select menu or non-select? SELECT 2. If select, is it room service or spoken menu? Room Service 3. Have you seen a trend towards moving back to non-select to reduce staffing costs? NO, again Patient Satisfaction very important, and we have stayed within our budget cost. 4. Has patient satisfaction scores improved with select menus? Yes, from mid 30's to now averaging 87. Doug Carr, MS RD LD Clinical Resource RD WellStar Cobb Hospital Austell, Ga. ---------- Original Message ---------- From: cnm-request at lists.my180.net To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 33 Date: Mon, 08 Jun 2009 09:30:23 -0700 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Select Menu vs Non-Select (Sheri Kanarek) 2. Re: Select Menu vs Non-Select (aimee crant) 3. Re: Select Menu vs Non-Select (Sheila Walsh) 4. Re: Select Menu vs Non-Select (Woods, Linda) 5. Re: Select Menu vs Non-Select (Flores, Rachel) ---------------------------------------------------------------------- Message: 1 Date: Mon, 08 Jun 2009 11:43:20 -0400 From: "Sheri Kanarek" Subject: [Cnm] Select Menu vs Non-Select To: Message-ID: <4A2CF957.D05A.0055.0 at stelizabeth.com> Content-Type: text/plain; charset="us-ascii" We continue to work with our administration to have a select menu. Please help by answering the following questions. 1. Do you have a select menu or non-select? 2. If select, is it room service or spoken menu? 3. Have you seen a trend towards moving back to non-select to reduce staffing costs? 4. Has patient satisfaction scores improved with select menus? Thanks in advance for assisting me with this project. Sheri Sheri Kanarek RD, LD Clinical Nutrition Manager St. Elizabeth Healthcare One Medical Village Dr Edgewood, KY 41017 859 301-2401 skanarek at stelizabeth.com ----------------------------------------- CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s), and may contain confidential and privileged information protected by state and federal medical privacy statutes. Any unauthorized review, use, disclosure or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail (attaching the original message) and destroy all copies of the original message (including on your own computer and on any network to which your computer is connected). -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/22d7bb1c/attachment-0001.html ------------------------------ Message: 2 Date: Mon, 8 Jun 2009 08:57:15 -0700 (PDT) From: aimee crant Subject: Re: [Cnm] Select Menu vs Non-Select To: Sheri Kanarek , cnm at lists.my180.net Message-ID: <546060.38095.qm at web52602.mail.re2.yahoo.com> Content-Type: text/plain; charset="iso-8859-1" see answers below ?Aimee Crant-Oksa MS, RD Clinical Nutrition Manager Centrastate Medical Center tel: 732-294-2767 email: acrantok at centrastate.com ________________________________ From: Sheri Kanarek To: cnm at lists.my180.net Sent: Monday, June 8, 2009 11:43:20 AM Subject: [Cnm] Select Menu vs Non-Select We continue to work with our administration to have a select menu.? Please help by answering the following questions. 1.? Do you have a select menu or non-select? select and room service 2.? If select, is it room service or spoken menu? room service and traditional paper menu 3.? Have you seen a trend towards moving back to non-select to reduce staffing costs? no, patient sat is very important here 4.? Has patient satisfaction scores improved with select menus? yes Thanks in advance for assisting me with this project. Sheri Sheri Kanarek RD, LD Clinical Nutrition Manager St. Elizabeth Healthcare One Medical Village Dr Edgewood, KY 41017 859 301-2401 skanarek at stelizabeth.com ________________________________ CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s), and may contain confidential and privileged information protected by state and federal medical privacy statutes. Any unauthorized review, use, disclosure or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail (attaching the original message) and destroy all copies of the original message (including on your own computer and on any network to which your computer is connected). -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/b38cdc1c/attachment-0001.html ------------------------------ Message: 3 Date: Mon, 08 Jun 2009 09:06:41 -0700 From: "Sheila Walsh" Subject: Re: [Cnm] Select Menu vs Non-Select To: cnm at lists.my180.net, "Sheri Kanarek" Message-ID: <4A2CD4A0.485B.0001.0 at nahealth.com> Content-Type: text/plain; charset="us-ascii" see answers, below. Sheila A. Walsh, MPH, RD Clinical Nutrition Manager Flagstaff Medical Center Where patients are our purpose. <\__~ / \ >>> "Sheri Kanarek" 6/8/2009 8:43 AM >>> We continue to work with our administration to have a select menu. Please help by answering the following questions. 1. Do you have a select menu or non-select? Select, except for Labor and Delivery 2. If select, is it room service or spoken menu? spoken, except we do room service for L & D 3. Have you seen a trend towards moving back to non-select to reduce staffing costs? only on Behavioral Health do we have nonselect. 4. Has patient satisfaction scores improved with select menus? Yes! Thanks in advance for assisting me with this project. Sheri Sheri Kanarek RD, LD Clinical Nutrition Manager St. Elizabeth Healthcare One Medical Village Dr Edgewood, KY 41017 859 301-2401 skanarek at stelizabeth.com CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s), and may contain confidential and privileged information protected by state and federal medical privacy statutes. Any unauthorized review, use, disclosure or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail (attaching the original message) and destroy all copies of the original message (including on your own computer and on any network to which your computer is connected). -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/ee48d019/attachment-0001.html ------------------------------ Message: 4 Date: Mon, 8 Jun 2009 12:09:58 -0400 From: "Woods, Linda" Subject: Re: [Cnm] Select Menu vs Non-Select To: "'Sheri Kanarek'" , "cnm at lists.my180.net" Message-ID: <2B1106A6A593B147A65BD5A8939D3E11D3CA1553CD at MAIL-C.healthall.com> Content-Type: text/plain; charset="us-ascii" Sheri, See below responses below. Linda Woods, RD, LD Clinical Nutrition Coordinator The University Hospital 234 Goodman Street Cincinnati, OH 45219 linda.woods at healthall.com Office: 513-584-4534 Fax: 513-584-1027 From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Sheri Kanarek Sent: Monday, June 08, 2009 11:43 AM To: cnm at lists.my180.net Subject: [Cnm] Select Menu vs Non-Select We continue to work with our administration to have a select menu. Please help by answering the following questions. 1. Do you have a select menu or non-select? Select 2. If select, is it room service or spoken menu? Neither at present but we are planning implementation of Room Service later this year. 3. Have you seen a trend towards moving back to non-select to reduce staffing costs? don't know 4. Has patient satisfaction scores improved with select menus? I would think that patients would be more satisfied when given the opportunity to make their own meal choices. Thanks in advance for assisting me with this project. Sheri Sheri Kanarek RD, LD Clinical Nutrition Manager St. Elizabeth Healthcare One Medical Village Dr Edgewood, KY 41017 859 301-2401 skanarek at stelizabeth.com ________________________________ CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s), and may contain confidential and privileged information protected by state and federal medical privacy statutes. Any unauthorized review, use, disclosure or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail (attaching the original message) and destroy all copies of the original message (including on your own computer and on any network to which your computer is connected). ________________________________ Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/8f2bea94/attachment-0001.html ------------------------------ Message: 5 Date: Mon, 8 Jun 2009 09:30:55 -0700 From: "Flores, Rachel" Subject: Re: [Cnm] Select Menu vs Non-Select To: 'Sheri Kanarek' , cnm at lists.my180.net Message-ID: Content-Type: text/plain; charset="us-ascii" Answers below. Rachel Flores, RD, CNSC Clinical Nutrition Manager San Antonio Community Hospital (909) 985-2811 x24430 _____ From: Sheri Kanarek [mailto:SKanarek at stelizabeth.com] Sent: Monday, June 08, 2009 8:43 AM To: cnm at lists.my180.net Subject: [Cnm] Select Menu vs Non-Select We continue to work with our administration to have a select menu. Please help by answering the following questions. 1. Do you have a select menu or non-select? Select 2. If select, is it room service or spoken menu? Spoken 3. Have you seen a trend towards moving back to non-select to reduce staffing costs? Just moved from paper menus last month, admin is pushing for room service, so I don't think non-select is on our horizon 4. Has patient satisfaction scores improved with select menus? Too early to tell formally, but we have gotten some good feedback for spoken menu...When it is working right Thanks in advance for assisting me with this project. Sheri Sheri Kanarek RD, LD Clinical Nutrition Manager St. Elizabeth Healthcare One Medical Village Dr Edgewood, KY 41017 859 301-2401 skanarek at stelizabeth.com _____ CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s), and may contain confidential and privileged information protected by state and federal medical privacy statutes. Any unauthorized review, use, disclosure or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail (attaching the original message) and destroy all copies of the original message (including on your own computer and on any network to which your computer is connected). -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/60c91cb6/attachment.html ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 33 *********************************** ____________________________________________________________ Jumpstart your accounting career! Click for free information. http://thirdpartyoffers.netzero.net/TGL2231/fc/BLSrjnxP0w0EmidZzyTJDhT0adkwkaEvFOMvORjrmOhP00xccnQmSkvi2Z6/ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/30c5e881/attachment.html From cathysmith at mhsjvl.org Mon Jun 8 11:15:09 2009 From: cathysmith at mhsjvl.org (Smith, Cathy) Date: Mon, 8 Jun 2009 13:15:09 -0500 Subject: [Cnm] salaried RDs References: <924237.64930.qm@web57403.mail.re1.yahoo.com> Message-ID: <4973FD77BA585043AC3C49ED6D7B9F8302E22E81@MXV1.mercy.org> yes ________________________________ From: cnm-bounces at lists.my180.net on behalf of Darcy Butler Sent: Fri 6/5/2009 8:59 PM To: cnm at lists.my180.net Subject: [Cnm] salaried RDs I know the salaried vs hourly has been discussed before on this list, what I am wanting to know is those of you clinical dietitians who are salaried do you receive extra compensation for on-call weekend coverage and holidays? Thanks, Darcy Darcy Butler, RD, LD Ponca City Medical Center Ponca City, Oklahoma 74601 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/4e23903c/attachment.html From jross at jaycountyhospital.com Mon Jun 8 13:16:15 2009 From: jross at jaycountyhospital.com (Julayne Ross) Date: Mon, 8 Jun 2009 16:16:15 -0400 Subject: [Cnm] pt meals...complaints of cold Message-ID: <10DE3A7624A2BD48B81AFE4E90A5094D0213D6B0@EX1.jaycountyhospital.com> I mainly do clinical but our foodservice director is totally against using the hot pellets. I used them at another facility and thought they worked great. Any other ideas out there....who has food nice and hot and what are you doing? Thanks! Julayne -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/a3d322f4/attachment.html From Lori.Zimmerman at ministryhealth.org Mon Jun 8 15:04:42 2009 From: Lori.Zimmerman at ministryhealth.org (Zimmerman, Lori A) Date: Mon, 8 Jun 2009 17:04:42 -0500 Subject: [Cnm] Select Menu vs Non-Select In-Reply-To: <4A2CF957.D05A.0055.0@stelizabeth.com> References: <4A2CF957.D05A.0055.0@stelizabeth.com> Message-ID: Responses Below Lori A. Zimmerman MS, RD, CD ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Sheri Kanarek Sent: Monday, June 08, 2009 10:43 AM To: cnm at lists.my180.net Subject: [Cnm] Select Menu vs Non-Select We continue to work with our administration to have a select menu. Please help by answering the following questions. 1. Do you have a select menu or non-select? Select 2. If select, is it room service or spoken menu? Room Service & Traditional Paper Menu (select specialty units only) 3. Have you seen a trend towards moving back to non-select to reduce staffing costs? We switched to Room Service 1 year ago, I can not imagine going back after the expense of remodeling our kitchen and Patient Satisfaction is a really big deal right now so I don't think our Administration would even consider changing. 4. Has patient satisfaction scores improved with select menus? We have always had select menus and had decent satisfaction scores. They have gone up since we switched to Room Service Thanks in advance for assisting me with this project. Sheri Sheri Kanarek RD, LD Clinical Nutrition Manager St. Elizabeth Healthcare One Medical Village Dr Edgewood, KY 41017 859 301-2401 skanarek at stelizabeth.com ________________________________ CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s), and may contain confidential and privileged information protected by state and federal medical privacy statutes. Any unauthorized review, use, disclosure or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail (attaching the original message) and destroy all copies of the original message (including on your own computer and on any network to which your computer is connected). ________________________________ CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify the sender at the electronic mail address noted above and destroy all copies of this communication and any attachments. Thank you for your cooperation. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090608/0f48f2b4/attachment.html From mrogard at charter.net Tue Jun 9 03:06:42 2009 From: mrogard at charter.net (mrogard at charter.net) Date: Tue, 9 Jun 2009 3:06:42 -0700 Subject: [Cnm] Fwd: New Member Benefit Announcement Message-ID: <20090609060642.DS3KH.4046961.root@mp07> News from ADA about changes to the Journal. Have a great day. MJ -- Mary Jane Rogalski, MBA, RD, LDN CNM DPG Chair Manager, Clinical Nutrition Food and Nutrition Services - C1340 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Work #: 413-794-4954 Fax #: 413-794-4949 Work email: mary.jane.rogalski at bhs.org Professional email: mrogard at charter.net > Subject: New Member Benefit Announcement > Date: Mon, 8 Jun 2009 12:23:19 -0500 > From: "Practice/Member Interest Team" > To: Mary Jane Rogalski > Cc: "Ryan Lipscomb" , "Barbara Visocan" > > Dear DPG/MIG Officers: > > > > I hope this message finds you well! Please pay special attention to the > attached announcements from the Journal of the American Dietetic > Association. > > > > The Practice/MIG Team encourages you to share this information with your > members in your (next) newsletter, listserv, and Web site. > > > > Best regards, > > > > > > Bryan Janke > > > > Practice Team Coordinator > > American Dietetic Association > > 120 South Riverside Plaza, Suite 2000 > > Chicago, IL 60606-6995 > > e-mail: bjanke at eatright.org > > > > > > > > > > > > > --- > > You are currently subscribed to dpg-mig-chair as: mrogard at charter.net > To unsubscribe send a blank email to leave-4360743-23918855.a2790664ccc55f0dbe8370d709e84722 at list.eatright.org -------------- next part -------------- A non-text attachment was scrubbed... Name: NIR announcement - long.doc Type: application/msword Size: 53760 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090609/0b554a71/attachment-0001.doc From pcharney at mac.com Tue Jun 9 05:32:33 2009 From: pcharney at mac.com (Pam Charney) Date: Tue, 09 Jun 2009 05:32:33 -0700 Subject: [Cnm] Snomed? In-Reply-To: <17B38BCEA6E6F24D9300FA8CFE81F425B7441E@chimsx015.CHI.catholichealth.net> References: <17B38BCEA6E6F24D9300FA8CFE81F425B7441E@chimsx015.CHI.catholichealth.net> Message-ID: <87C23DED-30CF-42FC-87C7-AA4F0CF63810@mac.com> The IDNT is not part of Snomed. The correct name of the terminology is the International Dietetics and Nutrition Terminology. It's not connected to the NCP, although many have that misconception. The two are entirely separate entities. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 8, 2009, at 4:41 AM, Karustis, Marcelle wrote: > Good Morning, > My informatics person asked me if the NCP nomenclature is part of > Snomed? > As in http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html > I am not familiar with Snomed but I did read the page at this link > (briefly!). > I did not see any mention of NCP. > Is there a connection that I would find somewhere else? > Any info would be appreciated. > Thanks a bunch! > > Marcelle Karustis MS RD RN LDN > Clinical Nutrition Manager > St. Joseph Medical Center - Bern Campus > P.O. Box 316 > Reading, PA 19601 > www.thefutureofhealthcare.org > 610 378-2487 > Fax 610 378-2178 > > > > > > DISCLAIMER: The information contained in this electronic mail > transmission is privileged and confidential. It is intended for the > sole use and viewing of the addressee(s). If you are not the > addressee(s), you are hereby notified that any disclosure, > distribution, or other use of the information contained herein, > other than deletion, is strictly prohibited. Violation of this > prohibition may result in civil or criminal liability. > > If you have received this electronic mail in error, please notify > the sender by way of reply. Thank you for your consideration. > > > > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090609/3063d78b/attachment.html From pcharney at mac.com Tue Jun 9 05:42:45 2009 From: pcharney at mac.com (Pam Charney) Date: Tue, 09 Jun 2009 05:42:45 -0700 Subject: [Cnm] Snomed? In-Reply-To: <928A945F630BBA4D8145A788E444649B3667FA9F@MSXMBXNSPRD03.acct.upmchs.net> References: <17B38BCEA6E6F24D9300FA8CFE81F425B7441E@chimsx015.CHI.catholichealth.net> <928A945F630BBA4D8145A788E444649B3667FA9F@MSXMBXNSPRD03.acct.upmchs.net> Message-ID: Sherri, The mapping process doesn't impact the use of the terminology at the local level. It's in SNOMED or it's not. We're not. There really aren't that many terminology "systems". There are hundreds of terminologies. SNOMED happens to be a compendium of terminologies that happens to be the "one" sort of blessed by the feds for inclusion in EMR systems. The EMR certification process that began a couple years ago recommended use of SNOMED. That certification process is undergoing a lot of scrutiny now from the theoretical side of the informatics community. That's not to say that use of SNOMED is controversial. SNOMED is simply the one selected by most, if not all, EMR vendors for use in their database. As to the mapping process, there will always be similarities between terminologies. That's why synonyms and various terminology tools are used by experts in terminology development. If you're further interested in working with terminologies, you can apply for a free UMLS license which will give you access to hundreds of terminologies. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 8, 2009, at 6:51 AM, Jones, Sherri wrote: > I currently sit on the ADA NCP-Standardized Language Committee and > we are in the process of ?mapping? the NCP language to SNOMED to see > how closely they relate. The NCP language is not technically a part > of SNOMED or any of the other existing health care standardized > language systems. With that said however, we are looking into any > similarities that exist between our NCP language and the others. ADA > is also working with the EMR companies to work on getting our NCP > language ?embedded? (I think the IT term). If you have further > questions about the NCP language, you may contact Lisa Ornstein at > ADA lornstein at eatright.org. > > I hope that helps to clarify a bit. > > Sherri > Sherri L. Jones, MS, MBA, RD, LDN > Clinical Nutrition Manager > UPMC Shadyside > Phone: (412) 623-1629 > Pager: (412) 263-8518 > Fax: (412) 623-2429 > jonessl at upmc.edu > From: cnm-bounces at lists.my180.net [mailto:cnm- > bounces at lists.my180.net] On Behalf Of Karustis, Marcelle > Sent: Monday, June 08, 2009 7:41 AM > To: cnm at lists.my180.net > Subject: [Cnm] Snomed? > > Good Morning, > My informatics person asked me if the NCP nomenclature is part of > Snomed? > As in http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html > I am not familiar with Snomed but I did read the page at this link > (briefly!). > I did not see any mention of NCP. > Is there a connection that I would find somewhere else? > Any info would be appreciated. > Thanks a bunch! > > Marcelle Karustis MS RD RN LDN > Clinical Nutrition Manager > St. Joseph Medical Center - Bern Campus > P.O. Box 316 > Reading, PA 19601 > www.thefutureofhealthcare.org > 610 378-2487 > Fax 610 378-2178 > > > > > DISCLAIMER: The information contained in this electronic mail > transmission is privileged and confidential. It is intended for the > sole use and viewing of the addressee(s). If you are not the > addressee(s), you are hereby notified that any disclosure, > distribution, or other use of the information contained herein, > other than deletion, is strictly prohibited. Violation of this > prohibition may result in civil or criminal liability. > > If you have received this electronic mail in error, please notify > the sender by way of reply. Thank you for your consideration. > > > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090609/8fd49ecb/attachment-0001.html From mtewes at wchsys.org Tue Jun 9 06:48:49 2009 From: mtewes at wchsys.org (Melissa Tewes) Date: Tue, 9 Jun 2009 09:48:49 -0400 Subject: [Cnm] Consistent Carb Diets Message-ID: <001601c9e909$049152a0$0db3f7e0$@org> Hello, I am wondering how consistent carbs are being handled. After doing nutritional analysis of our menus, the carbs are often too high. This is a result of items that are 4-8 g CHO.we currently do not count halves. We have a spoken menu, so technically these patients could be getting an amount of carbohydrates well beyond their prescribed amount. Do you list grams of carbohydrates? Do you count starch, fruit, milk as carbs or go by actual grams? Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090609/6d906f5b/attachment.html From tfreeden at somerset-healthcare.com Tue Jun 9 08:39:16 2009 From: tfreeden at somerset-healthcare.com (Freeden, Theresa) Date: Tue, 9 Jun 2009 11:39:16 -0400 Subject: [Cnm] patient menu survey Message-ID: We are looking to change some of our in-patient menu choices and would like to have some patient involvement. Has anyone surveyed patients on what they would like to see on the menu? Anyone willing to share the info/survey? Thanks Theresa Freeden, MS, RD Clinical Nutrition Manager Somerset Medical Center 110 Rehill Ave. Somerville, NJ 08876 908 704-2758 CONFIDENTIALITY NOTICE This message and any included attachments are from Somerset Medical Center and are intended only for the addressee. The information contained in this message is confidential and may contain privileged, confidential, proprietary and/or trade secret information entitled to protection and/or exemption from disclosure under applicable law. Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Somerset Medical Center's computer Help Desk at 908-685-2200, ext. 4050. -------------------------------------------------------------- Somerset Medical Center is the recipient of the 2009 Orthopedic Surgery Excellence Award(tm) from HealthGrades, the nation's leading health care ratings company. Visit Somerset Medical Center's Web site - www.somersetmedicalcenter.com - for news, event listings, health information and more. And, find us on Facebook and "Become a Fan" for up-to-the-minute medical center news. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090609/a49abc7f/attachment.html From dhutsler at chmca.org Tue Jun 9 08:50:14 2009 From: dhutsler at chmca.org (dhutsler at chmca.org) Date: Tue, 9 Jun 2009 11:50:14 -0400 Subject: [Cnm] Consistent Carb Diets In-Reply-To: <001601c9e909$049152a0$0db3f7e0$@org> Message-ID: We only use grams of CHO. It's much more accurate. Anything less than 5 grams/serving with the exception of sugar packets is not counted. We have the grams of CHO print behind each food item on the patient's menu that is sent with the tray. When patients are selecting their foods for a meal (Room Service) the tech advises them on when they've reached their goal amts. Deb Deb Hutsler MS, RD/LD Children's Hospital Medical Center Akron, Ohio "Melissa Tewes" To Sent by: cnm-bounces at lists cc .my180.net Subject [Cnm] Consistent Carb Diets 06/09/2009 09:48 AM Hello, I am wondering how consistent carbs are being handled. After doing nutritional analysis of our menus, the carbs are often too high. This is a result of items that are 4-8 g CHO?we currently do not count halves. We have a spoken menu, so technically these patients could be getting an amount of carbohydrates well beyond their prescribed amount. Do you list grams of carbohydrates? Do you count starch, fruit, milk as carbs or go by actual grams? Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From LAURAF at dmhhs.org Tue Jun 9 09:07:50 2009 From: LAURAF at dmhhs.org (ETCHASON,LAURA) Date: Tue, 09 Jun 2009 11:07:50 -0500 Subject: [Cnm] Consistent Carb Diets In-Reply-To: <001601c9e909$049152a0$0db3f7e0$@org> References: <001601c9e909$049152a0$0db3f7e0$@org> Message-ID: <4A2E4286.21B0.00A0.0@dmhhs.org> We count carb servings and have half carb servings available as well. I would prefer to count grams, which we are working toward. We use CBORD and have room service, but we also do bedside order entry. Thank you, Laura Laura A. Etchason, MS, RD, LDN Clinical Nutrition Manager Decatur Memorial Hospital 2300 N. Edward Street Decatur, IL 62526 217-876-5306 (office line and voice mail) 217-876-5305 (fax) 217-876-5301 (general line) lauraf at dmhhs.org Developer, Harmony, Maximizer, Individualization, Belief >>> "Melissa Tewes" 6/9/2009 8:48 AM >>> Hello, I am wondering how consistent carbs are being handled. After doing nutritional analysis of our menus, the carbs are often too high. This is a result of items that are 4-8 g CHO?we currently do not count halves. We have a spoken menu, so technically these patients could be getting an amount of carbohydrates well beyond their prescribed amount. Do you list grams of carbohydrates? Do you count starch, fruit, milk as carbs or go by actual grams? Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090609/170223d0/attachment.html From cketterman at wellspan.org Tue Jun 9 09:09:01 2009 From: cketterman at wellspan.org (Ketterman-Hopkins, Cindra) Date: Tue, 9 Jun 2009 12:09:01 -0400 Subject: [Cnm] Consistent Carb Diets In-Reply-To: References: <001601c9e909$049152a0$0db3f7e0$@org> Message-ID: <5B32BC7FE9D04B43A8B78CA7A19CBD4E050B18C0@EXCH4.wellspan.org> We use grams also and the CHO content is printed on the menus and on the tray ticket. Cindra L. Ketterman, MS, RD, LDN Chief Clinical Dietitian York Hospital.WellSpan Health 1001 South George Street York, PA 17405-7198 (717) 851 - 3991 (717) 851 - 2345 ask for pager 0093 (717) 851 - 2934 (fax) -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of dhutsler at chmca.org Sent: Tuesday, June 09, 2009 11:50 To: Melissa Tewes Cc: cnm at lists.my180.net; cnm-bounces at lists.my180.net Subject: Re: [Cnm] Consistent Carb Diets We only use grams of CHO. It's much more accurate. Anything less than 5 grams/serving with the exception of sugar packets is not counted. We have the grams of CHO print behind each food item on the patient's menu that is sent with the tray. When patients are selecting their foods for a meal (Room Service) the tech advises them on when they've reached their goal amts. Deb Deb Hutsler MS, RD/LD Children's Hospital Medical Center Akron, Ohio "Melissa Tewes" To Sent by: cnm-bounces at lists cc .my180.net Subject [Cnm] Consistent Carb Diets 06/09/2009 09:48 AM Hello, I am wondering how consistent carbs are being handled. After doing nutritional analysis of our menus, the carbs are often too high. This is a result of items that are 4-8 g CHO...we currently do not count halves. We have a spoken menu, so technically these patients could be getting an amount of carbohydrates well beyond their prescribed amount. Do you list grams of carbohydrates? Do you count starch, fruit, milk as carbs or go by actual grams? Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ From me_merrell at yahoo.com Tue Jun 9 09:29:40 2009 From: me_merrell at yahoo.com (Monica Merrell) Date: Tue, 9 Jun 2009 09:29:40 -0700 (PDT) Subject: [Cnm] pediatric menu Message-ID: <629906.77519.qm@web36507.mail.mud.yahoo.com> Our pediatric menu is for?ages 1-17 years.? Is anyone sending a tray up for those under one year of age?? We currently send parent trays and have baby foods available by nursing on each floor. Thanks, Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090609/d46d484c/attachment.html From S.Anderson at nvrh.org Tue Jun 9 09:39:48 2009 From: S.Anderson at nvrh.org (Anderson, Sharon) Date: Tue, 9 Jun 2009 12:39:48 -0400 Subject: [Cnm] pediatric menu In-Reply-To: <629906.77519.qm@web36507.mail.mud.yahoo.com> References: <629906.77519.qm@web36507.mail.mud.yahoo.com> Message-ID: <8399E503ADA6AB438FDF86223B23A83E027FEC69@mason.nvrh.local> We send a tray up to babies under one year if nursing puts in a diet order and requests it or our CDM's will ask for a diet order if a parent or caretaker states that the baby eats plenty of table foods. The diet order that would go in our system is called "diet for age". Sharon From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Monica Merrell Sent: Tuesday, June 09, 2009 12:30 PM To: cnm at lists.my180.net Subject: [Cnm] pediatric menu Our pediatric menu is for ages 1-17 years. Is anyone sending a tray up for those under one year of age? We currently send parent trays and have baby foods available by nursing on each floor. Thanks, Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090609/b250f058/attachment-0001.html From MELLINGTON at wakemed.org Tue Jun 9 11:10:07 2009 From: MELLINGTON at wakemed.org (MARTHA ELLINGTON) Date: Tue, 9 Jun 2009 14:10:07 -0400 Subject: [Cnm] salaried RDs In-Reply-To: <924237.64930.qm@web57403.mail.re1.yahoo.com> References: <924237.64930.qm@web57403.mail.re1.yahoo.com> Message-ID: We get, weekend differential, Holiday premium and on call pay. They are salaried. Martha J Ellington, RD, LDN Clinical Nutrition Manager, Food and Nutrition Services WakeMed Health and Hospitals Raleigh, NC 919-350-8182 mellington at wakemed.org From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Darcy Butler Sent: Friday, June 05, 2009 9:59 PM To: cnm at lists.my180.net Subject: [Cnm] salaried RDs I know the salaried vs hourly has been discussed before on this list, what I am wanting to know is those of you clinical dietitians who are salaried do you receive extra compensation for on-call weekend coverage and holidays? Thanks, Darcy Darcy Butler, RD, LD Ponca City Medical Center Ponca City, Oklahoma 74601 ------------------------------------------------------------------------------- WakeMed Confidentiality Notice: This message, including any attachments, is for the sole use of the individual or entity to whom it is addressed and may contain confidential and/or legally privileged information. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any unauthorized review, use, copying, disclosure, or distribution of this message and attachments is strictly prohibited. ------------------------------------------------------------------------------- -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090609/aeace784/attachment.html From Jeriann.Gonzales at HCAhealthcare.com Tue Jun 9 13:04:26 2009 From: Jeriann.Gonzales at HCAhealthcare.com (Gonzales Jeriann) Date: Tue, 9 Jun 2009 15:04:26 -0500 Subject: [Cnm] NPO/Clear Liquid Monitoring Message-ID: Do most of you see your NPO/Clear liquid hospitalized patients at >3 days or at >5 days? We pushed through >5 days on our Pt Assessment/Reassessment Policy without a challenge, but now are having some question with one of our committees on the change. Does anyone have any studies/references regarding the timeframes? I remember the Aspen ranges given, but could not locate the study. Any assistance is appreciated. Thanks. Jeriann Gonzales, MS RD Chief Clinical Dietitian Lake City Medical Center 386-719-9046 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090609/f6616c73/attachment.html From WellsK at armc.sbcounty.gov Tue Jun 9 13:22:31 2009 From: WellsK at armc.sbcounty.gov (Wells, Khongmany ARMC-Nutrition Services) Date: Tue, 9 Jun 2009 13:22:31 -0700 Subject: [Cnm] Snack Offerings for Behavioral Health Message-ID: <4411CB5C30A2674CB4708C0CA3CBB966011D200D@sbc-exmsg5.sbcounty.gov> Hello Everyone, We are reviewing our snack offerings to Behavioral Health patients and wanted to see if anyone has suggestions or has a list of snacks that they would be willing to share. Thank you, Khongmany Wells, RD, MPH, CNSD Clinical Nutrition Manager Arrowhead Regional Medical Center (909) 580-2466 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090609/5f9b4466/attachment.html From TTaylor at dmc-sp.org Tue Jun 9 14:17:18 2009 From: TTaylor at dmc-sp.org (Taylor, Tracy) Date: Tue, 9 Jun 2009 14:17:18 -0700 Subject: [Cnm] Harris Benedict and ADA calculators / equation recommendations Message-ID: <222E81132BE3E54584CB9A5DB1CDD7E207E944@bks-emx001.dmc-sp.org> We are facing the same issue and have just begun discussions. Would love to hear from others too. For outpatient I use Mifflin-St Jeor. For inpts we have used HB and kcals/kg and are looking at Penn State 2003a for vent non obese and Ireton-Jones 1992 for non vent and vent obese. Tracy Taylor RD, CDE Director: Diabetes Management/Outpatient Nutrition Programs Clinical Nutrition Manager Doctors Medical Center San Pablo 2000 Vale Rd San Pablo, CA 94806 phone: 510-970-5344 fax: 510-970-5739 email: ttaylor at dmc-sp.org CONFIDENTIAL AND PRIVILEGED: May contain materials protected by law. This communication contains information intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged and/or confidential. If you are not the intended recipient or an employee or agent responsible for delivering the communication to the intended recipient, you are hereby notified that any disclosure, copying, distribution, or use of its contents is prohibited. If you have received this communication in error, please notify me immediately by telephone at (510) 970-5344, return the original communication by reply e-mail, and permanently delete the communication from your system. Thank you. "A year from now you will wish you had started today." --Karen Lamb -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090609/01bc4b87/attachment.html From mpappo at montefiore.org Tue Jun 9 14:42:43 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Tue, 09 Jun 2009 17:42:43 -0400 Subject: [Cnm] Harris Benedict and ADA calculators / equation recommendations Message-ID: I would appreciate a reply to all. We too use Ireton-Jones for non vent & vent obese. We dont really use H-B for any altho I still like it. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Taylor, Tracy" 06/09/09 5:17 PM >>> We are facing the same issue and have just begun discussions. Would love to hear from others too. For outpatient I use Mifflin-St Jeor. For inpts we have used HB and kcals/kg and are looking at Penn State 2003a for vent non obese and Ireton-Jones 1992 for non vent and vent obese. Tracy Taylor RD, CDE Director: Diabetes Management/Outpatient Nutrition Programs Clinical Nutrition Manager Doctors Medical Center San Pablo 2000 Vale Rd San Pablo, CA 94806 phone: 510-970-5344 fax: 510-970-5739 email: ttaylor at dmc-sp.org CONFIDENTIAL AND PRIVILEGED: May contain materials protected by law. This communication contains information intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged and/or confidential. If you are not the intended recipient or an employee or agent responsible for delivering the communication to the intended recipient, you are hereby notified that any disclosure, copying, distribution, or use of its contents is prohibited. If you have received this communication in error, please notify me immediately by telephone at (510) 970-5344, return the original communication by reply e-mail, and permanently delete the communication from your system. Thank you. "A year from now you will wish you had started today." --Karen Lamb From RBijold1 at smdc.org Wed Jun 10 05:44:11 2009 From: RBijold1 at smdc.org (Bijold, Roxanne M.) Date: Wed, 10 Jun 2009 07:44:11 -0500 Subject: [Cnm] NPO/Clear Liquid Monitoring In-Reply-To: References: Message-ID: <42A90F8376E770489AF180BC11195B05010DFB35@BOREAL.ntcampus.smdc.org> We use NPO over 5 days for adults. Roxanne Roxanne Bijold, MSE, RD, LD Clinical Nutrition Manager SMDC Health System 400 E 3rd Street Duluth, MN 55807 218-786-4669 rbijold1 at smdc.org "Nutrition Services: Nourishing Your Body and Soul" ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Gonzales Jeriann Sent: Tuesday, June 09, 2009 3:04 PM To: cnm at lists.my180.net Subject: [Cnm] NPO/Clear Liquid Monitoring Do most of you see your NPO/Clear liquid hospitalized patients at >3 days or at >5 days? We pushed through >5 days on our Pt Assessment/Reassessment Policy without a challenge, but now are having some question with one of our committees on the change. Does anyone have any studies/references regarding the timeframes? I remember the Aspen ranges given, but could not locate the study. Any assistance is appreciated. Thanks. Jeriann Gonzales, MS RD Chief Clinical Dietitian Lake City Medical Center 386-719-9046 This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you need to hold this information as privileged and confidential. If you have received this communication in error, please notify the sender and destroy all copies of this communication and any attachments. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/c4420468/attachment.html From rtripp at PINNACLEHEALTH.org Wed Jun 10 07:33:39 2009 From: rtripp at PINNACLEHEALTH.org (Roberta Tripp) Date: Wed, 10 Jun 2009 10:33:39 -0400 Subject: [Cnm] NPO/Clear Liquid Monitoring In-Reply-To: Message-ID: <7375E17267B3DB4583032BDEFDA2D76E0902FDE1@mailphs.pinnaclehealth.org> We use > 5 days and to my recollection to justify it we referred to an ASPEN recommendation, but I don't know the reference off hand--maybe someone else on the list would have it. Roberta Tripp MS RD LDN Clinical Nutrition Manager PinnacleHealth Department of Food and Nutrition Services 111 S. Front Street Harrisburg PA 17101 717 782 5283 rtripp at pinnaclehealth.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Gonzales Jeriann Sent: Tuesday, June 09, 2009 4:04 PM To: cnm at lists.my180.net Subject: [Cnm] NPO/Clear Liquid Monitoring Do most of you see your NPO/Clear liquid hospitalized patients at >3 days or at >5 days? We pushed through >5 days on our Pt Assessment/Reassessment Policy without a challenge, but now are having some question with one of our committees on the change. Does anyone have any studies/references regarding the timeframes? I remember the Aspen ranges given, but could not locate the study. Any assistance is appreciated. Thanks. Jeriann Gonzales, MS RD Chief Clinical Dietitian Lake City Medical Center 386-719-9046 The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/a3f9700a/attachment.html From Catherine.Welsh at STJUDE.ORG Wed Jun 10 07:41:19 2009 From: Catherine.Welsh at STJUDE.ORG (Welsh, Catherine) Date: Wed, 10 Jun 2009 09:41:19 -0500 Subject: [Cnm] Cerner: are they your EMR software vendor? NCP content may be free In-Reply-To: <42B82B866E621C4498645CC9C0F384AC0B1FCDE5@EXCHANGE01-VS.BCAD.BAYCARE.ORG> Message-ID: <03E1F5968F60C5448635D49D38B283ED027CDF5C69@SJMEMXMBS11.stjude.sjcrh.local> Since we are using certain Cerner products here, we will be able to download the standardized terminology at no additional charge, without having to enter into a separate licensing agreement. Ask your contacts in clinical information systems to check with the Cerner liaison at your facility. The "Blueberry" content is available now, and the "Cranberry" content will be available later this year. Thanks, Cathy Cathy Welsh, MS, RD Senior Clinical Analyst II Department of Information Sciences/Clinical Informatics division St. Jude Children's Research Hospital 262 Danny Thomas Place, Mail Stop 514 Memphis, TN, 38105-3678 Catherine.Welsh at stjude.org Phone: (901) 595-3726 FAX: (901) 595-3756 www.stjude.org ________________________________ Email Disclaimer: www.stjude.org/emaildisclaimer -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/dad5fb0a/attachment-0001.html From TUCKERJ at lourdesnet.org Wed Jun 10 07:51:40 2009 From: TUCKERJ at lourdesnet.org (Tucker, Jennifer) Date: Wed, 10 Jun 2009 10:51:40 -0400 Subject: [Cnm] NPO/Clear Liquid Monitoring In-Reply-To: <7375E17267B3DB4583032BDEFDA2D76E0902FDE1@mailphs.pinnaclehealth.org> References: <7375E17267B3DB4583032BDEFDA2D76E0902FDE1@mailphs.pinnaclehealth.org> Message-ID: We use > 5 days at my health system. Jennifer Tucker RD Clinical Nutrition Manager Lourdes Health System 1600 Haddon Avenue Camden, New Jersey 08103 856-757-3596 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Roberta Tripp Sent: Wednesday, June 10, 2009 10:34 AM To: Gonzales Jeriann; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use > 5 days and to my recollection to justify it we referred to an ASPEN recommendation, but I don't know the reference off hand--maybe someone else on the list would have it. Roberta Tripp MS RD LDN Clinical Nutrition Manager PinnacleHealth Department of Food and Nutrition Services 111 S. Front Street Harrisburg PA 17101 717 782 5283 rtripp at pinnaclehealth.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Gonzales Jeriann Sent: Tuesday, June 09, 2009 4:04 PM To: cnm at lists.my180.net Subject: [Cnm] NPO/Clear Liquid Monitoring Do most of you see your NPO/Clear liquid hospitalized patients at >3 days or at >5 days? We pushed through >5 days on our Pt Assessment/Reassessment Policy without a challenge, but now are having some question with one of our committees on the change. Does anyone have any studies/references regarding the timeframes? I remember the Aspen ranges given, but could not locate the study. Any assistance is appreciated. Thanks. Jeriann Gonzales, MS RD Chief Clinical Dietitian Lake City Medical Center 386-719-9046 The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. Confidentiality Notice: This email, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please reply to the sender that you have received the message in error, then delete this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/8d15b09d/attachment.html From nmarinel at chsbuffalo.org Wed Jun 10 08:14:36 2009 From: nmarinel at chsbuffalo.org (Marinelli, Nancy) Date: Wed, 10 Jun 2009 11:14:36 -0400 Subject: [Cnm] Productivity and labor management Message-ID: <3E6DC8D8B3285C449C883257CA6012D75A5F7F7A83@CHEXCHANGE01.ad.wnychs.org> If anyone is willing to share how they are tracking productivity and FTEs I would be greatly appreciative. I have several forms used for tracking clinical functions but what I am looking for is a comparison indicator or target, such as ADTs or patient days. My facility is in the process of working with Premier to determine departmental targets which lumps clinical nutrition with food service and uses meals served as a basis of comparison, which obviously does not truly reflect clinical productivity. Any help would be greatly appreciated. Thank you. P Please consider the environment before printing this email. Nancy Marinelli, RD, CDN, CNSC Clinical Nutrition Manager Sisters of Charity Hospital 2157 Main Street Buffalo, New York 14214 (716) 862-1621 (716) 862-1846 - FAX [cid:image001.png at 01C9E9BC.A158E1D0] ------------------------- CONFIDENTIALITY NOTICE: This message is confidential, intended only for the named recipient(s) and may contain information that is privileged, or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender by reply e-mail, delete this e-mail from your computer, and destroy any copies in any form immediately. Receipt by anyone other than the named recipient(s) is not a waiver of any attorney-client, work product, or other applicable privilege. This message and all contents may be reviewed by authorized parties of the Catholic Health System other than those named in the message header. The contents of this message do not bind the Catholic Health System to any contract, position, or course of action unless the sender is specifically authorized to enter into contracts on behalf of the Catholic Health System. The contents of this message do not necessarily constitute an official representation of the Catholic Health System. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/229837b0/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: image001.png Type: image/png Size: 90721 bytes Desc: image001.png Url : /pipermail/cnm_lists.my180.net/attachments/20090610/229837b0/attachment-0001.png From Terese.Scollard at providence.org Wed Jun 10 08:18:27 2009 From: Terese.Scollard at providence.org (Scollard, Terese) Date: Wed, 10 Jun 2009 08:18:27 -0700 Subject: [Cnm] NPO/Clear Liquid Monitoring In-Reply-To: References: <7375E17267B3DB4583032BDEFDA2D76E0902FDE1@mailphs.pinnaclehealth.org> Message-ID: <37ABAEB17B0B5B40AA0B6118E57CF59A0402022C@wn1221.or.providence.org> We have greater than 3 days in critical care and greater than 5 days in the remainder of the house for adults. We have 48 hours to accomplish however, so that gives the staff less pressure and creates not so high a priority for weekends with fewer staff. Most of the time it is done within 24 hours. Terese Scollard Providence Health & Services Portland OR ________________________________ From: Tucker, Jennifer [mailto:TUCKERJ at lourdesnet.org] Sent: Wednesday, June 10, 2009 7:52 AM To: Roberta Tripp; Gonzales Jeriann; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use > 5 days at my health system. Jennifer Tucker RD Clinical Nutrition Manager Lourdes Health System 1600 Haddon Avenue Camden, New Jersey 08103 856-757-3596 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Roberta Tripp Sent: Wednesday, June 10, 2009 10:34 AM To: Gonzales Jeriann; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use > 5 days and to my recollection to justify it we referred to an ASPEN recommendation, but I don't know the reference off hand--maybe someone else on the list would have it. Roberta Tripp MS RD LDN Clinical Nutrition Manager PinnacleHealth Department of Food and Nutrition Services 111 S. Front Street Harrisburg PA 17101 717 782 5283 rtripp at pinnaclehealth.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Gonzales Jeriann Sent: Tuesday, June 09, 2009 4:04 PM To: cnm at lists.my180.net Subject: [Cnm] NPO/Clear Liquid Monitoring Do most of you see your NPO/Clear liquid hospitalized patients at >3 days or at >5 days? We pushed through >5 days on our Pt Assessment/Reassessment Policy without a challenge, but now are having some question with one of our committees on the change. Does anyone have any studies/references regarding the timeframes? I remember the Aspen ranges given, but could not locate the study. Any assistance is appreciated. Thanks. Jeriann Gonzales, MS RD Chief Clinical Dietitian Lake City Medical Center 386-719-9046 Confidentiality Notice: This email, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please reply to the sender that you have received the message in error, then delete this message. The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/3053031f/attachment.html From Christine.Schwartz at sfdph.org Wed Jun 10 08:23:39 2009 From: Christine.Schwartz at sfdph.org (Christine Schwartz) Date: Wed, 10 Jun 2009 08:23:39 -0700 Subject: [Cnm] Sinemet & TF Message-ID: Good morning all. We have an elderly, cachectic patient with Parkinson's Dz and new brain injury s/p fall. He's on continuous TF currently but also receiving Sinemet. Neurology has ordered to hold TF 1 hour pre & one hour post Sinemet dosing. This is from our pharmacy link: Dietary protein: Distribute dietary protein throughout the day to avoid fluctuations in levodopa absorption. Does everyone do this? We don't see much Parkinsons and usually they are eating. Any references? Thanks for your time & input! Christine Schwartz, RD ~ Chief Dietitian San Francisco General Hospital & Trauma Center Voice Mail: (415) 206-6286 Fax: (415) 206-6291 Pager: (415) 327-4139 Christine.Schwartz at sfdph.org From Marianne_L_Merrick at ssmhc.com Wed Jun 10 08:27:13 2009 From: Marianne_L_Merrick at ssmhc.com (Marianne_L_Merrick at ssmhc.com) Date: Wed, 10 Jun 2009 10:27:13 -0500 Subject: [Cnm] Productivity and labor management In-Reply-To: <3E6DC8D8B3285C449C883257CA6012D75A5F7F7A83@CHEXCHANGE01.ad.wnychs.org> Message-ID: At the moment we have productivity cards. The clinical RDs document all the pts seen with amount of time in 15 min increments on the cards and turn them into me daily. I add the minutes up and divide by 15 to get total number of "consults". In the future, I will have them entering this info into the EHR system. The total number of consults for the day is entered into a software productivity system called Visionware which merges with our payroll software system and gives me a comparison of hours worked to # of consults in % productivity (100% is the ideal). Our foodservice side does the same tracking but with "meal equivalents" which includes an avg. number of tube feedings/day. This is shown as a separate %age in the Visionware report, but under the same Dept. code. .-Marianne Marianne Merrick, RD,CD Clinical Nutrition Manager St. Mary's Hospital Food + Nutrition Services 700 S. Park St. Madison, WI 53715 Ph: 608.258.6608 pager: 608.376.5620 "Marinelli, Nancy" Sent by: cnm-bounces at lists.my180.net 06/10/2009 10:14 AM To "cnm at lists.my180.net" cc Subject [Cnm] Productivity and labor management If anyone is willing to share how they are tracking productivity and FTEs I would be greatly appreciative. I have several forms used for tracking clinical functions but what I am looking for is a comparison indicator or target, such as ADTs or patient days. My facility is in the process of working with Premier to determine departmental targets which lumps clinical nutrition with food service and uses meals served as a basis of comparison, which obviously does not truly reflect clinical productivity. Any help would be greatly appreciated. Thank you. P Please consider the environment before printing this email. Nancy Marinelli, RD, CDN, CNSC Clinical Nutrition Manager Sisters of Charity Hospital 2157 Main Street Buffalo, New York 14214 (716) 862-1621 (716) 862-1846 - FAX ------------------------- CONFIDENTIALITY NOTICE: This message is confidential, intended only for the named recipient(s) and may contain information that is privileged, or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender by reply e-mail, delete this e-mail from your computer, and destroy any copies in any form immediately. Receipt by anyone other than the named recipient(s) is not a waiver of any attorney-client, work product, or other applicable privilege. This message and all contents may be reviewed by authorized parties of the Catholic Health System other than those named in the message header. The contents of this message do not bind the Catholic Health System to any contract, position, or course of action unless the sender is specifically authorized to enter into contracts on behalf of the Catholic Health System. The contents of this message do not necessarily constitute an official representation of the Catholic Health System. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/4509b3c6/attachment.html From fns at abbgen.net Wed Jun 10 09:14:35 2009 From: fns at abbgen.net (Annette Doucet) Date: Wed, 10 Jun 2009 11:14:35 -0500 Subject: [Cnm] Productivity and labor management In-Reply-To: <3E6DC8D8B3285C449C883257CA6012D75A5F7F7A83@CHEXCHANGE01.ad.wnychs.org> References: <3E6DC8D8B3285C449C883257CA6012D75A5F7F7A83@CHEXCHANGE01.ad.wnychs.org> Message-ID: <005001c9e9e6$8c68fb50$02be7878@local.abbgen.net> Premier GPO has a Clinical Benchmarking which you can use to track productivity (based on time frames alloted for specific areas of nutrition care, assessment is one). Also, when you send in your data, you get a quarterly comparison to other facilities your size. Check with Debby Kasper, RD, LD, Manager of Clinical Nutrition, Premier Inc. Office phone: 630-541-7887, Cell: 630-229-3138, e-mail: debby_kasper at premierinc.com _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Marinelli, Nancy Sent: Wednesday, June 10, 2009 10:15 AM To: cnm at lists.my180.net Subject: [Cnm] Productivity and labor management If anyone is willing to share how they are tracking productivity and FTEs I would be greatly appreciative. I have several forms used for tracking clinical functions but what I am looking for is a comparison indicator or target, such as ADTs or patient days. My facility is in the process of working with Premier to determine departmental targets which lumps clinical nutrition with food service and uses meals served as a basis of comparison, which obviously does not truly reflect clinical productivity. Any help would be greatly appreciated. Thank you. P Please consider the environment before printing this email. Nancy Marinelli, RD, CDN, CNSC Clinical Nutrition Manager Sisters of Charity Hospital 2157 Main Street Buffalo, New York 14214 (716) 862-1621 (716) 862-1846 - FAX cid:image003.png at 01C9B2C0.659C3210 ------------------------- CONFIDENTIALITY NOTICE: This message is confidential, intended only for the named recipient(s) and may contain information that is privileged, or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender by reply e-mail, delete this e-mail from your computer, and destroy any copies in any form immediately. Receipt by anyone other than the named recipient(s) is not a waiver of any attorney-client, work product, or other applicable privilege. This message and all contents may be reviewed by authorized parties of the Catholic Health System other than those named in the message header. The contents of this message do not bind the Catholic Health System to any contract, position, or course of action unless the sender is specifically authorized to enter into contracts on behalf of the Catholic Health System. The contents of this message do not necessarily constitute an official representation of the Catholic Health System. No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.61/2167 - Release Date: 06/10/09 05:52:00 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/13cc5d01/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/png Size: 90721 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090610/13cc5d01/attachment-0001.png From talkfood at bellsouth.net Wed Jun 10 10:30:15 2009 From: talkfood at bellsouth.net (talkfood at bellsouth.net) Date: Wed, 10 Jun 2009 17:30:15 +0000 Subject: [Cnm] Nutrition Curriculum for Med student rotations Message-ID: <061020091730.19063.4A2FEDA7000B21D100004A7722230650029B0A02D2089B9A019C04040A0DBF0B01010005040E9B@att.net> Dear Colleagues, We are interested in developing a curriculum for medical students. They will do rotations with RD's/Clinical Nutritionists for 1 morning per week. Does anyone have a curriculum or reference books that they can recommend or share? Thanks, Karon Rzad RD LDN CDE LSMC CAM Practitioner 305 243 8885 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/d53cc571/attachment.html From SRassekh at stfranciscare.org Wed Jun 10 10:57:43 2009 From: SRassekh at stfranciscare.org (Rassekh, Shoreh) Date: Wed, 10 Jun 2009 13:57:43 -0400 Subject: [Cnm] Nutrition Curriculum for Med student rotations In-Reply-To: <061020091730.19063.4A2FEDA7000B21D100004A7722230650029B0A02D2089B9A019C04040A0DBF0B01010005040E9B@att.net> Message-ID: <0AB0670D124B96418F1D6AAFB11D5C31011F92C5@SFH15110MV23.sfhad.stfranciscare.org> I will be interested as well. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of talkfood at bellsouth.net Sent: Wednesday, June 10, 2009 1:30 PM To: cnm at lists.my180.net Subject: [Cnm] Nutrition Curriculum for Med student rotations Dear Colleagues, We are interested in developing a curriculum for medical students. They will do rotations with RD's/Clinical Nutritionists for 1 morning per week. Does anyone have a curriculum or reference books that they can recommend or share? Thanks, Karon Rzad RD LDN CDE LSMC CAM Practitioner 305 243 8885 NOTICE: This email and/or attachments may contain confidential or proprietary information which may be legally privileged. It is intended only for the named recipient(s). If an addressing or transmission error has misdirected this email, please notify the author by replying to this message. If you are not the named recipient, you are not authorized to use, disclose, distribute, make copies or print this email, and should immediately delete it from your computer system. Saint Francis Care has scanned this email and its attachments for malicious content. However, the recipient should check this email and any attachments for the presence of viruses. Saint Francis Care accepts no liability for any damage caused by any virus transmitted by this email. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/c4f95773/attachment.html From mtewes at wchsys.org Wed Jun 10 11:07:38 2009 From: mtewes at wchsys.org (Melissa Tewes) Date: Wed, 10 Jun 2009 14:07:38 -0400 Subject: [Cnm] Nutrition Screening Questions Message-ID: <007e01c9e9f6$57484330$05d8c990$@org> Do RDs see patients with the following indicators: Aspiration RISK Chemo Radiation Trauma admission Geriatric Surgical Obesity? These are a few things that we currently and am looking to get rid of before I can more thoroughly evaluation our screening parameters. Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/d21fa697/attachment.html From johnstonj at wvuh.com Wed Jun 10 11:14:12 2009 From: johnstonj at wvuh.com (Johnston, Jill L) Date: Wed, 10 Jun 2009 14:14:12 -0400 Subject: [Cnm] Nutrition Screening Questions In-Reply-To: <007e01c9e9f6$57484330$05d8c990$@org> References: <007e01c9e9f6$57484330$05d8c990$@org> Message-ID: We do not. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Wednesday, June 10, 2009 2:08 PM To: cnm at lists.my180.net Subject: [Cnm] Nutrition Screening Questions Do RDs see patients with the following indicators: Aspiration RISK Chemo Radiation Trauma admission Geriatric Surgical Obesity? These are a few things that we currently and am looking to get rid of before I can more thoroughly evaluation our screening parameters. Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. ----------------------------------------- Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/9ec3f09f/attachment.html From Sandra.Moretz at tiftregional.com Wed Jun 10 11:17:17 2009 From: Sandra.Moretz at tiftregional.com (Sandra Moretz) Date: Wed, 10 Jun 2009 14:17:17 -0400 Subject: [Cnm] Nutrition Screening Questions In-Reply-To: <007e01c9e9f6$57484330$05d8c990$@org> Message-ID: <4F21268C197FF8408219D0D6B7614AEE0331473F2F@EXCHANGE2.trmc.us> We use none of these as stand alone diagnosis/indicators except multiple trauma. Sandra Moretz, RD, LD Tift Regional Medical Center Tifton, Georgia ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Wednesday, June 10, 2009 2:08 PM To: cnm at lists.my180.net Subject: [Cnm] Nutrition Screening Questions Do RDs see patients with the following indicators: Aspiration RISK Chemo Radiation Trauma admission Geriatric Surgical Obesity? These are a few things that we currently and am looking to get rid of before I can more thoroughly evaluation our screening parameters. Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. This e-mail and any files transmitted with it may contain PRIVILEDGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the e-mail or any of its attachments, please be advised that you have received this e-mail in error and that use, dissemination, distribution, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/31ce9e40/attachment.html From marlol at shands.ufl.edu Wed Jun 10 11:29:49 2009 From: marlol at shands.ufl.edu (Lee Marlowe) Date: Wed, 10 Jun 2009 14:29:49 -0400 Subject: [Cnm] Nutrition Screening Questions In-Reply-To: References: <007e01c9e9f6$57484330$05d8c990$@org> Message-ID: <4A2FC35D.3BAE.000D.0@shands.ufl.edu> Ours include - Unplanned weight loss > 10% adults >5% peds, Severe underweight/small for age or morbid obesity, Prolonged Nausea/vomiting/diarrhea, Malnutrition, Failure to Thrive, Malabsorbtion, Tube Feeding or TPN, Therapeutic Diet: Lack of Knowledge or Non-compliance, Clear Liquids > 3 days' Stage 3-5 wound, Chronic Wound, Complex/multiple Skin Issues. - This is our Nursing Nutrition Assessment. B. Lee Marlowe RD/LD A.D. Clinical Nutrition Services Food and Nutrition Services UF & Shands 352-265-0111ext. 4-6528 beeper 413-5444 marlol at shands.ufl.edu >>> "Johnston, Jill L" 6/10/2009 2:14 PM >>> We do not. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Wednesday, June 10, 2009 2:08 PM To: cnm at lists.my180.net Subject: [Cnm] Nutrition Screening Questions Do RDs see patients with the following indicators: Aspiration RISK Chemo Radiation Trauma admission Geriatric Surgical Obesity? These are a few things that we currently and am looking to get rid of before I can more thoroughly evaluation our screening parameters. Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/59fadd49/attachment-0001.html From rtripp at PINNACLEHEALTH.org Wed Jun 10 11:54:59 2009 From: rtripp at PINNACLEHEALTH.org (Roberta Tripp) Date: Wed, 10 Jun 2009 14:54:59 -0400 Subject: [Cnm] Nutrition Screening Questions In-Reply-To: <007e01c9e9f6$57484330$05d8c990$@org> Message-ID: <7375E17267B3DB4583032BDEFDA2D76E0902FDED@mailphs.pinnaclehealth.org> Only if they trigger based on our admission nursing screen which looks at the following: decreased appetite recent unintentional weight loss Roberta Tripp MS RD LDN Clinical Nutrition Manager PinnacleHealth Department of Food and Nutrition Services 111 S. Front Street Harrisburg PA 17101 717 782 5283 rtripp at pinnaclehealth.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Wednesday, June 10, 2009 2:08 PM To: cnm at lists.my180.net Subject: [Cnm] Nutrition Screening Questions Do RDs see patients with the following indicators: Aspiration RISK Chemo Radiation Trauma admission Geriatric Surgical Obesity? These are a few things that we currently and am looking to get rid of before I can more thoroughly evaluation our screening parameters. Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/ec4c124d/attachment.html From Dierks.Lisa at mayo.edu Wed Jun 10 12:00:24 2009 From: Dierks.Lisa at mayo.edu (Dierks, Lisa M., R.D., L.D.) Date: Wed, 10 Jun 2009 14:00:24 -0500 Subject: [Cnm] Nutrition Screening Questions In-Reply-To: <7375E17267B3DB4583032BDEFDA2D76E0902FDED@mailphs.pinnaclehealth.org> References: <007e01c9e9f6$57484330$05d8c990$@org> <7375E17267B3DB4583032BDEFDA2D76E0902FDED@mailphs.pinnaclehealth.org> Message-ID: RN baseline screening criteria Adult: nUnplanned Weight Loss >10 pounds in past 6 months nPoor PO > 5 days nDifficulty swallowing nReceiving Tube Feeding/CPN/PPN nTeen Pregnancy nPregnant with Diabetes nPregnant with Multiple Fetuses nPregnant with Hyperemesis Gravidum Peds or Neonate: nPoor PO > 5 days nDifficulty swallowing nReceiving Tube feeding/CPN/PPN nTeen Pregnancy nFailure to Grow nIf < 12 months and q<2 kilograms at Birth If < 12 months and q< 32 wks Gestation at Birth If patient does not have a positive RN baseline screen criteria, they will be assessed by day 5 of hospitalization ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Roberta Tripp Sent: Wednesday, June 10, 2009 1:55 PM To: Melissa Tewes; cnm at lists.my180.net Subject: Re: [Cnm] Nutrition Screening Questions Only if they trigger based on our admission nursing screen which looks at the following: decreased appetite recent unintentional weight loss Roberta Tripp MS RD LDN Clinical Nutrition Manager PinnacleHealth Department of Food and Nutrition Services 111 S. Front Street Harrisburg PA 17101 717 782 5283 rtripp at pinnaclehealth.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Wednesday, June 10, 2009 2:08 PM To: cnm at lists.my180.net Subject: [Cnm] Nutrition Screening Questions Do RDs see patients with the following indicators: Aspiration RISK Chemo Radiation Trauma admission Geriatric Surgical Obesity? These are a few things that we currently and am looking to get rid of before I can more thoroughly evaluation our screening parameters. Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/03c5eb27/attachment.html From hgreenw2 at fairview.org Wed Jun 10 12:24:48 2009 From: hgreenw2 at fairview.org (Greenwaldt, Heidi J) Date: Wed, 10 Jun 2009 14:24:48 -0500 Subject: [Cnm] Nutrition Screening Questions In-Reply-To: <007e01c9e9f6$57484330$05d8c990$@org> Message-ID: <59F3EAD5C3376A42B3CD083F034A612704E30590@digsmxmbx06.Fairview.org> No, we do not screen for those. We have the following on our screen. Nausea/Vomiting/Diarrhea >5 days Eating less than 1/2 normal amount > 5 days Weight loss >10% x 6 months Cachetic/Malnutrition TF/PN Chewing/Swallowing Difficulty (if we get this consult and it is a dysphagia issue, we defer our assessment til SLP sees them) New/Controlled Diabetes Non-healing wound/pressure ulcer Heidi Jo Greenwaldt MS, RD, LD, CNSD Clinical Nutrition Manager University of Minnesota Medical Center, Fairview Phone 612-273-3216 Pager 612-539-7451 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Wednesday, June 10, 2009 1:08 PM To: cnm at lists.my180.net Subject: [Cnm] Nutrition Screening Questions Do RDs see patients with the following indicators: Aspiration RISK Chemo Radiation Trauma admission Geriatric Surgical Obesity? These are a few things that we currently and am looking to get rid of before I can more thoroughly evaluation our screening parameters. Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/96ef0828/attachment.html From mpappo at montefiore.org Wed Jun 10 12:31:01 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Wed, 10 Jun 2009 15:31:01 -0400 Subject: [Cnm] Nutrition Screening Questions Message-ID: The only trigger we have that resembles a dx is "Renal" * these pts slipped thru our cracks too many times, so we now request a consult on any pt w/ any Renal Dx. It's the last trigger mentioned. The others are enteral/parenteral, pressure ulcers as well as the same unintentional wt loss, poor appetite ones others have mentioned. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Roberta Tripp" 06/10/09 2:54 PM >>> Only if they trigger based on our admission nursing screen which looks at the following: decreased appetite recent unintentional weight loss Roberta Tripp MS RD LDN Clinical Nutrition Manager PinnacleHealth Department of Food and Nutrition Services 111 S. Front Street Harrisburg PA 17101 717 782 5283 rtripp at pinnaclehealth.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Wednesday, June 10, 2009 2:08 PM To: cnm at lists.my180.net Subject: [Cnm] Nutrition Screening Questions Do RDs see patients with the following indicators: Aspiration RISK Chemo Radiation Trauma admission Geriatric Surgical Obesity? These are a few things that we currently and am looking to get rid of before I can more thoroughly evaluation our screening parameters. Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. -------------- next part -------------- An embedded and charset-unspecified text was scrubbed... Name: Miriam Pappo.vcf Url: /pipermail/cnm_lists.my180.net/attachments/20090610/6b33fad2/attachment.pl From Karen.Burnett at BMHCC.org Wed Jun 10 12:36:56 2009 From: Karen.Burnett at BMHCC.org (Karen Burnett) Date: Wed, 10 Jun 2009 14:36:56 -0500 Subject: [Cnm] Food Service Graphics, etc Message-ID: <5E0B84746A9E1A489C20EC729FF2256605B35685@mtccexchg02.ad.bmhcc.org> Hi all, Our director is looking for a few things. I would appreciate any information on the following: 1) Any free food service graphics that can be downloaded, or requested and 2) any information regarding basic "foodservice 101" inservices or tutorials that can help ensure consistency and competency in training food service employees. We're talking basics like taking temperatures, sanitation, etc. We're open to free or "for fee" publications. Thanks very much for any help, Karen Karen Burnett, RD, LDN, MBA Assistant Director, Clinical Food and Nutrition Services Baptist Memorial Hospital Memphis Phone: 901.226.5724 Fax: 901.226.5470 The information within this message is considered confidential unless otherwise noted. Any opinions expressed herein are not necessarily those of Baptist Memorial Health Care Corporation or any of its affiliates. ----------------------------------------- Smart Medicine. Inspired Care. And the awards to prove it. Recognized as a Top 50 Healthcare Network. To learn about other recognition and awards Baptist has earned, visit: http://www.bmhcc.org/aboutus/awards/index.asp This message and any files transmitted with it may contain legally privileged, confidential, or proprietary information. If you are not the intended recipient of this message, you are not permitted to use, copy, or forward it, in whole or in part without the express consent of the sender. Please notify the sender of the error by reply email, disregard the foregoing messages, and delete it immediately. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/b258d3f5/attachment.html From Shannon.Jackson at wilmed.org Wed Jun 10 13:04:00 2009 From: Shannon.Jackson at wilmed.org (Shannon Byrd Jackson) Date: Wed, 10 Jun 2009 16:04:00 -0400 Subject: [Cnm] Infant feeding Message-ID: <8169B6DBE9D5194DA89219B5C5A6AFBA011E002B@wmhcs03.wmh.org> Question: What foods are acceptable for a 7 month old infant? I've read different things from different resources and not sure which to go by. One reference says to avoid cottage cheese until 10 months and another says it is okay at 7 months. ?? Can someone help ? What are others doing? Thanks Shannon Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/a0442f80/attachment.html From RachelFlores at sach.org Wed Jun 10 13:57:30 2009 From: RachelFlores at sach.org (Flores, Rachel) Date: Wed, 10 Jun 2009 13:57:30 -0700 Subject: [Cnm] Infant feeding Message-ID: The old ADA pediatric manual says 9-10 months. I use the Nutrition Graphics sheet which says 8 months. There's probably nothing wrong with 7 months, in a non-allergenic baby. An article in Pediatrics (Jan 2008) states that there is no evidence to support delaying the introduction of food, even "highly allergic, such as fish, eggs, and foods containing peanut protein" beyond 6 months. Rachel Flores, RD, CNSC Clinical Nutrition Manager San Antonio Community Hospital (909) 985-2811 x24430 _____ From: Shannon Byrd Jackson [mailto:Shannon.Jackson at wilmed.org] Sent: Wednesday, June 10, 2009 1:04 PM To: cnm at lists.my180.net Subject: [Cnm] Infant feeding Question: What foods are acceptable for a 7 month old infant? I've read different things from different resources and not sure which to go by. One reference says to avoid cottage cheese until 10 months and another says it is okay at 7 months. ?? Can someone help ? What are others doing? Thanks Shannon Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/3a1ee3ad/attachment.html From Beth.Dorsey at tmcaz.com Wed Jun 10 14:39:49 2009 From: Beth.Dorsey at tmcaz.com (Beth Dorsey) Date: Wed, 10 Jun 2009 14:39:49 -0700 Subject: [Cnm] Food Service Graphics, etc In-Reply-To: <5E0B84746A9E1A489C20EC729FF2256605B35685@mtccexchg02.ad.bmhcc.org> References: <5E0B84746A9E1A489C20EC729FF2256605B35685@mtccexchg02.ad.bmhcc.org> Message-ID: Please post to list. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Karen Burnett Sent: Wednesday, June 10, 2009 12:37 PM To: cnm at lists.my180.net Subject: [Cnm] Food Service Graphics, etc Hi all, Our director is looking for a few things. I would appreciate any information on the following: 1) Any free food service graphics that can be downloaded, or requested and 2) any information regarding basic "foodservice 101" inservices or tutorials that can help ensure consistency and competency in training food service employees. We're talking basics like taking temperatures, sanitation, etc. We're open to free or "for fee" publications. Thanks very much for any help, Karen Karen Burnett, RD, LDN, MBA Assistant Director, Clinical Food and Nutrition Services Baptist Memorial Hospital Memphis Phone: 901.226.5724 Fax: 901.226.5470 The information within this message is considered confidential unless otherwise noted. Any opinions expressed herein are not necessarily those of Baptist Memorial Health Care Corporation or any of its affiliates. ________________________________ Smart Medicine. Inspired Care. And the awards to prove it. Recognized as a Top 50 Healthcare Network. To learn about other recognition and awards Baptist has earned, visit: http://www.bmhcc.org/aboutus/awards/index.asp This message and any files transmitted with it may contain legally privileged, confidential, or proprietary information. If you are not the intended recipient of this message, you are not permitted to use, copy, or forward it, in whole or in part without the express consent of the sender. Please notify the sender of the error by reply email, disregard the foregoing messages, and delete it immediately. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/108974c0/attachment-0001.html From kmershon at bak.rr.com Wed Jun 10 19:01:24 2009 From: kmershon at bak.rr.com (Kathleen Mershon) Date: Wed, 10 Jun 2009 19:01:24 -0700 Subject: [Cnm] job title In-Reply-To: <138AE4B62F86AC4D9BC23F0168F106550A072F8C@EXCHCLUSTER.ths.local> References: <138AE4B62F86AC4D9BC23F0168F106550A072F8C@EXCHCLUSTER.ths.local> Message-ID: <4A306574.4040402@bak.rr.com> Well you have basically described my duties and position except that I am also the CNM. My title is Assistant Director. Kathleen Mershon, MS,RD Assistant Director Clinical Nutrition Manager San Joaquin Community Hospital Bakersfield, CA 93301 Shauntel Ragland wrote: > > Our facility is about to fill a position that will supervise the CNM > position; oversee patient meal services; hostess program and > responsible for conducting quarterly facility readiness audits for JC > etc. for a 4 hospital system (among other things). > > > > I have been charged with coming up with a job title. If you have > similar positions at your facility or ideas please share job title > used at your facility. > > > > Thanks in advance. > > > > > > > > **Shauntel Ragland****, MS****, RD, LD** > > System Clinical Nutrition Manager > > Tanner Health System > > 770-836-9147 (o) > > 770-782-1373 (p) > > P Please consider the environment before printing this email > > > > > > ------------------------------------------------------------------------ > > *From:* cnm-bounces at lists.my180.net > [mailto:cnm-bounces at lists.my180.net] *On Behalf Of *Marge Pestka > *Sent:* Monday, June 01, 2009 6:20 PM > *To:* cnm at lists.my180.net > *Subject:* Re: [Cnm] Spinal cord injuries resources > > > > I don't have a presentation, just some resources for nutrition > materials, perhaps enough to pull the talk together. > Try www.nafwa.org , search the term 'spinal > cord injury'. Quality of materials varies widely but you could pull a > talk together on what is there. Also look at > http://www.spinalcord.uab.edu/ for nutrition guidelines. > > Good luck. > > Marge Pestka, MS, RD > Sparrow Health System > Lansing, MI > marge.pestka at sparrow.org > 517 364 2253 > > ------------------------------------------------------------------------ > > Insert movie times and more without leaving Hotmail?. See how. > > > > > > -------------------------------------------------------------------------------------------------------------------- > This e-mail and any files or attachments transmitted with it contain information that is confidential and > privileged. This information is intended only for the use of the individual(s) and entit(ies) to whom it is > addressed. If you are not the intended recipient, any disclosure, copying, printing, or use of this > information is strictly prohibited and possibly a violation of federal or state law and regulations. > If you have received this information in error, please contact the sender immediately and destroy > all copies of this communication. > > > > ------------------------------------------------------------------------ > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net > -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/757f3553/attachment.html From kmershon at bak.rr.com Wed Jun 10 19:54:06 2009 From: kmershon at bak.rr.com (Kathleen Mershon) Date: Wed, 10 Jun 2009 19:54:06 -0700 Subject: [Cnm] NPO/Clear Liquid Monitoring In-Reply-To: <37ABAEB17B0B5B40AA0B6118E57CF59A0402022C@wn1221.or.providence.org> References: <7375E17267B3DB4583032BDEFDA2D76E0902FDE1@mailphs.pinnaclehealth.org> <37ABAEB17B0B5B40AA0B6118E57CF59A0402022C@wn1221.or.providence.org> Message-ID: <4A3071CE.7020705@bak.rr.com> We use >5 days. We used to use >3 days and would find the diet would advance the day after our assessment. We were able to change to >5 days without opposition. Kathleen Mershon, MS, RD Assistant Director Clinical Nutrition Manager San Joaquin Community Hospital Bakersfield, CA 93301 Scollard, Terese wrote: > > We have greater than 3 days in critical care and greater than 5 days > in the remainder of the house for adults. We have 48 hours to > accomplish however, so that gives the staff less pressure and creates > not so high a priority for weekends with fewer staff. Most of the time > it is done within 24 hours. > > Terese Scollard > > Providence Health & Services > > Portland OR > > > > ------------------------------------------------------------------------ > > *From:* Tucker, Jennifer [mailto:TUCKERJ at lourdesnet.org] > *Sent:* Wednesday, June 10, 2009 7:52 AM > *To:* Roberta Tripp; Gonzales Jeriann; cnm at lists.my180.net > *Subject:* Re: [Cnm] NPO/Clear Liquid Monitoring > > > > We use > 5 days at my health system. > > > > Jennifer Tucker RD > > Clinical Nutrition Manager > > Lourdes Health System > > 1600 Haddon Avenue > > Camden, New Jersey > > 08103 > > 856-757-3596 > > > > ------------------------------------------------------------------------ > > *From:* cnm-bounces at lists.my180.net > [mailto:cnm-bounces at lists.my180.net] *On Behalf Of *Roberta Tripp > *Sent:* Wednesday, June 10, 2009 10:34 AM > *To:* Gonzales Jeriann; cnm at lists.my180.net > *Subject:* Re: [Cnm] NPO/Clear Liquid Monitoring > > > > We use > 5 days and to my recollection to justify it we referred to an > ASPEN recommendation, but I don't know the reference off hand--maybe > someone else on the list would have it. > > > > **Roberta Tripp MS RD**** LDN** > > Clinical Nutrition Manager > > PinnacleHealth > > Department of Food and Nutrition Services > > 111 S. Front Street > > Harrisburg PA 17101 > > 717 782 5283 > > **rtripp at pinnaclehealth.org** > > > > ------------------------------------------------------------------------ > > *From:* cnm-bounces at lists.my180.net > [mailto:cnm-bounces at lists.my180.net] *On Behalf Of *Gonzales Jeriann > *Sent:* Tuesday, June 09, 2009 4:04 PM > *To:* cnm at lists.my180.net > *Subject:* [Cnm] NPO/Clear Liquid Monitoring > > Do most of you see your NPO/Clear liquid hospitalized patients at >3 > days or at >5 days? We pushed through >5 days on our Pt > Assessment/Reassessment Policy without a challenge, but now are having > some question with one of our committees on the change. Does anyone > have any studies/references regarding the timeframes? I remember the > Aspen ranges given, but could not locate the study. Any assistance is > appreciated. Thanks. > > > > /*/Jeriann Gonzales, MS RD/*/ > */Chief Clinical Dietitian/* > > */Lake/**/ City Medical Center/* > */386-719-9046/* > > > > Confidentiality Notice: > This email, including any attachments is the > property of Catholic Health East and is intended > for the sole use of the intended recipient(s). > It may contain information that is privileged and > confidential. Any unauthorized review, use, > disclosure, or distribution is prohibited. If you are > not the intended recipient, please reply to the > sender that you have received the message in > error, then delete this message. > > DISCLAIMER: > This message is intended for the sole use of the addressee, and may > contain information that is privileged, confidential and exempt from > disclosure under applicable law. If you are not the addressee you are > hereby notified that you may not use, copy, disclose, or distribute to > anyone the message or any information contained in the message. If you > have received this message in error, please immediately advise the > sender by reply email and delete this message. > > The information transmitted is intended only for the person or > entity to which it is addressed and may contain confidential > and/or privileged material. Any review, retransmission, > dissemination or other use of, or taking of any action in > reliance upon, this information by persons or entities other > than the intended recipient is prohibited. If you received this > in error, please contact the sender and delete the material > from any computer. > > ------------------------------------------------------------------------ > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net > -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/4b5d21cc/attachment.html From kmershon at bak.rr.com Wed Jun 10 19:56:30 2009 From: kmershon at bak.rr.com (Kathleen Mershon) Date: Wed, 10 Jun 2009 19:56:30 -0700 Subject: [Cnm] Nutrition Screening Questions In-Reply-To: <007e01c9e9f6$57484330$05d8c990$@org> References: <007e01c9e9f6$57484330$05d8c990$@org> Message-ID: <4A30725E.3020708@bak.rr.com> No we do not. Kathleen Mershon, MS,RD Assistant Director Clinical Nutrition Manager San Joaquin Community Hospital Bakersfield, CA 93301 Melissa Tewes wrote: > > Do RDs see patients with the following indicators: > > > > Aspiration RISK > > Chemo > > Radiation > > Trauma admission > > Geriatric Surgical > > Obesity? > > These are a few things that we currently and am looking to get rid of > before I can more thoroughly evaluation our screening parameters. > > > Thanks > > > > Melissa Tewes RD, LDN > > Clinical Nutrition Manager > > Washington County Health System > > 251 East Antietam Street > > Hagerstown, MD 21740 > > Phone: 301-790-8084 > > Fax: 301-790-8535 > > > > mtewes at wchsys.org > > > > > ***** CONFIDENTIALITY NOTICE ***** This message contains confidential > information and is intended only for the individual named. If you are > not the named addressee you should not disseminate, distribute or copy > this e-mail. Please notify the sender immediately by e-mail if you > have received this e-mail by mistake and delete this e-mail from your > system. > ------------------------------------------------------------------------ > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net > -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/7a252e95/attachment-0001.html From kmershon at bak.rr.com Wed Jun 10 20:00:32 2009 From: kmershon at bak.rr.com (Kathleen Mershon) Date: Wed, 10 Jun 2009 20:00:32 -0700 Subject: [Cnm] pt meals...complaints of cold In-Reply-To: <10DE3A7624A2BD48B81AFE4E90A5094D0213D6B0@EX1.jaycountyhospital.com> References: <10DE3A7624A2BD48B81AFE4E90A5094D0213D6B0@EX1.jaycountyhospital.com> Message-ID: <4A307350.9040804@bak.rr.com> We are using the A la Cart Dual Temp delivery carts that are basically a hot holding oven on one side and a refrigerator on the other. The carts are plugged in and pre heated / pre cooled prior to trayline and while on trayline, loaded, taken upstairs and plugged in on the units. Food is fresh and hot / cold. Kathleen Mershon, MS, RD Clinical Nutrition Manager San Joaquin Community Hospital Bakersfield, CA 93301 Julayne Ross wrote: > > I mainly do clinical but our foodservice director is totally against > using the hot pellets. I used them at another facility and thought > they worked great. Any other ideas out there....who has food nice and > hot and what are you doing? > > Thanks! > > Julayne > > ------------------------------------------------------------------------ > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net > -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/7cf6db79/attachment.html From cketterman at wellspan.org Thu Jun 11 04:31:22 2009 From: cketterman at wellspan.org (Ketterman-Hopkins, Cindra) Date: Thu, 11 Jun 2009 07:31:22 -0400 Subject: [Cnm] pt meals...complaints of cold In-Reply-To: <4A307350.9040804@bak.rr.com> References: <10DE3A7624A2BD48B81AFE4E90A5094D0213D6B0@EX1.jaycountyhospital.com> <4A307350.9040804@bak.rr.com> Message-ID: <5B32BC7FE9D04B43A8B78CA7A19CBD4E050B18D8@EXCH4.wellspan.org> We used to have that same hot/cold truck system and I loved it. We switched to pellets a few years ago because the hot/cold trucks were so expensive and our's were of an age that too many were beyond repair. It's probably not the most efficient system but I honestly don't think you can beat it for holding temps. One of our problems was that our little cockroach friends just loved the warm and toasty hot side of the truck. Cindra L. Ketterman, MS, RD, LDN Chief Clinical Dietitian York Hospital.WellSpan Health 1001 South George Street York, PA 17405-7198 (717) 851 - 3991 (717) 851 - 2345 ask for pager 0093 (717) 851 - 2934 (fax) ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Kathleen Mershon Sent: Wednesday, June 10, 2009 23:01 To: Julayne Ross Cc: cnm at lists.my180.net Subject: Re: [Cnm] pt meals...complaints of cold We are using the A la Cart Dual Temp delivery carts that are basically a hot holding oven on one side and a refrigerator on the other. The carts are plugged in and pre heated / pre cooled prior to trayline and while on trayline, loaded, taken upstairs and plugged in on the units. Food is fresh and hot / cold. Kathleen Mershon, MS, RD Clinical Nutrition Manager San Joaquin Community Hospital Bakersfield, CA 93301 Julayne Ross wrote: I mainly do clinical but our foodservice director is totally against using the hot pellets. I used them at another facility and thought they worked great. Any other ideas out there....who has food nice and hot and what are you doing? Thanks! Julayne ________________________________ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/10170df8/attachment.html From MarcelleKarustis at catholichealth.net Thu Jun 11 05:08:51 2009 From: MarcelleKarustis at catholichealth.net (Karustis, Marcelle) Date: Thu, 11 Jun 2009 06:08:51 -0600 Subject: [Cnm] FW: Nutrition Screening Questions Message-ID: <17B38BCEA6E6F24D9300FA8CFE81F425B74BB3@chimsx015.CHI.catholichealth.net> Ditto for us. Marcelle Karustis MS RD RN LDN Clinical Nutrition Manager ext 2487 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Johnston, Jill L Sent: Wednesday, June 10, 2009 2:14 PM To: Melissa Tewes; cnm at lists.my180.net Subject: Re: [Cnm] Nutrition Screening Questions We do not. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Wednesday, June 10, 2009 2:08 PM To: cnm at lists.my180.net Subject: [Cnm] Nutrition Screening Questions Do RDs see patients with the following indicators: Aspiration RISK Chemo Radiation Trauma admission Geriatric Surgical Obesity? These are a few things that we currently and am looking to get rid of before I can more thoroughly evaluation our screening parameters. Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. DISCLAIMER: The information contained in this electronic mail transmission is privileged and confidential. It is intended for the sole use and viewing of the addressee(s). If you are not the addressee(s), you are hereby notified that any disclosure, distribution, or other use of the information contained herein, other than deletion, is strictly prohibited. Violation of this prohibition may result in civil or criminal liability. If you have received this electronic mail in error, please notify the sender by way of reply. Thank you for your consideration. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/d12ccf36/attachment.html -------------- next part -------------- An embedded and charset-unspecified text was scrubbed... Name: ATT948427.txt Url: /pipermail/cnm_lists.my180.net/attachments/20090611/d12ccf36/attachment.txt From afrdrun at aol.com Thu Jun 11 06:06:57 2009 From: afrdrun at aol.com (Krista Clark) Date: Thu, 11 Jun 2009 09:06:57 -0400 Subject: [Cnm] 2010 CLINCAL NUTRITION MANAGEMENT DPG SYMPOSIUM - CALL FOR PROPOSALS Message-ID: <8CBB8ACA2434452-814-536@WEBMAIL-DF18.sysops.aol.com> Call for Educational Sessions 2010 CLINICAL NUTRITION MANAGEMENT DPG SYMPOSIUM: Pioneering the Future of Clinical Nutrition Management: Innovative Leadership in 2010 and Beyond April 10 ? April 13, 2010 Parc 55 Hotel Union Square 55 Cyril Magnin Street San Francisco, CA 94102 ? The Clinical Nutrition Management DPG is requesting proposals for our 2010 Symposium in San Francisco, CA!? We are looking for great speakers with informative topics to help educate our clinical leaders across the country. ? As Clinical Nutrition Managers, it is our responsibility to drive innovation and create ground-breaking programs that will take our profession to the next level.? With dietetics being such a dynamic industry, it is up to us to create such programs and share best practices with other managers to help our practice group as a whole.? Then, as leaders, we must mentor and educate our employees on these innovative practices and programs as well as help them develop and gain confidence to have the desire to become our next leaders. ? This symposium will be the key to innovation and sharing of best practices, new research, and dynamic programs that will help us achieve the above goals. Proposals are invited that will provide scientific knowledge, frameworks, programs, process, or strategies that will help dietetics professionals and leaders take our dynamic profession to the next level. Examples of topics to consider include: Developing nutrition programs that support national healthcare initiatives an d new regulatory requirements Utilizing instruments and tools, such as informatics, dash boards and the nutrition care process to demonstrate positive nutrition outcomes. IOM?s 6 Aims Using evidence-based nutrition processes Developing advanced practice programs Order-writing privileges ? New regulations Innovative leadership topics Professional development programs for staff Innovative evaluation programs Innovative competency assessment programs, including cultural competency Reimbursement How to conduct clinical research Productivity optimization Benchmarking Developing a Career Ladder Succession Planning Workload statistics Programs to determine staffing ratios Justifying the development of a Nutrition Support Team How to write and publish articles Best practices from CNM members Proposals will be reviewed by the CNM DPG Professional Development Team.? They will be evaluated for their application to the symposium objectives, advanced level of content, and cutting edge information that has not been previously presented.? Consideration will be given to achieving a balance among CNM Symposium topics. ? Submission Deadline: August 19, 2009 ? Please see attached forms or contact Sharron Lent, Professional Development Chair, at Lent-Sharron at aramark.com for the forms. ? Thank You! Krista M. Clark, MBA, RD, LD, CNSD Chair-Elect, Clinical Nutrition Management DPG -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/36a65675/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: DirectionsCallForProposals 2010[1].doc Type: application/octet-stream Size: 69120 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090611/36a65675/attachment-0001.obj -------------- next part -------------- A non-text attachment was scrubbed... Name: CallForProposals_2010[1].doc Type: application/msword Size: 43520 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090611/36a65675/attachment-0001.doc From cohmart at mainehospital.org Thu Jun 11 06:38:21 2009 From: cohmart at mainehospital.org (Cece Ohmart) Date: Thu, 11 Jun 2009 09:38:21 -0400 (EDT) Subject: [Cnm] Nutrition Today Message-ID: <20090611093821.AFK15901@mail.mainehospital.org> Happy Thursday All, I recently received an opportunity in the mail to purchase a magazine called "Nutrition Today". I was wondering if any of you subscribe to this magazine and do you find it helpful? Cece This message is intended for the use of the addressee only and may contain information that is privileged and confidential. If you are not the intended recipient of this message, be notified that any dissemination or use of this message is strictly prohibited. Un-intended transmission does not constitute waiver of attorney-client privilege or any other privilege. If you have received this message in error, please delete all copies of the message and its attachments and notify the sender immediately. Thank you. From fns at abbgen.net Thu Jun 11 08:03:00 2009 From: fns at abbgen.net (Annette Doucet) Date: Thu, 11 Jun 2009 10:03:00 -0500 Subject: [Cnm] Snack Offerings for Behavioral Health In-Reply-To: <4411CB5C30A2674CB4708C0CA3CBB966011D200D@sbc-exmsg5.sbcounty.gov> References: <4411CB5C30A2674CB4708C0CA3CBB966011D200D@sbc-exmsg5.sbcounty.gov> Message-ID: <003001c9eaa5$b7b055a0$02be7878@local.abbgen.net> Attached is the list of foods sent to our inpatient Behavioral Medicine Center. They order and we stock daily. _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Wells, Khongmany ARMC-Nutrition Services Sent: Tuesday, June 09, 2009 3:23 PM To: CNM (E-mail) Subject: [Cnm] Snack Offerings for Behavioral Health Hello Everyone, We are reviewing our snack offerings to Behavioral Health patients and wanted to see if anyone has suggestions or has a list of snacks that they would be willing to share. Thank you, Khongmany Wells, RD, MPH, CNSD Clinical Nutrition Manager Arrowhead Regional Medical Center (909) 580-2466 No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.59/2165 - Release Date: 06/09/09 05:53:00 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/70407269/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: BMC Stock Order List.doc Type: application/msword Size: 76288 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090611/70407269/attachment-0001.doc From Ann.Merritt at vrh.org Thu Jun 11 08:21:40 2009 From: Ann.Merritt at vrh.org (Ann Merritt) Date: Thu, 11 Jun 2009 11:21:40 -0400 Subject: [Cnm] Contents of Cnm digest.. In-Reply-To: Message-ID: Hi Cece, I used to get Nutrition Today in my school days and continued to get it for awhile. I haven't for a few years, but I'll tell you what I remember. It had great review articles on varied topical topics. It was on a great level for dietetics students, not too scientific, but plenty of scientific detail. Good also for practitioners not wanting to get too much into the details. I stopped getting it (beside the fact that I never found time to read it) because it seemed to have a definite industry slant. And as I recall, the clinical relevance was minimal, but I wasn't in clinical at the time, so I may have that wrong. Hope that helps. Ann Ann M. Merritt MS, RD, LD. Valley Regional Hospital 243 Elm Street Claremont, New Hampshire 03743 Phone: (603) 542-1862 Fax: (603) 543-5616 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/6e1dc544/attachment.html From Sandra.Moretz at tiftregional.com Thu Jun 11 11:33:53 2009 From: Sandra.Moretz at tiftregional.com (Sandra Moretz) Date: Thu, 11 Jun 2009 14:33:53 -0400 Subject: [Cnm] NPO/Clear Liquid Monitoring In-Reply-To: <4A3071CE.7020705@bak.rr.com> References: <7375E17267B3DB4583032BDEFDA2D76E0902FDE1@mailphs.pinnaclehealth.org> <37ABAEB17B0B5B40AA0B6118E57CF59A0402022C@wn1221.or.providence.org>, <4A3071CE.7020705@bak.rr.com> Message-ID: <4F21268C197FF8408219D0D6B7614AEE0330985C55@EXCHANGE2.trmc.us> We recently revised our policy from > 3 days to > 4 days (despite ASPEN guidelines saying 5 - we felt that was a little too long to wait). ________________________________ From: cnm-bounces at lists.my180.net [cnm-bounces at lists.my180.net] On Behalf Of Kathleen Mershon [kmershon at bak.rr.com] Sent: Wednesday, June 10, 2009 10:54 PM To: Scollard, Terese Cc: Tucker, Jennifer; Gonzales Jeriann; Roberta Tripp; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use >5 days. We used to use >3 days and would find the diet would advance the day after our assessment. We were able to change to >5 days without opposition. Kathleen Mershon, MS, RD Assistant Director Clinical Nutrition Manager San Joaquin Community Hospital Bakersfield, CA 93301 Scollard, Terese wrote: We have greater than 3 days in critical care and greater than 5 days in the remainder of the house for adults. We have 48 hours to accomplish however, so that gives the staff less pressure and creates not so high a priority for weekends with fewer staff. Most of the time it is done within 24 hours. Terese Scollard Providence Health & Services Portland OR ________________________________ From: Tucker, Jennifer [mailto:TUCKERJ at lourdesnet.org] Sent: Wednesday, June 10, 2009 7:52 AM To: Roberta Tripp; Gonzales Jeriann; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use > 5 days at my health system. Jennifer Tucker RD Clinical Nutrition Manager Lourdes Health System 1600 Haddon Avenue Camden, New Jersey 08103 856-757-3596 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Roberta Tripp Sent: Wednesday, June 10, 2009 10:34 AM To: Gonzales Jeriann; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use > 5 days and to my recollection to justify it we referred to an ASPEN recommendation, but I don't know the reference off hand--maybe someone else on the list would have it. Roberta Tripp MS RD LDN Clinical Nutrition Manager PinnacleHealth Department of Food and Nutrition Services 111 S. Front Street Harrisburg PA 17101 717 782 5283 rtripp at pinnaclehealth.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Gonzales Jeriann Sent: Tuesday, June 09, 2009 4:04 PM To: cnm at lists.my180.net Subject: [Cnm] NPO/Clear Liquid Monitoring Do most of you see your NPO/Clear liquid hospitalized patients at >3 days or at >5 days? We pushed through >5 days on our Pt Assessment/Reassessment Policy without a challenge, but now are having some question with one of our committees on the change. Does anyone have any studies/references regarding the timeframes? I remember the Aspen ranges given, but could not locate the study. Any assistance is appreciated. Thanks. Jeriann Gonzales, MS RD Chief Clinical Dietitian Lake City Medical Center 386-719-9046 Confidentiality Notice: This email, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please reply to the sender that you have received the message in error, then delete this message. DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. ________________________________ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net This e-mail and any files transmitted with it may contain PRIVILEDGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the e-mail or any of its attachments, please be advised that you have received this e-mail in error and that use, dissemination, distribution, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/35ae482e/attachment.html From Margaret.Chaffin at hcahealthcare.com Thu Jun 11 11:58:25 2009 From: Margaret.Chaffin at hcahealthcare.com (Chaffin Meg) Date: Thu, 11 Jun 2009 13:58:25 -0500 Subject: [Cnm] NPO/Clear Liquid Monitoring In-Reply-To: <4F21268C197FF8408219D0D6B7614AEE0330985C55@EXCHANGE2.trmc.us> References: <7375E17267B3DB4583032BDEFDA2D76E0902FDE1@mailphs.pinnaclehealth.org> <37ABAEB17B0B5B40AA0B6118E57CF59A0402022C@wn1221.or.providence.org>, <4A3071CE.7020705@bak.rr.com> <4F21268C197FF8408219D0D6B7614AEE0330985C55@EXCHANGE2.trmc.us> Message-ID: We use > 5 days. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Sandra Moretz Sent: Thursday, June 11, 2009 2:34 PM To: Kathleen Mershon; Scollard, Terese Cc: Tucker, Jennifer; Gonzales Jeriann; Roberta Tripp; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We recently revised our policy from > 3 days to > 4 days (despite ASPEN guidelines saying 5 - we felt that was a little too long to wait). ________________________________ From: cnm-bounces at lists.my180.net [cnm-bounces at lists.my180.net] On Behalf Of Kathleen Mershon [kmershon at bak.rr.com] Sent: Wednesday, June 10, 2009 10:54 PM To: Scollard, Terese Cc: Tucker, Jennifer; Gonzales Jeriann; Roberta Tripp; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use >5 days. We used to use >3 days and would find the diet would advance the day after our assessment. We were able to change to >5 days without opposition. Kathleen Mershon, MS, RD Assistant Director Clinical Nutrition Manager San Joaquin Community Hospital Bakersfield, CA 93301 Scollard, Terese wrote: We have greater than 3 days in critical care and greater than 5 days in the remainder of the house for adults. We have 48 hours to accomplish however, so that gives the staff less pressure and creates not so high a priority for weekends with fewer staff. Most of the time it is done within 24 hours. Terese Scollard Providence Health & Services Portland OR ________________________________ From: Tucker, Jennifer [mailto:TUCKERJ at lourdesnet.org] Sent: Wednesday, June 10, 2009 7:52 AM To: Roberta Tripp; Gonzales Jeriann; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use > 5 days at my health system. Jennifer Tucker RD Clinical Nutrition Manager Lourdes Health System 1600 Haddon Avenue Camden, New Jersey 08103 856-757-3596 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Roberta Tripp Sent: Wednesday, June 10, 2009 10:34 AM To: Gonzales Jeriann; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use > 5 days and to my recollection to justify it we referred to an ASPEN recommendation, but I don't know the reference off hand--maybe someone else on the list would have it. Roberta Tripp MS RD LDN Clinical Nutrition Manager PinnacleHealth Department of Food and Nutrition Services 111 S. Front Street Harrisburg PA 17101 717 782 5283 rtripp at pinnaclehealth.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Gonzales Jeriann Sent: Tuesday, June 09, 2009 4:04 PM To: cnm at lists.my180.net Subject: [Cnm] NPO/Clear Liquid Monitoring Do most of you see your NPO/Clear liquid hospitalized patients at >3 days or at >5 days? We pushed through >5 days on our Pt Assessment/Reassessment Policy without a challenge, but now are having some question with one of our committees on the change. Does anyone have any studies/references regarding the timeframes? I remember the Aspen ranges given, but could not locate the study. Any assistance is appreciated. Thanks. Jeriann Gonzales, MS RD Chief Clinical Dietitian Lake City Medical Center 386-719-9046 Confidentiality Notice: This email, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please reply to the sender that you have received the message in error, then delete this message. DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. ________________________________ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ________________________________ This e-mail and any files transmitted with it may contain PRIVILEDGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the e-mail or any of its attachments, please be advised that you have received this e-mail in error and that use, dissemination, distribution, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/d4981ea8/attachment-0001.html From DChampeon at stmarysmaine.com Thu Jun 11 12:26:15 2009 From: DChampeon at stmarysmaine.com (DChampeon at stmarysmaine.com) Date: Thu, 11 Jun 2009 15:26:15 -0400 Subject: [Cnm] Outpatient Unit Pantry Stock Message-ID: What do you have on pantry lists for outpatient departments? Our nurse managers are being asked to reduce items on their lists. Day surgery staff is interested in knowing what other hospitals stock. This is what our outpt units stock: Outpatient: Nutri-grain bars, bread, crackers, juice, milk, coffee, tea, regular & diet soda, pudding & jello. Day surgery: Popsicles, sherbet, bread, juice, regular & diet pudding, regular & diet jello, coffee, tea, gator aid, easy open cans soup, crackers, regular & diet soda. Endoscopy: Juice, Nutri-grain bars, coffee, tea, regular & diet soda. Diana. Diana Champeon Director, Nutrition Services St. Mary's Regional Medical Center 100 Campus Avenue Lewiston, ME 04240 dchampeon at stmarysmaine.com phone (207)777-8603 fax (207)777-8609 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/84a9565e/attachment.html From dietitian at glc-co.org Thu Jun 11 12:53:19 2009 From: dietitian at glc-co.org (dietitian at glc-co.org) Date: Thu, 11 Jun 2009 12:53:19 -0700 Subject: [Cnm] temperature of coffee Message-ID: <20090611125319.CCA4F6AE@resin09.mta.everyone.net> An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/49bc0bdf/attachment.html From POTTERM at fauquierhealth.org Thu Jun 11 12:59:15 2009 From: POTTERM at fauquierhealth.org (Potter, MARY) Date: Thu, 11 Jun 2009 15:59:15 -0400 Subject: [Cnm] temperature of coffee In-Reply-To: <20090611125319.CCA4F6AE@resin09.mta.everyone.net> Message-ID: <8ECF425A281B4A4D88E99F028700A3AA038E37A9@fh-excbe01.fauquierhospital.org> I just had this discussion w/ our food service director today! He said 165 for coffee. Beth Potter, RD Clinical Nutrition Manager Fauquier Health|500 Hospital Dr. Warrenton,VA 20186 540-316-4406 potterm at fauquierhealth.org ** Note my new email address is potterm at fauquierhealth.org and new phone number is 540-316-4406** -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of dietitian at glc-co.org Sent: Thursday, June 11, 2009 3:53 PM To: cnm at lists.my180.net Subject: [Cnm] temperature of coffee Does any one know at what temperature coffee should be served? I work LTC and have a few residents that continue to complain that it isn't hot enough. thanks, Susan Harrison Gunnison Living Community Gunnison, CO -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/1b52ce19/attachment.html From fns at abbgen.net Thu Jun 11 13:01:32 2009 From: fns at abbgen.net (Annette Doucet) Date: Thu, 11 Jun 2009 15:01:32 -0500 Subject: [Cnm] Outpatient Unit Pantry Stock In-Reply-To: References: Message-ID: <003001c9eacf$6ad0abc0$02be7878@local.abbgen.net> We send floor stock as above. Also, in the morning, based on numbers of oupatients, the outpatient dept orders biscuits, muffins, jello, butter and jelly. Most of the time, pts who have come in fasting for outpatient procedures will be satisfied with jc, biscuit or muffin, coffee, cereal, etc. If they are really hungry or the MD wants them to have a full meal, then the nurses order a meal. That doesn't happen a lot. _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of DChampeon at stmarysmaine.com Sent: Thursday, June 11, 2009 2:26 PM To: cnm at lists.my180.net Subject: [Cnm] Outpatient Unit Pantry Stock What do you have on pantry lists for outpatient departments? Our nurse managers are being asked to reduce items on their lists. Day surgery staff is interested in knowing what other hospitals stock. This is what our outpt units stock: Outpatient: Nutri-grain bars, bread, crackers, juice, milk, coffee, tea, regular & diet soda, pudding & jello. Day surgery: Popsicles, sherbet, bread, juice, regular & diet pudding, regular & diet jello, coffee, tea, gator aid, easy open cans soup, crackers, regular & diet soda. Endoscopy: Juice, Nutri-grain bars, coffee, tea, regular & diet soda. Diana. Diana Champeon Director, Nutrition Services St. Mary's Regional Medical Center 100 Campus Avenue Lewiston, ME 04240 dchampeon at stmarysmaine.com phone (207)777-8603 fax (207)777-8609 No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.63/2169 - Release Date: 06/11/09 05:53:00 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/196ba21f/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: Day Surgery Floor Stock.doc Type: application/msword Size: 50176 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090611/196ba21f/attachment-0001.doc From LDALGLEISH at lakelandregional.org Thu Jun 11 13:07:09 2009 From: LDALGLEISH at lakelandregional.org (Lisa Dalgleish) Date: Thu, 11 Jun 2009 16:07:09 -0400 Subject: [Cnm] temperature of coffee In-Reply-To: <20090611125319.CCA4F6AE@resin09.mta.everyone.net> References: <20090611125319.CCA4F6AE@resin09.mta.everyone.net> Message-ID: <4A312B98.DF60.000C.0@lakelandregional.org> Our standard is > 165 degrees, but our coffee maker usually keeps it between 150-160. Lisa Dalgleish, RD Clinical Nutrition Supervisor Lakeland HealthCare 1234 Napier Avenue St. Joseph, MI 49085 (269) 983-8674 work phone (269) 982-4313 fax ldalgleish at lakelandregional.org >>> 6/11/2009 3:53 PM >>> Does any one know at what temperature coffee should be served? I work LTC and have a few residents that continue to complain that it isn't hot enough. thanks, Susan Harrison Gunnison Living Community Gunnison, CO -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/8216f3ea/attachment.html From DChampeon at stmarysmaine.com Thu Jun 11 13:08:12 2009 From: DChampeon at stmarysmaine.com (DChampeon at stmarysmaine.com) Date: Thu, 11 Jun 2009 16:08:12 -0400 Subject: [Cnm] Harris Benedict and ADA calculators / equation recommendations In-Reply-To: References: Message-ID: What do you use to calculate protein needs for obese pts? Diana Champeon Director, Nutrition Services St. Mary's Regional Medical Center 100 Campus Avenue Lewiston, ME 04240 dchampeon at stmarysmaine.com phone (207)777-8603 fax (207)777-8609 "Miriam Pappo" To Sent by: , cnm-bounces at lists .my180.net cc Subject 06/09/2009 05:38 Re: [Cnm] Harris Benedict and ADA PM calculators / equation recommendations I would appreciate a reply to all. We too use Ireton-Jones for non vent & vent obese. We dont really use H-B for any altho I still like it. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Taylor, Tracy" 06/09/09 5:17 PM >>> We are facing the same issue and have just begun discussions. Would love to hear from others too. For outpatient I use Mifflin-St Jeor. For inpts we have used HB and kcals/kg and are looking at Penn State 2003a for vent non obese and Ireton-Jones 1992 for non vent and vent obese. Tracy Taylor RD, CDE Director: Diabetes Management/Outpatient Nutrition Programs Clinical Nutrition Manager Doctors Medical Center San Pablo 2000 Vale Rd San Pablo, CA 94806 phone: 510-970-5344 fax: 510-970-5739 email: ttaylor at dmc-sp.org CONFIDENTIAL AND PRIVILEGED: May contain materials protected by law. This communication contains information intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged and/or confidential. If you are not the intended recipient or an employee or agent responsible for delivering the communication to the intended recipient, you are hereby notified that any disclosure, copying, distribution, or use of its contents is prohibited. If you have received this communication in error, please notify me immediately by telephone at (510) 970-5344, return the original communication by reply e-mail, and permanently delete the communication from your system. Thank you. "A year from now you will wish you had started today." --Karen Lamb _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From k.stephens10 at verizon.net Thu Jun 11 13:17:12 2009 From: k.stephens10 at verizon.net (Kathy Stephens) Date: Thu, 11 Jun 2009 15:17:12 -0500 Subject: [Cnm] Job Opportunity in the Nashville Area Message-ID: <004301c9ead1$9c88df50$d59a9df0$@stephens10@verizon.net> Williamson Hospital in the Nashville area is searching for a Patient Services Manager. This is a 180 bed acute care, not for profit, independent hospital. The position is responsible for both the clinical nutrition service and patient food service. RD with experience in acute care clinical nutrition management and patient food service management preferred. This is a wonderful facility with very competitive salary and benefits. The contact person for this position is: Christine Hartman Director of Nutrition Services Williamson Medical Center CHARTMAN at wmed.org 615-435-5562 Kathy Stephens, PhD, RD, LD Executive Success Coach Don Miller & Associates - Good To Best k.stephens10 at verizon.net 817-228-2471 (cell) -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/b6e08b5f/attachment.html From cfoner at dupageco.org Thu Jun 11 13:30:19 2009 From: cfoner at dupageco.org (Foner, Carole) Date: Thu, 11 Jun 2009 15:30:19 -0500 Subject: [Cnm] Harris Benedict and ADA calculators/ equation recommendations References: Message-ID: Please post to the list. Carole :) -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of DChampeon at stmarysmaine.com Sent: Thursday, June 11, 2009 3:08 PM To: Miriam Pappo Cc: cnm at lists.my180.net; TTaylor at dmc-sp.org; cnm-bounces at lists.my180.net Subject: Re: [Cnm] Harris Benedict and ADA calculators/ equation recommendations What do you use to calculate protein needs for obese pts? Diana Champeon Director, Nutrition Services St. Mary's Regional Medical Center 100 Campus Avenue Lewiston, ME 04240 dchampeon at stmarysmaine.com phone (207)777-8603 fax (207)777-8609 "Miriam Pappo" To Sent by: , cnm-bounces at lists .my180.net cc Subject 06/09/2009 05:38 Re: [Cnm] Harris Benedict and ADA PM calculators / equation recommendations I would appreciate a reply to all. We too use Ireton-Jones for non vent & vent obese. We dont really use H-B for any altho I still like it. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Taylor, Tracy" 06/09/09 5:17 PM >>> We are facing the same issue and have just begun discussions. Would love to hear from others too. For outpatient I use Mifflin-St Jeor. For inpts we have used HB and kcals/kg and are looking at Penn State 2003a for vent non obese and Ireton-Jones 1992 for non vent and vent obese. Tracy Taylor RD, CDE Director: Diabetes Management/Outpatient Nutrition Programs Clinical Nutrition Manager Doctors Medical Center San Pablo 2000 Vale Rd San Pablo, CA 94806 phone: 510-970-5344 fax: 510-970-5739 email: ttaylor at dmc-sp.org CONFIDENTIAL AND PRIVILEGED: May contain materials protected by law. This communication contains information intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged and/or confidential. If you are not the intended recipient or an employee or agent responsible for delivering the communication to the intended recipient, you are hereby notified that any disclosure, copying, distribution, or use of its contents is prohibited. If you have received this communication in error, please notify me immediately by telephone at (510) 970-5344, return the original communication by reply e-mail, and permanently delete the communication from your system. Thank you. "A year from now you will wish you had started today." --Karen Lamb _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From mansishah79 at gmail.com Thu Jun 11 16:05:18 2009 From: mansishah79 at gmail.com (Mansi Shah) Date: Thu, 11 Jun 2009 16:05:18 -0700 Subject: [Cnm] Patient Satisfaction Questions re. Meals Message-ID: At my facility, we use the AVATAR Patient Satisfaction Survey and 2 of the questions asked to patient are whether they find the temperature of their meals appropriate and whether their meals were served at the right time each day. Food service staff deliver meal carts to the floors, but then it is nursing from there on that delivers trays to patient rooms. On our internal audits of temperatures checked on the floors when cart is delivered- they are coming out appropriately. We do know that trays sit in the cart for patients that are asleep and then they are reheated in the microwave on the floor and served to patients, or some trays are sitting in patient rooms and they are sleeping. Does anyone have suggestions on how we can help improve the patient compliance with meal service times? Is it a nursing/patient education issue -where patients are told that meals are served between a certain time and they are encouraged to eat at that time? Any ideas/suggestions are welcome. Thanks in advance Mansi Shah, RD, CNSD Clinical Nutrition Manager Olympia Medical Center Los Angeles, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/cdb2fbee/attachment.html From mansishah79 at gmail.com Thu Jun 11 16:09:28 2009 From: mansishah79 at gmail.com (Mansi Shah) Date: Thu, 11 Jun 2009 16:09:28 -0700 Subject: [Cnm] Food Service Graphics, etc In-Reply-To: References: <5E0B84746A9E1A489C20EC729FF2256605B35685@mtccexchg02.ad.bmhcc.org> Message-ID: DayDots has some free quizzes on their websites. The National Restaurant Association has some "for fee" DVDs and other employee training tools that you can purchase. Fightbac.org also has some free tools (presentations, activity sheets, fact sheets, etc.) that you can download. RD411 may also have some quizzes. Hope this helps Mansi Shah, RD, CNSD Clinical Nutrition Manager Olympia Medical Center Los Angeles, CA On Wed, Jun 10, 2009 at 2:39 PM, Beth Dorsey wrote: > Please post to list. > > > > *From:* cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] *On > Behalf Of *Karen Burnett > *Sent:* Wednesday, June 10, 2009 12:37 PM > *To:* cnm at lists.my180.net > *Subject:* [Cnm] Food Service Graphics, etc > > > > Hi all, > > Our director is looking for a few things. I would appreciate any > information on the following: > > > > 1) Any free food service graphics that can be downloaded, or requested and > > > > 2) any information regarding basic "foodservice 101" inservices or > tutorials that can help ensure consistency and competency in training food > service employees. We're talking basics like taking temperatures, > sanitation, etc. We're open to free or "for fee" publications. > > > > Thanks very much for any help, > > Karen > > > > Karen Burnett, RD, LDN, MBA > > Assistant Director, Clinical > > Food and Nutrition Services > > Baptist Memorial Hospital Memphis > > Phone: 901.226.5724 Fax: 901.226.5470 > > > > *The information within this message is considered confidential unless > otherwise noted. Any opinions expressed herein are not necessarily those of > Baptist Memorial Health Care Corporation or any of its affiliates.* > > > ------------------------------ > > *Smart Medicine. Inspired Care. And the awards to prove it. Recognized as > a Top 50 Healthcare Network. To learn about other recognition and awards > Baptist has earned, visit: http://www.bmhcc.org/aboutus/awards/index.aspThis message and any files transmitted with it may contain legally > privileged, confidential, or proprietary information. If you are not the > intended recipient of this message, you are not permitted to use, copy, or > forward it, in whole or in part without the express consent of the sender. > Please notify the sender of the error by reply email, disregard the > foregoing messages, and delete it immediately. * > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net > > -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/00bfc923/attachment.html From mansishah79 at gmail.com Thu Jun 11 16:13:56 2009 From: mansishah79 at gmail.com (Mansi Shah) Date: Thu, 11 Jun 2009 16:13:56 -0700 Subject: [Cnm] Patient Delighters Message-ID: We are considering the use of hot-towels/napkins to give to patients with their meals. Does anyone use such a service? Any recommendations on vendors? Thanks Mansi Shah, RD, CNSD Clinical Nutrition Manager Olympia Medical Center Los Angeles, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/f7f0701b/attachment.html From horlowsk at ppmh.org Thu Jun 11 21:05:27 2009 From: horlowsk at ppmh.org (Orlowski, Hannah) Date: Fri, 12 Jun 2009 00:05:27 -0400 Subject: [Cnm] NPO/Clear Liquid Monitoring References: <7375E17267B3DB4583032BDEFDA2D76E0902FDE1@mailphs.pinnaclehealth.org><37ABAEB17B0B5B40AA0B6118E57CF59A0402022C@wn1221.or.providence.org>, <4A3071CE.7020705@bak.rr.com> <4F21268C197FF8408219D0D6B7614AEE0330985C55@EXCHANGE2.trmc.us> Message-ID: <0DAF44B706E29940A409E32DC69005C0044F4439@exchange1.phoebe.com> Same here. ________________________________ From: cnm-bounces at lists.my180.net on behalf of Sandra Moretz Sent: Thu 6/11/2009 2:33 PM To: Kathleen Mershon; Scollard, Terese Cc: Tucker, Jennifer; Gonzales Jeriann; Roberta Tripp; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We recently revised our policy from > 3 days to > 4 days (despite ASPEN guidelines saying 5 - we felt that was a little too long to wait). ________________________________ From: cnm-bounces at lists.my180.net [cnm-bounces at lists.my180.net] On Behalf Of Kathleen Mershon [kmershon at bak.rr.com] Sent: Wednesday, June 10, 2009 10:54 PM To: Scollard, Terese Cc: Tucker, Jennifer; Gonzales Jeriann; Roberta Tripp; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use >5 days. We used to use >3 days and would find the diet would advance the day after our assessment. We were able to change to >5 days without opposition. Kathleen Mershon, MS, RD Assistant Director Clinical Nutrition Manager San Joaquin Community Hospital Bakersfield, CA 93301 Scollard, Terese wrote: We have greater than 3 days in critical care and greater than 5 days in the remainder of the house for adults. We have 48 hours to accomplish however, so that gives the staff less pressure and creates not so high a priority for weekends with fewer staff. Most of the time it is done within 24 hours. Terese Scollard Providence Health & Services Portland OR ________________________________ From: Tucker, Jennifer [mailto:TUCKERJ at lourdesnet.org] Sent: Wednesday, June 10, 2009 7:52 AM To: Roberta Tripp; Gonzales Jeriann; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use > 5 days at my health system. Jennifer Tucker RD Clinical Nutrition Manager Lourdes Health System 1600 Haddon Avenue Camden, New Jersey 08103 856-757-3596 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Roberta Tripp Sent: Wednesday, June 10, 2009 10:34 AM To: Gonzales Jeriann; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use > 5 days and to my recollection to justify it we referred to an ASPEN recommendation, but I don't know the reference off hand--maybe someone else on the list would have it. Roberta Tripp MS RD LDN Clinical Nutrition Manager PinnacleHealth Department of Food and Nutrition Services 111 S. Front Street Harrisburg PA 17101 717 782 5283 rtripp at pinnaclehealth.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Gonzales Jeriann Sent: Tuesday, June 09, 2009 4:04 PM To: cnm at lists.my180.net Subject: [Cnm] NPO/Clear Liquid Monitoring Do most of you see your NPO/Clear liquid hospitalized patients at >3 days or at >5 days? We pushed through >5 days on our Pt Assessment/Reassessment Policy without a challenge, but now are having some question with one of our committees on the change. Does anyone have any studies/references regarding the timeframes? I remember the Aspen ranges given, but could not locate the study. Any assistance is appreciated. Thanks. Jeriann Gonzales, MS RD Chief Clinical Dietitian Lake City Medical Center 386-719-9046 Confidentiality Notice: This email, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please reply to the sender that you have received the message in error, then delete this message. DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. ________________________________ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ________________________________ This e-mail and any files transmitted with it may contain PRIVILEDGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the e-mail or any of its attachments, please be advised that you have received this e-mail in error and that use, dissemination, distribution, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail. ----------------------------------------- Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. From julie.mclaughlin at hotmail.com Fri Jun 12 05:59:17 2009 From: julie.mclaughlin at hotmail.com (Julie McLaughlin) Date: Fri, 12 Jun 2009 08:59:17 -0400 Subject: [Cnm] FW: Nutrition Screening Questions In-Reply-To: <17B38BCEA6E6F24D9300FA8CFE81F425B74BB3@chimsx015.CHI.catholichealth.net> References: <17B38BCEA6E6F24D9300FA8CFE81F425B74BB3@chimsx015.CHI.catholichealth.net> Message-ID: We are a level 1 trauma center and participate in weekly trauma rounds, so we see the trauma patients. For obesity, we only see pediatric patients >95% Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL 33316 Date: Thu, 11 Jun 2009 06:08:51 -0600 From: MarcelleKarustis at catholichealth.net To: cnm at lists.my180.net Subject: [Cnm] FW: Nutrition Screening Questions Ditto for us. Marcelle Karustis MS RD RN LDN Clinical Nutrition Manager ext 2487 From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Johnston, Jill L Sent: Wednesday, June 10, 2009 2:14 PM To: Melissa Tewes; cnm at lists.my180.net Subject: Re: [Cnm] Nutrition Screening Questions We do not. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Wednesday, June 10, 2009 2:08 PM To: cnm at lists.my180.net Subject: [Cnm] Nutrition Screening Questions Do RDs see patients with the following indicators: Aspiration RISK Chemo Radiation Trauma admission Geriatric Surgical Obesity? These are a few things that we currently and am looking to get rid of before I can more thoroughly evaluation our screening parameters. Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. DISCLAIMER: The information contained in this electronic mail transmission is privileged and confidential. It is intended for the sole use and viewing of the addressee(s). If you are not the addressee(s), you are hereby notified that any disclosure, distribution, or other use of the information contained herein, other than deletion, is strictly prohibited. Violation of this prohibition may result in civil or criminal liability. If you have received this electronic mail in error, please notify the sender by way of reply. Thank you for your consideration. _________________________________________________________________ Hotmail? has ever-growing storage! Don?t worry about storage limits. http://windowslive.com/Tutorial/Hotmail/Storage?ocid=TXT_TAGLM_WL_HM_Tutorial_Storage_062009 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/9c36828c/attachment-0001.html From info at mywebdietitian.com Fri Jun 12 06:25:26 2009 From: info at mywebdietitian.com (Valerie Peters) Date: Fri, 12 Jun 2009 06:25:26 -0700 Subject: [Cnm] Patient Delighters Message-ID: <20090612062526.f07410cd66d8a7f06e8c5ee19229fd55.5e9379f647.wbe@email04.secureserver.net> An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/c293f8f0/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: top.letterhead Type: image/jpeg Size: 10935 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090612/c293f8f0/attachment.jpe From Liz.Anthony at milfordhospital.org Fri Jun 12 06:26:33 2009 From: Liz.Anthony at milfordhospital.org (Anthony Liz) Date: Fri, 12 Jun 2009 09:26:33 -0400 Subject: [Cnm] large bore NG tube In-Reply-To: <17B38BCEA6E6F24D9300FA8CFE81F425B74BB3@chimsx015.CHI.catholichealth.net> Message-ID: The ICU at my hospital often times using a salem sump tube for tube feeding, stating that they are already in place for gastric decompression and they can be switched back to decompression of the pt does not tolerate the tube feeding. Anyhow I learned that the covidien salem sump should not be used for feeding, as per their website. I realize that this is not the ideal practice and the pt should have a small bore tube, however I know that there are large bore tubes for ICU pts that can be used of both and was wondering if you happen to know the manufacturer of these tubes. Thank you, Liz Anthony Milford Hospital -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/d8b41ac6/attachment.html From MHager at eatright.org Fri Jun 12 06:34:48 2009 From: MHager at eatright.org (Mary Hager) Date: Fri, 12 Jun 2009 08:34:48 -0500 Subject: [Cnm] Patient Delighters In-Reply-To: <20090612062526.f07410cd66d8a7f06e8c5ee19229fd55.5e9379f647.wbe@email04.secureserver.net> References: <20090612062526.f07410cd66d8a7f06e8c5ee19229fd55.5e9379f647.wbe@email04.secureserver.net> Message-ID: This was a service initiated at St. Peter?s Hospital in Fort Worth, TX almost 20 years ago. The patient satisfaction scores soared. The Food Service staff prepared actual cloth towels in the kitchen. I forgot the details of how they were heated (oven, floors?). Mary Mary H. Hager, PhD, RD, FADA Director, Regulatory Affairs American Dietetic Association 1120 Connecticut Avenue NW Washington, DC 20036 202-775-8277, ext. 6007 fax: 202-775-8284 mhager at eatright.org www.eatright.org From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Valerie Peters Sent: Friday, June 12, 2009 9:25 AM To: Mansi Shah Cc: CNM-ListServe Subject: Re: [Cnm] Patient Delighters Sounds like a first class airline trip Does infection control have input? What are their comments? Also, if there is a concern about patients burning their hands? Older patients have such thin, papery skin.....sounds on paper like a great opportunity for increased patient satisfaction. If implemented, please post pros/cons with the listserv. Best, Valerie L. Peters, MS, RD, LD Registered Dietitian/Private Practice 227 Ridge Circle Dublin, GA 31021 (478) 274-9553 cell: (478) 998-9317 email: info at mywebdietitian.com website: www.mywebdietitian.com IMPORTANT: Privileged and Confidential Electronic Transmission This electronic message transmission may contain information from Valerie L. Peters, MS, RD, LD that is privileged and confidential. Information in this electronic transmission is intended solely for the addressee. Use by any other party is not authorized. Be aware that any disclosure, copying, distribution, dissemination or use of the contents of this electronic transmission is prohibited. Please notify the sender, Valerie L. Peters, if this electronic transmission has been received through error by means of email address info at mywebdietitian.com -------- Original Message -------- Subject: [Cnm] Patient Delighters From: Mansi Shah Date: Thu, June 11, 2009 7:13 pm To: CNM-ListServe We are considering the use of hot-towels/napkins to give to patients with their meals. Does anyone use such a service? Any recommendations on vendors? Thanks Mansi Shah, RD, CNSD Clinical Nutrition Manager Olympia Medical Center Los Angeles, CA ________________________________ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/d39bbc80/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 823 bytes Desc: ~WRD000.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090612/d39bbc80/attachment-0002.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 3751 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090612/d39bbc80/attachment-0003.jpe From DerrickK at health.missouri.edu Fri Jun 12 06:35:52 2009 From: DerrickK at health.missouri.edu (Derrick, Karen) Date: Fri, 12 Jun 2009 08:35:52 -0500 Subject: [Cnm] Patient Delighters In-Reply-To: <20090612062526.f07410cd66d8a7f06e8c5ee19229fd55.5e9379f647.wbe@email04.secureserver.net> References: <20090612062526.f07410cd66d8a7f06e8c5ee19229fd55.5e9379f647.wbe@email04.secureserver.net> Message-ID: <6D7787A6B00FCF41993911F1118272370697CA2D@UM-XMAIL02.um.umsystem.edu> Hi, Contact Eileen Wallace at St Joseph Medical Center in Bloomington, Illinois. Her phone number is (309) 662-3311, Ext. 4062. We observed their room service operation and it was impressive. They used ice buckets for their warm towels. There was a temperature control but it's been awhile and I don't remember the details. Their patients loved them. Karen Derrick University of Missouri Health Care University Hospital Assistant Manager, Clinical Nutrition One Hospital Drive, GE26 Columbia, MO 65212 573-882-2251 (office) 573-499-7070 (pager) derrickk at health.missouri.edu ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Valerie Peters Sent: Friday, June 12, 2009 8:25 AM To: Mansi Shah Cc: CNM-ListServe Subject: Re: [Cnm] Patient Delighters Sounds like a first class airline trip Laughing Does infection control have input? What are their comments? Also, if there is a concern about patients burning their hands? Older patients have such thin, papery skin.....sounds on paper like a great opportunity for increased patient satisfaction. If implemented, please post pros/cons with the listserv. Best, Valerie L. Peters, MS, RD, LD Registered Dietitian/Private Practice 227 Ridge Circle Dublin, GA 31021 (478) 274-9553 cell: (478) 998-9317 email: info at mywebdietitian.com website: www.mywebdietitian.com IMPORTANT: Privileged and Confidential Electronic Transmission This electronic message transmission may contain information from Valerie L. Peters, MS, RD, LD that is privileged and confidential. Information in this electronic transmission is intended solely for the addressee. Use by any other party is not authorized. Be aware that any disclosure, copying, distribution, dissemination or use of the contents of this electronic transmission is prohibited. Please notify the sender, Valerie L. Peters, if this electronic transmission has been received through error by means of email address info at mywebdietitian.com -------- Original Message -------- Subject: [Cnm] Patient Delighters From: Mansi Shah Date: Thu, June 11, 2009 7:13 pm To: CNM-ListServe We are considering the use of hot-towels/napkins to give to patients with their meals. Does anyone use such a service? Any recommendations on vendors? Thanks Mansi Shah, RD, CNSD Clinical Nutrition Manager Olympia Medical Center Los Angeles, CA ________________________________ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/2ff05fa3/attachment.html From janet.fletcher at eamc.org Fri Jun 12 06:37:53 2009 From: janet.fletcher at eamc.org (Jan Fletcher) Date: Fri, 12 Jun 2009 08:37:53 -0500 Subject: [Cnm] Patient Delighters In-Reply-To: References: <20090612062526.f07410cd66d8a7f06e8c5ee19229fd55.5e9379f647.wbe@email04.secureserver.net> Message-ID: <8AF41BE5480EB240A37098F30EA04FD6058C458C@max.AD.EAMC.ORG> We do this today. The cloths are folded into small rolls and put into insulated containers. Hot water from the coffee machine is lightly poured over them. We do not put the lids on the containers so they can cool somewhat by the time they reach the patient. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Mary Hager Sent: Friday, June 12, 2009 8:35 AM To: Valerie Peters; Mansi Shah Cc: CNM-ListServe Subject: Re: [Cnm] Patient Delighters This was a service initiated at St. Peter's Hospital in Fort Worth, TX almost 20 years ago. The patient satisfaction scores soared. The Food Service staff prepared actual cloth towels in the kitchen. I forgot the details of how they were heated (oven, floors?). Mary Mary H. Hager, PhD, RD, FADA Director, Regulatory Affairs American Dietetic Association 1120 Connecticut Avenue NW Washington, DC 20036 202-775-8277, ext. 6007 fax: 202-775-8284 mhager at eatright.org www.eatright.org From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Valerie Peters Sent: Friday, June 12, 2009 9:25 AM To: Mansi Shah Cc: CNM-ListServe Subject: Re: [Cnm] Patient Delighters Sounds like a first class airline trip Does infection control have input? What are their comments? Also, if there is a concern about patients burning their hands? Older patients have such thin, papery skin.....sounds on paper like a great opportunity for increased patient satisfaction. If implemented, please post pros/cons with the listserv. Best, Valerie L. Peters, MS, RD, LD Registered Dietitian/Private Practice 227 Ridge Circle Dublin, GA 31021 (478) 274-9553 cell: (478) 998-9317 email: info at mywebdietitian.com website: www.mywebdietitian.com IMPORTANT: Privileged and Confidential Electronic Transmission This electronic message transmission may contain information from Valerie L. Peters, MS, RD, LD that is privileged and confidential. Information in this electronic transmission is intended solely for the addressee. Use by any other party is not authorized. Be aware that any disclosure, copying, distribution, dissemination or use of the contents of this electronic transmission is prohibited. Please notify the sender, Valerie L. Peters, if this electronic transmission has been received through error by means of email address info at mywebdietitian.com -------- Original Message -------- Subject: [Cnm] Patient Delighters From: Mansi Shah Date: Thu, June 11, 2009 7:13 pm To: CNM-ListServe We are considering the use of hot-towels/napkins to give to patients with their meals. Does anyone use such a service? Any recommendations on vendors? Thanks Mansi Shah, RD, CNSD Clinical Nutrition Manager Olympia Medical Center Los Angeles, CA ________________________________ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/70dcddc2/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 3751 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090612/70dcddc2/attachment-0002.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 823 bytes Desc: image002.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090612/70dcddc2/attachment-0003.jpe From DChampeon at stmarysmaine.com Fri Jun 12 06:39:38 2009 From: DChampeon at stmarysmaine.com (DChampeon at stmarysmaine.com) Date: Fri, 12 Jun 2009 09:39:38 -0400 Subject: [Cnm] Patient Delighters In-Reply-To: <20090612062526.f07410cd66d8a7f06e8c5ee19229fd55.5e9379f647.wbe@email04.secureserver.net> References: <20090612062526.f07410cd66d8a7f06e8c5ee19229fd55.5e9379f647.wbe@email04.secureserver.net> Message-ID: Computrition entry for the item we use is Towelette,PDI,Hygenic. We started putting them on pt trays per infection control request. Diana. Diana Champeon Director, Nutrition Services St. Mary's Regional Medical Center 100 Campus Avenue Lewiston, ME 04240 dchampeon at stmarysmaine.com phone (207)777-8603 fax (207)777-8609 "Valerie Peters" To Sent by: "Mansi Shah" cnm-bounces at lists .my180.net cc CNM-ListServe Subject 06/12/2009 09:26 Re: [Cnm] Patient Delighters AM Sounds like a first class airline trip (Embedded image moved to file: pic21153.gif)LaughingDoes infection control have input?? What are their comments?? Also, if there is a concern about patients burning their hands?? Older patients have such thin, papery skin.....sounds on paper like a great opportunity for increased patient satisfaction.? If implemented, please post pros/cons with the listserv. Best, Valerie L. Peters, MS, RD, LD Registered Dietitian/Private Practice 227 Ridge Circle Dublin, GA 31021 (478) 274-9553 cell: (478) 998-9317 email: info at mywebdietitian.com website: www.mywebdietitian.com IMPORTANT: Privileged and Confidential Electronic Transmission This electronic message transmission may contain information from Valerie L. Peters, MS, RD, LD that is privileged and confidential. Information in this electronic transmission is intended solely for the addressee. Use by any other party is not authorized. Be aware that any disclosure, copying, distribution, dissemination or use of the contents of this electronic transmission is prohibited. Please notify the sender, Valerie L. Peters, if this electronic transmission has been received through error by means of email address info at mywebdietitian.com -------- Original Message -------- Subject: [Cnm] Patient Delighters From: Mansi Shah Date: Thu, June 11, 2009 7:13 pm To: CNM-ListServe We are considering the use of hot-towels/napkins to give to patients with their meals. Does anyone use such a service? Any recommendations on vendors? Thanks Mansi Shah, RD, CNSD Clinical Nutrition Manager Olympia Medical Center Los Angeles, CA _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net (Embedded image moved to file: pic21520.jpg) _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- A non-text attachment was scrubbed... Name: pic21153.gif Type: image/gif Size: 344 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090612/19e92a00/attachment.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: pic21520.jpg Type: image/jpeg Size: 10935 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090612/19e92a00/attachment.jpg From Hollie_Colle at ssmhc.com Fri Jun 12 06:39:05 2009 From: Hollie_Colle at ssmhc.com (Hollie_Colle at ssmhc.com) Date: Fri, 12 Jun 2009 08:39:05 -0500 Subject: [Cnm] Patient Delighters In-Reply-To: Message-ID: In our facility the CNAs heat moist towels in their microwaves on the unit just before they pass trays. Hollie Colle, MS, RD, LDN Clinical Nutrition Manager St. Mary's Good Samaritan, Inc. Mount Vernon IL 62864 (618) 241-2356 Centralia IL 62801 (618) 436-8897 "Mary Hager" Sent by: cnm-bounces at lists.my180.net 06/12/2009 08:34 AM To "Valerie Peters" , "Mansi Shah" cc CNM-ListServe Subject Re: [Cnm] Patient Delighters This was a service initiated at St. Peter?s Hospital in Fort Worth, TX almost 20 years ago. The patient satisfaction scores soared. The Food Service staff prepared actual cloth towels in the kitchen. I forgot the details of how they were heated (oven, floors?). Mary Mary H. Hager, PhD, RD, FADA Director, Regulatory Affairs American Dietetic Association 1120 Connecticut Avenue NW Washington, DC 20036 202-775-8277, ext. 6007 fax: 202-775-8284 mhager at eatright.org www.eatright.org From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Valerie Peters Sent: Friday, June 12, 2009 9:25 AM To: Mansi Shah Cc: CNM-ListServe Subject: Re: [Cnm] Patient Delighters Sounds like a first class airline trip Does infection control have input? What are their comments? Also, if there is a concern about patients burning their hands? Older patients have such thin, papery skin.....sounds on paper like a great opportunity for increased patient satisfaction. If implemented, please post pros/cons with the listserv. Best, Valerie L. Peters, MS, RD, LD Registered Dietitian/Private Practice 227 Ridge Circle Dublin, GA 31021 (478) 274-9553 cell: (478) 998-9317 email: info at mywebdietitian.com website: www.mywebdietitian.com IMPORTANT: Privileged and Confidential Electronic Transmission This electronic message transmission may contain information from Valerie L. Peters, MS, RD, LD that is privileged and confidential. Information in this electronic transmission is intended solely for the addressee. Use by any other party is not authorized. Be aware that any disclosure, copying, distribution, dissemination or use of the contents of this electronic transmission is prohibited. Please notify the sender, Valerie L. Peters, if this electronic transmission has been received through error by means of email address info at mywebdietitian.com -------- Original Message -------- Subject: [Cnm] Patient Delighters From: Mansi Shah Date: Thu, June 11, 2009 7:13 pm To: CNM-ListServe We are considering the use of hot-towels/napkins to give to patients with their meals. Does anyone use such a service? Any recommendations on vendors? Thanks Mansi Shah, RD, CNSD Clinical Nutrition Manager Olympia Medical Center Los Angeles, CA _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/653246e4/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 3751 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090612/653246e4/attachment.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 823 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090612/653246e4/attachment-0001.jpe From Julie.Finney at csauh.com Fri Jun 12 06:57:22 2009 From: Julie.Finney at csauh.com (Finney, Julie) Date: Fri, 12 Jun 2009 09:57:22 -0400 Subject: [Cnm] temperature of coffee In-Reply-To: <8ECF425A281B4A4D88E99F028700A3AA038E37A9@fh-excbe01.fauquierhospital.org> References: <20090611125319.CCA4F6AE@resin09.mta.everyone.net> <8ECF425A281B4A4D88E99F028700A3AA038E37A9@fh-excbe01.fauquierhospital.org> Message-ID: I agree with the 165, but people who drink coffee like it hotter because then they cool it down by adding cream and so on. Julie Finney, MS, RD, LD Clinical Nutrition Manager Mercy Medical Center 1320 Mercy Drive, NW Canton, Ohio 44708 330-489-1000 ext. 1600 Julie.Finney at csauh.com ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Potter, MARY Sent: Thursday, June 11, 2009 3:59 PM To: dietitian at glc-co.org; cnm at lists.my180.net Subject: Re: [Cnm] temperature of coffee I just had this discussion w/ our food service director today! He said 165 for coffee. Beth Potter, RD Clinical Nutrition Manager Fauquier Health|500 Hospital Dr. Warrenton,VA 20186 540-316-4406 potterm at fauquierhealth.org ** Note my new email address is potterm at fauquierhealth.org and new phone number is 540-316-4406** -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of dietitian at glc-co.org Sent: Thursday, June 11, 2009 3:53 PM To: cnm at lists.my180.net Subject: [Cnm] temperature of coffee Does any one know at what temperature coffee should be served? I work LTC and have a few residents that continue to complain that it isn't hot enough. thanks, Susan Harrison Gunnison Living Community Gunnison, CO ----------------------------------------- The enclosed information is STRICTLY CONFIDENTIAL and is intended for the use of the addressee only. CSAHS/UHHS-Canton, Inc and its affiliates disclaim any responsibility for unauthorized disclosure of this information other than the addressee. Federal and Ohio law protect patient medical information disclosed in this email, including psychiatric disorders, (HIV) test results, AIDs-related conditions, alcohol, and/or drug dependence or abuse. Federal regulation (42 CFR Part 2) and Ohio Revised Code section 5122.31 and 3701.243 prohibit disclosure of this information without the specific written consent of the person to whom it pertains, or as otherwise permitted by law. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/7778f030/attachment-0001.html From rtripp at PINNACLEHEALTH.org Fri Jun 12 07:10:57 2009 From: rtripp at PINNACLEHEALTH.org (Roberta Tripp) Date: Fri, 12 Jun 2009 10:10:57 -0400 Subject: [Cnm] Patient Satisfaction Questions re. Meals In-Reply-To: Message-ID: <7375E17267B3DB4583032BDEFDA2D76E0902FE14@mailphs.pinnaclehealth.org> http://www.alacartinc.com/p_dt.htm This cart is called the Dual Temp 120. It is supposed to be pricey, but effective. Roberta Roberta Tripp MS RD LDN Clinical Nutrition Manager PinnacleHealth Department of Food and Nutrition Services 111 S. Front Street Harrisburg PA 17101 717 782 5283 rtripp at pinnaclehealth.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Mansi Shah Sent: Thursday, June 11, 2009 7:05 PM To: CNM-ListServe Subject: [Cnm] Patient Satisfaction Questions re. Meals At my facility, we use the AVATAR Patient Satisfaction Survey and 2 of the questions asked to patient are whether they find the temperature of their meals appropriate and whether their meals were served at the right time each day. Food service staff deliver meal carts to the floors, but then it is nursing from there on that delivers trays to patient rooms. On our internal audits of temperatures checked on the floors when cart is delivered- they are coming out appropriately. We do know that trays sit in the cart for patients that are asleep and then they are reheated in the microwave on the floor and served to patients, or some trays are sitting in patient rooms and they are sleeping. Does anyone have suggestions on how we can help improve the patient compliance with meal service times? Is it a nursing/patient education issue -where patients are told that meals are served between a certain time and they are encouraged to eat at that time? Any ideas/suggestions are welcome. Thanks in advance Mansi Shah, RD, CNSD Clinical Nutrition Manager Olympia Medical Center Los Angeles, CA The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/0903f0e1/attachment.html From JKrzeminski at Reshealthcare.org Thu Jun 11 09:12:42 2009 From: JKrzeminski at Reshealthcare.org (Krzeminski, Janet) Date: Thu, 11 Jun 2009 11:12:42 -0500 Subject: [Cnm] Healthcare Facilities Accreditation Program (HFAP) In-Reply-To: <519795.38693.qm@web30208.mail.mud.yahoo.com> References: <519795.38693.qm@web30208.mail.mud.yahoo.com> Message-ID: <1177D84FA0F8AD4CA9370B01EABC55F2AFEEF6@rhcexch3.reshealthcare.org> Colleagues, The 2009 Standards for HFAP Accreditation are very strong in the clinical area, and actually HFAP partnered with the ADA in writing many of the Standards. The expectations are detailed as to what are the expectations to meet the standards. NCP is highlighted as "THE" charting method and their standard is that your facility must have had NCP initiated by January, 2009. We are in the process of re-working our manual. If you are expecting an HFAP Survey, may I suggest you plan to work on a binder for 6 months prior to your survey. Other suggestions: 1. Your policies must have the HFAP verbiage. 2. Your examples of how you meet the standard should be included behind each tabbed page of the standards. 3. Work with your Champion for the HFAP survey - they will have more info for you as to how your facility should prepare. Good Luck! Janet Krzeminski Chicago, IL ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Carolyn Bailey Sent: Friday, June 05, 2009 9:54 AM To: cnm at lists.my180.net Subject: [Cnm] Healthcare Facilities Accreditation Program (HFAP) If anyone has had a survey by the Healthcare Facilities Accreditation Program, I would be interested in your experience and how it compares to other surveys, e.g., Joint Commission, CMS. Was there a strong focus in any particular area of the Food/Nutrition Services Department or any aspect of clinical practice? Thank you for your feedback! Carolyn A. Bailey, MS, RD, LD 1769 Lisa Lane Starkville, MS 39759 662.418.4491 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/05f9372b/attachment.html From Fulmer-Kara at aramark.com Fri Jun 12 07:12:15 2009 From: Fulmer-Kara at aramark.com (Fulmer, Kara) Date: Fri, 12 Jun 2009 10:12:15 -0400 Subject: [Cnm] Patient Delighters In-Reply-To: References: <20090612062526.f07410cd66d8a7f06e8c5ee19229fd55.5e9379f647.wbe@email04.secureserver.net> Message-ID: We put moist towelettes on all of our patient trays. We get them from Sysco. Kara -----Original Message----- From: DChampeon at stmarysmaine.com [mailto:DChampeon at stmarysmaine.com] Sent: Friday, June 12, 2009 8:40 AM To: Valerie Peters Cc: CNM-ListServe; cnm-bounces at lists.my180.net Subject: Re: [Cnm] Patient Delighters Computrition entry for the item we use is Towelette,PDI,Hygenic. We started putting them on pt trays per infection control request. Diana. Diana Champeon Director, Nutrition Services St. Mary's Regional Medical Center 100 Campus Avenue Lewiston, ME 04240 dchampeon at stmarysmaine.com phone (207)777-8603 fax (207)777-8609 "Valerie Peters" To Sent by: "Mansi Shah" cnm-bounces at lists .my180.net cc CNM-ListServe Subject 06/12/2009 09:26 Re: [Cnm] Patient Delighters AM Sounds like a first class airline trip (Embedded image moved to file: pic21153.gif)LaughingDoes infection control have input?? What are their comments?? Also, if there is a concern about patients burning their hands?? Older patients have such thin, papery skin.....sounds on paper like a great opportunity for increased patient satisfaction.? If implemented, please post pros/cons with the listserv. Best, Valerie L. Peters, MS, RD, LD Registered Dietitian/Private Practice 227 Ridge Circle Dublin, GA 31021 (478) 274-9553 cell: (478) 998-9317 email: info at mywebdietitian.com website: www.mywebdietitian.com IMPORTANT: Privileged and Confidential Electronic Transmission This electronic message transmission may contain information from Valerie L. Peters, MS, RD, LD that is privileged and confidential. Information in this electronic transmission is intended solely for the addressee. Use by any other party is not authorized. Be aware that any disclosure, copying, distribution, dissemination or use of the contents of this electronic transmission is prohibited. Please notify the sender, Valerie L. Peters, if this electronic transmission has been received through error by means of email address info at mywebdietitian.com -------- Original Message -------- Subject: [Cnm] Patient Delighters From: Mansi Shah Date: Thu, June 11, 2009 7:13 pm To: CNM-ListServe We are considering the use of hot-towels/napkins to give to patients with their meals. Does anyone use such a service? Any recommendations on vendors? Thanks Mansi Shah, RD, CNSD Clinical Nutrition Manager Olympia Medical Center Los Angeles, CA _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net (Embedded image moved to file: pic21520.jpg) _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From kfeldberkowitz at jhha.org Fri Jun 12 07:31:30 2009 From: kfeldberkowitz at jhha.org (Feld-Berkowitz, Kathy) Date: Fri, 12 Jun 2009 10:31:30 -0400 Subject: [Cnm] Cnm Digest, Vol 31, Issue 50-soft diets and chicken on the bone In-Reply-To: References: Message-ID: Is soft cooked bone-in chicken considered appropriate for LTC residents on a soft diet? Our menu currently states that chicken off the bone is considered soft but nursing does not want to be committed to taking the chicken off the bone for each resident. Kathy Feld Berkowitz MS, RD, CDE, CDN Assistant Director Food and Nutrition Services Jewish Home Lifecare Bronx Division 100 W Kingsbridge Road Bronx, NY 10468 (718) 410-1522 kfeldberkowitz at jhha.org -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of cnm-request at lists.my180.net Sent: Friday, June 12, 2009 8:58 AM To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 50 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Re: temperature of coffee (Lisa Dalgleish) 2. Re: Harris Benedict and ADA calculators / equation recommendations (DChampeon at stmarysmaine.com) 3. Job Opportunity in the Nashville Area (Kathy Stephens) 4. Re: Harris Benedict and ADA calculators/ equation recommendations (Foner, Carole) 5. Patient Satisfaction Questions re. Meals (Mansi Shah) 6. Re: Food Service Graphics, etc (Mansi Shah) 7. Patient Delighters (Mansi Shah) 8. Re: NPO/Clear Liquid Monitoring (Orlowski, Hannah) 9. Re: FW: Nutrition Screening Questions (Julie McLaughlin) ---------------------------------------------------------------------- Message: 1 Date: Thu, 11 Jun 2009 16:07:09 -0400 From: "Lisa Dalgleish" Subject: Re: [Cnm] temperature of coffee To: , Message-ID: <4A312B98.DF60.000C.0 at lakelandregional.org> Content-Type: text/plain; charset="us-ascii" Our standard is > 165 degrees, but our coffee maker usually keeps it between 150-160. Lisa Dalgleish, RD Clinical Nutrition Supervisor Lakeland HealthCare 1234 Napier Avenue St. Joseph, MI 49085 (269) 983-8674 work phone (269) 982-4313 fax ldalgleish at lakelandregional.org >>> 6/11/2009 3:53 PM >>> Does any one know at what temperature coffee should be served? I work LTC and have a few residents that continue to complain that it isn't hot enough. thanks, Susan Harrison Gunnison Living Community Gunnison, CO -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/8216f3ea/attachment- 0001.html ------------------------------ Message: 2 Date: Thu, 11 Jun 2009 16:08:12 -0400 From: DChampeon at stmarysmaine.com Subject: Re: [Cnm] Harris Benedict and ADA calculators / equation recommendations To: "Miriam Pappo" Cc: cnm at lists.my180.net, TTaylor at dmc-sp.org, cnm-bounces at lists.my180.net Message-ID: Content-Type: TEXT/plain; charset="US-ASCII" What do you use to calculate protein needs for obese pts? Diana Champeon Director, Nutrition Services St. Mary's Regional Medical Center 100 Campus Avenue Lewiston, ME 04240 dchampeon at stmarysmaine.com phone (207)777-8603 fax (207)777-8609 "Miriam Pappo" To Sent by: , cnm-bounces at lists .my180.net cc Subject 06/09/2009 05:38 Re: [Cnm] Harris Benedict and ADA PM calculators / equation recommendations I would appreciate a reply to all. We too use Ireton-Jones for non vent & vent obese. We dont really use H-B for any altho I still like it. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Taylor, Tracy" 06/09/09 5:17 PM >>> We are facing the same issue and have just begun discussions. Would love to hear from others too. For outpatient I use Mifflin-St Jeor. For inpts we have used HB and kcals/kg and are looking at Penn State 2003a for vent non obese and Ireton-Jones 1992 for non vent and vent obese. Tracy Taylor RD, CDE Director: Diabetes Management/Outpatient Nutrition Programs Clinical Nutrition Manager Doctors Medical Center San Pablo 2000 Vale Rd San Pablo, CA 94806 phone: 510-970-5344 fax: 510-970-5739 email: ttaylor at dmc-sp.org CONFIDENTIAL AND PRIVILEGED: May contain materials protected by law. This communication contains information intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged and/or confidential. If you are not the intended recipient or an employee or agent responsible for delivering the communication to the intended recipient, you are hereby notified that any disclosure, copying, distribution, or use of its contents is prohibited. If you have received this communication in error, please notify me immediately by telephone at (510) 970-5344, return the original communication by reply e-mail, and permanently delete the communication from your system. Thank you. "A year from now you will wish you had started today." --Karen Lamb _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ------------------------------ Message: 3 Date: Thu, 11 Jun 2009 15:17:12 -0500 From: "Kathy Stephens" Subject: [Cnm] Job Opportunity in the Nashville Area To: Message-ID: <004301c9ead1$9c88df50$d59a9df0$@stephens10 at verizon.net> Content-Type: text/plain; charset="us-ascii" Williamson Hospital in the Nashville area is searching for a Patient Services Manager. This is a 180 bed acute care, not for profit, independent hospital. The position is responsible for both the clinical nutrition service and patient food service. RD with experience in acute care clinical nutrition management and patient food service management preferred. This is a wonderful facility with very competitive salary and benefits. The contact person for this position is: Christine Hartman Director of Nutrition Services Williamson Medical Center CHARTMAN at wmed.org 615-435-5562 Kathy Stephens, PhD, RD, LD Executive Success Coach Don Miller & Associates - Good To Best k.stephens10 at verizon.net 817-228-2471 (cell) -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/b6e08b5f/attachment- 0001.html ------------------------------ Message: 4 Date: Thu, 11 Jun 2009 15:30:19 -0500 From: "Foner, Carole" Subject: Re: [Cnm] Harris Benedict and ADA calculators/ equation recommendations To: , "Miriam Pappo" Cc: cnm at lists.my180.net, TTaylor at dmc-sp.org, cnm-bounces at lists.my180.net Message-ID: Content-Type: text/plain; charset="us-ascii" Please post to the list. Carole :) -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of DChampeon at stmarysmaine.com Sent: Thursday, June 11, 2009 3:08 PM To: Miriam Pappo Cc: cnm at lists.my180.net; TTaylor at dmc-sp.org; cnm-bounces at lists.my180.net Subject: Re: [Cnm] Harris Benedict and ADA calculators/ equation recommendations What do you use to calculate protein needs for obese pts? Diana Champeon Director, Nutrition Services St. Mary's Regional Medical Center 100 Campus Avenue Lewiston, ME 04240 dchampeon at stmarysmaine.com phone (207)777-8603 fax (207)777-8609 "Miriam Pappo" To Sent by: , cnm-bounces at lists .my180.net cc Subject 06/09/2009 05:38 Re: [Cnm] Harris Benedict and ADA PM calculators / equation recommendations I would appreciate a reply to all. We too use Ireton-Jones for non vent & vent obese. We dont really use H-B for any altho I still like it. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Taylor, Tracy" 06/09/09 5:17 PM >>> We are facing the same issue and have just begun discussions. Would love to hear from others too. For outpatient I use Mifflin-St Jeor. For inpts we have used HB and kcals/kg and are looking at Penn State 2003a for vent non obese and Ireton-Jones 1992 for non vent and vent obese. Tracy Taylor RD, CDE Director: Diabetes Management/Outpatient Nutrition Programs Clinical Nutrition Manager Doctors Medical Center San Pablo 2000 Vale Rd San Pablo, CA 94806 phone: 510-970-5344 fax: 510-970-5739 email: ttaylor at dmc-sp.org CONFIDENTIAL AND PRIVILEGED: May contain materials protected by law. This communication contains information intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged and/or confidential. If you are not the intended recipient or an employee or agent responsible for delivering the communication to the intended recipient, you are hereby notified that any disclosure, copying, distribution, or use of its contents is prohibited. If you have received this communication in error, please notify me immediately by telephone at (510) 970-5344, return the original communication by reply e-mail, and permanently delete the communication from your system. Thank you. "A year from now you will wish you had started today." --Karen Lamb _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ------------------------------ Message: 5 Date: Thu, 11 Jun 2009 16:05:18 -0700 From: Mansi Shah Subject: [Cnm] Patient Satisfaction Questions re. Meals To: CNM-ListServe Message-ID: Content-Type: text/plain; charset="iso-8859-1" At my facility, we use the AVATAR Patient Satisfaction Survey and 2 of the questions asked to patient are whether they find the temperature of their meals appropriate and whether their meals were served at the right time each day. Food service staff deliver meal carts to the floors, but then it is nursing from there on that delivers trays to patient rooms. On our internal audits of temperatures checked on the floors when cart is delivered- they are coming out appropriately. We do know that trays sit in the cart for patients that are asleep and then they are reheated in the microwave on the floor and served to patients, or some trays are sitting in patient rooms and they are sleeping. Does anyone have suggestions on how we can help improve the patient compliance with meal service times? Is it a nursing/patient education issue -where patients are told that meals are served between a certain time and they are encouraged to eat at that time? Any ideas/suggestions are welcome. Thanks in advance Mansi Shah, RD, CNSD Clinical Nutrition Manager Olympia Medical Center Los Angeles, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/cdb2fbee/attachment- 0001.html ------------------------------ Message: 6 Date: Thu, 11 Jun 2009 16:09:28 -0700 From: Mansi Shah Subject: Re: [Cnm] Food Service Graphics, etc To: CNM-ListServe Message-ID: Content-Type: text/plain; charset="iso-8859-1" DayDots has some free quizzes on their websites. The National Restaurant Association has some "for fee" DVDs and other employee training tools that you can purchase. Fightbac.org also has some free tools (presentations, activity sheets, fact sheets, etc.) that you can download. RD411 may also have some quizzes. Hope this helps Mansi Shah, RD, CNSD Clinical Nutrition Manager Olympia Medical Center Los Angeles, CA On Wed, Jun 10, 2009 at 2:39 PM, Beth Dorsey wrote: > Please post to list. > > > > *From:* cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] *On > Behalf Of *Karen Burnett > *Sent:* Wednesday, June 10, 2009 12:37 PM > *To:* cnm at lists.my180.net > *Subject:* [Cnm] Food Service Graphics, etc > > > > Hi all, > > Our director is looking for a few things. I would appreciate any > information on the following: > > > > 1) Any free food service graphics that can be downloaded, or requested and > > > > 2) any information regarding basic "foodservice 101" inservices or > tutorials that can help ensure consistency and competency in training food > service employees. We're talking basics like taking temperatures, > sanitation, etc. We're open to free or "for fee" publications. > > > > Thanks very much for any help, > > Karen > > > > Karen Burnett, RD, LDN, MBA > > Assistant Director, Clinical > > Food and Nutrition Services > > Baptist Memorial Hospital Memphis > > Phone: 901.226.5724 Fax: 901.226.5470 > > > > *The information within this message is considered confidential unless > otherwise noted. Any opinions expressed herein are not necessarily those of > Baptist Memorial Health Care Corporation or any of its affiliates.* > > > ------------------------------ > > *Smart Medicine. Inspired Care. And the awards to prove it. Recognized as > a Top 50 Healthcare Network. To learn about other recognition and awards > Baptist has earned, visit: http://www.bmhcc.org/aboutus/awards/index.aspThis message and any files transmitted with it may contain legally > privileged, confidential, or proprietary information. If you are not the > intended recipient of this message, you are not permitted to use, copy, or > forward it, in whole or in part without the express consent of the sender. > Please notify the sender of the error by reply email, disregard the > foregoing messages, and delete it immediately. * > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net > > -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/00bfc923/attachment- 0001.html ------------------------------ Message: 7 Date: Thu, 11 Jun 2009 16:13:56 -0700 From: Mansi Shah Subject: [Cnm] Patient Delighters To: CNM-ListServe Message-ID: Content-Type: text/plain; charset="iso-8859-1" We are considering the use of hot-towels/napkins to give to patients with their meals. Does anyone use such a service? Any recommendations on vendors? Thanks Mansi Shah, RD, CNSD Clinical Nutrition Manager Olympia Medical Center Los Angeles, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090611/f7f0701b/attachment- 0001.html ------------------------------ Message: 8 Date: Fri, 12 Jun 2009 00:05:27 -0400 From: "Orlowski, Hannah" Subject: Re: [Cnm] NPO/Clear Liquid Monitoring To: "Sandra Moretz" , "Kathleen Mershon" , "Scollard, Terese" Cc: "Tucker, Jennifer" , Gonzales Jeriann , Roberta Tripp , cnm at lists.my180.net Message-ID: <0DAF44B706E29940A409E32DC69005C0044F4439 at exchange1.phoebe.com> Content-Type: text/plain; charset="iso-8859-1" Same here. ________________________________ From: cnm-bounces at lists.my180.net on behalf of Sandra Moretz Sent: Thu 6/11/2009 2:33 PM To: Kathleen Mershon; Scollard, Terese Cc: Tucker, Jennifer; Gonzales Jeriann; Roberta Tripp; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We recently revised our policy from > 3 days to > 4 days (despite ASPEN guidelines saying 5 - we felt that was a little too long to wait). ________________________________ From: cnm-bounces at lists.my180.net [cnm-bounces at lists.my180.net] On Behalf Of Kathleen Mershon [kmershon at bak.rr.com] Sent: Wednesday, June 10, 2009 10:54 PM To: Scollard, Terese Cc: Tucker, Jennifer; Gonzales Jeriann; Roberta Tripp; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use >5 days. We used to use >3 days and would find the diet would advance the day after our assessment. We were able to change to >5 days without opposition. Kathleen Mershon, MS, RD Assistant Director Clinical Nutrition Manager San Joaquin Community Hospital Bakersfield, CA 93301 Scollard, Terese wrote: We have greater than 3 days in critical care and greater than 5 days in the remainder of the house for adults. We have 48 hours to accomplish however, so that gives the staff less pressure and creates not so high a priority for weekends with fewer staff. Most of the time it is done within 24 hours. Terese Scollard Providence Health & Services Portland OR ________________________________ From: Tucker, Jennifer [mailto:TUCKERJ at lourdesnet.org] Sent: Wednesday, June 10, 2009 7:52 AM To: Roberta Tripp; Gonzales Jeriann; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use > 5 days at my health system. Jennifer Tucker RD Clinical Nutrition Manager Lourdes Health System 1600 Haddon Avenue Camden, New Jersey 08103 856-757-3596 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Roberta Tripp Sent: Wednesday, June 10, 2009 10:34 AM To: Gonzales Jeriann; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring We use > 5 days and to my recollection to justify it we referred to an ASPEN recommendation, but I don't know the reference off hand--maybe someone else on the list would have it. Roberta Tripp MS RD LDN Clinical Nutrition Manager PinnacleHealth Department of Food and Nutrition Services 111 S. Front Street Harrisburg PA 17101 717 782 5283 rtripp at pinnaclehealth.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Gonzales Jeriann Sent: Tuesday, June 09, 2009 4:04 PM To: cnm at lists.my180.net Subject: [Cnm] NPO/Clear Liquid Monitoring Do most of you see your NPO/Clear liquid hospitalized patients at >3 days or at >5 days? We pushed through >5 days on our Pt Assessment/Reassessment Policy without a challenge, but now are having some question with one of our committees on the change. Does anyone have any studies/references regarding the timeframes? I remember the Aspen ranges given, but could not locate the study. Any assistance is appreciated. Thanks. Jeriann Gonzales, MS RD Chief Clinical Dietitian Lake City Medical Center 386-719-9046 Confidentiality Notice: This email, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please reply to the sender that you have received the message in error, then delete this message. DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. ________________________________ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ________________________________ This e-mail and any files transmitted with it may contain PRIVILEDGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the e-mail or any of its attachments, please be advised that you have received this e-mail in error and that use, dissemination, distribution, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. 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If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. ------------------------------ Message: 9 Date: Fri, 12 Jun 2009 08:59:17 -0400 From: Julie McLaughlin Subject: Re: [Cnm] FW: Nutrition Screening Questions To: , CNM List Serve Message-ID: Content-Type: text/plain; charset="windows-1252" We are a level 1 trauma center and participate in weekly trauma rounds, so we see the trauma patients. For obesity, we only see pediatric patients >95% Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL 33316 Date: Thu, 11 Jun 2009 06:08:51 -0600 From: MarcelleKarustis at catholichealth.net To: cnm at lists.my180.net Subject: [Cnm] FW: Nutrition Screening Questions Ditto for us. Marcelle Karustis MS RD RN LDN Clinical Nutrition Manager ext 2487 From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Johnston, Jill L Sent: Wednesday, June 10, 2009 2:14 PM To: Melissa Tewes; cnm at lists.my180.net Subject: Re: [Cnm] Nutrition Screening Questions We do not. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Wednesday, June 10, 2009 2:08 PM To: cnm at lists.my180.net Subject: [Cnm] Nutrition Screening Questions Do RDs see patients with the following indicators: Aspiration RISK Chemo Radiation Trauma admission Geriatric Surgical Obesity? These are a few things that we currently and am looking to get rid of before I can more thoroughly evaluation our screening parameters. Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. DISCLAIMER: The information contained in this electronic mail transmission is privileged and confidential. It is intended for the sole use and viewing of the addressee(s). If you are not the addressee(s), you are hereby notified that any disclosure, distribution, or other use of the information contained herein, other than deletion, is strictly prohibited. Violation of this prohibition may result in civil or criminal liability. If you have received this electronic mail in error, please notify the sender by way of reply. Thank you for your consideration. _________________________________________________________________ Hotmail? has ever-growing storage! Don?t worry about storage limits. http://windowslive.com/Tutorial/Hotmail/Storage?ocid=TXT_TAGLM_WL_HM_Tut orial_Storage_062009 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/9c36828c/attachment. html ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 50 *********************************** From Julie.Finney at csauh.com Fri Jun 12 08:02:46 2009 From: Julie.Finney at csauh.com (Finney, Julie) Date: Fri, 12 Jun 2009 11:02:46 -0400 Subject: [Cnm] Personal Request Message-ID: If there is anyone on the list who lives in the Baltimore, MD area would you please contact me privately at Julie.Finney at csauh.com for a personal request? Thanks so much, Julie Julie Finney, MS, RD, LD Clinical Nutrition Manager Mercy Medical Center 1320 Mercy Drive, NW Canton, Ohio 44708 330-489-1000 ext. 1600 Julie.Finney at csauh.com ----------------------------------------- The enclosed information is STRICTLY CONFIDENTIAL and is intended for the use of the addressee only. CSAHS/UHHS-Canton, Inc and its affiliates disclaim any responsibility for unauthorized disclosure of this information other than the addressee. Federal and Ohio law protect patient medical information disclosed in this email, including psychiatric disorders, (HIV) test results, AIDs-related conditions, alcohol, and/or drug dependence or abuse. Federal regulation (42 CFR Part 2) and Ohio Revised Code section 5122.31 and 3701.243 prohibit disclosure of this information without the specific written consent of the person to whom it pertains, or as otherwise permitted by law. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/7f9f5391/attachment.html From Amy.Gendron at cvmc.org Wed Jun 10 07:58:11 2009 From: Amy.Gendron at cvmc.org (Gendron, Amy L.) Date: Wed, 10 Jun 2009 10:58:11 -0400 Subject: [Cnm] Snack Offerings for Behavioral Health In-Reply-To: <4411CB5C30A2674CB4708C0CA3CBB966011D200D@sbc-exmsg5.sbcounty.gov> Message-ID: Attached is our weekly snack rotation. Amy Gendron, RD Senior Inpatient Dietitian Central Vermont Medical Center ph: 802-371-4143 fax: 802-371-5376 amy.gendron at cvmc.org -----Original Message----- From: Wells, Khongmany ARMC-Nutrition Services [mailto:WellsK at armc.sbcounty.gov] Sent: Tuesday, June 09, 2009 4:23 PM To: CNM (E-mail) Subject: [Cnm] Snack Offerings for Behavioral Health Hello Everyone, We are reviewing our snack offerings to Behavioral Health patients and wanted to see if anyone has suggestions or has a list of snacks that they would be willing to share. Thank you, Khongmany Wells, RD, MPH, CNSD Clinical Nutrition Manager Arrowhead Regional Medical Center (909) 580-2466 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/0211d312/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: snack listrevised.10-8-08.doc Type: application/msword Size: 3213824 bytes Desc: snack listrevised.10-8-08.doc Url : /pipermail/cnm_lists.my180.net/attachments/20090610/0211d312/attachment-0001.doc From cwatters at ualberta.ca Wed Jun 10 11:24:05 2009 From: cwatters at ualberta.ca (cwatters at ualberta.ca) Date: Wed, 10 Jun 2009 12:24:05 -0600 Subject: [Cnm] Nutrition Curriculum for Med student rotations In-Reply-To: <0AB0670D124B96418F1D6AAFB11D5C31011F92C5@SFH15110MV23.sfhad.stfranciscare.org> References: <0AB0670D124B96418F1D6AAFB11D5C31011F92C5@SFH15110MV23.sfhad.stfranciscare.org> Message-ID: <20090610122405.11531mdza4i08fvo@webmail.ualberta.ca> As you may be aware - 21 medical schools received specific grant funding to incorporate nutrition education into their medical curriculum from approx. 1998 - 2005. One of these programs, was the Stanford Medical program which developed the web-based nutrition curriculum.Also Dr. Lisa Hark, PhD, RD and Gail Morrison, MD from the University of Pennsylvania developed an excellent textbook - /Medical Nutrition & Disease: A Case-Based Approach , 3rd edition/ http://www.nhlbi.nih.gov/funding/training/naa/products.htm[1] In addition to undergraduate education, the Society of Teachers of Family Medicine, have developed nutrition curriculum guidelines for training family practice physicians (see attached). http://www.stfm.org/group/nutrition.cfm[2] Corilee Watters, MSc, RD, PhD Coordinator, Nutrition Services Vancouver Island Health Authority Victoria, BC Quoting "Rassekh, Shoreh" : > I will be interested as well. > > ________________________________ > > From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] > On Behalf Of talkfood at bellsouth.net > Sent: Wednesday, June 10, 2009 1:30 PM > To: cnm at lists.my180.net > Subject: [Cnm] Nutrition Curriculum for Med student rotations > > > Dear Colleagues, > > We are interested in developing a curriculum for medical students. They > will do rotations with RD's/Clinical Nutritionists for 1 morning per > week. > > Does anyone have a curriculum or reference books that they can recommend > or share? > > Thanks, > > Karon Rzad RD LDN CDE LSMC > CAM Practitioner > 305 243 8885 > > NOTICE: This email and/or attachments may contain confidential or > proprietary information which may be legally privileged. It is > intended only for the named recipient(s). If an addressing or > transmission error has misdirected this email, please notify the > author by replying to this message. If you are not the named > recipient, you are not authorized to use, disclose, distribute, make > copies or print this email, and should immediately delete it from > your computer system. Saint Francis Care has scanned this email and > its attachments for malicious content. However, the recipient should > check this email and any attachments for the presence of viruses. > Saint Francis Care accepts no liability for any damage caused by any > virus transmitted by this email. > > > Links: ------ [1] http://www.nhlbi.nih.gov/funding/training/naa/products.htm [2] http://www.stfm.org/group/nutrition.cfm -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090610/5782b5cc/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: 2007 Physicians Curriculum in Clinical Nutrition STFM final edition 3.doc Type: application/msword Size: 565760 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090610/5782b5cc/attachment-0001.doc From jross at jaycountyhospital.com Fri Jun 12 09:55:55 2009 From: jross at jaycountyhospital.com (Julayne Ross) Date: Fri, 12 Jun 2009 12:55:55 -0400 Subject: [Cnm] heartburn Message-ID: <10DE3A7624A2BD48B81AFE4E90A5094D0213DC4C@EX1.jaycountyhospital.com> I just read an article on heartburn and avoiding dairy. I have always taught that avoiding high fat items, but never made a point to say avoid dairy...even if it is low or non fat? Is this what you are all teaching? TIA Julayne -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/c7ab119e/attachment.html From JBONVEN1 at hfhs.org Fri Jun 12 10:39:45 2009 From: JBONVEN1 at hfhs.org (Bonventre, Joyce) Date: Fri, 12 Jun 2009 13:39:45 -0400 Subject: [Cnm] Healthcare Facilities Accreditation Program (HFAP) In-Reply-To: <1177D84FA0F8AD4CA9370B01EABC55F2AFEEF6@rhcexch3.reshealthcare.org> References: <519795.38693.qm@web30208.mail.mud.yahoo.com> <1177D84FA0F8AD4CA9370B01EABC55F2AFEEF6@rhcexch3.reshealthcare.org> Message-ID: <09CFF25383D39D40A73A8A00808E0C77352745E0@RHWMBX03.corp.ds.hfhs.org> Looking for your thoughts...how are you meeting the HFAP diet manual standard (24.00.07) and it's emergency plan element? It states 'A plan is in place to ensure the diet manual is readily available in the event of a power outage, internet/intranet interruptions, or computer failure'. The Nutrition Care Manual is accessible via the intranet; paper copies no longer exist. J. Bonventre, RD Joyce Bonventre, R.D. Supervisor, Clinical Nutrition Services Henry Ford Wyandotte Hospital phone: 734-246-9597 fax: 734-324-3676 From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Krzeminski, Janet Sent: Thursday, June 11, 2009 12:13 PM To: Carolyn Bailey; cnm at lists.my180.net Subject: Re: [Cnm] Healthcare Facilities Accreditation Program (HFAP) Colleagues, The 2009 Standards for HFAP Accreditation are very strong in the clinical area, and actually HFAP partnered with the ADA in writing many of the Standards. The expectations are detailed as to what are the expectations to meet the standards. NCP is highlighted as "THE" charting method and their standard is that your facility must have had NCP initiated by January, 2009. We are in the process of re-working our manual. If you are expecting an HFAP Survey, may I suggest you plan to work on a binder for 6 months prior to your survey. Other suggestions: 1. Your policies must have the HFAP verbiage. 2. Your examples of how you meet the standard should be included behind each tabbed page of the standards. 3. Work with your Champion for the HFAP survey - they will have more info for you as to how your facility should prepare. Good Luck! Janet Krzeminski Chicago, IL ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Carolyn Bailey Sent: Friday, June 05, 2009 9:54 AM To: cnm at lists.my180.net Subject: [Cnm] Healthcare Facilities Accreditation Program (HFAP) If anyone has had a survey by the Healthcare Facilities Accreditation Program, I would be interested in your experience and how it compares to other surveys, e.g., Joint Commission, CMS. Was there a strong focus in any particular area of the Food/Nutrition Services Department or any aspect of clinical practice? Thank you for your feedback! Carolyn A. Bailey, MS, RD, LD 1769 Lisa Lane Starkville, MS 39759 662.418.4491 ============================================================================== CONFIDENTIALITY NOTICE: This email contains information from the sender that may be CONFIDENTIAL, LEGALLY PRIVILEGED, PROPRIETARY or otherwise protected from disclosure. This email is intended for use only by the person or entity to whom it is addressed. If you are not the intended recipient, any use, disclosure, copying, distribution, printing, or any action taken in reliance on the contents of this email, is strictly prohibited. If you received this email in error, please contact the sending party by reply email, delete the email from your computer system and shred any paper copies. Note to Patients: There are a number of risks you should consider before using e-mail to communicate with us. See our Privacy Policy and Henry Ford My Health at www.henryford.com for more detailed information. If you do not believe that our policy gives you the privacy and security protection you need, do not send e-mail or Internet communications to us. ============================================================================== -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/6272f008/attachment.html From LDALGLEISH at lakelandregional.org Fri Jun 12 11:03:05 2009 From: LDALGLEISH at lakelandregional.org (Lisa Dalgleish) Date: Fri, 12 Jun 2009 14:03:05 -0400 Subject: [Cnm] Healthcare Facilities Accreditation Program (HFAP) In-Reply-To: <09CFF25383D39D40A73A8A00808E0C77352745E0@RHWMBX03.corp.ds.hfhs.org> References: <519795.38693.qm@web30208.mail.mud.yahoo.com> <1177D84FA0F8AD4CA9370B01EABC55F2AFEEF6@rhcexch3.reshealthcare.org> <09CFF25383D39D40A73A8A00808E0C77352745E0@RHWMBX03.corp.ds.hfhs.org> Message-ID: <4A326003.DF60.000C.0@lakelandregional.org> ADA does have a cd-rom available, and they recommend that 'important' sections of the manual be printed and available in a common location. We selected info on the major diets, including education materials, and have a binder stored in the Nursing Admin office. With both the cd-rom and a 'binder' you are covered for both internet interruption and power failure. Lisa Dalgleish, RD Clinical Nutrition Supervisor Lakeland HealthCare 1234 Napier Avenue St. Joseph, MI 49085 (269) 983-8674 work phone (269) 982-4313 fax ldalgleish at lakelandregional.org >>> "Bonventre, Joyce" 6/12/2009 1:39 PM >>> Looking for your thoughts?how are you meeting the HFAP diet manual standard (24.00.07) and it's emergency plan element? It states 'A plan is in place to ensure the diet manual is readily available in the event of a power outage, internet/intranet interruptions, or computer failure'. The Nutrition Care Manual is accessible via the intranet; paper copies no longer exist. J. Bonventre, RD Joyce Bonventre, R.D. Supervisor, Clinical Nutrition Services Henry Ford Wyandotte Hospital phone: 734-246-9597 fax: 734-324-3676 From:cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Krzeminski, Janet Sent: Thursday, June 11, 2009 12:13 PM To: Carolyn Bailey; cnm at lists.my180.net Subject: Re: [Cnm] Healthcare Facilities Accreditation Program (HFAP) Colleagues, The 2009 Standards for HFAP Accreditation are very strong in the clinical area, and actually HFAP partnered with the ADA in writing many of the Standards. The expectations are detailed as to what are the expectations to meet the standards. NCP is highlighted as "THE" charting method and their standard is that your facility must have had NCP initiated by January, 2009. We are in the process of re-working our manual. If you are expecting an HFAP Survey, may I suggest you plan to work on a binder for 6 months prior to your survey. Other suggestions: 1. Your policies must have the HFAP verbiage. 2. Your examples of how you meet the standard should be included behind each tabbed page of the standards. 3. Work with your Champion for the HFAP survey - they will have more info for you as to how your facility should prepare. Good Luck! Janet Krzeminski Chicago, IL From:cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Carolyn Bailey Sent: Friday, June 05, 2009 9:54 AM To: cnm at lists.my180.net Subject: [Cnm] Healthcare Facilities Accreditation Program (HFAP) If anyone has had a survey by the Healthcare Facilities Accreditation Program, I would be interested in your experience and how it compares to other surveys, e.g., Joint Commission, CMS. Was there a strong focus in any particular area of the Food/Nutrition Services Department or any aspect of clinical practice? Thank you for your feedback! Carolyn A. Bailey, MS, RD, LD1769 Lisa LaneStarkville, MS 39759662.418.4491 ============================================================================== CONFIDENTIALITY NOTICE: This email contains information from the sender that may be CONFIDENTIAL, LEGALLY PRIVILEGED, PROPRIETARY or otherwise protected from disclosure. This email is intended for use only by the person or entity to whom it is addressed. If you are not the intended recipient, any use, disclosure, copying, distribution, printing, or any action taken in reliance on the contents of this email, is strictly prohibited. If you received this email in error, please contact the sending party by reply email, delete the email from your computer system and shred any paper copies. Note to Patients: There are a number of risks you should consider before using e-mail to communicate with us. See our Privacy Policy and Henry Ford My Health at www.henryford.com for more detailed information. If you do not believe that our policy gives you the privacy and security protection you need, do not send e-mail or Internet communications to us. ============================================================================== -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/98838409/attachment.html From TTaylor at dmc-sp.org Fri Jun 12 12:15:47 2009 From: TTaylor at dmc-sp.org (Taylor, Tracy) Date: Fri, 12 Jun 2009 12:15:47 -0700 Subject: [Cnm] heartburn References: Message-ID: <222E81132BE3E54584CB9A5DB1CDD7E207E957@bks-emx001.dmc-sp.org> Hi Julayne I would be curious as to the article. That's news to me. I agree with you, no high fat. I tend to use the guidelines from the ADA NCM which recommends non and very low fat dairy foods. I also ask clients to keep a food log w/sx to identify foods that bother them as an individual. healthy regards Tracy Tracy Taylor RD, CDE Director: Diabetes Management/Outpatient Nutrition Programs Clinical Nutrition Manager Doctors Medical Center San Pablo 2000 Vale Rd San Pablo, CA 94806 phone: 510-970-5344 fax: 510-970-5739 email: ttaylor at dmc-sp.org CONFIDENTIAL AND PRIVILEGED: May contain materials protected by law. This communication contains information intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged and/or confidential. If you are not the intended recipient or an employee or agent responsible for delivering the communication to the intended recipient, you are hereby notified that any disclosure, copying, distribution, or use of its contents is prohibited. If you have received this communication in error, please notify me immediately by telephone at (510) 970-5344, return the original communication by reply e-mail, and permanently delete the communication from your system. Thank you. "A year from now you will wish you had started today." --Karen Lamb Message: 1 Date: Fri, 12 Jun 2009 12:55:55 -0400 From: "Julayne Ross" Subject: [Cnm] heartburn To: Message-ID: <10DE3A7624A2BD48B81AFE4E90A5094D0213DC4C at EX1.jaycountyhospital.com> Content-Type: text/plain; charset="us-ascii" I just read an article on heartburn and avoiding dairy. I have always taught that avoiding high fat items, but never made a point to say avoid dairy...even if it is low or non fat? Is this what you are all teaching? TIA Julayne - From fns at abbgen.net Fri Jun 12 14:49:26 2009 From: fns at abbgen.net (Annette Doucet) Date: Fri, 12 Jun 2009 16:49:26 -0500 Subject: [Cnm] Healthcare Facilities Accreditation Program (HFAP) In-Reply-To: <09CFF25383D39D40A73A8A00808E0C77352745E0@RHWMBX03.corp.ds.hfhs.org> References: <519795.38693.qm@web30208.mail.mud.yahoo.com><1177D84FA0F8AD4CA9370B01EABC55F2AFEEF6@rhcexch3.reshealthcare.org> <09CFF25383D39D40A73A8A00808E0C77352745E0@RHWMBX03.corp.ds.hfhs.org> Message-ID: <001d01c9eba7$a8ce54d0$02be7878@local.abbgen.net> We went ahead and printed out the most important diet information in the NCM and placed a binder with copies at each nurse's station. Our hospital also has a generator large enough to power the entire hospital in cs of power failure. We are located in south-central La., approx 40 miles from the Gulf of Mexico and frequently get hurricanes coming through our area. You can request a CD version of the NCM at no charge from ADA, when you have a subscription. We did get a CD. _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Bonventre, Joyce Sent: Friday, June 12, 2009 12:40 PM To: 'Krzeminski, Janet'; Carolyn Bailey; cnm at lists.my180.net Subject: Re: [Cnm] Healthcare Facilities Accreditation Program (HFAP) Looking for your thoughts.how are you meeting the HFAP diet manual standard (24.00.07) and it's emergency plan element? It states 'A plan is in place to ensure the diet manual is readily available in the event of a power outage, internet/intranet interruptions, or computer failure'. The Nutrition Care Manual is accessible via the intranet; paper copies no longer exist. J. Bonventre, RD Joyce Bonventre, R.D. Supervisor, Clinical Nutrition Services Henry Ford Wyandotte Hospital phone: 734-246-9597 fax: 734-324-3676 From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Krzeminski, Janet Sent: Thursday, June 11, 2009 12:13 PM To: Carolyn Bailey; cnm at lists.my180.net Subject: Re: [Cnm] Healthcare Facilities Accreditation Program (HFAP) Colleagues, The 2009 Standards for HFAP Accreditation are very strong in the clinical area, and actually HFAP partnered with the ADA in writing many of the Standards. The expectations are detailed as to what are the expectations to meet the standards. NCP is highlighted as "THE" charting method and their standard is that your facility must have had NCP initiated by January, 2009. We are in the process of re-working our manual. If you are expecting an HFAP Survey, may I suggest you plan to work on a binder for 6 months prior to your survey. Other suggestions: 1. Your policies must have the HFAP verbiage. 2. Your examples of how you meet the standard should be included behind each tabbed page of the standards. 3. Work with your Champion for the HFAP survey - they will have more info for you as to how your facility should prepare. Good Luck! Janet Krzeminski Chicago, IL _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Carolyn Bailey Sent: Friday, June 05, 2009 9:54 AM To: cnm at lists.my180.net Subject: [Cnm] Healthcare Facilities Accreditation Program (HFAP) If anyone has had a survey by the Healthcare Facilities Accreditation Program, I would be interested in your experience and how it compares to other surveys, e.g., Joint Commission, CMS. Was there a strong focus in any particular area of the Food/Nutrition Services Department or any aspect of clinical practice? Thank you for your feedback! Carolyn A. Bailey, MS, RD, LD 1769 Lisa Lane Starkville, MS 39759 662.418.4491 ============================================================================ == CONFIDENTIALITY NOTICE: This email contains information from the sender that may be CONFIDENTIAL, LEGALLY PRIVILEGED, PROPRIETARY or otherwise protected from disclosure. This email is intended for use only by the person or entity to whom it is addressed. If you are not the intended recipient, any use, disclosure, copying, distribution, printing, or any action taken in reliance on the contents of this email, is strictly prohibited. If you received this email in error, please contact the sending party by reply email, delete the email from your computer system and shred any paper copies. Note to Patients: There are a number of risks you should consider before using e-mail to communicate with us. See our Privacy Policy and Henry Ford My Health at www.henryford.com for more detailed information. If you do not believe that our policy gives you the privacy and security protection you need, do not send e-mail or Internet communications to us. ============================================================================ == No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.65/2171 - Release Date: 06/12/09 05:55:00 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/45ed83ef/attachment.html From ESCOTTSTUMPS at ecu.edu Fri Jun 12 15:16:36 2009 From: ESCOTTSTUMPS at ecu.edu (Escott-Stump, Sylvia) Date: Fri, 12 Jun 2009 18:16:36 -0400 Subject: [Cnm] On the Pulse - Friday, June 12, 2009 In-Reply-To: References: Message-ID: The weekly insights from the DC office. Sylvia Escott-Stump, MA, RD, LDN CNM Legislative Chair 252-328-1352 ________________________________ [cid:image003.jpg at 01C9EB78.DAD86F30] ----------------------------------------------------------------------------------------------------------------------------- Friday, June 12, 2009 ----------------------------------------------------------------------------------------------------------------------------- ADA brings nutrition leaders, researchers to Washington to promote nutrition in health reform ADA representatives and leading nutrition researchers this week informed Congressional staff, nutrition advocates, physicians, researchers and chronic disease organizations that nutrition is fundamental to basic health and health interventions ? that it is the cornerstone of prevention. ?ADA believes the goal for health reform must be to improve the health and quality of life for all Americans and thus, policies that keep people healthy and prevent disease must be central to our efforts,? moderator of the briefing, immediate past-president Martin Yadrick, MS, MBA, RD, FADA, said. To make nutrition the national priority, Yadrick said all Americans need access to, ?Healthy food, high quality health services provided by health teams that include registered dietitians, and health information technology to capture nutrition-related data that enhances our ability to help people and advance our understanding of the science.? Former Sen. George McGovern, highly respected champion of national and international food and nutrition advocacy, delivered the keynote address, acknowledging the importance of access to optimal nutrition for all Americans. Registered dietitians help Americans make sense of nutrition science and develop sound habits for their own health. Physicians believe there should be a greater emphasis on nutrition in the U.S. health care system, according to a Hart Research Associates survey released at the briefing. According to responses collected from 400 primary care physicians in April 2009, 96 percent believe the nation?s health care system should place more emphasis on nutrition to treat and manage chronic disease. However, only 12 percent believe physicians currently pay significant attention to nutrition in the context of chronic disease. They also identified reimbursement a barrier to such services. The national online survey conducted by Hart Research Associates was in association with the American Dietetic Association and the University of Tennessee Graduate School of Medicine, Department of Family Medicine. The study was conducted with support from Abbott Nutrition, an ADA Premier Corporate Sponsor. The research findings are available at http://www.eatright.org/ada/files/NutritionReport_FINAL.pdf. ?The good news is physicians know nutrition therapy can improve health outcomes,? said former ADA President Jane White, PhD, RD, LDN, FADA. White said the survey also showed that primary care physicians believe that incorporating nutrition elements into electronic medical records and personal health records would help their patients with chronic disease. To address the difficulties RDs and other members of the medical team have in accessing and sharing electronic patient information, a working group including ADA was formed to identify the most common parameters used to measure nutrition health that should be included in EMRs and PHRs. White noted that funding for health IT was made available in the Stimulus package, and the time is ripe to include nutrition data, ?to help our healthcare system provide cost effective, nutrition-oriented disease prevention and care.? Also speaking at the briefing were Healthcare Leadership Council President Mary Grealy; Gorden Jensen, MD, PhD, Professor and Head of Nutritional Sciences at Pennsylvania State University; Abigail Davenport of Hart Research Associates; Allard Dembe, ScD, Associate Professor and Chair of the Division of Health Services Management and Policy at the Ohio State University College of Public Health and Director of OSU?s Center for Health Outcomes, Policy and Evaluation Studies; and Refaat Hegazi, MD, PhD, Medical Director for Adult Nutrition Research and Nutrition at Abbott Nutrition. National restaurant menu labeling agreement announced in Senate A bipartisan coalition of senators on the Senate healthcare committees this week announced an agreement that would require chain restaurants to list calories on their menus and menu boards. The compromise combines key elements of the Menu Education and Labeling Act, sponsored by Sen. Tom Harkin (D-IA) and the Labeling Education and Nutrition Act, sponsored by Sens. Tom Carper (D-DE) and Lisa Murkowski (R-AK). Under the agreement, restaurants that are part of a chain with 20 or more locations doing business under the same name would be required to disclose: ? On the menu or menu board, the number of calories per menu item; ? In a written form, available immediately to consumers upon request, additional nutrition information, including total calories and calories from fat, and amounts of fat, saturated fat, cholesterol, sodium, total carbohydrates, complex carbohydrates, sugars, dietary fiber and protein. The proposal also establishes a uniform standard regarding which nutrition items are disclosed on menus and menu boards. Similar consistency was established for the Nutrition Facts panels for packaged foods when Congress enacted the Nutrition Labeling and Education Act of 1990."People need scientifically valid and understandable nutrition information to make healthful choices in all venues, including restaurants. Providing good, accurate and tested information to a consumer educated in nutrition basics can have a powerful effect on food selection at the point of sale,? said ADA President Jessie Pavlinac in a statement following the announcement. Including restaurant menu labeling provisions in health reform is one opportunity to help achieve ADA?s goal of improving the lives of Americans through food and nutrition strategies. ADA will continue to lead the call for investments in nutrition education and research. ?Research has shown that nutrition labeling in restaurants can beneficially influence food choices for some consumers. However, nutrition information alone is not enough. Nutrition education is critical,? Pavlinac said. ?ADA will seek implementation that does credit to this effort by ensuring evaluation and continued dialogue to ensure a positive consumer impact." The politics of health care reform ? week #19 Senate Majority Leader Harry Reid (D-NV) and Speaker of the House Nancy Pelosi (D-CA) have agreed on a timetable to get a health care reform bill to the President by the end of the year. Under that timetable, the five congressional committees will begin consideration of their bills as early as next week. In the Senate, the HELP Committee released its draft proposal this week and the Senate Finance Committee announced it would begin its proceedings the week of June 22. In the House, the Energy and Commerce, Ways and Means, and Education and Labor Committees have worked together to produce one bill titled the Tri-Committee bill. Each committee will use the agreed upon concepts to begin drafting their final bill. The devil is in the details - specifics of health care reform are released This week, the Senate HELP Committee released its 615 page bill on health care reform. The bill addresses delivery system reform and prevention in private and community health plans. Some of the highlights of the bill are: ? Establishment of community health teams to support the medical home model ? dietitians are included as part of the health care team and preventive and wellness services are encouraged to be performed in the medical home. ? Establishment of a National Prevention, Health, Promotion and Public Health Council to provide coordination and leadership with respect to prevention, wellness and health promotion practices, the public health system, and integrative health care in the United States. * Provisions to waive the co-payments in private care for preventive services given an A or B rating by the US Preventive Services Task Force ? intensive nutrition behavioral counseling for hyperlipidemia and ?other diet related diseases? was given a B rating BY USPSTF. * Establishment of an independent Community Prevention Services Task Force to review the scientific evidence related to the effectiveness, appropriateness, and cost-effectiveness of community preventive interventions. * Coordination of a workplace wellness marketing campaign to make employers aware of the benefits of employer-based wellness programs. * Establishment of a national voluntary insurance program for purchasing community living assistance services. The Senate HELP Committee held a hearing on its provisions after the release of the bill and they will mark-up the bill next week. The Senate Finance Committee plans to release its bill next week and will send it to the committee for mark-up the following week. The Finance Committee?s bill will focus more on Medicare and Medicaid services and delivery system reform as well as financing for the new health care program. This is also where a public option or a co-op program may be offered. As noted in the article above, the House also released a summary of its Tri-Committee bill. The committees have agreed on a medical home provision, waivers for co-payments for preventive and wellness services, payments for health outcomes rather than services, and a program to reduce hospital admissions. A full summary of the bill can be found on the HELP Committee Website at http://help.senate.gov/BAI09A84xml.pdf. Minority women lag in health care access Women of color receive far less access to formal health care services than their white counterparts, according to a new study announced this week by the Kaiser Family Foundation. The report signals "sizeable health disparities" across all 50 states in women of different racial and ethnic groups. Cara James, co-author of the study, reported on the findings and then joined several panelists, including Agency for Healthcare Research and Quality Director Carolyn Clancy, for a discussion. AHRQ released last week its report on healthcare disparities titled ?National Healthcare Disparities Report 2008? which can be accessed at www.ahrq.gov/qual/qrdr08.htm. School lunch program enrollment at all-time high Approximately 20 million children are receiving free or reduced-price lunches during the school day according to recent data from the U.S. Department of Agriculture. While overall enrollment has increased about 6 percent nationwide, some states have seen dramatic increases. California?s program has increased 17 percent with Arizona, New Jersey, Utah, and Vermont not far behind. School officials have said the current unemployment rates are believed to have raised participation in the free and reduced-price programs. Other food assistance programs, including SNAP (formerly known as food stamps) are reporting record-breaking participation rates. FDA issues draft guidance for industry on Reportable Food Registry This week the Food and Drug Administration posted guidance for the industry on its website about the draft reportable food registry as established by the Food and Drug Administration Amendments Act of 2007. The public is invited to submit comments on this draft for FDA to consider as it writes the final document. The purpose of the RFR, as intended by Congress, is to provide a ?reliable mechanism to track patterns of adulteration in food [which] would support efforts by the Food and Drug Administration to target limited inspection resources to protect the public health? (Pub. L. 110-085, section 1005(a)(4)). FDA must establish an electronic portal by which instances of reportable food must be submitted to FDA by responsible parties and may be submitted by public health offices. Upcoming ? Join ADA?s Public Policy Workshop Update! Webinar on Tuesday, June 16 at 3:00 p.m. (Eastern). This Webinar will cover policy developments that have emerged since the February 2009 PPW and prepare members for contacts they will make in person, by teleconferences and phone calls, and in writing with their elected officials in Washington. The Update! will be repeated at 5:00 p.m. (Eastern) and 8:00 p.m. (Eastern) on June 16, and posted on the ADA Web site for later viewing. Registration is available at http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/10988_11263_ENU_HTML.htm. ? Registration and housing reservations for FNCE will open next week. More information is available at www.eatright.org/events. ? Abstract submissions for the 2010 Food Safety Education Conference co-hosted by USDA and NSF International are due July 1. Details available at http://guest.cvent.com/EVENTS/Info/Custom.aspx?cid=17&e=0076080c-a4e7-40b2-a429-e8b206e6c7cc. ? The Secretary?s Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020 will meet July 10 via WebEx software. Pre-registration is required at http://www.healthypeople.gov/hp2020/advisory/default.asp. ---------------------------------------------------------------------------------------------------------------------------- Government Relations Contacts: Nutrition Policy Jennifer Weber jweber at eatright.org Regulatory Issues Mary Hager mhager at eatright.org Congressional & Political Affairs Ron Smith rsmith at eatright.org Jennifer Teters jteters at eatright.org Charmaine Jones cjones at eatright.org State Government Relations Juliana Smith jsmith at eatright.org State & Regulatory Coordinator Dana Whitley dwhitley at eatright.org Reimbursement Issues Pam Michael pmichael at eatright.org Tori Bender tbender at eatright.org General Issues Stephanie Patrick spatrick at eatright.org ----------------------------------------------------------------------------------------------------------------------------- --- You are currently subscribed to receive On The Pulse at: escottstumps at ecu.edu To unsubscribe send a blank email to leave-4383311-14232391.c25a8f8417898df068b326123ea47b18 at list.eatright.org or contact pulse at eatright.org with a request to remove your e-mail address. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/d3678b77/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: image003.jpg Type: image/jpeg Size: 11163 bytes Desc: image003.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090612/d3678b77/attachment-0001.jpg From cahns at carthageareahospital.com Sat Jun 13 06:40:39 2009 From: cahns at carthageareahospital.com (cahns at carthageareahospital.com) Date: Sat, 13 Jun 2009 13:40:39 +0000 Subject: [Cnm] Des Moines, IA Message-ID: <1837299279-1244900447-cardhu_decombobulator_blackberry.rim.net-1930955102-@bxe1318.bisx.prod.on.blackberry> If anyone is working in the Des Moines area could you please e-mail me privately? Cahns at carthageareahospital.com Thank you, Dawn Sent via BlackBerry by AT&T From LCarver at Reshealthcare.org Fri Jun 12 10:49:41 2009 From: LCarver at Reshealthcare.org (Carver, Leslee) Date: Fri, 12 Jun 2009 12:49:41 -0500 Subject: [Cnm] Healthcare Facilities Accreditation Program (HFAP) In-Reply-To: <09CFF25383D39D40A73A8A00808E0C77352745E0@RHWMBX03.corp.ds.hfhs.org> References: <519795.38693.qm@web30208.mail.mud.yahoo.com><1177D84FA0F8AD4CA9370B01EABC55F2AFEEF6@rhcexch3.reshealthcare.org> <09CFF25383D39D40A73A8A00808E0C77352745E0@RHWMBX03.corp.ds.hfhs.org> Message-ID: <5330B54133B6194BA13930BDEFE9A30E0469DF02@rhcexch3.reshealthcare.org> we have a back up disk and that has been determined to be acceptable. you can get a copy w/out out cost from the ADA. Leslee Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Bonventre, Joyce Sent: Friday, June 12, 2009 12:40 PM To: Krzeminski, Janet; Carolyn Bailey; cnm at lists.my180.net Subject: Re: [Cnm] Healthcare Facilities Accreditation Program (HFAP) Looking for your thoughts...how are you meeting the HFAP diet manual standard (24.00.07) and it's emergency plan element? It states 'A plan is in place to ensure the diet manual is readily available in the event of a power outage, internet/intranet interruptions, or computer failure'. The Nutrition Care Manual is accessible via the intranet; paper copies no longer exist. J. Bonventre, RD Joyce Bonventre, R.D. Supervisor, Clinical Nutrition Services Henry Ford Wyandotte Hospital phone: 734-246-9597 fax: 734-324-3676 From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Krzeminski, Janet Sent: Thursday, June 11, 2009 12:13 PM To: Carolyn Bailey; cnm at lists.my180.net Subject: Re: [Cnm] Healthcare Facilities Accreditation Program (HFAP) Colleagues, The 2009 Standards for HFAP Accreditation are very strong in the clinical area, and actually HFAP partnered with the ADA in writing many of the Standards. The expectations are detailed as to what are the expectations to meet the standards. NCP is highlighted as "THE" charting method and their standard is that your facility must have had NCP initiated by January, 2009. We are in the process of re-working our manual. If you are expecting an HFAP Survey, may I suggest you plan to work on a binder for 6 months prior to your survey. Other suggestions: 1. Your policies must have the HFAP verbiage. 2. Your examples of how you meet the standard should be included behind each tabbed page of the standards. 3. Work with your Champion for the HFAP survey - they will have more info for you as to how your facility should prepare. Good Luck! Janet Krzeminski Chicago, IL ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Carolyn Bailey Sent: Friday, June 05, 2009 9:54 AM To: cnm at lists.my180.net Subject: [Cnm] Healthcare Facilities Accreditation Program (HFAP) If anyone has had a survey by the Healthcare Facilities Accreditation Program, I would be interested in your experience and how it compares to other surveys, e.g., Joint Commission, CMS. Was there a strong focus in any particular area of the Food/Nutrition Services Department or any aspect of clinical practice? Thank you for your feedback! Carolyn A. Bailey, MS, RD, LD 1769 Lisa Lane Starkville, MS 39759 662.418.4491 ======================================================================== ====== CONFIDENTIALITY NOTICE: This email contains information from the sender that may be CONFIDENTIAL, LEGALLY PRIVILEGED, PROPRIETARY or otherwise protected from disclosure. This email is intended for use only by the person or entity to whom it is addressed. If you are not the intended recipient, any use, disclosure, copying, distribution, printing, or any action taken in reliance on the contents of this email, is strictly prohibited. If you received this email in error, please contact the sending party by reply email, delete the email from your computer system and shred any paper copies. Note to Patients: There are a number of risks you should consider before using e-mail to communicate with us. See our Privacy Policy and Henry Ford My Health at www.henryford.com for more detailed information. If you do not believe that our policy gives you the privacy and security protection you need, do not send e-mail or Internet communications to us. ======================================================================== ====== -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090612/a30a37ed/attachment.html From MAHTRedF at aol.com Sun Jun 14 08:07:27 2009 From: MAHTRedF at aol.com (MAHTRedF at aol.com) Date: Sun, 14 Jun 2009 11:07:27 EDT Subject: [Cnm] NPO/Clear Liquid Monitoring Message-ID: All of our patients are treated the same - one standard of care. Nurses do screening so if they refer a patient we see them within 24 hours. Our DTRs do case finding on those patients who do not have a screening referral and prioritize them into low, mild, moderate or high risk. If a patient who is on NPO/CL is nourished and turns out to be low risk per our criteria we put a 4 day NPO/CL check in our system to monitor advancement to oral diet etc - we have a large OB population (along with med/surg) so this works well. As they are low risk we would not be seeing them again unless they are referred or our system picks them up (we have a background check in our system). If they are mild, moderate or high risk we will assess on day 2 or 3 (48 hours for high and 72 hours for mild and moderate), regardless of NPO or CL status. Its their potential for malnutrition that determines when we see them, not their feeding status. Margaret Hagerty, MS,RD CNM, Cedars-Sinai Medical Center Los Angeles, CA 90048 **************Refinance and lower payments online with Ditech. Visit www.ditech.com Today! (http://pr.atwola.com/promoclk/100126575x1221879746x1201405835/aol?redir=http:%2F%2Fclk.atdmt.com%2FDEG%2Fgo%2F155848685%2Fdirect%2F01%2F ) -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090614/5df94459/attachment.html From tggilbert at att.net Sun Jun 14 16:52:03 2009 From: tggilbert at att.net (Theresa Gilbert) Date: Sun, 14 Jun 2009 16:52:03 -0700 (PDT) Subject: [Cnm] computrition Message-ID: <603406.60079.qm@web81207.mail.mud.yahoo.com> For those of you that have computrition, to what extent to your dietitians use it in their assessment and follow up processes? Ex.. we use an intake form and write on it when we go upstairs, so now we would have to transcribe it to computrition? (also, we won't have wireless capability to bring the tablets upstairs) I can see inputting preferences, etc.. that impact the menu, but how about your nutritional assessments, info patients reported to you regarding wt hx, previous intake, med hx etc...? I'd love to get a descriptor from those seasoned with computrition regarding this. I just am a bit unclear yet and want to make sure I am seeing this correctly! A lot to do.... we go live 22 June!!! I figured I would have the techs use both their old method of documenting info when they visit pts and in computrition - compare outcomes in case smart subs does not work right, etc.... We are small -- 10-40 pts at a time, so that should help us in the transition. We also only have select menus for regulars; others are currently non select but we get their prefs, etc... within 24 hrs typically. If any of you have time to talk with me this week, please let me know. I have a list of names from about 6 months ago but now that we are actually going live...... the date kept getting postponed. Thanks, Theresa Gilbert, RD 88 MDG, WPAFB, OH -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090614/d49a98b5/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 140 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090614/d49a98b5/attachment.gif From me_merrell at yahoo.com Mon Jun 15 06:25:12 2009 From: me_merrell at yahoo.com (Monica Merrell) Date: Mon, 15 Jun 2009 06:25:12 -0700 (PDT) Subject: [Cnm] patient menu disposal Message-ID: <808801.18084.qm@web36508.mail.mud.yahoo.com> In?our diet office, we shred?the menus of patients being discharged...however, when a patient is served their?tray, the menu goes in the?regular?trash (not shredded).? The patient information on the menu is:?last name and room #.? Is it safe to?say all of those can go in the?regular trash...or should?we?be shredding?all of them???What are other facilities doing? ? Thanks,Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/5feca40e/attachment.html From lrichter at notes.cc.sunysb.edu Mon Jun 15 06:41:55 2009 From: lrichter at notes.cc.sunysb.edu (lrichter at notes.cc.sunysb.edu) Date: Mon, 15 Jun 2009 09:41:55 -0400 Subject: [Cnm] Population Specific Competencies of Ambassadors Message-ID: I was wondering if anyone has examples of what they use for Population Specific Competencies for Ambassadors. Lisa L. Richter, MS, RD Clinical Nutrition Manager Stony Brook University Hospital Stony Brook, New York 11794-7012 ****************************************************************************** This e- mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by e-mail and destroy all copies of the original. ****************************************************************************** -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/708816f0/attachment.html From janet.fletcher at eamc.org Mon Jun 15 06:44:10 2009 From: janet.fletcher at eamc.org (Jan Fletcher) Date: Mon, 15 Jun 2009 08:44:10 -0500 Subject: [Cnm] patient menu disposal In-Reply-To: <808801.18084.qm@web36508.mail.mud.yahoo.com> References: <808801.18084.qm@web36508.mail.mud.yahoo.com> Message-ID: <8AF41BE5480EB240A37098F30EA04FD6058C4B12@max.AD.EAMC.ORG> We do not shred any of our menus. They go in the trash. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Monica Merrell Sent: Monday, June 15, 2009 8:25 AM To: cnm at lists.my180.net Subject: [Cnm] patient menu disposal In our diet office, we shred the menus of patients being discharged...however, when a patient is served their tray, the menu goes in the regular trash (not shredded). The patient information on the menu is: last name and room #. Is it safe to say all of those can go in the regular trash...or should we be shredding all of them? What are other facilities doing? Thanks, Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/3d350efb/attachment.html From Becky.Caldwell at BMHCC.org Mon Jun 15 07:17:16 2009 From: Becky.Caldwell at BMHCC.org (Becky Caldwell) Date: Mon, 15 Jun 2009 09:17:16 -0500 Subject: [Cnm] patient menu disposal In-Reply-To: <8AF41BE5480EB240A37098F30EA04FD6058C4B12@max.AD.EAMC.ORG> References: <808801.18084.qm@web36508.mail.mud.yahoo.com> <8AF41BE5480EB240A37098F30EA04FD6058C4B12@max.AD.EAMC.ORG> Message-ID: <38AD1C7BDCA23F4F87C9E9421259C78CC206AE@tnucexch.ad.bmhcc.org> We shred ours because it has our patient identifiers on them. Name, birthdate, medical record number, patient id number. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jan Fletcher Sent: Monday, June 15, 2009 8:44 AM To: Monica Merrell; cnm at lists.my180.net Subject: Re: [Cnm] patient menu disposal We do not shred any of our menus. They go in the trash. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Monica Merrell Sent: Monday, June 15, 2009 8:25 AM To: cnm at lists.my180.net Subject: [Cnm] patient menu disposal In our diet office, we shred the menus of patients being discharged...however, when a patient is served their tray, the menu goes in the regular trash (not shredded). The patient information on the menu is: last name and room #. Is it safe to say all of those can go in the regular trash...or should we be shredding all of them? What are other facilities doing? Thanks, Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. ----------------------------------------- Smart Medicine. Inspired Care. And the awards to prove it. Recognized as a Top 50 Healthcare Network. To learn about other recognition and awards Baptist has earned, visit: http://www.bmhcc.org/aboutus/awards/index.asp This message and any files transmitted with it may contain legally privileged, confidential, or proprietary information. If you are not the intended recipient of this message, you are not permitted to use, copy, or forward it, in whole or in part without the express consent of the sender. Please notify the sender of the error by reply email, disregard the foregoing messages, and delete it immediately. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/3a12e02c/attachment.html From cketterman at wellspan.org Mon Jun 15 06:59:06 2009 From: cketterman at wellspan.org (Ketterman-Hopkins, Cindra) Date: Mon, 15 Jun 2009 09:59:06 -0400 Subject: [Cnm] patient menu disposal In-Reply-To: <808801.18084.qm@web36508.mail.mud.yahoo.com> References: <808801.18084.qm@web36508.mail.mud.yahoo.com> Message-ID: <5B32BC7FE9D04B43A8B78CA7A19CBD4E050B18F2@EXCH4.wellspan.org> We have a Somac (not sure if that spelling is correct) where all wet and dry garbage goes. The machine mixes it with water and appropriate chemicals, then extracts the water and what is left is this fluff that is biodegradable. Cindra L. Ketterman, MS, RD, LDN Chief Clinical Dietitian York Hospital.WellSpan Health 1001 South George Street York, PA 17405-7198 (717) 851 - 3991 (717) 851 - 2345 ask for pager 0093 (717) 851 - 2934 (fax) ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Monica Merrell Sent: Monday, June 15, 2009 09:25 To: cnm at lists.my180.net Subject: [Cnm] patient menu disposal In our diet office, we shred the menus of patients being discharged...however, when a patient is served their tray, the menu goes in the regular trash (not shredded). The patient information on the menu is: last name and room #. Is it safe to say all of those can go in the regular trash...or should we be shredding all of them? What are other facilities doing? Thanks, Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/376d0d03/attachment-0001.html From fns at abbgen.net Mon Jun 15 07:18:47 2009 From: fns at abbgen.net (Annette Doucet) Date: Mon, 15 Jun 2009 09:18:47 -0500 Subject: [Cnm] patient menu disposal In-Reply-To: <808801.18084.qm@web36508.mail.mud.yahoo.com> References: <808801.18084.qm@web36508.mail.mud.yahoo.com> Message-ID: <004201c9edc4$33aa9500$02be7878@local.abbgen.net> Menus that are returned on the soiled meal trays are put into the pulper in the dishroom, not in the regular trash. _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Monica Merrell Sent: Monday, June 15, 2009 8:25 AM To: cnm at lists.my180.net Subject: [Cnm] patient menu disposal In our diet office, we shred the menus of patients being discharged...however, when a patient is served their tray, the menu goes in the regular trash (not shredded). The patient information on the menu is: last name and room #. Is it safe to say all of those can go in the regular trash...or should we be shredding all of them? What are other facilities doing? Thanks, Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.70/2177 - Release Date: 06/15/09 05:54:00 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/69c3ab87/attachment.html From abf9007 at nyp.org Mon Jun 15 07:43:57 2009 From: abf9007 at nyp.org (Amy B. Friedman) Date: Mon, 15 Jun 2009 10:43:57 -0400 Subject: [Cnm] Anti-coagulation Message-ID: <4A365E2D.90907@nyp.org> I wanted to see how other institutions are handling the National Patient Safety goal of anti-coagulation in ambulatory arena. I am interested in seeing what your referral process, screening criteria etc. If you have a policy that you would be willing to share? I appreciate any assistance as we try and get the process streamlined at our institution. Thank You, Amy Friedman MS, RD, CDN NewYork-Presbyterian Hospital Ambulatory Care Network - Nutrition Manager 212-305-7151 From cathy.peterjohn at medicorp.org Mon Jun 15 07:52:36 2009 From: cathy.peterjohn at medicorp.org (cathy.peterjohn at medicorp.org) Date: Mon, 15 Jun 2009 10:52:36 -0400 Subject: [Cnm] video on osteoporosis Message-ID: Our inpatient joint program is looking for a video/DVD to use on the patient education TV's on osteoporosis that covers prevention, tx, diet etc. Does anyone have any recommendations? Cathy Peterjohn, MS, RD, CDE Clinical Nutrition/Diabetes Manager c/o Food & Nutrition Services Mary Washington Hospital 1001 Sam Perry Blvd. Fredericksburg, VA 22401 Phone: 540-741-1680 Fax: 540-741-4022 e-mail: cathy.peterjohn at medicorp.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/cf7d2f09/attachment.html From STiller at Lifespan.org Mon Jun 15 07:57:05 2009 From: STiller at Lifespan.org (Tiller, Susan B) Date: Mon, 15 Jun 2009 10:57:05 -0400 Subject: [Cnm] CMS is in the building In-Reply-To: References: Message-ID: Hi all, CMS is paying us a visit as I type. Has anyone had a recent CMS survey that can tell me what they focus on? Do they inspect the kitchen? Thanks in advance, Sue Susan Tiller, MBA, RD, LDN, CNSD Manager, Patient Services Food & Nutrition Services Rhode Island Hospital/Hasbro Children's Hospital Phone 401-444-5602 Cell 401-639-3012 Fax 401-444-6360 From LCarver at Reshealthcare.org Mon Jun 15 08:25:08 2009 From: LCarver at Reshealthcare.org (Carver, Leslee) Date: Mon, 15 Jun 2009 10:25:08 -0500 Subject: [Cnm] CMS is in the building In-Reply-To: References: Message-ID: <5330B54133B6194BA13930BDEFE9A30E0469E1FE@rhcexch3.reshealthcare.org> My experience has been very variable. w/ our most recent visit they asked for my personnel file, the food and nutrition policy manual and a copy of the diet manual (gave them my back up disk w/ explanation). They reviewed many open charts and had issues, but none w/ clinical nutrition and never spoke to any dietitians. They did inspect the kitchen but it was an RN and she was "wowed" by our Food Service Director. She asked me a few questions: was I involved in writing the menus for patients, were menus checked for adherence to Dr ordered diets: no clinical questions. Note: there were no dietitians on this team. many years ago we had a survey w/ 13-15 surveyors and 3 were RD's and 1 was a "Sanitation". Each of use had the pleasure of being holed up in a room w/ 1 chart and 1 surveyor for 2 hrs at a time. Also, the concentration of the visit will vary upon the reason for the visit even when it is said that it is a general accreditation inspection. so, depending upon whether there was a complaint or a sentinel event and what the nature of that issue, the emphasis will likely be different. good luck. Leslee Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Tiller, Susan B Sent: Monday, June 15, 2009 9:57 AM To: cnm at lists.my180.net Subject: [Cnm] CMS is in the building Hi all, CMS is paying us a visit as I type. Has anyone had a recent CMS survey that can tell me what they focus on? Do they inspect the kitchen? Thanks in advance, Sue Susan Tiller, MBA, RD, LDN, CNSD Manager, Patient Services Food & Nutrition Services Rhode Island Hospital/Hasbro Children's Hospital Phone 401-444-5602 Cell 401-639-3012 Fax 401-444-6360 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From Linda.Woods at healthall.com Mon Jun 15 08:32:55 2009 From: Linda.Woods at healthall.com (Woods, Linda) Date: Mon, 15 Jun 2009 11:32:55 -0400 Subject: [Cnm] CMS is in the building In-Reply-To: References: Message-ID: <2B1106A6A593B147A65BD5A8939D3E11D3CA15543A@MAIL-C.healthall.com> We had a CMS survey last summer - - MUCH more involved than TJC!! I think they were here for about 4-5 days. Our surveyor was a nurse and spent about 3 hrs in the department. She asked ?about QA/PI, which we described, but she did not ask to see actual ?documents/records. ?Looked at every area of our kitchen - - opened doors, drawers, checked equipment. Asked employees questions about procedures, ie, temperature monitoring, thawing, use of 3 compartment sink, sanitizing, records, etc. The surveyors in the patient care areas did not ask any questions about clinical nutrition. Linda Woods, RD, LD Clinical Nutrition Coordinator The University Hospital 234 Goodman Street Cincinnati, OH 45219 linda.woods at healthall.com Office: 513-584-4534 Fax: 513-584-1027 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Tiller, Susan B Sent: Monday, June 15, 2009 10:57 AM To: cnm at lists.my180.net Subject: [Cnm] CMS is in the building Hi all, CMS is paying us a visit as I type. Has anyone had a recent CMS survey that can tell me what they focus on? Do they inspect the kitchen? Thanks in advance, Sue Susan Tiller, MBA, RD, LDN, CNSD Manager, Patient Services Food & Nutrition Services Rhode Island Hospital/Hasbro Children's Hospital Phone 401-444-5602 Cell 401-639-3012 Fax 401-444-6360 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. From Debra.Jeske at stlukes-stl.com Mon Jun 15 08:50:38 2009 From: Debra.Jeske at stlukes-stl.com (Jeske, Debra J) Date: Mon, 15 Jun 2009 10:50:38 -0500 Subject: [Cnm] CMS is in the building In-Reply-To: <5330B54133B6194BA13930BDEFE9A30E0469E1FE@rhcexch3.reshealthcare.org> References: <5330B54133B6194BA13930BDEFE9A30E0469E1FE@rhcexch3.reshealthcare.org> Message-ID: <39C024B8791C1943BAA07F35FFA8D6F90B4907D317@SLHMAIL.slh.stlukes.com> We had the "luck" of being randomly selected to validate our recent Joint Commission survey. There was an RD on the team. She spent a lot of time reviewing enteral feeding practices. She asked each of the dietitians how they knew how much tube feeding a patient received. When the RDs showed the surveyor on the I/O section of the chart (Cerner), they were asked how they knew what was the amount received. When the nurses were asked about how they recorded the amount of tube feeding received, they responded that they recorded the volume x rate. The nurses did not seem to get that the actual volume received was what should be recorded. We did receive a citation for not recording actual volume received. Food & Nutrition received the violation even though it was a nursing documentation issue. The surveyor indicated we received the violation as then she knew it would be addressed. This has had a positive impact with nursing policy changes. Nursing now must record volume fed per pump every 8 hours or every time a product changes. Nurse managers are reviewing tube feeding documentation daily and checking to ensure the pump is zeroed out every 8 hours. While we hated to receive the citation, in the long run it did have a positive impact on our practice. The surveyor also was big on tray assessments and documentation related to tray assessments. She looked at our tray assessment process to ensure we had documentation of correction of problems. We do an internal patient survey of the food. The initial reaction of the surveyor was that we would have to treat each patient comment as a grievance. She later received clarification that this was not necessary. The surveyors were in the building for 4 complete days. Of the 4 days, we had at least 12 hours with the surveyor. Joint Commission spent 15 minutes with our department. We felt we may have received so much attention due to the "lack" of attention by Joint Commission. Overall, it was a very stressful process but we felt it such due to the individual surveyor. Good luck in your survey. I doubt you will have the same surveyor so hopefully it will be smooth. Debbie Jeske, MS, RD, LD, CNSD Manager, Clinical Nutrition and Patient Services St. Luke's Hospital 232 S. Woods Mill Rd. Chesterfield, MO 63017 Phone 314-205-6975 Beeper 314-855-7048 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Carver, Leslee Sent: Monday, June 15, 2009 10:25 AM To: Tiller, Susan B; cnm at lists.my180.net Subject: Re: [Cnm] CMS is in the building My experience has been very variable. w/ our most recent visit they asked for my personnel file, the food and nutrition policy manual and a copy of the diet manual (gave them my back up disk w/ explanation). They reviewed many open charts and had issues, but none w/ clinical nutrition and never spoke to any dietitians. They did inspect the kitchen but it was an RN and she was "wowed" by our Food Service Director. She asked me a few questions: was I involved in writing the menus for patients, were menus checked for adherence to Dr ordered diets: no clinical questions. Note: there were no dietitians on this team. many years ago we had a survey w/ 13-15 surveyors and 3 were RD's and 1 was a "Sanitation". Each of use had the pleasure of being holed up in a room w/ 1 chart and 1 surveyor for 2 hrs at a time. Also, the concentration of the visit will vary upon the reason for the visit even when it is said that it is a general accreditation inspection. so, depending upon whether there was a complaint or a sentinel event and what the nature of that issue, the emphasis will likely be different. good luck. Leslee Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Tiller, Susan B Sent: Monday, June 15, 2009 9:57 AM To: cnm at lists.my180.net Subject: [Cnm] CMS is in the building Hi all, CMS is paying us a visit as I type. Has anyone had a recent CMS survey that can tell me what they focus on? Do they inspect the kitchen? Thanks in advance, Sue Susan Tiller, MBA, RD, LDN, CNSD Manager, Patient Services Food & Nutrition Services Rhode Island Hospital/Hasbro Children's Hospital Phone 401-444-5602 Cell 401-639-3012 Fax 401-444-6360 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net DISCLAIMER: The contents of this e-mail, including any attachments, contain information which may be confidential, legally privileged, proprietary in nature, or otherwise protected by law from disclosure, and is solely for the use of the intended recipient(s). If you are not the intended recipient, any use, disclosure or copying of this e-mail, including any attachments, is unauthorized and strictly prohibited. If you have received this e-mail in error, please notify us via return e-mail and immediately delete all copies of it from your system. Any opinions either expressed or implied in this e-mail and all attachments, are those of its author only, and do not necessarily reflect those of St. Luke's Hospital. From mpappo at montefiore.org Mon Jun 15 09:17:38 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Mon, 15 Jun 2009 12:17:38 -0400 Subject: [Cnm] CMS is in the building Message-ID: very much so. They were pretty relentless/ thorough. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Tiller, Susan B" 06/15/09 10:57 AM >>> Hi all, CMS is paying us a visit as I type. Has anyone had a recent CMS survey that can tell me what they focus on? Do they inspect the kitchen? Thanks in advance, Sue Susan Tiller, MBA, RD, LDN, CNSD Manager, Patient Services Food & Nutrition Services Rhode Island Hospital/Hasbro Children's Hospital Phone 401-444-5602 Cell 401-639-3012 Fax 401-444-6360 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An embedded and charset-unspecified text was scrubbed... Name: Miriam Pappo.vcf Url: /pipermail/cnm_lists.my180.net/attachments/20090615/d9df1b55/attachment.pl From TTaylor at dmc-sp.org Mon Jun 15 09:30:21 2009 From: TTaylor at dmc-sp.org (Taylor, Tracy) Date: Mon, 15 Jun 2009 09:30:21 -0700 Subject: [Cnm] patient menu disposal References: Message-ID: <222E81132BE3E54584CB9A5DB1CDD7E207E95F@bks-emx001.dmc-sp.org> Good moring Our policy is to shred anything with patient identifier, including name. fyi since June 1 we have also including DOB as 2nd pt identifier Tracy Tracy Taylor RD, CDE Director: Diabetes Management/Outpatient Nutrition Programs Clinical Nutrition Manager Doctors Medical Center San Pablo 2000 Vale Rd San Pablo, CA 94806 phone: 510-970-5344 fax: 510-970-5739 email: ttaylor at dmc-sp.org CONFIDENTIAL AND PRIVILEGED: May contain materials protected by law. This communication contains information intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged and/or confidential. If you are not the intended recipient or an employee or agent responsible for delivering the communication to the intended recipient, you are hereby notified that any disclosure, copying, distribution, or use of its contents is prohibited. If you have received this communication in error, please notify me immediately by telephone at (510) 970-5344, return the original communication by reply e-mail, and permanently delete the communication from your system. Thank you. "A year from now you will wish you had started today." --Karen Lamb -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of cnm-request at lists.my180.net Sent: Monday, June 15, 2009 7:17 AM To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 61 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. computrition (Theresa Gilbert) 2. patient menu disposal (Monica Merrell) 3. Population Specific Competencies of Ambassadors (lrichter at notes.cc.sunysb.edu) 4. Re: patient menu disposal (Jan Fletcher) 5. Re: patient menu disposal (Becky Caldwell) 6. Re: patient menu disposal (Ketterman-Hopkins, Cindra) ---------------------------------------------------------------------- Message: 1 Date: Sun, 14 Jun 2009 16:52:03 -0700 (PDT) From: Theresa Gilbert Subject: [Cnm] computrition To: cnm at lists.my180.net Message-ID: <603406.60079.qm at web81207.mail.mud.yahoo.com> Content-Type: text/plain; charset="us-ascii" For those of you that have computrition, to what extent to your dietitians use it in their assessment and follow up processes? Ex.. we use an intake form and write on it when we go upstairs, so now we would have to transcribe it to computrition? (also, we won't have wireless capability to bring the tablets upstairs) I can see inputting preferences, etc.. that impact the menu, but how about your nutritional assessments, info patients reported to you regarding wt hx, previous intake, med hx etc...? I'd love to get a descriptor from those seasoned with computrition regarding this. I just am a bit unclear yet and want to make sure I am seeing this correctly! A lot to do.... we go live 22 June!!! I figured I would have the techs use both their old method of documenting info when they visit pts and in computrition - compare outcomes in case smart subs does not work right, etc.... We are small -- 10-40 pts at a time, so that should help us in the transition. We also only have select menus for regulars; others are currently non select but we get their prefs, etc... within 24 hrs typically. If any of you have time to talk with me this week, please let me know. I have a list of names from about 6 months ago but now that we are actually going live...... the date kept getting postponed. Thanks, Theresa Gilbert, RD 88 MDG, WPAFB, OH -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090614/d49a98b5/attachment- 0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 140 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090614/d49a98b5/attachment- 0001.gif ------------------------------ Message: 2 Date: Mon, 15 Jun 2009 06:25:12 -0700 (PDT) From: Monica Merrell Subject: [Cnm] patient menu disposal To: cnm at lists.my180.net Message-ID: <808801.18084.qm at web36508.mail.mud.yahoo.com> Content-Type: text/plain; charset="iso-8859-1" In?our diet office, we shred?the menus of patients being discharged...however, when a patient is served their?tray, the menu goes in the?regular?trash (not shredded).? The patient information on the menu is:?last name and room #.? Is it safe to?say all of those can go in the?regular trash...or should?we?be shredding?all of them???What are other facilities doing? ? Thanks,Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/5feca40e/attachment- 0001.html ------------------------------ Message: 3 Date: Mon, 15 Jun 2009 09:41:55 -0400 From: lrichter at notes.cc.sunysb.edu Subject: [Cnm] Population Specific Competencies of Ambassadors To: Cnm at lists.my180.net Message-ID: Content-Type: text/plain; charset="us-ascii" I was wondering if anyone has examples of what they use for Population Specific Competencies for Ambassadors. Lisa L. Richter, MS, RD Clinical Nutrition Manager Stony Brook University Hospital Stony Brook, New York 11794-7012 ************************************************************************ ****** This e- mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by e-mail and destroy all copies of the original. ************************************************************************ ****** -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/708816f0/attachment- 0001.html ------------------------------ Message: 4 Date: Mon, 15 Jun 2009 08:44:10 -0500 From: "Jan Fletcher" Subject: Re: [Cnm] patient menu disposal To: "Monica Merrell" , Message-ID: <8AF41BE5480EB240A37098F30EA04FD6058C4B12 at max.AD.EAMC.ORG> Content-Type: text/plain; charset="us-ascii" We do not shred any of our menus. They go in the trash. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Monica Merrell Sent: Monday, June 15, 2009 8:25 AM To: cnm at lists.my180.net Subject: [Cnm] patient menu disposal In our diet office, we shred the menus of patients being discharged...however, when a patient is served their tray, the menu goes in the regular trash (not shredded). The patient information on the menu is: last name and room #. Is it safe to say all of those can go in the regular trash...or should we be shredding all of them? What are other facilities doing? Thanks, Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/3d350efb/attachment- 0001.html ------------------------------ Message: 5 Date: Mon, 15 Jun 2009 09:17:16 -0500 From: "Becky Caldwell" Subject: Re: [Cnm] patient menu disposal To: "Jan Fletcher" , "Monica Merrell" , Message-ID: <38AD1C7BDCA23F4F87C9E9421259C78CC206AE at tnucexch.ad.bmhcc.org> Content-Type: text/plain; charset="us-ascii" We shred ours because it has our patient identifiers on them. Name, birthdate, medical record number, patient id number. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jan Fletcher Sent: Monday, June 15, 2009 8:44 AM To: Monica Merrell; cnm at lists.my180.net Subject: Re: [Cnm] patient menu disposal We do not shred any of our menus. They go in the trash. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Monica Merrell Sent: Monday, June 15, 2009 8:25 AM To: cnm at lists.my180.net Subject: [Cnm] patient menu disposal In our diet office, we shred the menus of patients being discharged...however, when a patient is served their tray, the menu goes in the regular trash (not shredded). The patient information on the menu is: last name and room #. Is it safe to say all of those can go in the regular trash...or should we be shredding all of them? What are other facilities doing? Thanks, Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. ----------------------------------------- Smart Medicine. Inspired Care. And the awards to prove it. Recognized as a Top 50 Healthcare Network. To learn about other recognition and awards Baptist has earned, visit: http://www.bmhcc.org/aboutus/awards/index.asp This message and any files transmitted with it may contain legally privileged, confidential, or proprietary information. If you are not the intended recipient of this message, you are not permitted to use, copy, or forward it, in whole or in part without the express consent of the sender. Please notify the sender of the error by reply email, disregard the foregoing messages, and delete it immediately. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/3a12e02c/attachment- 0001.html ------------------------------ Message: 6 Date: Mon, 15 Jun 2009 09:59:06 -0400 From: "Ketterman-Hopkins, Cindra" Subject: Re: [Cnm] patient menu disposal To: "Monica Merrell" , Message-ID: <5B32BC7FE9D04B43A8B78CA7A19CBD4E050B18F2 at EXCH4.wellspan.org> Content-Type: text/plain; charset="us-ascii" We have a Somac (not sure if that spelling is correct) where all wet and dry garbage goes. The machine mixes it with water and appropriate chemicals, then extracts the water and what is left is this fluff that is biodegradable. Cindra L. Ketterman, MS, RD, LDN Chief Clinical Dietitian York Hospital.WellSpan Health 1001 South George Street York, PA 17405-7198 (717) 851 - 3991 (717) 851 - 2345 ask for pager 0093 (717) 851 - 2934 (fax) ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Monica Merrell Sent: Monday, June 15, 2009 09:25 To: cnm at lists.my180.net Subject: [Cnm] patient menu disposal In our diet office, we shred the menus of patients being discharged...however, when a patient is served their tray, the menu goes in the regular trash (not shredded). The patient information on the menu is: last name and room #. Is it safe to say all of those can go in the regular trash...or should we be shredding all of them? What are other facilities doing? Thanks, Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/376d0d03/attachment. html ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 61 *********************************** From Margaret.Chaffin at hcahealthcare.com Mon Jun 15 10:46:12 2009 From: Margaret.Chaffin at hcahealthcare.com (Chaffin Meg) Date: Mon, 15 Jun 2009 12:46:12 -0500 Subject: [Cnm] Tray assessment forms Message-ID: I am in the process of revising my tray assessment form and was wondering if anyone is willing to share theirs? Thanks in advance. Meg Chaffin MA,RD,LD Clinical Nutrition Manager Palmyra Medical Centers (229)434-2394 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/3d77eb92/attachment.html From cketterman at wellspan.org Mon Jun 15 10:54:34 2009 From: cketterman at wellspan.org (Ketterman-Hopkins, Cindra) Date: Mon, 15 Jun 2009 13:54:34 -0400 Subject: [Cnm] Lookinf for ....... Message-ID: <5B32BC7FE9D04B43A8B78CA7A19CBD4E050B18FE@EXCH4.wellspan.org> I'm trying to find Andrea Gorman or anyone who knows her or the person that posted the question 1 or 2 weeks ago re Ketogenic diet programs. I sent some info to Andrea about our program but it was returned due to incorrect address. Thanks Cindy Cindra L. Ketterman, MS, RD, LDN Chief Clinical Dietitian York Hospital.WellSpan Health 1001 South George Street York, PA 17405-7198 (717) 851 - 3991 (717) 851 - 2345 ask for pager 0093 (717) 851 - 2934 (fax) CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/ef4444ce/attachment.html From jross at jaycountyhospital.com Mon Jun 15 12:10:22 2009 From: jross at jaycountyhospital.com (Julayne Ross) Date: Mon, 15 Jun 2009 15:10:22 -0400 Subject: [Cnm] paper on sport drinks? Message-ID: <10DE3A7624A2BD48B81AFE4E90A5094D0217EFAA@EX1.jaycountyhospital.com> Need info for a radio talk to compare sports drinks and other guidelines on how much is needed for sports...etc. Julayne -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/92721792/attachment.html From Sandra.Harrison at lrmc.com Mon Jun 15 12:16:11 2009 From: Sandra.Harrison at lrmc.com (Sandra Harrison) Date: Mon, 15 Jun 2009 15:16:11 -0400 Subject: [Cnm] food drug interactions/JCAHO Message-ID: <4A3665BA.B0D7.000E.0@lrmc.com> What are some measurements to validate for JCAHO, "review medication orders" and show compliance? (Mediation Management 05.01.01 #5) Sandra Harrison, MSA, RD Clinical Nutrition Manager Lakeland Regional Medical Center Ext. 2631 Sandra.Harrison at lrmc.com Confidentiality Notice: This is a transmission from Lakeland Regional Medical Center. This message and any attached documents may be confidential and contain information protected by state and federal medical privacy statutes. They are intended only for the use of the addressee. If you are not the intended recipient, any disclosure, copying, or distribution of this information is strictly prohibited. If you received this transmission in error, please accept our apologies and notify the sender. This Message has been scanned for Viruses and objectionable content by McAfee Webshield." -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/91a6a3d8/attachment.html From amy.lafalce at gwu-hospital.com Mon Jun 15 12:21:23 2009 From: amy.lafalce at gwu-hospital.com (Amy LaFalce) Date: Mon, 15 Jun 2009 15:21:23 -0400 Subject: [Cnm] paper on sport drinks? In-Reply-To: <10DE3A7624A2BD48B81AFE4E90A5094D0217EFAA@EX1.jaycountyhospital.com> References: <10DE3A7624A2BD48B81AFE4E90A5094D0217EFAA@EX1.jaycountyhospital.com> Message-ID: An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/6162e407/attachment.html From Jcurrey at umm.edu Mon Jun 15 13:37:24 2009 From: Jcurrey at umm.edu (Jennifer Currey) Date: Mon, 15 Jun 2009 16:37:24 -0400 Subject: [Cnm] anyone have ideas for a performance improvement indicator Message-ID: <4A3678C5.097B.00D0.0@umm.edu> Is anyone doing anything new and innovative for performance improvement? We are looking for an indicator that clinical nutrition can have a direct impact on- any thoughts? TIA Jennifer Currey RD,LDN University Specialty Hospital Clinical Nutrition Manager 410-547-8500 Ext:545 Cell: 410-409-3614 This e-mail and any accompanying attachments may be privileged, confidential, contain protected health information about an identified patient or be otherwise protected from disclosure. State and federal law protect the confidentiality of this information. If the reader of this message is not the intended recipient; you are prohibited from using, disclosing, reproducing or distributing this information; you should immediately notify the sender by telephone or e-mail and delete this e-mail. From julie.mclaughlin at hotmail.com Mon Jun 15 13:56:53 2009 From: julie.mclaughlin at hotmail.com (Julie McLaughlin) Date: Mon, 15 Jun 2009 16:56:53 -0400 Subject: [Cnm] Liver transplant documentation of training and competency Message-ID: CMS is here today inspecting our Liver Txp clinic and services. While interviewing the RD, they asked how she was "trained" to cover Liver txp. We do not have any documented training, per se. She was introduced to the unit in 2007 during her orientation. She has been covering the inpt area of transplant ever since. She has been introduced to the liver transplant clinic this past March when we initially started providing coverage but this is not documented. Annual and ongoing assessment of clinical competency is completed and documented on her looking at all disease states, obviously including txp. We have specific transplant references in our clinical library and she has conducted an inservice to the other RDs on Liver Txp and Nutrition. They are going to review the HR file tomorrow. Does anyone have any insight on what exactly they are looking for? Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL 33316 _________________________________________________________________ Insert movie times and more without leaving Hotmail?. http://windowslive.com/Tutorial/Hotmail/QuickAdd?ocid=TXT_TAGLM_WL_HM_Tutorial_QuickAdd_062009 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/c95a41d1/attachment.html From marissa.hofman at ucdmc.ucdavis.edu Mon Jun 15 14:08:58 2009 From: marissa.hofman at ucdmc.ucdavis.edu (Marissa Hofman) Date: Mon, 15 Jun 2009 14:08:58 -0700 Subject: [Cnm] Outpatient Chart Audits Message-ID: Is anyone willing to share their Chart Review form for outpatient dietitian notes? What are you monitoring for outpatient RD compliance and competence? Thank you. Marissa Hofman, RD Clinical Nutrition Manager UC Davis Medical Center Food & Nutrition Dept. 2315 Stockton Blvd Sacramento, CA 95817 Phone: (916) 734-5100 Fax: (916)734-3154 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/d1445d3e/attachment.html From LCarver at Reshealthcare.org Mon Jun 15 14:19:08 2009 From: LCarver at Reshealthcare.org (Carver, Leslee) Date: Mon, 15 Jun 2009 16:19:08 -0500 Subject: [Cnm] Outpatient Chart Audits In-Reply-To: References: Message-ID: <5330B54133B6194BA13930BDEFE9A30E0469E4B4@rhcexch3.reshealthcare.org> we are using the same peer review form as w/ inpts. there may be a couple "N/a's" but no more than w/ inpts. Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Marissa Hofman Sent: Monday, June 15, 2009 4:09 PM To: CNM at lists.my180.net Subject: [Cnm] Outpatient Chart Audits Is anyone willing to share their Chart Review form for outpatient dietitian notes? What are you monitoring for outpatient RD compliance and competence? Thank you. Marissa Hofman, RD Clinical Nutrition Manager UC Davis Medical Center Food & Nutrition Dept. 2315 Stockton Blvd Sacramento, CA 95817 Phone: (916) 734-5100 Fax: (916)734-3154 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/d042a4bc/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: Clinical Competency Peer Review Collection Form.doc Type: application/msword Size: 38912 bytes Desc: Clinical Competency Peer Review Collection Form.doc Url : /pipermail/cnm_lists.my180.net/attachments/20090615/d042a4bc/attachment-0001.doc From ESCOTTSTUMPS at ecu.edu Mon Jun 15 15:08:29 2009 From: ESCOTTSTUMPS at ecu.edu (Escott-Stump, Sylvia) Date: Mon, 15 Jun 2009 18:08:29 -0400 Subject: [Cnm] Please choose this opportunity! Message-ID: Please send your Senators and Representatives an important message. Please see below. Sylvia Escott-Stump, MA, RD, LDN CNM legislative chair 252-328-1352 ________________________________ ACTION ALERT June 15, 2009 At the beginning of 2009, the American Dietetic Association advised all its members that events in Washington this year are likely to reshape nearly every venue where registered dietitians and other members work. Health reform issues are dominating the national dialogue, and bills on MNT and obesity are at critical stages for consideration. Now is a time for you to act as if your career depended on communicating the importance of nutrition. In fact, it may. Please contact your representatives in Washington this week in support of two measures that could be included in comprehensive health reform legislation. The more support we can generate for these measures now, the better the chances that nutrition care and services will be covered in a reformed American health care system. In the House, Rep. Diana DeGette has introduced H.R. 2590 to expand the current Medicare Medical Nutrition Therapy benefit to persons who are pre-diabetic. For this bill to be seriously considered, more than 100 cosponsors will be needed. We are asking you to ask your representative in the House to immediately sign on in support of this measure. Your message is simple: MNT is proven to be an effective treatment in the prevention of type 2 diabetes. With 56 million Americans classified as pre-diabetic, it is wise to invest in their care now so that they do not develop the far more costly and debilitating disease. In other words, MNT provided by registered dietitians is cost effective. In the Senate, Sen. Jeff Bingaman has introduced S. 1060, the Obesity, Treatment, Prevention and Research Act of 2009. S. 1060 is the first comprehensive bill that addresses the need for access to healthy foods, monitoring of weight and BMI in medical records, improved community prevention programs, and treatment of obesity with Medical Nutrition Therapy. As an ADA member, it is easy to contact your elected officials by using ADA?s Grassroots Manager Web site. Through Grassroots Manager, you can write and send an email or letter to your members of Congress in a matter of a few moments. You can also get information to make a follow up phone call to the office. Here?s how to make a difference. * Open www.eatright.org in Internet Explorer * Enter in your ADA member number and password * Go to the Advocacy and the Profession page * Select ?Grassroots Manager? on the left hand side * If prompted, re-enter your ADA member number and password * Select the ?Take Action? tab * Select the letter titled ?Letters to Senators- Co-sponsor S. 1060? and ?Letters to the House ? MNT for Pre-Diabetes? (you can only select one at a time) * Select your Senators for S. 1060 letter, and Representatives for the H.R. 2590 letter. * The letter will open up, feel free to add in your own personal statements at the beginning or the end of the letter * Select ?send electronically? * Your letter will be sent via email. If it cannot be sent electronically, you can print the letter and fax it to your representatives. If you have problems when sending your letter, contact Jennifer Teters at jteters at eatright.org. You can expect to receive additional messages from ADA for you to be involved in the nation?s health debate. We cannot risk being left out of health reform at this time. Act like your career depended on communicating the importance of nutrition. In fact, it may. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/af9bc86a/attachment.html From Maureen.McAndrews at emoryhealthcare.org Mon Jun 15 18:51:56 2009 From: Maureen.McAndrews at emoryhealthcare.org (McAndrews, Maureen) Date: Mon, 15 Jun 2009 21:51:56 -0400 Subject: [Cnm] Liver transplant documentation of training and competency In-Reply-To: References: Message-ID: We prepared for a CMS audit of our transplant programs in late 2007 by developing a checklist for all new employees that I will attach here, and putting together a notebook with information on all of our programs, criteria used for nutrition evals for each type of transplant (we do hear, liver, lung and kidney). For established employees we had them sign a form that said something about having been oriented to transplant programs. Our RDs are part of the team that evaluates each transplant patient in the outpatient clinic (we have protocols for liver and kidney evals and are developing them for lung and heart). We also see every transplanted patient in hospital when they receive their organ. CMS reviewed the file of every one of the dietitians directly involved, and was satisfied. They also cited nutrition as being the only discipline that consistently documented in the medical record according to their standards. We received kudos for this. Maureen Maureen McAndrews, MPH, RD, LD Assistant Director, FNS Director, Dietetic Internship Emory Hospitals Atlanta, GA 30322 404-712-4176 (O) 404-693-2791 (C) From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Julie McLaughlin Sent: Monday, June 15, 2009 4:57 PM To: CNM List Serve Subject: [Cnm] Liver transplant documentation of training and competency Importance: High CMS is here today inspecting our Liver Txp clinic and services. While interviewing the RD, they asked how she was "trained" to cover Liver txp. We do not have any documented training, per se. She was introduced to the unit in 2007 during her orientation. She has been covering the inpt area of transplant ever since. She has been introduced to the liver transplant clinic this past March when we initially started providing coverage but this is not documented. Annual and ongoing assessment of clinical competency is completed and documented on her looking at all disease states, obviously including txp. We have specific transplant references in our clinical library and she has conducted an inservice to the other RDs on Liver Txp and Nutrition. They are going to review the HR file tomorrow. Does anyone have any insight on what exactly they are looking for? Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL 33316 ________________________________ Insert movie times and more without leaving Hotmail(r). See how. ________________________________ This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090615/841530f3/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: transplant orientation.docx Type: application/vnd.openxmlformats-officedocument.wordprocessingml.document Size: 11823 bytes Desc: transplant orientation.docx Url : /pipermail/cnm_lists.my180.net/attachments/20090615/841530f3/attachment.bin From eedwards at skmc.gov.ae Mon Jun 15 21:51:01 2009 From: eedwards at skmc.gov.ae (Ellen Edwards) Date: Tue, 16 Jun 2009 08:51:01 +0400 Subject: [Cnm] NPO/Clear Liquid Monitoring In-Reply-To: References: Message-ID: <9A99F98786F9254597C0A0C62685FB5A0875603917@AHA-MAIL.skmc.gov.ae> Hello- as you focus only on nourished verses malnourished status, please share with us the criteria you are using and references, thank you Ellen Edwards, RD LD Head, Clinical Dietetics Chief Clinical Dietitian Sheikh Khalifa Medical City (SKMC) Managed by Cleveland Clinic Abu Dhabi, United Arab Emirates Email: eedwards at skmc.gov.ae ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of MAHTRedF at aol.com Sent: Sunday, June 14, 2009 7:07 PM To: Jeriann.Gonzales at HCAhealthcare.com; cnm at lists.my180.net Subject: Re: [Cnm] NPO/Clear Liquid Monitoring All of our patients are treated the same - one standard of care. Nurses do screening so if they refer a patient we see them within 24 hours. Our DTRs do case finding on those patients who do not have a screening referral and prioritize them into low, mild, moderate or high risk. If a patient who is on NPO/CL is nourished and turns out to be low risk per our criteria we put a 4 day NPO/CL check in our system to monitor advancement to oral diet etc - we have a large OB population (along with med/surg) so this works well. As they are low risk we would not be seeing them again unless they are referred or our system picks them up (we have a background check in our system). If they are mild, moderate or high risk we will assess on day 2 or 3 (48 hours for high and 72 hours for mild and moderate), regardless of NPO or CL status. Its their potential for malnutrition that determines when we see them, not their feeding status. Margaret Hagerty, MS,RD CNM, Cedars-Sinai Medical Center Los Angeles, CA 90048 ________________________________ Refinance and lower payments online with Ditech. Visit www.ditech.com Today! ________________________________ Confidentiality Note: This message and any included attachments are intended for the exclusive use of the individual or entity that is the named addressee and may contain information that is privileged or confidential or otherwise legally exempt from disclosure. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/6bdce14d/attachment-0001.html From Lyn.Haft at rexhealth.com Tue Jun 16 04:33:32 2009 From: Lyn.Haft at rexhealth.com (Haft, Lyn) Date: Tue, 16 Jun 2009 07:33:32 -0400 Subject: [Cnm] anyone have ideas for a performance improvement indicator In-Reply-To: <4A3678C5.097B.00D0.0@umm.edu> Message-ID: <6C5C5FBEE636A043BC7466A8CAE0732F0B6DC0E5@exchmail1.rexhealth.com> Please post We document TPNs prevented by RD intervention. We are also going to begin monitoring and reporting (we do monitor) BG to compare vs. when RDs did not manage the TPN. We also have been, but will DC the readmission rates for CHF pts. That have been educated on NA+ R. by an RD Lyn Haft Clinical Nutrition Manager Rex Healthcare 4420 Lake Boone Trail Raleigh, NC 27607 919-784-3162 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jennifer Currey Sent: Monday, June 15, 2009 4:37 PM To: cnm at lists.my180.net Subject: [Cnm] anyone have ideas for a performance improvement indicator Is anyone doing anything new and innovative for performance improvement? We are looking for an indicator that clinical nutrition can have a direct impact on- any thoughts? TIA Jennifer Currey RD,LDN University Specialty Hospital Clinical Nutrition Manager 410-547-8500 Ext:545 Cell: 410-409-3614 This e-mail and any accompanying attachments may be privileged, confidential, contain protected health information about an identified patient or be otherwise protected from disclosure. State and federal law protect the confidentiality of this information. If the reader of this message is not the intended recipient; you are prohibited from using, disclosing, reproducing or distributing this information; you should immediately notify the sender by telephone or e-mail and delete this e-mail. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ----- Confidentiality Notice ----- This e-mail and any attached documents contain confidential information belonging to the sending entity, Rex Healthcare, and is intended only for the use of the individual(s) or entity(s) associated with the recipient addresses listed in the message header. The authorized recipient of this information is prohibited from disclosing this information to any other party. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of the email and/or attachments is strictly prohibited. If you received this e-mail transmission in error, please notify the sender immediately to arrange for return or destruction of this information. To report abuse or inappropriate use, please email abuse at rexhealth.com.(b) From KHorvath at swgeneral.com Tue Jun 16 06:26:35 2009 From: KHorvath at swgeneral.com (Horvath, Karen) Date: Tue, 16 Jun 2009 09:26:35 -0400 Subject: [Cnm] Dysphagia evals Message-ID: <0BD69CE7EFA7F74A9500CD83C2ADC67902269278@SWEXCHANGE.swgeneral.corp> Hi all, For those of you with a certified stroke program, currently we receive consults for all dysphagia evals and assess them after speech sees them. Do you see all dysphagia consults? What is your criteria? Thank-you Karen Horvath MA RD LD SWGMC Middleburg Heights, Ohio -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/35187674/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 5048 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090616/35187674/attachment.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 1325 bytes Desc: image002.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090616/35187674/attachment.gif From NEgelhofer at saintjosephri.com Tue Jun 16 06:52:30 2009 From: NEgelhofer at saintjosephri.com (Egelhofer, Nancy) Date: Tue, 16 Jun 2009 09:52:30 -0400 Subject: [Cnm] anyone have ideas for a performance improvement indicator In-Reply-To: <6C5C5FBEE636A043BC7466A8CAE0732F0B6DC0E5@exchmail1.rexhealth.com> Message-ID: What is +R for education? NA must be sodium... -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Haft, Lyn Sent: Tuesday, June 16, 2009 7:34 AM To: Jennifer Currey; cnm at lists.my180.net Subject: Re: [Cnm] anyone have ideas for a performance improvement indicator Please post We document TPNs prevented by RD intervention. We are also going to begin monitoring and reporting (we do monitor) BG to compare vs. when RDs did not manage the TPN. We also have been, but will DC the readmission rates for CHF pts. That have been educated on NA+ R. by an RD Lyn Haft Clinical Nutrition Manager Rex Healthcare 4420 Lake Boone Trail Raleigh, NC 27607 919-784-3162 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jennifer Currey Sent: Monday, June 15, 2009 4:37 PM To: cnm at lists.my180.net Subject: [Cnm] anyone have ideas for a performance improvement indicator Is anyone doing anything new and innovative for performance improvement? We are looking for an indicator that clinical nutrition can have a direct impact on- any thoughts? TIA Jennifer Currey RD,LDN University Specialty Hospital Clinical Nutrition Manager 410-547-8500 Ext:545 Cell: 410-409-3614 This e-mail and any accompanying attachments may be privileged, confidential, contain protected health information about an identified patient or be otherwise protected from disclosure. State and federal law protect the confidentiality of this information. If the reader of this message is not the intended recipient; you are prohibited from using, disclosing, reproducing or distributing this information; you should immediately notify the sender by telephone or e-mail and delete this e-mail. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ----- Confidentiality Notice ----- This e-mail and any attached documents contain confidential information belonging to the sending entity, Rex Healthcare, and is intended only for the use of the individual(s) or entity(s) associated with the recipient addresses listed in the message header. The authorized recipient of this information is prohibited from disclosing this information to any other party. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of the email and/or attachments is strictly prohibited. If you received this e-mail transmission in error, please notify the sender immediately to arrange for return or destruction of this information. To report abuse or inappropriate use, please email abuse at rexhealth.com.(b) _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net (THIS DOCUMENT IS INTENDED ONLY FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL, AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW.) If you are not the intended recipient any dissemination, distribution, copying or use of this document is strictly prohibited. If you have received this communication in error, please notify me immediately at the email address above and delete all copies of this communication. From hgreenw2 at fairview.org Tue Jun 16 06:54:03 2009 From: hgreenw2 at fairview.org (Greenwaldt, Heidi J) Date: Tue, 16 Jun 2009 08:54:03 -0500 Subject: [Cnm] Liver transplant documentation of training and competency In-Reply-To: Message-ID: <59F3EAD5C3376A42B3CD083F034A612704E30641@digsmxmbx06.Fairview.org> We had our CMS audit earlier this year. We have the ASPEN (or maybe it's ADA) transplant and nutrition reference. We also have clinical practice guidelines developed for kidney, liver, islet, pancreas, small bowel transplants that the RDs in that area review. The dietitians who cover transplant complete the same competencies in terms of the Nutrition Care Process/charting, etc. We had some clarifying questions but they seemed to be satisfied with this information. Heidi Jo Greenwaldt MS, RD, LD, CNSD Clinical Nutrition Manager University of Minnesota Medical Center, Fairview Phone 612-273-3216 Pager 612-539-7451 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Julie McLaughlin Sent: Monday, June 15, 2009 3:57 PM To: CNM List Serve Subject: [Cnm] Liver transplant documentation of training and competency Importance: High CMS is here today inspecting our Liver Txp clinic and services. While interviewing the RD, they asked how she was "trained" to cover Liver txp. We do not have any documented training, per se. She was introduced to the unit in 2007 during her orientation. She has been covering the inpt area of transplant ever since. She has been introduced to the liver transplant clinic this past March when we initially started providing coverage but this is not documented. Annual and ongoing assessment of clinical competency is completed and documented on her looking at all disease states, obviously including txp. We have specific transplant references in our clinical library and she has conducted an inservice to the other RDs on Liver Txp and Nutrition. They are going to review the HR file tomorrow. Does anyone have any insight on what exactly they are looking for? Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL 33316 ________________________________ Insert movie times and more without leaving Hotmail(r). See how. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/36a75822/attachment.html From me_merrell at yahoo.com Tue Jun 16 07:28:59 2009 From: me_merrell at yahoo.com (Monica Merrell) Date: Tue, 16 Jun 2009 07:28:59 -0700 (PDT) Subject: [Cnm] average height/weight tables for elderly >65 Message-ID: <787335.32428.qm@web36504.mail.mud.yahoo.com> Our RDs adjust weight for those with BMI>27 or >125% IBW.??We have a reference height/weight table?for persons >65 years of age that is dated 1960!? I am trying to update our information and?make sure we are current in our practices but am getting some hesitation from a few?RDs.? Is anyone adjusting the weight for people >65 years based on?height, weight and age?? If?so, do you have an updated table???I know the Life insurance tables are for ages 25-59... If not, do you?have current info on why it isn't necessary? ? Thanks so much!Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/6bd9a5ad/attachment.html From LEdeal at bchhc.org Tue Jun 16 07:40:19 2009 From: LEdeal at bchhc.org (Edeal, Lisa) Date: Tue, 16 Jun 2009 09:40:19 -0500 Subject: [Cnm] pre-term infant question In-Reply-To: <4A365E2D.90907@nyp.org> Message-ID: Hello all, I do not work with pediatrics usually. However a local pediatrician stopped me today and asked the following questions: 1. How long does a pre-term infant need to be on a special preemie formula. His concern is that most parents can't afford it and wants to know other available options that will still meet the child's nutritional needs. He is aware of resources such as WIC. 2. He stated a Similac rep told him that the AAP is not recommending using Soy formulas. Does anyone know anything about this? Any information or direction regarding where to look for this information would be appreciated. I was not successful in my searches. Thank you. Lisa Edeal Clinical Dietitian _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From DrNCollins at aol.com Tue Jun 16 07:55:41 2009 From: DrNCollins at aol.com (DrNCollins at aol.com) Date: Tue, 16 Jun 2009 10:55:41 EDT Subject: [Cnm] Important Hospital Benchmarking Event Planned Message-ID: Momentum grows for nutritionDay in the U.S. The first annual nutritionDay in the U.S. is planned for November 5, 2009. This event is the first annual single-day audit aimed at improving patient care and helping to reduce healthcare costs by documenting patient nourishment (and related outcomes) in hospitals across the country. In addition to RD411.com, official partners for the event include ASPEN and ESPEN (European Society of Parenteral and Enteral Nutrition), and SCCM (Society for Critical Care Medicine). The U.S. event is patterned after ongoing nutritionDay in Europe audits which, in 2008, involved more than 45,000 patients in nearly 1600 units in 30 countries. Each participating U.S. hospital will receive a report showing the current status of its unit compared with the same specialty in all participating units. Subsequent nutritionDay studies will enable participants to identify successes resulting from improvements made. Don?t miss the opportunity to participate in this important November 5th benchmarking initiative! If you haven?t already, register your facility now. Contact nutritionDay in the U.S. National Project Coordinator Gail Gewirtz, MS, RD at _nutritiondayus at ymail.com_ (mailto:nutritiondayus at ymail.com) or 847-254-2034. Dr. Nancy Collins, PhD, RD, LD/N, FAPWCA President/Executive Director RD411.com, Inc. Where Healthcare Professionals Go for Information 318 Indian Trace, Suite 126 Weston, FL 33326 Office: 954-349-2198 Fax: 954-349-2197 NCtheRD at aol.com _www.RD411.com_ (http://www.rd411.com/) Follow me on Twitter _www.twitter.com/RD411_ (http://www.twitter.com/RD411) **************An Excellent Credit Score is 750. See Yours in Just 2 Easy Steps! (http://pr.atwola.com/promoclk/100126575x1221823265x1201398681/aol?redir=http://www.freecreditreport.com/pm/default.aspx?sc=668072&hmpgID=62&bcd=Jun eExcfooterNO62) -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/fe65b60b/attachment.html From RachelFlores at sach.org Tue Jun 16 08:46:51 2009 From: RachelFlores at sach.org (Flores, Rachel) Date: Tue, 16 Jun 2009 08:46:51 -0700 Subject: [Cnm] pre-term infant question Message-ID: I can't put my finger on the source, but I'm pretty sure the AAP recommends maintaining premies on preterm formulas until 9 months of age. That came out a few years ago. You can check the AAP website. Soy formulas are not recommended for premies because of poor absorption of minerals, increasing the risk of osteopenia. Also studies have shown poor weight gain on soy formulas for preterm infants. Soy formulas are not a problem for term infants. Hope this helps! Rachel Flores, RD, CNSC Clinical Nutrition Manager San Antonio Community Hospital (909) 985-2811 x24430 -----Original Message----- From: Edeal, Lisa [mailto:LEdeal at bchhc.org] Sent: Tuesday, June 16, 2009 7:40 AM To: CNM Subject: [Cnm] pre-term infant question Hello all, I do not work with pediatrics usually. However a local pediatrician stopped me today and asked the following questions: 1. How long does a pre-term infant need to be on a special preemie formula. His concern is that most parents can't afford it and wants to know other available options that will still meet the child's nutritional needs. He is aware of resources such as WIC. 2. He stated a Similac rep told him that the AAP is not recommending using Soy formulas. Does anyone know anything about this? Any information or direction regarding where to look for this information would be appreciated. I was not successful in my searches. Thank you. Lisa Edeal Clinical Dietitian _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From Heberle-Heather at aramark.com Tue Jun 16 08:52:41 2009 From: Heberle-Heather at aramark.com (Heberle, Heather N.) Date: Tue, 16 Jun 2009 10:52:41 -0500 Subject: [Cnm] Probiotics in the Hospital In-Reply-To: References: Message-ID: Our hospital is looking at the different probiotic therapies available. We currently use VSL # 3. Does anyone have any research articles, etc. regarding any of the different types of probiotics and their effectiveness? Thanks. Heather Heberle, RD, LD Clinical Nutrition Manager Capital Region Medical Center 1125 Madison St Jefferson City, MO 65101 phone: 573.632.5192 fax: 573.632.5879 Heberle-Heather at aramark.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/f42d26ad/attachment.html From LDALGLEISH at lakelandregional.org Tue Jun 16 09:09:22 2009 From: LDALGLEISH at lakelandregional.org (Lisa Dalgleish) Date: Tue, 16 Jun 2009 12:09:22 -0400 Subject: [Cnm] patient menu disposal In-Reply-To: <808801.18084.qm@web36508.mail.mud.yahoo.com> References: <808801.18084.qm@web36508.mail.mud.yahoo.com> Message-ID: <4A378B5B.DF60.000C.0@lakelandregional.org> We have been told that menus discarded with food trash are considered appropriately destroyed. Lisa Dalgleish, RD Clinical Nutrition Supervisor Lakeland HealthCare 1234 Napier Avenue St. Joseph, MI 49085 (269) 983-8674 work phone (269) 982-4313 fax ldalgleish at lakelandregional.org >>> Monica Merrell 6/15/2009 9:25 AM >>> In our diet office, we shred the menus of patients being discharged...however, when a patient is served their tray, the menu goes in the regular trash (not shredded). The patient information on the menu is: last name and room #. Is it safe to say all of those can go in the regular trash...or should we be shredding all of them? What are other facilities doing? Thanks, Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/a8fcf31f/attachment.html From sheila.walsh at nahealth.com Tue Jun 16 09:16:05 2009 From: sheila.walsh at nahealth.com (Sheila Walsh) Date: Tue, 16 Jun 2009 09:16:05 -0700 Subject: [Cnm] Probiotics in the Hospital In-Reply-To: References: Message-ID: <4A3762D3.485B.0001.0@nahealth.com> An Infectious Disease doc I worked with at my previous hospital was big on Sarccomyces bouldardi (sp?) for adults and the literature for Peds supported Lactobacillus GG use. I would google those to find some literature. Cheers, Sheila A. Walsh, MPH, RD Clinical Nutrition Manager Flagstaff Medical Center Where patients are our purpose. <\__~ / \ >>> "Heberle, Heather N." 6/16/2009 8:52 AM >>> Our hospital is looking at the different probiotic therapies available. We currently use VSL # 3. Does anyone have any research articles, etc. regarding any of the different types of probiotics and their effectiveness? Thanks. Heather Heberle, RD, LD Clinical Nutrition Manager Capital Region Medical Center 1125 Madison St Jefferson City, MO 65101 phone: 573.632.5192 fax: 573.632.5879 Heberle-Heather at aramark.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/80f523cc/attachment.html From Shannon.Jackson at wilmed.org Tue Jun 16 10:34:50 2009 From: Shannon.Jackson at wilmed.org (Shannon Byrd Jackson) Date: Tue, 16 Jun 2009 13:34:50 -0400 Subject: [Cnm] Probiotics Message-ID: <8169B6DBE9D5194DA89219B5C5A6AFBA011E008E@wmhcs03.wmh.org> Hello, Is there a recommendation for the amount of probiotics a person should have per day? Or an upper limit? What about general guidelines for probiotics? Thanks Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/697ac38d/attachment.html From info at mywebdietitian.com Tue Jun 16 10:46:12 2009 From: info at mywebdietitian.com (Valerie Peters) Date: Tue, 16 Jun 2009 10:46:12 -0700 Subject: [Cnm] pre-term infant question Message-ID: <20090616104612.f07410cd66d8a7f06e8c5ee19229fd55.a75a573772.wbe@email04.secureserver.net> An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/949961ce/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: top.letterhead Type: image/jpeg Size: 10935 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090616/949961ce/attachment.jpe From KBOEHME at meriter.com Tue Jun 16 10:53:12 2009 From: KBOEHME at meriter.com (Boehme, Karen) Date: Tue, 16 Jun 2009 12:53:12 -0500 Subject: [Cnm] MNT Message-ID: <8CFCAB1537E1964AB1BAB60E81B019B683DE3588@EXVS1.meriter.com> I know so very little about MNT, Medicare payments and billings etc that I am finding it hard to even formulate my question! But I will give it a go: We currently do not charge for any inpatient activity. We do charge for an outpatient OB high risk clinic using a facility fee. The CDE in this clinic feels we should be charging using MNT codes. That we are losing out on higher reimbursements. We also are currently charging for all our supplements that we send to the patients; ensure plus, glucerna, vivonex etc. I have heard that you cannot charge for supplements if you are charging MNT. Is this true? What are the issues? I am also concerned about the regulations regarding MNT coding and billing. Thanks for any help, Karen If opportunity doesn't knock, build a door. Milton Berle (1908-, American Actor, Entertainer) Karen Boehme RD,CD Manager Clinical Nutrition Meriter Hospital 202 S. Park Street Madison, WI 53715-1596 608-417-6452 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/f8ac7f04/attachment.html From sheila.walsh at nahealth.com Tue Jun 16 11:29:23 2009 From: sheila.walsh at nahealth.com (Sheila Walsh) Date: Tue, 16 Jun 2009 11:29:23 -0700 Subject: [Cnm] Probiotics In-Reply-To: <8169B6DBE9D5194DA89219B5C5A6AFBA011E008E@wmhcs03.wmh.org> References: <8169B6DBE9D5194DA89219B5C5A6AFBA011E008E@wmhcs03.wmh.org> Message-ID: <4A378211.485B.0001.0@nahealth.com> I have only seen the recommendations on the bottle "one per day". But it isn't recommended that a septic person take probiotics, or leaky gut. >>> "Shannon Byrd Jackson" 6/16/2009 10:34 AM >>> Hello, Is there a recommendation for the amount of probiotics a person should have per day? Or an upper limit? What about general guidelines for probiotics? Thanks Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org ( http://www.wilmed.org/ ) -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/247739d0/attachment.html From pavlinac at ohsu.edu Tue Jun 16 11:55:19 2009 From: pavlinac at ohsu.edu (Jessie Pavlinac) Date: Tue, 16 Jun 2009 11:55:19 -0700 Subject: [Cnm] Warfarin and Enteral Nutrition In-Reply-To: References: Message-ID: Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/285cabec/attachment-0001.html From HicksCM at ah.org Tue Jun 16 11:40:48 2009 From: HicksCM at ah.org (Clare Hicks) Date: Tue, 16 Jun 2009 11:40:48 -0700 Subject: [Cnm] Probiotics In-Reply-To: <4A378211.485B.0001.0@nahealth.com> References: <8169B6DBE9D5194DA89219B5C5A6AFBA011E008E@wmhcs03.wmh.org> <4A378211.485B.0001.0@nahealth.com> Message-ID: <4A3784C0.7147.00AE.0@ah.org> Here is an article that was in JADA last year. It discusses dosing of probiotics. Clare Hicks, RD Sonora Regional Medical Center Sonora, CA >>> "Sheila Walsh" 06/16/2009 11:29 >>> I have only seen the recommendations on the bottle "one per day". But it isn't recommended that a septic person take probiotics, or leaky gut. >>> "Shannon Byrd Jackson" 6/16/2009 10:34 AM >>> Hello, Is there a recommendation for the amount of probiotics a person should have per day? Or an upper limit? What about general guidelines for probiotics? Thanks Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org ( http://www.wilmed.org/ ) -------------- next part -------------- A non-text attachment was scrubbed... Name: Probiotics and Prebiotics.pdf Type: application/pdf Size: 177013 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090616/44b58385/attachment-0001.pdf From fns at abbgen.net Tue Jun 16 13:05:09 2009 From: fns at abbgen.net (Annette Doucet) Date: Tue, 16 Jun 2009 15:05:09 -0500 Subject: [Cnm] Warfarin and Enteral Nutrition In-Reply-To: References: Message-ID: <003a01c9eebd$c02acd70$02be7878@local.abbgen.net> We do not. Since the TF is the diet, wouldn't the recommendation apply, same as food, to keep the Vit. K intake consistent and not eliminate any foods? _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessie Pavlinac Sent: Tuesday, June 16, 2009 1:55 PM To: cnm at lists.my180.net Subject: [Cnm] Warfarin and Enteral Nutrition Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.73/2180 - Release Date: 06/16/09 07:41:00 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/97ce38e4/attachment.html From mpappo at montefiore.org Tue Jun 16 13:19:20 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Tue, 16 Jun 2009 16:19:20 -0400 Subject: [Cnm] Warfarin and Enteral Nutrition Message-ID: we do not hold. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Jessie Pavlinac" 06/16/09 2:55 PM >>> Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu -------------- next part -------------- A non-text attachment was scrubbed... Name: Miriam Pappo.vcf Type: application/octet-stream Size: 170 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090616/2d1f8635/attachment.obj From mpappo at montefiore.org Tue Jun 16 13:22:43 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Tue, 16 Jun 2009 16:22:43 -0400 Subject: [Cnm] Fwd: Re: pre-term infant question Message-ID: I asked my Certified Peds RD responsible for infants & ICU, and she concurred with Rachel below Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Flores, Rachel" 06/16/09 11:46 AM >>> I can't put my finger on the source, but I'm pretty sure the AAP recommends maintaining premies on preterm formulas until 9 months of age. That came out a few years ago. You can check the AAP website. Soy formulas are not recommended for premies because of poor absorption of minerals, increasing the risk of osteopenia. Also studies have shown poor weight gain on soy formulas for preterm infants. Soy formulas are not a problem for term infants. Hope this helps! Rachel Flores, RD, CNSC Clinical Nutrition Manager San Antonio Community Hospital (909) 985-2811 x24430 -----Original Message----- From: Edeal, Lisa [mailto:LEdeal at bchhc.org] Sent: Tuesday, June 16, 2009 7:40 AM To: CNM Subject: [Cnm] pre-term infant question Hello all, I do not work with pediatrics usually. However a local pediatrician stopped me today and asked the following questions: 1. How long does a pre-term infant need to be on a special preemie formula. His concern is that most parents can't afford it and wants to know other available options that will still meet the child's nutritional needs. He is aware of resources such as WIC. 2. He stated a Similac rep told him that the AAP is not recommending using Soy formulas. Does anyone know anything about this? Any information or direction regarding where to look for this information would be appreciated. I was not successful in my searches. Thank you. Lisa Edeal Clinical Dietitian _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- A non-text attachment was scrubbed... Name: Miriam Pappo.vcf Type: application/octet-stream Size: 170 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090616/e03405a6/attachment.obj From Shannon.Jackson at wilmed.org Tue Jun 16 13:46:50 2009 From: Shannon.Jackson at wilmed.org (Shannon Byrd Jackson) Date: Tue, 16 Jun 2009 16:46:50 -0400 Subject: [Cnm] Ellyn Satter's Eating Competence Model Message-ID: <8169B6DBE9D5194DA89219B5C5A6AFBA011E00A2@wmhcs03.wmh.org> Hello, Has anyone heard of this 3-session webcast course? I got it in the mail and was wondering about it. It is provided by an RD from what I can tell. Thanks Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/839eb31f/attachment.html From LAURAF at dmhhs.org Tue Jun 16 13:55:51 2009 From: LAURAF at dmhhs.org (ETCHASON,LAURA) Date: Tue, 16 Jun 2009 15:55:51 -0500 Subject: [Cnm] Dysphagia evals In-Reply-To: <0BD69CE7EFA7F74A9500CD83C2ADC67902269278@SWEXCHANGE.swgeneral.corp> References: <0BD69CE7EFA7F74A9500CD83C2ADC67902269278@SWEXCHANGE.swgeneral.corp> Message-ID: <4A37C087.21B0.00A0.0@dmhhs.org> We evaluate all patients that are put on our "stroke protocol." If the patient is coherent and passes the swallow eval, then we provide stroke or tia diet education (from the ADA online manual). Obviously we would do a full assessment if the patient does not pass the swallow evaluation since he/she would likely need EN. Thank you, Laura Etchason Laura A. Etchason, MS, RD, LDN Clinical Nutrition Manager Decatur Memorial Hospital 2300 N. Edward Street Decatur, IL 62526 217-876-5306 (office line and voice mail) 217-876-5305 (fax) 217-876-5301 (general line) lauraf at dmhhs.org Developer, Harmony, Maximizer, Individualization, Belief >>> "Horvath, Karen" 6/16/2009 8:26 AM >>> Hi all, For those of you with a certified stroke program, currently we receive consults for all dysphagia evals and assess them after speech sees them. Do you see all dysphagia consults? What is your criteria? Thank-you Karen Horvath MA RD LD SWGMC Middleburg Heights, Ohio -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/a42ea526/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 5048 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090616/a42ea526/attachment.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 1325 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090616/a42ea526/attachment.gif From Kerry.Scott at providence.org Tue Jun 16 14:10:59 2009 From: Kerry.Scott at providence.org (Scott, Kerry R.) Date: Tue, 16 Jun 2009 14:10:59 -0700 Subject: [Cnm] Warfarin and Enteral Nutrition In-Reply-To: References: Message-ID: Jessie, We also reviewed some of the literature and decided not to hold TF for Warfarin initially. Then as we revised policy again recently for NPSG 3E we made a revision that would allow us to hold in some cases (see item 5.b.) Kerry Scott, RD, CD Clinical Nutrition Manager Food & Nutrition Services Providence Sacred Heart Medical Center & Children's Hospital (509)474-4774 Kerry.Scott at providence.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessie Pavlinac Sent: Tuesday, June 16, 2009 11:55 AM To: cnm at lists.my180.net Subject: [Cnm] Warfarin and Enteral Nutrition Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/0215d637/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: Food-Drug Interaction MM Policy 2 2009.doc Type: application/msword Size: 51712 bytes Desc: Food-Drug Interaction MM Policy 2 2009.doc Url : /pipermail/cnm_lists.my180.net/attachments/20090616/0215d637/attachment-0001.doc From Patricia.Booth at ucsfmedctr.org Tue Jun 16 17:54:00 2009 From: Patricia.Booth at ucsfmedctr.org (Booth, Patricia) Date: Tue, 16 Jun 2009 17:54:00 -0700 Subject: [Cnm] Warfarin and Enteral Nutrition In-Reply-To: References: Message-ID: We do not hold tube feedings for Warfarin administration. Patricia Booth, MS, RD, FADA Associate Director, Nutrition Services Director, Dietetic Internship Nutrition and Food Services UCSF Medical Center M-294 Box 0212 San Francisco, CA 94143-0212 Office: 415-353-1355 Email: patricia.booth at ucsfmedctr.org This document is intended only for the use of those to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you have received this electronic document in error, please immediately notify me by telephone or email. Thank you. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessie Pavlinac Sent: Tuesday, June 16, 2009 11:55 AM To: cnm at lists.my180.net Subject: [Cnm] Warfarin and Enteral Nutrition Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/90b0398b/attachment.html From Ann.Merritt at vrh.org Tue Jun 16 19:57:39 2009 From: Ann.Merritt at vrh.org (Ann Merritt) Date: Tue, 16 Jun 2009 22:57:39 -0400 Subject: [Cnm] Ellyn Satter In-Reply-To: Message-ID: Hi (I get the listserve emails by digest,so sorry if your question has already been answered.) Ellyn is an RD and a licensed therapist. Her eating competence model is based on internal regulation of food intake vs external regulation which includes diets and meal plans. She goes further encouraging people to take pleasure, even joy from eating. There is evidence to support improved nutrient intake and better management of nutrition related diseases with this approach. Check out her website: http://www.ellynsatter.com/adults.jsp She has several articles related to the concept.. I've taken other seminars from her and highly recommend her. Ann Ann M. Merritt MS, RD, LD. Valley Regional Hospital 243 Elm Street Claremont, New Hampshire 03743 Phone: (603) 542-1862 Fax: (603) 543-5616 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/67c8c3f5/attachment.html From Hollie_Colle at ssmhc.com Wed Jun 17 06:45:44 2009 From: Hollie_Colle at ssmhc.com (Hollie_Colle at ssmhc.com) Date: Wed, 17 Jun 2009 08:45:44 -0500 Subject: [Cnm] inpatient policy for insulin pumps Message-ID: Does anyone have a policy for inpatient use of insulin pumps they'd be willing to share? Hollie Colle, MS, RD, LDN Clinical Nutrition Manager St. Mary's Good Samaritan, Inc. Mount Vernon IL 62864 (618) 241-2356 Centralia IL 62801 (618) 436-8897 Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/478d82ec/attachment.html From m-rodrig at msmc.com Wed Jun 17 07:02:15 2009 From: m-rodrig at msmc.com (Maritza Rodriguez) Date: Wed, 17 Jun 2009 10:02:15 -0400 Subject: [Cnm] Nutrient Analysis of Menu Message-ID: <32EDCA3D1F5C4C41B7E1A4573DFACCC602117FE9@SVIPEXC1.msmc.com> Hi Elaine, Some time ago you requested to the list some insight about menu analysis for selective menus: how do you sample your menus, the therapeutic extensions, which DRI used, average ages, what nutrients included and state regulations for menu nutrient analysis. Did you get something you could share? Could someone else help? Thank you, Maritza Rodriguez Maritza Rodriguez, RD LDN Clinical Nutrition Manager Mount Sinai Medical Center 4300 Alton Road Miami Beach, Florida 33140 Tel: 305-674-2121 Ext. 56181 Fax: 305-674-2234 m-rodrig at msmc.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain CONFIDENTIAL or PRIVILEGED information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and immediately destroy all copies of the original message and all attachments. Any opinions expressed here are not necessarily those of Mount Sinai Medical Center. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/4477edbf/attachment.html From apirozek at hotmail.com Wed Jun 17 07:01:54 2009 From: apirozek at hotmail.com (amy pirozek) Date: Wed, 17 Jun 2009 10:01:54 -0400 Subject: [Cnm] Pt. Admission Packet Message-ID: Goodmorning All- Does anyone have a nice brochure or blurb about the food and nutrition dept. in their patient admission packet? We currently do not, but want to include the following info: Cafe hours, Contact information, something about special diets, etc. I would appreciate any information you could send. Please send to amy.pirocek at tenethealth.com. Thanks much! Amy _________________________________________________________________ Lauren found her dream laptop. Find the PC that?s right for you. http://www.microsoft.com/windows/choosepc/?ocid=ftp_val_wl_290 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/d033cfa7/attachment.html From mrogard at charter.net Wed Jun 17 07:05:45 2009 From: mrogard at charter.net (mrogard at charter.net) Date: Wed, 17 Jun 2009 7:05:45 -0700 Subject: [Cnm] Fwd: WM DPG Webinar on Motivational Interviewing Message-ID: <20090617100545.G4FUR.400198.root@mp11> Weight Management DPG Webinar information described below. MJ -- Mary Jane Rogalski, MBA, RD, LDN Manager, Clinical Nutrition Food and Nutrition Services - C1340 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Work #: 413-794-4954 Fax #: 413-794-4949 Work email: mary.jane.rogalski at bhs.org Professional email: mrogard at charter.net > From: "Michele M. Doucette, PhD" > To: "DPGOfficer" > Subject: WM DPG Webinar on Motivational Interviewing > Date: Mon, 15 Jun 2009 14:13:19 -0600 > > Hello All, > > > > The Weight Management DPG has an upcoming webinar on Motivational > Interviewing scheduled for July, 29, 2009. If you feel this would be of > interest to your DPG, would you please pass on the announcement below to > your membership . > > > > Although this webinar is being offered free of charge to WM members only, > non-members can join WM for $25 (the typical cost of one of our webinars) > and have access to this CPEU opportunity, plus all of our resources and > other CPEU offerings throughout the year. > > > > Thank you for your time and assistance. > > > > All the best, > > Michele > > ____________________ > > Michele M. Doucette, PhD > > WM DPG, Chair > > > > mdoucette at nutritionpulse.com > > > > > > > > > > > _____ > > how are you spending your summer vacation? > > > > Here's what WM DPG members are doing: > > > > Attending a free webinar to sharpen their counseling skills: > > Beyond the Handout: Motivational Interviewing Skills for Behavior Change > webinar > July 29, 2009 from 1-2pm EST > Eileen Stellefson Myers, RD, MPH > > > > This free webinar for WM members will provide one CPEU credit! > > > > For more details please see the WM website at www.wmdpg.org > or contact Linda Gigliotti at lmgiglio at uci.edu. > > > > > > > > > --- > You are currently subscribed to dpgofficer as: mrogard at charter.net > To unsubscribe send a blank email to leave-4399665-19653469.d6278c60ed1d53404e33f15201b6e48f at list.eatright.org -------------- next part -------------- A non-text attachment was scrubbed... Name: image003.jpg Type: image/jpeg Size: 4002 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090617/09e26a21/attachment.jpg From Heberle-Heather at aramark.com Wed Jun 17 07:10:35 2009 From: Heberle-Heather at aramark.com (Heberle, Heather N.) Date: Wed, 17 Jun 2009 09:10:35 -0500 Subject: [Cnm] NCP Diagnosis for pt not nutritionally compromised In-Reply-To: References: Message-ID: <39E9FC17-E10D-4337-A337-0838F254275C@mimectl> I know there have been several questions regarding this issue, I apologize if this is repetitive. I was wondering what other facilities were doing regarding patients who do not have a nutrition diagnosis? Thanks. Heather Heberle, RD, LD Clinical Nutrition Manager Capital Region Medical Center 1125 Madison St Jefferson City, MO 65101 phone: 573.632.5192 fax: 573.632.5879 Heberle-Heather at aramark.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/6001e647/attachment-0001.html From LCarver at Reshealthcare.org Wed Jun 17 06:34:46 2009 From: LCarver at Reshealthcare.org (Carver, Leslee) Date: Wed, 17 Jun 2009 08:34:46 -0500 Subject: [Cnm] Warfarin and Enteral Nutrition In-Reply-To: References: Message-ID: <5330B54133B6194BA13930BDEFE9A30E0469E948@rhcexch3.reshealthcare.org> our P+T Committee looked at the large variety of drugs for which holding tube feeding could be considered. the conclusion (and I wasn't even at that meeting) was that the average tube feeding patient would be unable to get close to adequate nutrition if all these holds were in place. Instead, holding tube feedings for meds was restricted to those for which it is necessary for drugs to work (i.e. certain types of antibiotics) and that for other cases, such as Warfarin, medication dosage could be modified to achieve effectiveness. Leslee Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessie Pavlinac Sent: Tuesday, June 16, 2009 1:55 PM To: cnm at lists.my180.net Subject: [Cnm] Warfarin and Enteral Nutrition Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/d651822b/attachment.html From Heberle-Heather at aramark.com Wed Jun 17 07:13:52 2009 From: Heberle-Heather at aramark.com (Heberle, Heather N.) Date: Wed, 17 Jun 2009 09:13:52 -0500 Subject: [Cnm] Warfarin and Enteral Nutrition In-Reply-To: References: Message-ID: <87F7E27F-9758-446B-91EC-54242729519F@mimectl> We do not hold TF for warfarin dosing either. If anything, I think they would be better on TF instead of eating. At least you know it is consistent. Heather Heberle, RD, LD Clinical Nutrition Manager Capital Region Medical Center 1125 Madison St Jefferson City, MO 65101 phone: 573.632.5192 fax: 573.632.5879 Heberle-Heather at aramark.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/8f8173de/attachment.html From LCarver at Reshealthcare.org Wed Jun 17 06:30:47 2009 From: LCarver at Reshealthcare.org (Carver, Leslee) Date: Wed, 17 Jun 2009 08:30:47 -0500 Subject: [Cnm] Warfarin and Enteral Nutrition In-Reply-To: References: Message-ID: <5330B54133B6194BA13930BDEFE9A30E0469E942@rhcexch3.reshealthcare.org> neither do we. Leslee Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Booth, Patricia Sent: Tuesday, June 16, 2009 7:54 PM To: 'Jessie Pavlinac'; cnm at lists.my180.net Subject: Re: [Cnm] Warfarin and Enteral Nutrition We do not hold tube feedings for Warfarin administration. Patricia Booth, MS, RD, FADA Associate Director, Nutrition Services Director, Dietetic Internship Nutrition and Food Services UCSF Medical Center M-294 Box 0212 San Francisco, CA 94143-0212 Office: 415-353-1355 Email: patricia.booth at ucsfmedctr.org This document is intended only for the use of those to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you have received this electronic document in error, please immediately notify me by telephone or email. Thank you. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessie Pavlinac Sent: Tuesday, June 16, 2009 11:55 AM To: cnm at lists.my180.net Subject: [Cnm] Warfarin and Enteral Nutrition Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/32650dd9/attachment.html From Amy.Gendron at cvmc.org Wed Jun 17 07:23:04 2009 From: Amy.Gendron at cvmc.org (Gendron, Amy L.) Date: Wed, 17 Jun 2009 10:23:04 -0400 Subject: [Cnm] low platelet count & starting NGT feedings In-Reply-To: Message-ID: Wondering, does your facility not place/start NGT feedings in patients with low platelet counts due to risk of bleeding? Do you do PPN instead? In this case cancer/chemo patient already has IV access, not enteral access, has inadequate intake. Thanks Amy Gendron, RD Senior Inpatient Dietitian Central Vermont Medical Center ph: 802-371-4143 fax: 802-371-5376 amy.gendron at cvmc.org From pcharney at mac.com Wed Jun 17 08:10:17 2009 From: pcharney at mac.com (Pam Charney) Date: Wed, 17 Jun 2009 08:10:17 -0700 Subject: [Cnm] inpatient policy for insulin pumps In-Reply-To: References: Message-ID: Greetings, Most of my friends who use insulin pumps would simply disconnect and use injections when hospitalized. If the pump user isn't able to use the pump, most healthcare facilities don't have trained staff available 24/7, thus using a pump becomes a patient safety issue. Any policy I would use should start out with having staff available on site 24/7 who are certified to use each of the pumps available. Since this is most likely not possible, I"m not sure how one could say that it's safe for pump users to be inpatients. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 17, 2009, at 6:45 AM, Hollie_Colle at ssmhc.com wrote: > > Does anyone have a policy for inpatient use of insulin pumps they'd > be willing to share? > > Hollie Colle, MS, RD, LDN > Clinical Nutrition Manager > St. Mary's Good Samaritan, Inc. > Mount Vernon IL 62864 > (618) 241-2356 > Centralia IL 62801 > (618) 436-8897 Confidentiality Notice: This email message, including > any attachments, is for the sole use of the intended recipient(s) > and may contain confidential and privileged information. Any > unauthorized review, use, disclosure or distribution is prohibited. > If you are not the intended recipient, please contact the sender by > reply email and destroy all copies of the original > message._______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/ceb42049/attachment-0001.html From LCarver at Reshealthcare.org Wed Jun 17 08:12:19 2009 From: LCarver at Reshealthcare.org (Carver, Leslee) Date: Wed, 17 Jun 2009 10:12:19 -0500 Subject: [Cnm] inpatient policy for insulin pumps In-Reply-To: References: Message-ID: <5330B54133B6194BA13930BDEFE9A30E0469E9FB@rhcexch3.reshealthcare.org> please share w/ the list serve. Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Hollie_Colle at ssmhc.com Sent: Wednesday, June 17, 2009 8:46 AM To: CNM Subject: [Cnm] inpatient policy for insulin pumps Does anyone have a policy for inpatient use of insulin pumps they'd be willing to share? Hollie Colle, MS, RD, LDN Clinical Nutrition Manager St. Mary's Good Samaritan, Inc. Mount Vernon IL 62864 (618) 241-2356 Centralia IL 62801 (618) 436-8897 Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/6f54aeee/attachment.html From SabaSassouni at IamMorrison.com Wed Jun 17 08:23:45 2009 From: SabaSassouni at IamMorrison.com (Sassouni, Saba) Date: Wed, 17 Jun 2009 11:23:45 -0400 Subject: [Cnm] Cnm Digest, Vol 31, Issue 70 References: Message-ID: I have been practicing for many years and I am still confused about the simplest calculation because there are discrepancies everywhere regarding the topic. I was taught that a female under 5 feet tall is subtracted by 5# for every inch to obtain IBW. There are books that say deduct 2#, 2.5#, and 5#. I cannot seem to find the answer from a reputable source. Every chart I look at states something different as well. Every RD I know has a different answer too! Does anyone know what the answer is and which source this information comes from? Thank you. S. Sassouni, MS, RD, CDN Silvercrest Nursing & Rehab 718-480-4092 (office) SabaSassouni at IamMorrison.com ________________________________ From: cnm-bounces at lists.my180.net on behalf of cnm-request at lists.my180.net Sent: Wed 6/17/2009 10:10 AM To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 70 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Re: Warfarin and Enteral Nutrition (Booth, Patricia) 2. Re: Ellyn Satter (Ann Merritt) 3. inpatient policy for insulin pumps (Hollie_Colle at ssmhc.com) 4. Nutrient Analysis of Menu (Maritza Rodriguez) 5. Pt. Admission Packet (amy pirozek) 6. Fwd: WM DPG Webinar on Motivational Interviewing (mrogard at charter.net) 7. NCP Diagnosis for pt not nutritionally compromised (Heberle, Heather N.) ---------------------------------------------------------------------- Message: 1 Date: Tue, 16 Jun 2009 17:54:00 -0700 From: "Booth, Patricia" Subject: Re: [Cnm] Warfarin and Enteral Nutrition To: "'Jessie Pavlinac'" , "cnm at lists.my180.net" Message-ID: Content-Type: text/plain; charset="us-ascii" We do not hold tube feedings for Warfarin administration. Patricia Booth, MS, RD, FADA Associate Director, Nutrition Services Director, Dietetic Internship Nutrition and Food Services UCSF Medical Center M-294 Box 0212 San Francisco, CA 94143-0212 Office: 415-353-1355 Email: patricia.booth at ucsfmedctr.org This document is intended only for the use of those to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you have received this electronic document in error, please immediately notify me by telephone or email. Thank you. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessie Pavlinac Sent: Tuesday, June 16, 2009 11:55 AM To: cnm at lists.my180.net Subject: [Cnm] Warfarin and Enteral Nutrition Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/90b0398b/attachment-0001.html ------------------------------ Message: 2 Date: Tue, 16 Jun 2009 22:57:39 -0400 From: Ann Merritt Subject: Re: [Cnm] Ellyn Satter To: cnm at lists.my180.net Message-ID: Content-Type: text/plain; charset="us-ascii" Hi (I get the listserve emails by digest,so sorry if your question has already been answered.) Ellyn is an RD and a licensed therapist. Her eating competence model is based on internal regulation of food intake vs external regulation which includes diets and meal plans. She goes further encouraging people to take pleasure, even joy from eating. There is evidence to support improved nutrient intake and better management of nutrition related diseases with this approach. Check out her website: http://www.ellynsatter.com/adults.jsp She has several articles related to the concept.. I've taken other seminars from her and highly recommend her. Ann Ann M. Merritt MS, RD, LD. Valley Regional Hospital 243 Elm Street Claremont, New Hampshire 03743 Phone: (603) 542-1862 Fax: (603) 543-5616 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/67c8c3f5/attachment-0001.html ------------------------------ Message: 3 Date: Wed, 17 Jun 2009 08:45:44 -0500 From: Hollie_Colle at ssmhc.com Subject: [Cnm] inpatient policy for insulin pumps To: CNM Message-ID: Content-Type: text/plain; charset="us-ascii" Does anyone have a policy for inpatient use of insulin pumps they'd be willing to share? Hollie Colle, MS, RD, LDN Clinical Nutrition Manager St. Mary's Good Samaritan, Inc. Mount Vernon IL 62864 (618) 241-2356 Centralia IL 62801 (618) 436-8897 Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/478d82ec/attachment-0001.html ------------------------------ Message: 4 Date: Wed, 17 Jun 2009 10:02:15 -0400 From: "Maritza Rodriguez" Subject: [Cnm] Nutrient Analysis of Menu To: "Elaine Rosenthal" Cc: cnm at lists.my180.net Message-ID: <32EDCA3D1F5C4C41B7E1A4573DFACCC602117FE9 at SVIPEXC1.msmc.com> Content-Type: text/plain; charset="us-ascii" Hi Elaine, Some time ago you requested to the list some insight about menu analysis for selective menus: how do you sample your menus, the therapeutic extensions, which DRI used, average ages, what nutrients included and state regulations for menu nutrient analysis. Did you get something you could share? Could someone else help? Thank you, Maritza Rodriguez Maritza Rodriguez, RD LDN Clinical Nutrition Manager Mount Sinai Medical Center 4300 Alton Road Miami Beach, Florida 33140 Tel: 305-674-2121 Ext. 56181 Fax: 305-674-2234 m-rodrig at msmc.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain CONFIDENTIAL or PRIVILEGED information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and immediately destroy all copies of the original message and all attachments. Any opinions expressed here are not necessarily those of Mount Sinai Medical Center. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/4477edbf/attachment-0001.html ------------------------------ Message: 5 Date: Wed, 17 Jun 2009 10:01:54 -0400 From: amy pirozek Subject: [Cnm] Pt. Admission Packet To: Message-ID: Content-Type: text/plain; charset="windows-1252" Goodmorning All- Does anyone have a nice brochure or blurb about the food and nutrition dept. in their patient admission packet? We currently do not, but want to include the following info: Cafe hours, Contact information, something about special diets, etc. I would appreciate any information you could send. Please send to amy.pirocek at tenethealth.com. Thanks much! Amy _________________________________________________________________ Lauren found her dream laptop. Find the PC that?s right for you. http://www.microsoft.com/windows/choosepc/?ocid=ftp_val_wl_290 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/d033cfa7/attachment-0001.html ------------------------------ Message: 6 Date: Wed, 17 Jun 2009 7:05:45 -0700 From: Subject: [Cnm] Fwd: WM DPG Webinar on Motivational Interviewing To: CNM Message-ID: <20090617100545.G4FUR.400198.root at mp11> Content-Type: text/plain; charset="utf-8" Weight Management DPG Webinar information described below. MJ -- Mary Jane Rogalski, MBA, RD, LDN Manager, Clinical Nutrition Food and Nutrition Services - C1340 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Work #: 413-794-4954 Fax #: 413-794-4949 Work email: mary.jane.rogalski at bhs.org Professional email: mrogard at charter.net > From: "Michele M. Doucette, PhD" > To: "DPGOfficer" > Subject: WM DPG Webinar on Motivational Interviewing > Date: Mon, 15 Jun 2009 14:13:19 -0600 > > Hello All, > > > > The Weight Management DPG has an upcoming webinar on Motivational > Interviewing scheduled for July, 29, 2009. If you feel this would be of > interest to your DPG, would you please pass on the announcement below to > your membership . > > > > Although this webinar is being offered free of charge to WM members only, > non-members can join WM for $25 (the typical cost of one of our webinars) > and have access to this CPEU opportunity, plus all of our resources and > other CPEU offerings throughout the year. > > > > Thank you for your time and assistance. > > > > All the best, > > Michele > > ____________________ > > Michele M. Doucette, PhD > > WM DPG, Chair > > > > mdoucette at nutritionpulse.com > > > > > > > > > > > _____ > > how are you spending your summer vacation? > > > > Here's what WM DPG members are doing: > > > > Attending a free webinar to sharpen their counseling skills: > > Beyond the Handout: Motivational Interviewing Skills for Behavior Change > webinar > July 29, 2009 from 1-2pm EST > Eileen Stellefson Myers, RD, MPH > > > > This free webinar for WM members will provide one CPEU credit! > > > > For more details please see the WM website at www.wmdpg.org > or contact Linda Gigliotti at lmgiglio at uci.edu. > > > > > > > > > --- > You are currently subscribed to dpgofficer as: mrogard at charter.net > To unsubscribe send a blank email to leave-4399665-19653469.d6278c60ed1d53404e33f15201b6e48f at list.eatright.org -------------- next part -------------- A non-text attachment was scrubbed... Name: image003.jpg Type: image/jpeg Size: 4002 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090617/09e26a21/attachment-0001.jpg ------------------------------ Message: 7 Date: Wed, 17 Jun 2009 09:10:35 -0500 From: "Heberle, Heather N." Subject: [Cnm] NCP Diagnosis for pt not nutritionally compromised To: Message-ID: <39E9FC17-E10D-4337-A337-0838F254275C at mimectl> Content-Type: text/plain; charset="iso-8859-1" I know there have been several questions regarding this issue, I apologize if this is repetitive. I was wondering what other facilities were doing regarding patients who do not have a nutrition diagnosis? Thanks. Heather Heberle, RD, LD Clinical Nutrition Manager Capital Region Medical Center 1125 Madison St Jefferson City, MO 65101 phone: 573.632.5192 fax: 573.632.5879 Heberle-Heather at aramark.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/6001e647/attachment.html ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 70 *********************************** DISCLAIMER Important! This message is intended for the above named person(s) only and is CONFIDENTIAL AND PROPRIETARY. If you are not the intended recipient of this e-mail and have received it in error, please immediately notify the sender by return email and then delete it from your mailbox. This message may be protected by the attorney-client privilege and/or work product doctrine. Accessing, copying, disseminating or re-using any of the information contained in this e-mail by anyone other than the intended recipient is strictly prohibited. Finally, you should check this email and any attachments for the presence of viruses, as the sender accepts no liability for any damage caused by any virus transmitted by this email. Thank you. -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: application/ms-tnef Size: 16533 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090617/b0058950/attachment.bin From LCarver at Reshealthcare.org Wed Jun 17 08:28:55 2009 From: LCarver at Reshealthcare.org (Carver, Leslee) Date: Wed, 17 Jun 2009 10:28:55 -0500 Subject: [Cnm] Cnm Digest, Vol 31, Issue 70 In-Reply-To: References: Message-ID: <5330B54133B6194BA13930BDEFE9A30E0469EA23@rhcexch3.reshealthcare.org> I would just stick to BMI - whatever the range is for a BMI of ~20 -25. Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Sassouni, Saba Sent: Wednesday, June 17, 2009 10:24 AM To: cnm at lists.my180.net Subject: RE: Cnm Digest, Vol 31, Issue 70 I have been practicing for many years and I am still confused about the simplest calculation because there are discrepancies everywhere regarding the topic. I was taught that a female under 5 feet tall is subtracted by 5# for every inch to obtain IBW. There are books that say deduct 2#, 2.5#, and 5#. I cannot seem to find the answer from a reputable source. Every chart I look at states something different as well. Every RD I know has a different answer too! Does anyone know what the answer is and which source this information comes from? Thank you. S. Sassouni, MS, RD, CDN Silvercrest Nursing & Rehab 718-480-4092 (office) SabaSassouni at IamMorrison.com ________________________________ From: cnm-bounces at lists.my180.net on behalf of cnm-request at lists.my180.net Sent: Wed 6/17/2009 10:10 AM To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 70 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Re: Warfarin and Enteral Nutrition (Booth, Patricia) 2. Re: Ellyn Satter (Ann Merritt) 3. inpatient policy for insulin pumps (Hollie_Colle at ssmhc.com) 4. Nutrient Analysis of Menu (Maritza Rodriguez) 5. Pt. Admission Packet (amy pirozek) 6. Fwd: WM DPG Webinar on Motivational Interviewing (mrogard at charter.net) 7. NCP Diagnosis for pt not nutritionally compromised (Heberle, Heather N.) ---------------------------------------------------------------------- Message: 1 Date: Tue, 16 Jun 2009 17:54:00 -0700 From: "Booth, Patricia" Subject: Re: [Cnm] Warfarin and Enteral Nutrition To: "'Jessie Pavlinac'" , "cnm at lists.my180.net" Message-ID: Content-Type: text/plain; charset="us-ascii" We do not hold tube feedings for Warfarin administration. Patricia Booth, MS, RD, FADA Associate Director, Nutrition Services Director, Dietetic Internship Nutrition and Food Services UCSF Medical Center M-294 Box 0212 San Francisco, CA 94143-0212 Office: 415-353-1355 Email: patricia.booth at ucsfmedctr.org This document is intended only for the use of those to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you have received this electronic document in error, please immediately notify me by telephone or email. Thank you. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessie Pavlinac Sent: Tuesday, June 16, 2009 11:55 AM To: cnm at lists.my180.net Subject: [Cnm] Warfarin and Enteral Nutrition Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/90b0398b/attachment- 0001.html ------------------------------ Message: 2 Date: Tue, 16 Jun 2009 22:57:39 -0400 From: Ann Merritt Subject: Re: [Cnm] Ellyn Satter To: cnm at lists.my180.net Message-ID: Content-Type: text/plain; charset="us-ascii" Hi (I get the listserve emails by digest,so sorry if your question has already been answered.) Ellyn is an RD and a licensed therapist. Her eating competence model is based on internal regulation of food intake vs external regulation which includes diets and meal plans. She goes further encouraging people to take pleasure, even joy from eating. There is evidence to support improved nutrient intake and better management of nutrition related diseases with this approach. Check out her website: http://www.ellynsatter.com/adults.jsp She has several articles related to the concept.. I've taken other seminars from her and highly recommend her. Ann Ann M. Merritt MS, RD, LD. Valley Regional Hospital 243 Elm Street Claremont, New Hampshire 03743 Phone: (603) 542-1862 Fax: (603) 543-5616 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/67c8c3f5/attachment- 0001.html ------------------------------ Message: 3 Date: Wed, 17 Jun 2009 08:45:44 -0500 From: Hollie_Colle at ssmhc.com Subject: [Cnm] inpatient policy for insulin pumps To: CNM Message-ID: Content-Type: text/plain; charset="us-ascii" Does anyone have a policy for inpatient use of insulin pumps they'd be willing to share? Hollie Colle, MS, RD, LDN Clinical Nutrition Manager St. Mary's Good Samaritan, Inc. Mount Vernon IL 62864 (618) 241-2356 Centralia IL 62801 (618) 436-8897 Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/478d82ec/attachment- 0001.html ------------------------------ Message: 4 Date: Wed, 17 Jun 2009 10:02:15 -0400 From: "Maritza Rodriguez" Subject: [Cnm] Nutrient Analysis of Menu To: "Elaine Rosenthal" Cc: cnm at lists.my180.net Message-ID: <32EDCA3D1F5C4C41B7E1A4573DFACCC602117FE9 at SVIPEXC1.msmc.com> Content-Type: text/plain; charset="us-ascii" Hi Elaine, Some time ago you requested to the list some insight about menu analysis for selective menus: how do you sample your menus, the therapeutic extensions, which DRI used, average ages, what nutrients included and state regulations for menu nutrient analysis. Did you get something you could share? Could someone else help? Thank you, Maritza Rodriguez Maritza Rodriguez, RD LDN Clinical Nutrition Manager Mount Sinai Medical Center 4300 Alton Road Miami Beach, Florida 33140 Tel: 305-674-2121 Ext. 56181 Fax: 305-674-2234 m-rodrig at msmc.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain CONFIDENTIAL or PRIVILEGED information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and immediately destroy all copies of the original message and all attachments. Any opinions expressed here are not necessarily those of Mount Sinai Medical Center. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/4477edbf/attachment- 0001.html ------------------------------ Message: 5 Date: Wed, 17 Jun 2009 10:01:54 -0400 From: amy pirozek Subject: [Cnm] Pt. Admission Packet To: Message-ID: Content-Type: text/plain; charset="windows-1252" Goodmorning All- Does anyone have a nice brochure or blurb about the food and nutrition dept. in their patient admission packet? We currently do not, but want to include the following info: Cafe hours, Contact information, something about special diets, etc. I would appreciate any information you could send. Please send to amy.pirocek at tenethealth.com. Thanks much! Amy _________________________________________________________________ Lauren found her dream laptop. Find the PC that?s right for you. http://www.microsoft.com/windows/choosepc/?ocid=ftp_val_wl_290 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/d033cfa7/attachment- 0001.html ------------------------------ Message: 6 Date: Wed, 17 Jun 2009 7:05:45 -0700 From: Subject: [Cnm] Fwd: WM DPG Webinar on Motivational Interviewing To: CNM Message-ID: <20090617100545.G4FUR.400198.root at mp11> Content-Type: text/plain; charset="utf-8" Weight Management DPG Webinar information described below. MJ -- Mary Jane Rogalski, MBA, RD, LDN Manager, Clinical Nutrition Food and Nutrition Services - C1340 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Work #: 413-794-4954 Fax #: 413-794-4949 Work email: mary.jane.rogalski at bhs.org Professional email: mrogard at charter.net > From: "Michele M. Doucette, PhD" > To: "DPGOfficer" > Subject: WM DPG Webinar on Motivational Interviewing > Date: Mon, 15 Jun 2009 14:13:19 -0600 > > Hello All, > > > > The Weight Management DPG has an upcoming webinar on Motivational > Interviewing scheduled for July, 29, 2009. If you feel this would be of > interest to your DPG, would you please pass on the announcement below to > your membership . > > > > Although this webinar is being offered free of charge to WM members only, > non-members can join WM for $25 (the typical cost of one of our webinars) > and have access to this CPEU opportunity, plus all of our resources and > other CPEU offerings throughout the year. > > > > Thank you for your time and assistance. > > > > All the best, > > Michele > > ____________________ > > Michele M. Doucette, PhD > > WM DPG, Chair > > > > mdoucette at nutritionpulse.com > > > > > > > > > > > _____ > > how are you spending your summer vacation? > > > > Here's what WM DPG members are doing: > > > > Attending a free webinar to sharpen their counseling skills: > > Beyond the Handout: Motivational Interviewing Skills for Behavior Change > webinar > July 29, 2009 from 1-2pm EST > Eileen Stellefson Myers, RD, MPH > > > > This free webinar for WM members will provide one CPEU credit! > > > > For more details please see the WM website at www.wmdpg.org > or contact Linda Gigliotti at lmgiglio at uci.edu. > > > > > > > > > --- > You are currently subscribed to dpgofficer as: mrogard at charter.net > To unsubscribe send a blank email to leave-4399665-19653469.d6278c60ed1d53404e33f15201b6e48f at list.eatright.or g -------------- next part -------------- A non-text attachment was scrubbed... Name: image003.jpg Type: image/jpeg Size: 4002 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090617/09e26a21/attachment- 0001.jpg ------------------------------ Message: 7 Date: Wed, 17 Jun 2009 09:10:35 -0500 From: "Heberle, Heather N." Subject: [Cnm] NCP Diagnosis for pt not nutritionally compromised To: Message-ID: <39E9FC17-E10D-4337-A337-0838F254275C at mimectl> Content-Type: text/plain; charset="iso-8859-1" I know there have been several questions regarding this issue, I apologize if this is repetitive. I was wondering what other facilities were doing regarding patients who do not have a nutrition diagnosis? Thanks. Heather Heberle, RD, LD Clinical Nutrition Manager Capital Region Medical Center 1125 Madison St Jefferson City, MO 65101 phone: 573.632.5192 fax: 573.632.5879 Heberle-Heather at aramark.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/6001e647/attachment. html ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 70 *********************************** -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/9baa6df7/attachment-0001.html From dlquirk at lexhealth.org Wed Jun 17 08:31:56 2009 From: dlquirk at lexhealth.org (Donna Quirk) Date: Wed, 17 Jun 2009 11:31:56 -0400 Subject: [Cnm] inpatient policy for insulin pumps In-Reply-To: References: Message-ID: Insulin Pumps fall under the attached policy at our facility. Donna Quirk MBA RD LD Clinical Nutrition Manager Lexington Medical Center 2720 Sunset Blvd West Columbia, SC 29169 803-791-2248 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Pam Charney Sent: Wednesday, June 17, 2009 11:10 AM To: Hollie_Colle at ssmhc.com Cc: CNM Subject: Re: [Cnm] inpatient policy for insulin pumps Greetings, Most of my friends who use insulin pumps would simply disconnect and use injections when hospitalized. If the pump user isn't able to use the pump, most healthcare facilities don't have trained staff available 24/7, thus using a pump becomes a patient safety issue. Any policy I would use should start out with having staff available on site 24/7 who are certified to use each of the pumps available. Since this is most likely not possible, I"m not sure how one could say that it's safe for pump users to be inpatients. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 17, 2009, at 6:45 AM, Hollie_Colle at ssmhc.com wrote: Does anyone have a policy for inpatient use of insulin pumps they'd be willing to share? Hollie Colle, MS, RD, LDN Clinical Nutrition Manager St. Mary's Good Samaritan, Inc. Mount Vernon IL 62864 (618) 241-2356 Centralia IL 62801 (618) 436-8897 Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message._______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/13e1032e/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: Pt Owned Rented Medical Equip.doc Type: application/msword Size: 29184 bytes Desc: Pt Owned Rented Medical Equip.doc Url : /pipermail/cnm_lists.my180.net/attachments/20090617/13e1032e/attachment-0001.doc From pas9075 at nyp.org Wed Jun 17 08:44:41 2009 From: pas9075 at nyp.org (Patricia A. Slinger-Harvey) Date: Wed, 17 Jun 2009 11:44:41 -0400 Subject: [Cnm] Protein calorie malnutrition Message-ID: <26491_1245253483_0KLE00FCT3QHLR50_4A390F69.6040805@nyp.org> We are in the process of updating our policy on PCM and would like to know what criteria folks are using (based on the ICD 9 codes) to determine risk or to make the statement that a patient has PCM. Albumin level is the current lab being used, and with such controversy regarding its use, I would like to know what other measurements institutions are implementing. If you have a policy with references you can share I would appreciate it. Pat Slinger-Harvey -- Patricia Slinger-Harvey, R.D., CDN Director of Clinical Nutrition & Patient Services New York Methodist Hospital 506 6th Street Brooklyn, New York 11215 Phone - 718-780-3344 Fax - 718-780-3571 -------------------- This electronic message is intended to be for the use only of the named recipient, and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. Thank you. From DerrickK at health.missouri.edu Wed Jun 17 08:47:41 2009 From: DerrickK at health.missouri.edu (Derrick, Karen) Date: Wed, 17 Jun 2009 10:47:41 -0500 Subject: [Cnm] inpatient policy for insulin pumps In-Reply-To: References: Message-ID: <6D7787A6B00FCF41993911F1118272370697CA81@UM-XMAIL02.um.umsystem.edu> Hi, Attached is our policy. I agree 100% with Pam's comments. I have an insulin pump and had surgery years ago. No one knew anything about the pump. It would have been much easier to discontinue the pump and go back to injections. Karen ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Donna Quirk Sent: Wednesday, June 17, 2009 10:32 AM To: Hollie_Colle at ssmhc.com Cc: CNM Subject: Re: [Cnm] inpatient policy for insulin pumps Insulin Pumps fall under the attached policy at our facility. Donna Quirk MBA RD LD Clinical Nutrition Manager Lexington Medical Center 2720 Sunset Blvd West Columbia, SC 29169 803-791-2248 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Pam Charney Sent: Wednesday, June 17, 2009 11:10 AM To: Hollie_Colle at ssmhc.com Cc: CNM Subject: Re: [Cnm] inpatient policy for insulin pumps Greetings, Most of my friends who use insulin pumps would simply disconnect and use injections when hospitalized. If the pump user isn't able to use the pump, most healthcare facilities don't have trained staff available 24/7, thus using a pump becomes a patient safety issue. Any policy I would use should start out with having staff available on site 24/7 who are certified to use each of the pumps available. Since this is most likely not possible, I"m not sure how one could say that it's safe for pump users to be inpatients. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 17, 2009, at 6:45 AM, Hollie_Colle at ssmhc.com wrote: Does anyone have a policy for inpatient use of insulin pumps they'd be willing to share? Hollie Colle, MS, RD, LDN Clinical Nutrition Manager St. Mary's Good Samaritan, Inc. Mount Vernon IL 62864 (618) 241-2356 Centralia IL 62801 (618) 436-8897 Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message._______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/fec04685/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: Discontinuing Insulin Pumps.doc Type: application/msword Size: 72704 bytes Desc: Discontinuing Insulin Pumps.doc Url : /pipermail/cnm_lists.my180.net/attachments/20090617/fec04685/attachment-0001.doc From Janet.Hiser at danhosp.org Wed Jun 17 09:20:20 2009 From: Janet.Hiser at danhosp.org (Hiser, Janet D.) Date: Wed, 17 Jun 2009 12:20:20 -0400 Subject: [Cnm] SOP for diet techs Message-ID: <4865A403D47CFA419916A9082054AB62DFA919@dhsiexch03.danhosp.priv> We still have diet techs employed at our hospital. While doing a chart audit I found this note from one of my techs. Would this note be within their SOP, or is this considered assessing? Nutrition Clinical data reviewed for nutr screen f/u. O Diet Low NA, Low K , Wt 6/7 153#, Graphic: PO @ 75-100% of meals A Appetite good. Tol diet. K + in good control. P Cont POC. Monitor nutr. parameters. Thanks for you help! Janet D. Hiser, M.O.E., R.D., CD-N Chief Dietitian/Dietetic Internship Director Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 V: (203) 739-7216 | F: (203) 739-7619 | janet.hiser at danhosp.org http://www.danburyhospital.org P Please consider the environment before printing this e-mail This transmittal is intended for a particular addressee(s). If it is not clear that you are the intended recipient, you are hereby notified that you have received this transmittal in error; any review, copying or distribution or dissemination is strictly prohibited. If you suspect that you have received this transmittal in error, please notify Danbury Health Systems immediately by email reply to the sender, and delete the transmittal and any attachments. READER BEWARE: Internet e-mail is inherently insecure and occasionally unreliable. Please contact the sender if you wish to arrange for secure communication or to verify the contents of this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/24a61956/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 17147 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090617/24a61956/attachment-0002.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 5811 bytes Desc: image002.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090617/24a61956/attachment-0003.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 9749 bytes Desc: image003.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090617/24a61956/attachment-0001.gif From LCarver at Reshealthcare.org Wed Jun 17 10:09:55 2009 From: LCarver at Reshealthcare.org (Carver, Leslee) Date: Wed, 17 Jun 2009 12:09:55 -0500 Subject: [Cnm] SOP for diet techs In-Reply-To: <4865A403D47CFA419916A9082054AB62DFA919@dhsiexch03.danhosp.priv> References: <4865A403D47CFA419916A9082054AB62DFA919@dhsiexch03.danhosp.priv> Message-ID: <5330B54133B6194BA13930BDEFE9A30E04703E1C@rhcexch3.reshealthcare.org> I would tend to say: have the K and Na lab results in the O: section. and narrow the comment to "serum K wnl per lab parameters". Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Hiser, Janet D. Sent: Wednesday, June 17, 2009 11:20 AM To: CNM list serve Subject: [Cnm] SOP for diet techs We still have diet techs employed at our hospital. While doing a chart audit I found this note from one of my techs. Would this note be within their SOP, or is this considered assessing? Nutrition Clinical data reviewed for nutr screen f/u. O Diet Low NA, Low K , Wt 6/7 153#, Graphic: PO @ 75-100% of meals A Appetite good. Tol diet. K + in good control. P Cont POC. Monitor nutr. parameters. Thanks for you help! Janet D. Hiser, M.O.E., R.D., CD-N Chief Dietitian/Dietetic Internship Director Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 V: (203) 739-7216 | F: (203) 739-7619 | janet.hiser at danhosp.org http://www.danburyhospital.org P Please consider the environment before printing this e-mail This transmittal is intended for a particular addressee(s). If it is not clear that you are the intended recipient, you are hereby notified that you have received this transmittal in error; any review, copying or distribution or dissemination is strictly prohibited. If you suspect that you have received this transmittal in error, please notify Danbury Health Systems immediately by email reply to the sender, and delete the transmittal and any attachments. READER BEWARE: Internet e-mail is inherently insecure and occasionally unreliable. Please contact the sender if you wish to arrange for secure communication or to verify the contents of this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/a971ac8d/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 17147 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090617/a971ac8d/attachment-0002.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 5811 bytes Desc: image002.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090617/a971ac8d/attachment-0003.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 9749 bytes Desc: image003.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090617/a971ac8d/attachment-0001.gif From Maureen.McAndrews at emoryhealthcare.org Wed Jun 17 10:32:24 2009 From: Maureen.McAndrews at emoryhealthcare.org (McAndrews, Maureen) Date: Wed, 17 Jun 2009 13:32:24 -0400 Subject: [Cnm] Protein calorie malnutrition In-Reply-To: <26491_1245253483_0KLE00FCT3QHLR50_4A390F69.6040805@nyp.org> References: <26491_1245253483_0KLE00FCT3QHLR50_4A390F69.6040805@nyp.org> Message-ID: We are not using albumin. Our chart is attached. Maureen Maureen McAndrews, MPH, RD, LD Assistant Director, FNS Director, Dietetic Internship Emory University Hospitals Atlanta, GA 30322 404-712-4176 (O) 404-693-2791 (C) -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Patricia A. Slinger-Harvey Sent: Wednesday, June 17, 2009 11:45 AM To: cnm at lists.my180.net Subject: Re: [Cnm] Protein calorie malnutrition We are in the process of updating our policy on PCM and would like to know what criteria folks are using (based on the ICD 9 codes) to determine risk or to make the statement that a patient has PCM. Albumin level is the current lab being used, and with such controversy regarding its use, I would like to know what other measurements institutions are implementing. If you have a policy with references you can share I would appreciate it. Pat Slinger-Harvey -- Patricia Slinger-Harvey, R.D., CDN Director of Clinical Nutrition & Patient Services New York Methodist Hospital 506 6th Street Brooklyn, New York 11215 Phone - 718-780-3344 Fax - 718-780-3571 -------------------- This electronic message is intended to be for the use only of the named recipient, and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. Thank you. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). -------------- next part -------------- A non-text attachment was scrubbed... Name: malnutrition and obesity chart.docx Type: application/vnd.openxmlformats-officedocument.wordprocessingml.document Size: 15711 bytes Desc: malnutrition and obesity chart.docx Url : /pipermail/cnm_lists.my180.net/attachments/20090617/02946af3/attachment.bin From marlol at shands.ufl.edu Wed Jun 17 12:14:07 2009 From: marlol at shands.ufl.edu (Lee Marlowe) Date: Wed, 17 Jun 2009 15:14:07 -0400 Subject: [Cnm] Recipe waste and Nutritional Info Message-ID: <4A39083B.3BAE.000D.0@shands.ufl.edu> I have a recipe we are looking at which uses a marinade and then uses the same marinade as a sauce. If you add all the product together it's an unacceptable amount of fat and sodium. Our Chef relates that most of the marinade/sauce is going down the sink. Does anyone have a method to determine what % of this goes on the plate to the patient? B. Lee Marlowe RD/LD A.D. Clinical Nutrition Services Food and Nutrition Services UF & Shands 352-265-0111ext. 4-6528 beeper 413-5444 marlol at shands.ufl.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/02e4cf15/attachment.html From Janet.Hiser at danhosp.org Wed Jun 17 12:32:03 2009 From: Janet.Hiser at danhosp.org (Hiser, Janet D.) Date: Wed, 17 Jun 2009 15:32:03 -0400 Subject: [Cnm] Nutrition care guidelines Message-ID: <4865A403D47CFA419916A9082054AB62DFA91B@dhsiexch03.danhosp.priv> I am looking to update our guidelines and was wondering if anyone would either be willing to share theirs, or point me to a good reference to assist me. Thanks Janet D. Hiser, M.O.E., R.D., CD-N Chief Dietitian/Dietetic Internship Director Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 V: (203) 739-7216 | F: (203) 739-7619 | janet.hiser at danhosp.org http://www.danburyhospital.org P Please consider the environment before printing this e-mail This transmittal is intended for a particular addressee(s). If it is not clear that you are the intended recipient, you are hereby notified that you have received this transmittal in error; any review, copying or distribution or dissemination is strictly prohibited. If you suspect that you have received this transmittal in error, please notify Danbury Health Systems immediately by email reply to the sender, and delete the transmittal and any attachments. READER BEWARE: Internet e-mail is inherently insecure and occasionally unreliable. Please contact the sender if you wish to arrange for secure communication or to verify the contents of this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/1f849d6b/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 17147 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090617/1f849d6b/attachment-0002.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 5811 bytes Desc: image002.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090617/1f849d6b/attachment-0003.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 9749 bytes Desc: image003.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090617/1f849d6b/attachment-0001.gif From Terese.Scollard at providence.org Wed Jun 17 12:33:08 2009 From: Terese.Scollard at providence.org (Scollard, Terese) Date: Wed, 17 Jun 2009 12:33:08 -0700 Subject: [Cnm] Protein calorie malnutrition In-Reply-To: <26491_1245253483_0KLE00FCT3QHLR50_4A390F69.6040805@nyp.org> Message-ID: <37ABAEB17B0B5B40AA0B6118E57CF59A040202D4@wn1221.or.providence.org> Ours is available in the webinar materials from the Malnutrition: No Longer in the Hospital Closet (for adults only). ADA is selling the recording of the presentation with all the handouts. Terese M. Scollard MBA, RD, LD Regional Clinical Nutrition Manager Providence Health & Services Regional Nutrition Service PHS-PSA Acute Care Phone: 503-216-2496 or 503-215-6974 terese.scollard at providence.org -----Original Message----- From: Patricia A. Slinger-Harvey [mailto:pas9075 at nyp.org] Sent: Wednesday, June 17, 2009 8:45 AM To: cnm at lists.my180.net Subject: Re: [Cnm] Protein calorie malnutrition We are in the process of updating our policy on PCM and would like to know what criteria folks are using (based on the ICD 9 codes) to determine risk or to make the statement that a patient has PCM. Albumin level is the current lab being used, and with such controversy regarding its use, I would like to know what other measurements institutions are implementing. If you have a policy with references you can share I would appreciate it. Pat Slinger-Harvey -- Patricia Slinger-Harvey, R.D., CDN Director of Clinical Nutrition & Patient Services New York Methodist Hospital 506 6th Street Brooklyn, New York 11215 Phone - 718-780-3344 Fax - 718-780-3571 -------------------- This electronic message is intended to be for the use only of the named recipient, and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. Thank you. DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. -------------- next part -------------- A non-text attachment was scrubbed... Name: Scollard, Terese.vcf Type: text/x-vcard Size: 537 bytes Desc: Scollard, Terese.vcf Url : /pipermail/cnm_lists.my180.net/attachments/20090617/3fd8f1e3/attachment.vcf From Terese.Scollard at providence.org Wed Jun 17 12:36:03 2009 From: Terese.Scollard at providence.org (Scollard, Terese) Date: Wed, 17 Jun 2009 12:36:03 -0700 Subject: [Cnm] Recipe waste and Nutritional Info In-Reply-To: <4A39083B.3BAE.000D.0@shands.ufl.edu> Message-ID: <37ABAEB17B0B5B40AA0B6118E57CF59A040202D5@wn1221.or.providence.org> we estimate and observe what is done. Terese M. Scollard MBA, RD, LD Regional Clinical Nutrition Manager Providence Health & Services Regional Nutrition Service PHS-PSA Acute Care Phone: 503-216-2496 or 503-215-6974 terese.scollard at providence.org ________________________________ From: Lee Marlowe [mailto:marlol at shands.ufl.edu] Sent: Wednesday, June 17, 2009 12:14 PM To: cnm at lists.my180.net Cc: Marie Calkins Subject: [Cnm] Recipe waste and Nutritional Info I have a recipe we are looking at which uses a marinade and then uses the same marinade as a sauce. If you add all the product together it's an unacceptable amount of fat and sodium. Our Chef relates that most of the marinade/sauce is going down the sink. Does anyone have a method to determine what % of this goes on the plate to the patient? B. Lee Marlowe RD/LD A.D. Clinical Nutrition Services Food and Nutrition Services UF & Shands 352-265-0111ext. 4-6528 beeper 413-5444 marlol at shands.ufl.edu DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/f82ef4f3/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: Scollard, Terese.vcf Type: text/x-vcard Size: 537 bytes Desc: Scollard, Terese.vcf Url : /pipermail/cnm_lists.my180.net/attachments/20090617/f82ef4f3/attachment.vcf From lbuckle at valleyhealth.com Wed Jun 17 13:53:58 2009 From: lbuckle at valleyhealth.com (Linda Buckley) Date: Wed, 17 Jun 2009 16:53:58 -0400 Subject: [Cnm] average height/weight tables for elderly >65 In-Reply-To: <787335.32428.qm@web36504.mail.mud.yahoo.com> References: <787335.32428.qm@web36504.mail.mud.yahoo.com> Message-ID: <4A391FA5.3F4C.0021.0@gw.valleyhealth.com> We have been trying to research the same thing, and it looks like BMI is the preferred thing to use. There are tables available, but they are all old. I would also appreciate updated references, if there are any. Linda Buckley, MS, RD, CDE Clinical Nutrition Supervisor 201-447-8000 x 2460, pager 0391 >>> Monica Merrell 6/16/2009 10:28 AM >>> Our RDs adjust weight for those with BMI>27 or >125% IBW. We have a reference height/weight table for persons >65 years of age that is dated 1960! I am trying to update our information and make sure we are current in our practices but am getting some hesitation from a few RDs. Is anyone adjusting the weight for people >65 years based on height, weight and age? If so, do you have an updated table? I know the Life insurance tables are for ages 25-59... If not, do you have current info on why it isn't necessary? Thanks so much!Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 From jlworden at att.net Wed Jun 17 19:31:30 2009 From: jlworden at att.net (Jo Lynn Worden) Date: Wed, 17 Jun 2009 21:31:30 -0500 Subject: [Cnm] Cnm Digest, Vol 31, Issue 70 In-Reply-To: References: Message-ID: <00a801c9efbc$e395b860$aac12920$@net> Post to list please. I use 2-3 lbs for each inch under 60 inches. However, I have been known to actually write in the note that it is difficult to assess "this adult with short stature by standard means" and I use what might be a reasonable estimate with the wt between 90-100 lbs. Actually had a very experienced nursing home consultant do that and I learned from her. To me, this is where clinical judgment comes in and what we are educated to do. There just isn't a calculation and easy answer for everything. Looking forward to seeing what others do and if there are some references out there. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Sassouni, Saba Sent: Wednesday, June 17, 2009 10:24 AM To: cnm at lists.my180.net Subject: Re: [Cnm] Cnm Digest, Vol 31, Issue 70 I have been practicing for many years and I am still confused about the simplest calculation because there are discrepancies everywhere regarding the topic. I was taught that a female under 5 feet tall is subtracted by 5# for every inch to obtain IBW. There are books that say deduct 2#, 2.5#, and 5#. I cannot seem to find the answer from a reputable source. Every chart I look at states something different as well. Every RD I know has a different answer too! Does anyone know what the answer is and which source this information comes from? Thank you. S. Sassouni, MS, RD, CDN Silvercrest Nursing & Rehab 718-480-4092 (office) SabaSassouni at IamMorrison.com _____ From: cnm-bounces at lists.my180.net on behalf of cnm-request at lists.my180.net Sent: Wed 6/17/2009 10:10 AM To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 70 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Re: Warfarin and Enteral Nutrition (Booth, Patricia) 2. Re: Ellyn Satter (Ann Merritt) 3. inpatient policy for insulin pumps (Hollie_Colle at ssmhc.com) 4. Nutrient Analysis of Menu (Maritza Rodriguez) 5. Pt. Admission Packet (amy pirozek) 6. Fwd: WM DPG Webinar on Motivational Interviewing (mrogard at charter.net) 7. NCP Diagnosis for pt not nutritionally compromised (Heberle, Heather N.) ---------------------------------------------------------------------- Message: 1 Date: Tue, 16 Jun 2009 17:54:00 -0700 From: "Booth, Patricia" Subject: Re: [Cnm] Warfarin and Enteral Nutrition To: "'Jessie Pavlinac'" , "cnm at lists.my180.net" Message-ID: Content-Type: text/plain; charset="us-ascii" We do not hold tube feedings for Warfarin administration. Patricia Booth, MS, RD, FADA Associate Director, Nutrition Services Director, Dietetic Internship Nutrition and Food Services UCSF Medical Center M-294 Box 0212 San Francisco, CA 94143-0212 Office: 415-353-1355 Email: patricia.booth at ucsfmedctr.org This document is intended only for the use of those to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you have received this electronic document in error, please immediately notify me by telephone or email. Thank you. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessie Pavlinac Sent: Tuesday, June 16, 2009 11:55 AM To: cnm at lists.my180.net Subject: [Cnm] Warfarin and Enteral Nutrition Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/90b0398b/attachment-0001 .html ------------------------------ Message: 2 Date: Tue, 16 Jun 2009 22:57:39 -0400 From: Ann Merritt Subject: Re: [Cnm] Ellyn Satter To: cnm at lists.my180.net Message-ID: Content-Type: text/plain; charset="us-ascii" Hi (I get the listserve emails by digest,so sorry if your question has already been answered.) Ellyn is an RD and a licensed therapist. Her eating competence model is based on internal regulation of food intake vs external regulation which includes diets and meal plans. She goes further encouraging people to take pleasure, even joy from eating. There is evidence to support improved nutrient intake and better management of nutrition related diseases with this approach. Check out her website: http://www.ellynsatter.com/adults.jsp She has several articles related to the concept.. I've taken other seminars from her and highly recommend her. Ann Ann M. Merritt MS, RD, LD. Valley Regional Hospital 243 Elm Street Claremont, New Hampshire 03743 Phone: (603) 542-1862 Fax: (603) 543-5616 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/67c8c3f5/attachment-0001 .html ------------------------------ Message: 3 Date: Wed, 17 Jun 2009 08:45:44 -0500 From: Hollie_Colle at ssmhc.com Subject: [Cnm] inpatient policy for insulin pumps To: CNM Message-ID: Content-Type: text/plain; charset="us-ascii" Does anyone have a policy for inpatient use of insulin pumps they'd be willing to share? Hollie Colle, MS, RD, LDN Clinical Nutrition Manager St. Mary's Good Samaritan, Inc. Mount Vernon IL 62864 (618) 241-2356 Centralia IL 62801 (618) 436-8897 Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/478d82ec/attachment-0001 .html ------------------------------ Message: 4 Date: Wed, 17 Jun 2009 10:02:15 -0400 From: "Maritza Rodriguez" Subject: [Cnm] Nutrient Analysis of Menu To: "Elaine Rosenthal" Cc: cnm at lists.my180.net Message-ID: <32EDCA3D1F5C4C41B7E1A4573DFACCC602117FE9 at SVIPEXC1.msmc.com> Content-Type: text/plain; charset="us-ascii" Hi Elaine, Some time ago you requested to the list some insight about menu analysis for selective menus: how do you sample your menus, the therapeutic extensions, which DRI used, average ages, what nutrients included and state regulations for menu nutrient analysis. Did you get something you could share? Could someone else help? Thank you, Maritza Rodriguez Maritza Rodriguez, RD LDN Clinical Nutrition Manager Mount Sinai Medical Center 4300 Alton Road Miami Beach, Florida 33140 Tel: 305-674-2121 Ext. 56181 Fax: 305-674-2234 m-rodrig at msmc.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain CONFIDENTIAL or PRIVILEGED information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and immediately destroy all copies of the original message and all attachments. Any opinions expressed here are not necessarily those of Mount Sinai Medical Center. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/4477edbf/attachment-0001 .html ------------------------------ Message: 5 Date: Wed, 17 Jun 2009 10:01:54 -0400 From: amy pirozek Subject: [Cnm] Pt. Admission Packet To: Message-ID: Content-Type: text/plain; charset="windows-1252" Goodmorning All- Does anyone have a nice brochure or blurb about the food and nutrition dept. in their patient admission packet? We currently do not, but want to include the following info: Cafe hours, Contact information, something about special diets, etc. I would appreciate any information you could send. Please send to amy.pirocek at tenethealth.com. Thanks much! Amy _________________________________________________________________ Lauren found her dream laptop. Find the PC that?s right for you. http://www.microsoft.com/windows/choosepc/?ocid=ftp_val_wl_290 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/d033cfa7/attachment-0001 .html ------------------------------ Message: 6 Date: Wed, 17 Jun 2009 7:05:45 -0700 From: Subject: [Cnm] Fwd: WM DPG Webinar on Motivational Interviewing To: CNM Message-ID: <20090617100545.G4FUR.400198.root at mp11> Content-Type: text/plain; charset="utf-8" Weight Management DPG Webinar information described below. MJ -- Mary Jane Rogalski, MBA, RD, LDN Manager, Clinical Nutrition Food and Nutrition Services - C1340 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Work #: 413-794-4954 Fax #: 413-794-4949 Work email: mary.jane.rogalski at bhs.org Professional email: mrogard at charter.net > From: "Michele M. Doucette, PhD" > To: "DPGOfficer" > Subject: WM DPG Webinar on Motivational Interviewing > Date: Mon, 15 Jun 2009 14:13:19 -0600 > > Hello All, > > > > The Weight Management DPG has an upcoming webinar on Motivational > Interviewing scheduled for July, 29, 2009. If you feel this would be of > interest to your DPG, would you please pass on the announcement below to > your membership . > > > > Although this webinar is being offered free of charge to WM members only, > non-members can join WM for $25 (the typical cost of one of our webinars) > and have access to this CPEU opportunity, plus all of our resources and > other CPEU offerings throughout the year. > > > > Thank you for your time and assistance. > > > > All the best, > > Michele > > ____________________ > > Michele M. Doucette, PhD > > WM DPG, Chair > > > > mdoucette at nutritionpulse.com > > > > > > > > > > > _____ > > how are you spending your summer vacation? > > > > Here's what WM DPG members are doing: > > > > Attending a free webinar to sharpen their counseling skills: > > Beyond the Handout: Motivational Interviewing Skills for Behavior Change > webinar > July 29, 2009 from 1-2pm EST > Eileen Stellefson Myers, RD, MPH > > > > This free webinar for WM members will provide one CPEU credit! > > > > For more details please see the WM website at www.wmdpg.org > or contact Linda Gigliotti at lmgiglio at uci.edu. > > > > > > > > > --- > You are currently subscribed to dpgofficer as: mrogard at charter.net > To unsubscribe send a blank email to leave-4399665-19653469.d6278c60ed1d53404e33f15201b6e48f at list.eatright.org -------------- next part -------------- A non-text attachment was scrubbed... Name: image003.jpg Type: image/jpeg Size: 4002 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090617/09e26a21/attachment-0001 .jpg ------------------------------ Message: 7 Date: Wed, 17 Jun 2009 09:10:35 -0500 From: "Heberle, Heather N." Subject: [Cnm] NCP Diagnosis for pt not nutritionally compromised To: Message-ID: <39E9FC17-E10D-4337-A337-0838F254275C at mimectl> Content-Type: text/plain; charset="iso-8859-1" I know there have been several questions regarding this issue, I apologize if this is repetitive. I was wondering what other facilities were doing regarding patients who do not have a nutrition diagnosis? Thanks. Heather Heberle, RD, LD Clinical Nutrition Manager Capital Region Medical Center 1125 Madison St Jefferson City, MO 65101 phone: 573.632.5192 fax: 573.632.5879 Heberle-Heather at aramark.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/6001e647/attachment.html ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 70 *********************************** DISCLAIMER Important! This message is intended for the above named person(s) only and is CONFIDENTIAL AND PROPRIETARY. If you are not the intended recipient of this e-mail and have received it in error, please immediately notify the sender by return email and then delete it from your mailbox. This message may be protected by the attorney-client privilege and/or work product doctrine. Accessing, copying, disseminating or re-using any of the information contained in this e-mail by anyone other than the intended recipient is strictly prohibited. Finally, you should check this email and any attachments for the presence of viruses, as the sender accepts no liability for any damage caused by any virus transmitted by this email. Thank you. -------------- next part -------------- A non-text attachment was scrubbed... Name: winmail.dat Type: application/ms-tnef Size: 21382 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090617/3f45a571/attachment-0001.bin From horlowsk at ppmh.org Thu Jun 18 06:53:25 2009 From: horlowsk at ppmh.org (Orlowski, Hannah) Date: Thu, 18 Jun 2009 09:53:25 -0400 Subject: [Cnm] Cnm Digest, Vol 31, Issue 70 In-Reply-To: <00a801c9efbc$e395b860$aac12920$@net> Message-ID: <0DAF44B706E29940A409E32DC69005C00505F359@exchange1.phoebe.com> I was always taught to deduct 2.5# per inch under 5'. No reference material. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net]On Behalf Of Jo Lynn Worden Sent: Wednesday, June 17, 2009 10:32 PM To: 'Sassouni, Saba'; cnm at lists.my180.net Subject: Re: [Cnm] Cnm Digest, Vol 31, Issue 70 Post to list please. I use 2-3 lbs for each inch under 60 inches. However, I have been known to actually write in the note that it is difficult to assess "this adult with short stature by standard means" and I use what might be a reasonable estimate with the wt between 90-100 lbs. Actually had a very experienced nursing home consultant do that and I learned from her. To me, this is where clinical judgment comes in and what we are educated to do. There just isn't a calculation and easy answer for everything. Looking forward to seeing what others do and if there are some references out there. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Sassouni, Saba Sent: Wednesday, June 17, 2009 10:24 AM To: cnm at lists.my180.net Subject: Re: [Cnm] Cnm Digest, Vol 31, Issue 70 I have been practicing for many years and I am still confused about the simplest calculation because there are discrepancies everywhere regarding the topic. I was taught that a female under 5 feet tall is subtracted by 5# for every inch to obtain IBW. There are books that say deduct 2#, 2.5#, and 5#. I cannot seem to find the answer from a reputable source. Every chart I look at states something different as well. Every RD I know has a different answer too! Does anyone know what the answer is and which source this information comes from? Thank you. S. Sassouni, MS, RD, CDN Silvercrest Nursing & Rehab 718-480-4092 (office) SabaSassouni at IamMorrison.com _____ From: cnm-bounces at lists.my180.net on behalf of cnm-request at lists.my180.net Sent: Wed 6/17/2009 10:10 AM To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 70 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Re: Warfarin and Enteral Nutrition (Booth, Patricia) 2. Re: Ellyn Satter (Ann Merritt) 3. inpatient policy for insulin pumps (Hollie_Colle at ssmhc.com) 4. Nutrient Analysis of Menu (Maritza Rodriguez) 5. Pt. Admission Packet (amy pirozek) 6. Fwd: WM DPG Webinar on Motivational Interviewing (mrogard at charter.net) 7. NCP Diagnosis for pt not nutritionally compromised (Heberle, Heather N.) ---------------------------------------------------------------------- Message: 1 Date: Tue, 16 Jun 2009 17:54:00 -0700 From: "Booth, Patricia" Subject: Re: [Cnm] Warfarin and Enteral Nutrition To: "'Jessie Pavlinac'" , "cnm at lists.my180.net" Message-ID: Content-Type: text/plain; charset="us-ascii" We do not hold tube feedings for Warfarin administration. Patricia Booth, MS, RD, FADA Associate Director, Nutrition Services Director, Dietetic Internship Nutrition and Food Services UCSF Medical Center M-294 Box 0212 San Francisco, CA 94143-0212 Office: 415-353-1355 Email: patricia.booth at ucsfmedctr.org< mailto:patricia.booth at ucsfmedctr.org> This document is intended only for the use of those to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you have received this electronic document in error, please immediately notify me by telephone or email. Thank you. ________________________________ From: cnm-bounces at lists.my180.net [ mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessie Pavlinac Sent: Tuesday, June 16, 2009 11:55 AM To: cnm at lists.my180.net Subject: [Cnm] Warfarin and Enteral Nutrition Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/90b0398b/attachment- 0001.html ------------------------------ Message: 2 Date: Tue, 16 Jun 2009 22:57:39 -0400 From: Ann Merritt Subject: Re: [Cnm] Ellyn Satter To: cnm at lists.my180.net Message-ID: Content-Type: text/plain; charset="us-ascii" Hi (I get the listserve emails by digest,so sorry if your question has already been answered.) Ellyn is an RD and a licensed therapist. Her eating competence model is based on internal regulation of food intake vs external regulation which includes diets and meal plans. She goes further encouraging people to take pleasure, even joy from eating. There is evidence to support improved nutrient intake and better management of nutrition related diseases with this approach. Check out her website: http://www.ellynsatter.com/adults.jsp She has several articles related to the concept.. I've taken other seminars from her and highly recommend her. Ann Ann M. Merritt MS, RD, LD. Valley Regional Hospital 243 Elm Street Claremont, New Hampshire 03743 Phone: (603) 542-1862 Fax: (603) 543-5616 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/67c8c3f5/attachment- 0001.html ------------------------------ Message: 3 Date: Wed, 17 Jun 2009 08:45:44 -0500 From: Hollie_Colle at ssmhc.com Subject: [Cnm] inpatient policy for insulin pumps To: CNM Message-ID: Content-Type: text/plain; charset="us-ascii" Does anyone have a policy for inpatient use of insulin pumps they'd be willing to share? Hollie Colle, MS, RD, LDN Clinical Nutrition Manager St. Mary's Good Samaritan, Inc. Mount Vernon IL 62864 (618) 241-2356 Centralia IL 62801 (618) 436-8897 Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/478d82ec/attachment- 0001.html ------------------------------ Message: 4 Date: Wed, 17 Jun 2009 10:02:15 -0400 From: "Maritza Rodriguez" Subject: [Cnm] Nutrient Analysis of Menu To: "Elaine Rosenthal" Cc: cnm at lists.my180.net Message-ID: <32EDCA3D1F5C4C41B7E1A4573DFACCC602117FE9 at SVIPEXC1.msmc.com> Content-Type: text/plain; charset="us-ascii" Hi Elaine, Some time ago you requested to the list some insight about menu analysis for selective menus: how do you sample your menus, the therapeutic extensions, which DRI used, average ages, what nutrients included and state regulations for menu nutrient analysis. Did you get something you could share? Could someone else help? Thank you, Maritza Rodriguez Maritza Rodriguez, RD LDN Clinical Nutrition Manager Mount Sinai Medical Center 4300 Alton Road Miami Beach, Florida 33140 Tel: 305-674-2121 Ext. 56181 Fax: 305-674-2234 m-rodrig at msmc.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain CONFIDENTIAL or PRIVILEGED information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and immediately destroy all copies of the original message and all attachments. Any opinions expressed here are not necessarily those of Mount Sinai Medical Center. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/4477edbf/attachment- 0001.html ------------------------------ Message: 5 Date: Wed, 17 Jun 2009 10:01:54 -0400 From: amy pirozek Subject: [Cnm] Pt. Admission Packet To: Message-ID: Content-Type: text/plain; charset="windows-1252" Goodmorning All- Does anyone have a nice brochure or blurb about the food and nutrition dept. in their patient admission packet? We currently do not, but want to include the following info: Cafe hours, Contact information, something about special diets, etc. I would appreciate any information you could send. Please send to amy.pirocek at tenethealth.com. Thanks much! Amy _________________________________________________________________ Lauren found her dream laptop. Find the PC that?s right for you. http://www.microsoft.com/windows/choosepc/?ocid=ftp_val_wl_290 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/d033cfa7/attachment- 0001.html ------------------------------ Message: 6 Date: Wed, 17 Jun 2009 7:05:45 -0700 From: Subject: [Cnm] Fwd: WM DPG Webinar on Motivational Interviewing To: CNM Message-ID: <20090617100545.G4FUR.400198.root at mp11> Content-Type: text/plain; charset="utf-8" Weight Management DPG Webinar information described below. MJ -- Mary Jane Rogalski, MBA, RD, LDN Manager, Clinical Nutrition Food and Nutrition Services - C1340 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Work #: 413-794-4954 Fax #: 413-794-4949 Work email: mary.jane.rogalski at bhs.org Professional email: mrogard at charter.net > From: "Michele M. Doucette, PhD" > To: "DPGOfficer" > Subject: WM DPG Webinar on Motivational Interviewing > Date: Mon, 15 Jun 2009 14:13:19 -0600 > > Hello All, > > > > The Weight Management DPG has an upcoming webinar on Motivational > Interviewing scheduled for July, 29, 2009. If you feel this would be of > interest to your DPG, would you please pass on the announcement below to > your membership . > > > > Although this webinar is being offered free of charge to WM members only, > non-members can join WM for $25 (the typical cost of one of our webinars) > and have access to this CPEU opportunity, plus all of our resources and > other CPEU offerings throughout the year. > > > > Thank you for your time and assistance. > > > > All the best, > > Michele > > ____________________ > > Michele M. Doucette, PhD > > WM DPG, Chair > > > > mdoucette at nutritionpulse.com > > > > > > > > > > > _____ > > how are you spending your summer vacation? > > > > Here's what WM DPG members are doing: > > > > Attending a free webinar to sharpen their counseling skills: > > Beyond the Handout: Motivational Interviewing Skills for Behavior Change > webinar > July 29, 2009 from 1-2pm EST > Eileen Stellefson Myers, RD, MPH > > > > This free webinar for WM members will provide one CPEU credit! > > > > For more details please see the WM website at www.wmdpg.org > < http://www.wmdpg.org/> or contact Linda Gigliotti at lmgiglio at uci.edu. > > > > > > > > > --- > You are currently subscribed to dpgofficer as: mrogard at charter.net > To unsubscribe send a blank email to leave-4399665-19653469.d6278c60ed1d53404e33f15201b6e48f at list.eatright.or g -------------- next part -------------- A non-text attachment was scrubbed... Name: image003.jpg Type: image/jpeg Size: 4002 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090617/09e26a21/attachment- 0001.jpg ------------------------------ Message: 7 Date: Wed, 17 Jun 2009 09:10:35 -0500 From: "Heberle, Heather N." Subject: [Cnm] NCP Diagnosis for pt not nutritionally compromised To: Message-ID: <39E9FC17-E10D-4337-A337-0838F254275C at mimectl> Content-Type: text/plain; charset="iso-8859-1" I know there have been several questions regarding this issue, I apologize if this is repetitive. I was wondering what other facilities were doing regarding patients who do not have a nutrition diagnosis? Thanks. Heather Heberle, RD, LD Clinical Nutrition Manager Capital Region Medical Center 1125 Madison St Jefferson City, MO 65101 phone: 573.632.5192 fax: 573.632.5879 Heberle-Heather at aramark.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/6001e647/attachment. html ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 70 *********************************** DISCLAIMER Important! This message is intended for the above named person(s) only and is CONFIDENTIAL AND PROPRIETARY. If you are not the intended recipient of this e-mail and have received it in error, please immediately notify the sender by return email and then delete it from your mailbox. This message may be protected by the attorney-client privilege and/or work product doctrine. Accessing, copying, disseminating or re-using any of the information contained in this e-mail by anyone other than the intended recipient is strictly prohibited. Finally, you should check this email and any attachments for the presence of viruses, as the sender accepts no liability for any damage caused by any virus transmitted by this email. Thank you. ----------------------------------------- Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/f7610a43/attachment.html From MarcelleKarustis at catholichealth.net Thu Jun 18 07:23:11 2009 From: MarcelleKarustis at catholichealth.net (Karustis, Marcelle) Date: Thu, 18 Jun 2009 08:23:11 -0600 Subject: [Cnm] Cnm Digest, Vol 31, Issue 70 In-Reply-To: <0DAF44B706E29940A409E32DC69005C00505F359@exchange1.phoebe.com> References: <00a801c9efbc$e395b860$aac12920$@net> <0DAF44B706E29940A409E32DC69005C00505F359@exchange1.phoebe.com> Message-ID: <17B38BCEA6E6F24D9300FA8CFE81F425BFC429@chimsx015.CHI.catholichealth.net> Ditto here. Marcelle Karustis MS RD RN LDN Clinical Nutrition Manager ext 2487 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Orlowski, Hannah Sent: Thursday, June 18, 2009 9:53 AM To: Jo Lynn Worden; Sassouni, Saba; cnm at lists.my180.net Subject: Re: [Cnm] Cnm Digest, Vol 31, Issue 70 I was always taught to deduct 2.5# per inch under 5'. No reference material. ________________________________ Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. DISCLAIMER: The information contained in this electronic mail transmission is privileged and confidential. It is intended for the sole use and viewing of the addressee(s). If you are not the addressee(s), you are hereby notified that any disclosure, distribution, or other use of the information contained herein, other than deletion, is strictly prohibited. Violation of this prohibition may result in civil or criminal liability. If you have received this electronic mail in error, please notify the sender by way of reply. Thank you for your consideration. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/b517585e/attachment-0001.html From Sandra.Moretz at tiftregional.com Thu Jun 18 07:06:40 2009 From: Sandra.Moretz at tiftregional.com (Sandra Moretz) Date: Thu, 18 Jun 2009 10:06:40 -0400 Subject: [Cnm] IBW under 5 foot In-Reply-To: <0DAF44B706E29940A409E32DC69005C00505F359@exchange1.phoebe.com> References: <00a801c9efbc$e395b860$aac12920$@net> <0DAF44B706E29940A409E32DC69005C00505F359@exchange1.phoebe.com> Message-ID: <4F21268C197FF8408219D0D6B7614AEE0331720DF5@EXCHANGE2.trmc.us> Same here ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Orlowski, Hannah Sent: Thursday, June 18, 2009 9:53 AM To: Jo Lynn Worden; Sassouni, Saba; cnm at lists.my180.net Subject: Re: [Cnm] Cnm Digest, Vol 31, Issue 70 I was always taught to deduct 2.5# per inch under 5'. No reference material. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net]On Behalf Of Jo Lynn Worden Sent: Wednesday, June 17, 2009 10:32 PM To: 'Sassouni, Saba'; cnm at lists.my180.net Subject: Re: [Cnm] Cnm Digest, Vol 31, Issue 70 Post to list please. I use 2-3 lbs for each inch under 60 inches. However, I have been known to actually write in the note that it is difficult to assess "this adult with short stature by standard means" and I use what might be a reasonable estimate with the wt between 90-100 lbs. Actually had a very experienced nursing home consultant do that and I learned from her. To me, this is where clinical judgment comes in and what we are educated to do. There just isn't a calculation and easy answer for everything. Looking forward to seeing what others do and if there are some references out there. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Sassouni, Saba Sent: Wednesday, June 17, 2009 10:24 AM To: cnm at lists.my180.net Subject: Re: [Cnm] Cnm Digest, Vol 31, Issue 70 I have been practicing for many years and I am still confused about the simplest calculation because there are discrepancies everywhere regarding the topic. I was taught that a female under 5 feet tall is subtracted by 5# for every inch to obtain IBW. There are books that say deduct 2#, 2.5#, and 5#. I cannot seem to find the answer from a reputable source. Every chart I look at states something different as well. Every RD I know has a different answer too! Does anyone know what the answer is and which source this information comes from? Thank you. S. Sassouni, MS, RD, CDN Silvercrest Nursing & Rehab 718-480-4092 (office) SabaSassouni at IamMorrison.com ________________________________ From: cnm-bounces at lists.my180.net on behalf of cnm-request at lists.my180.net Sent: Wed 6/17/2009 10:10 AM To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 70 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Re: Warfarin and Enteral Nutrition (Booth, Patricia) 2. Re: Ellyn Satter (Ann Merritt) 3. inpatient policy for insulin pumps (Hollie_Colle at ssmhc.com) 4. Nutrient Analysis of Menu (Maritza Rodriguez) 5. Pt. Admission Packet (amy pirozek) 6. Fwd: WM DPG Webinar on Motivational Interviewing (mrogard at charter.net) 7. NCP Diagnosis for pt not nutritionally compromised (Heberle, Heather N.) ---------------------------------------------------------------------- Message: 1 Date: Tue, 16 Jun 2009 17:54:00 -0700 From: "Booth, Patricia" Subject: Re: [Cnm] Warfarin and Enteral Nutrition To: "'Jessie Pavlinac'" , "cnm at lists.my180.net" Message-ID: Content-Type: text/plain; charset="us-ascii" We do not hold tube feedings for Warfarin administration. Patricia Booth, MS, RD, FADA Associate Director, Nutrition Services Director, Dietetic Internship Nutrition and Food Services UCSF Medical Center M-294 Box 0212 San Francisco, CA 94143-0212 Office: 415-353-1355 Email: patricia.booth at ucsfmedctr.org This document is intended only for the use of those to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you have received this electronic document in error, please immediately notify me by telephone or email. Thank you. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessie Pavlinac Sent: Tuesday, June 16, 2009 11:55 AM To: cnm at lists.my180.net Subject: [Cnm] Warfarin and Enteral Nutrition Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/90b0398b/attachment-0001.html ------------------------------ Message: 2 Date: Tue, 16 Jun 2009 22:57:39 -0400 From: Ann Merritt Subject: Re: [Cnm] Ellyn Satter To: cnm at lists.my180.net Message-ID: Content-Type: text/plain; charset="us-ascii" Hi (I get the listserve emails by digest,so sorry if your question has already been answered.) Ellyn is an RD and a licensed therapist. Her eating competence model is based on internal regulation of food intake vs external regulation which includes diets and meal plans. She goes further encouraging people to take pleasure, even joy from eating. There is evidence to support improved nutrient intake and better management of nutrition related diseases with this approach. Check out her website: http://www.ellynsatter.com/adults.jsp She has several articles related to the concept.. I've taken other seminars from her and highly recommend her. Ann Ann M. Merritt MS, RD, LD. Valley Regional Hospital 243 Elm Street Claremont, New Hampshire 03743 Phone: (603) 542-1862 Fax: (603) 543-5616 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/67c8c3f5/attachment-0001.html ------------------------------ Message: 3 Date: Wed, 17 Jun 2009 08:45:44 -0500 From: Hollie_Colle at ssmhc.com Subject: [Cnm] inpatient policy for insulin pumps To: CNM Message-ID: Content-Type: text/plain; charset="us-ascii" Does anyone have a policy for inpatient use of insulin pumps they'd be willing to share? Hollie Colle, MS, RD, LDN Clinical Nutrition Manager St. Mary's Good Samaritan, Inc. Mount Vernon IL 62864 (618) 241-2356 Centralia IL 62801 (618) 436-8897 Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/478d82ec/attachment-0001.html ------------------------------ Message: 4 Date: Wed, 17 Jun 2009 10:02:15 -0400 From: "Maritza Rodriguez" Subject: [Cnm] Nutrient Analysis of Menu To: "Elaine Rosenthal" Cc: cnm at lists.my180.net Message-ID: <32EDCA3D1F5C4C41B7E1A4573DFACCC602117FE9 at SVIPEXC1.msmc.com> Content-Type: text/plain; charset="us-ascii" Hi Elaine, Some time ago you requested to the list some insight about menu analysis for selective menus: how do you sample your menus, the therapeutic extensions, which DRI used, average ages, what nutrients included and state regulations for menu nutrient analysis. Did you get something you could share? Could someone else help? Thank you, Maritza Rodriguez Maritza Rodriguez, RD LDN Clinical Nutrition Manager Mount Sinai Medical Center 4300 Alton Road Miami Beach, Florida 33140 Tel: 305-674-2121 Ext. 56181 Fax: 305-674-2234 m-rodrig at msmc.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain CONFIDENTIAL or PRIVILEGED information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and immediately destroy all copies of the original message and all attachments. Any opinions expressed here are not necessarily those of Mount Sinai Medical Center. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/4477edbf/attachment-0001.html ------------------------------ Message: 5 Date: Wed, 17 Jun 2009 10:01:54 -0400 From: amy pirozek Subject: [Cnm] Pt. Admission Packet To: Message-ID: Content-Type: text/plain; charset="windows-1252" Goodmorning All- Does anyone have a nice brochure or blurb about the food and nutrition dept. in their patient admission packet? We currently do not, but want to include the following info: Cafe hours, Contact information, something about special diets, etc. I would appreciate any information you could send. Please send to amy.pirocek at tenethealth.com. Thanks much! Amy _________________________________________________________________ Lauren found her dream laptop. Find the PC that?s right for you. http://www.microsoft.com/windows/choosepc/?ocid=ftp_val_wl_290 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/d033cfa7/attachment-0001.html ------------------------------ Message: 6 Date: Wed, 17 Jun 2009 7:05:45 -0700 From: Subject: [Cnm] Fwd: WM DPG Webinar on Motivational Interviewing To: CNM Message-ID: <20090617100545.G4FUR.400198.root at mp11> Content-Type: text/plain; charset="utf-8" Weight Management DPG Webinar information described below. MJ -- Mary Jane Rogalski, MBA, RD, LDN Manager, Clinical Nutrition Food and Nutrition Services - C1340 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Work #: 413-794-4954 Fax #: 413-794-4949 Work email: mary.jane.rogalski at bhs.org Professional email: mrogard at charter.net > From: "Michele M. Doucette, PhD" > To: "DPGOfficer" > Subject: WM DPG Webinar on Motivational Interviewing > Date: Mon, 15 Jun 2009 14:13:19 -0600 > > Hello All, > > > > The Weight Management DPG has an upcoming webinar on Motivational > Interviewing scheduled for July, 29, 2009. If you feel this would be of > interest to your DPG, would you please pass on the announcement below to > your membership .. > > > > Although this webinar is being offered free of charge to WM members only, > non-members can join WM for $25 (the typical cost of one of our webinars) > and have access to this CPEU opportunity, plus all of our resources and > other CPEU offerings throughout the year. > > > > Thank you for your time and assistance. > > > > All the best, > > Michele > > ____________________ > > Michele M. Doucette, PhD > > WM DPG, Chair > > > > mdoucette at nutritionpulse.com > > > > > > > > > > > _____ > > how are you spending your summer vacation? > > > > Here's what WM DPG members are doing: > > > > Attending a free webinar to sharpen their counseling skills: > > Beyond the Handout: Motivational Interviewing Skills for Behavior Change > webinar > July 29, 2009 from 1-2pm EST > Eileen Stellefson Myers, RD, MPH > > > > This free webinar for WM members will provide one CPEU credit! > > > > For more details please see the WM website at www.wmdpg.org > or contact Linda Gigliotti at lmgiglio at uci.edu. > > > > > > > > > --- > You are currently subscribed to dpgofficer as: mrogard at charter.net > To unsubscribe send a blank email to leave-4399665-19653469.d6278c60ed1d53404e33f15201b6e48f at list.eatright.org -------------- next part -------------- A non-text attachment was scrubbed... Name: image003.jpg Type: image/jpeg Size: 4002 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090617/09e26a21/attachment-0001.jpg ------------------------------ Message: 7 Date: Wed, 17 Jun 2009 09:10:35 -0500 From: "Heberle, Heather N." Subject: [Cnm] NCP Diagnosis for pt not nutritionally compromised To: Message-ID: <39E9FC17-E10D-4337-A337-0838F254275C at mimectl> Content-Type: text/plain; charset="iso-8859-1" I know there have been several questions regarding this issue, I apologize if this is repetitive. I was wondering what other facilities were doing regarding patients who do not have a nutrition diagnosis? Thanks. Heather Heberle, RD, LD Clinical Nutrition Manager Capital Region Medical Center 1125 Madison St Jefferson City, MO 65101 phone: 573.632.5192 fax: 573.632.5879 Heberle-Heather at aramark.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/6001e647/attachment.html ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 70 *********************************** DISCLAIMER Important! This message is intended for the above named person(s) only and is CONFIDENTIAL AND PROPRIETARY. If you are not the intended recipient of this e-mail and have received it in error, please immediately notify the sender by return email and then delete it from your mailbox. This message may be protected by the attorney-client privilege and/or work product doctrine. Accessing, copying, disseminating or re-using any of the information contained in this e-mail by anyone other than the intended recipient is strictly prohibited. Finally, you should check this email and any attachments for the presence of viruses, as the sender accepts no liability for any damage caused by any virus transmitted by this email. Thank you. ________________________________ Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. This e-mail and any files transmitted with it may contain PRIVILEDGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the e-mail or any of its attachments, please be advised that you have received this e-mail in error and that use, dissemination, distribution, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/7ad3fad0/attachment-0001.html From mtewes at wchsys.org Thu Jun 18 07:38:44 2009 From: mtewes at wchsys.org (Melissa Tewes) Date: Thu, 18 Jun 2009 10:38:44 -0400 Subject: [Cnm] Uniforms? Message-ID: <005b01c9f022$7b42cee0$71c86ca0$@org> If you have a hostess program and they are required to wear uniforms, are they provided by the hospital or are employees required to buy their own? Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/753b4ed4/attachment.html From Suzanne_Mach at CHS.net Thu Jun 18 08:00:48 2009 From: Suzanne_Mach at CHS.net (Suzanne_Mach at CHS.net) Date: Thu, 18 Jun 2009 11:00:48 -0400 Subject: [Cnm] Disaster Plan for menus Message-ID: Suzanne Mach, MS, RD Assistant Director of Patient Services Clinical Nutrition Manager Southside Regional Medical Center 200 Medical Park BLVD. Petersburg, VA 23805 Office: 804-765-5178 Email: suzanne_mach at chs.net Is anybody willing to share their Policy regarding Disaster Planning? Specifically menus for 7 days. thank you -------------------------------------------------------------------------- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/b7b9ec27/attachment.html From Sandra.Moretz at tiftregional.com Thu Jun 18 08:02:42 2009 From: Sandra.Moretz at tiftregional.com (Sandra Moretz) Date: Thu, 18 Jun 2009 11:02:42 -0400 Subject: [Cnm] Uniforms? In-Reply-To: <005b01c9f022$7b42cee0$71c86ca0$@org> References: <005b01c9f022$7b42cee0$71c86ca0$@org> Message-ID: <4F21268C197FF8408219D0D6B7614AEE0331720EFB@EXCHANGE2.trmc.us> The hospital provides them 3 uniforms. Sandra Moretz, RD, LD Clinical Nutrition Manager Tift Regional Medical Center Tifton, Georgia ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Thursday, June 18, 2009 10:39 AM To: cnm at lists.my180.net Subject: [Cnm] Uniforms? If you have a hostess program and they are required to wear uniforms, are they provided by the hospital or are employees required to buy their own? Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. This e-mail and any files transmitted with it may contain PRIVILEDGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the e-mail or any of its attachments, please be advised that you have received this e-mail in error and that use, dissemination, distribution, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/5c687704/attachment.html From cketterman at wellspan.org Thu Jun 18 07:59:04 2009 From: cketterman at wellspan.org (Ketterman-Hopkins, Cindra) Date: Thu, 18 Jun 2009 10:59:04 -0400 Subject: [Cnm] Uniforms? In-Reply-To: <005b01c9f022$7b42cee0$71c86ca0$@org> References: <005b01c9f022$7b42cee0$71c86ca0$@org> Message-ID: <5B32BC7FE9D04B43A8B78CA7A19CBD4E050B1937@EXCH4.wellspan.org> We don't have a hostess program but our tray service, caf? and dishroom employees are required to wear uniforms. They get 2 uniforms/year but can purchase additional ones if they so desire. Cindra L. Ketterman, MS, RD, LDN Chief Clinical Dietitian York Hospital.WellSpan Health 1001 South George Street York, PA 17405-7198 (717) 851 - 3991 (717) 851 - 2345 ask for pager 0093 (717) 851 - 2934 (fax) ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Thursday, June 18, 2009 10:39 To: cnm at lists.my180.net Subject: [Cnm] Uniforms? If you have a hostess program and they are required to wear uniforms, are they provided by the hospital or are employees required to buy their own? Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/f4836b0f/attachment.html From Lori.Zimmerman at ministryhealth.org Thu Jun 18 08:30:46 2009 From: Lori.Zimmerman at ministryhealth.org (Zimmerman, Lori A) Date: Thu, 18 Jun 2009 10:30:46 -0500 Subject: [Cnm] Uniforms? In-Reply-To: <4F21268C197FF8408219D0D6B7614AEE0331720EFB@EXCHANGE2.trmc.us> References: <005b01c9f022$7b42cee0$71c86ca0$@org> <4F21268C197FF8408219D0D6B7614AEE0331720EFB@EXCHANGE2.trmc.us> Message-ID: Our hospital provides them, number of uniforms is determined based on FTE status of the employee. Lori A. Zimmerman MS, RD, CD ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Sandra Moretz Sent: Thursday, June 18, 2009 10:03 AM To: Melissa Tewes; cnm at lists.my180.net Subject: Re: [Cnm] Uniforms? The hospital provides them 3 uniforms. Sandra Moretz, RD, LD Clinical Nutrition Manager Tift Regional Medical Center Tifton, Georgia ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Thursday, June 18, 2009 10:39 AM To: cnm at lists.my180.net Subject: [Cnm] Uniforms? If you have a hostess program and they are required to wear uniforms, are they provided by the hospital or are employees required to buy their own? Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. ________________________________ This e-mail and any files transmitted with it may contain PRIVILEDGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the e-mail or any of its attachments, please be advised that you have received this e-mail in error and that use, dissemination, distribution, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail. ________________________________ CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify the sender at the electronic mail address noted above and destroy all copies of this communication and any attachments. Thank you for your cooperation. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/81de357c/attachment-0001.html From kfeldberkowitz at jhha.org Thu Jun 18 09:02:31 2009 From: kfeldberkowitz at jhha.org (Feld-Berkowitz, Kathy) Date: Thu, 18 Jun 2009 12:02:31 -0400 Subject: [Cnm] Optimum Solutions and Strateiges LLC Bill Lutz In-Reply-To: References: Message-ID: Has anyone received a consultation from Optimum Solutions and Strategies-Bill Lutz? He is a Food Service Consultant to Long Term Care and Assisted Living Facilities. Would anyone be willing to share their experience? Kathy Feld Berkowitz MS, RD, CDE, CDN Assistant Director Food and Nutrition Services Jewish Home Lifecare Bronx Division 100 W Kingsbridge Road Bronx, NY 10468 (718) 410-1522 kfeldberkowitz at jhha.org -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of cnm-request at lists.my180.net Sent: Wednesday, June 17, 2009 11:32 AM To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 73 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Re: inpatient policy for insulin pumps (Donna Quirk) ---------------------------------------------------------------------- Message: 1 Date: Wed, 17 Jun 2009 11:31:56 -0400 From: "Donna Quirk" Subject: Re: [Cnm] inpatient policy for insulin pumps To: Cc: CNM Message-ID: Content-Type: text/plain; charset="us-ascii" Insulin Pumps fall under the attached policy at our facility. Donna Quirk MBA RD LD Clinical Nutrition Manager Lexington Medical Center 2720 Sunset Blvd West Columbia, SC 29169 803-791-2248 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Pam Charney Sent: Wednesday, June 17, 2009 11:10 AM To: Hollie_Colle at ssmhc.com Cc: CNM Subject: Re: [Cnm] inpatient policy for insulin pumps Greetings, Most of my friends who use insulin pumps would simply disconnect and use injections when hospitalized. If the pump user isn't able to use the pump, most healthcare facilities don't have trained staff available 24/7, thus using a pump becomes a patient safety issue. Any policy I would use should start out with having staff available on site 24/7 who are certified to use each of the pumps available. Since this is most likely not possible, I"m not sure how one could say that it's safe for pump users to be inpatients. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 17, 2009, at 6:45 AM, Hollie_Colle at ssmhc.com wrote: Does anyone have a policy for inpatient use of insulin pumps they'd be willing to share? Hollie Colle, MS, RD, LDN Clinical Nutrition Manager St. Mary's Good Samaritan, Inc. Mount Vernon IL 62864 (618) 241-2356 Centralia IL 62801 (618) 436-8897 Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message._______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/13e1032e/attachment. html -------------- next part -------------- A non-text attachment was scrubbed... Name: Pt Owned Rented Medical Equip.doc Type: application/msword Size: 29184 bytes Desc: Pt Owned Rented Medical Equip.doc Url : /pipermail/cnm_lists.my180.net/attachments/20090617/13e1032e/attachment. doc ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 73 *********************************** From MaryAnn.Browne at inova.org Thu Jun 18 09:35:00 2009 From: MaryAnn.Browne at inova.org (Browne, MaryAnn) Date: Thu, 18 Jun 2009 12:35:00 -0400 Subject: [Cnm] average height/weight tables for elderly >65 In-Reply-To: <4A391FA5.3F4C.0021.0@gw.valleyhealth.com> References: <787335.32428.qm@web36504.mail.mud.yahoo.com> <4A391FA5.3F4C.0021.0@gw.valleyhealth.com> Message-ID: I think I heard somewhere that the BMI did not apply at a certain age. Is that correct? I do not remember the reference. Mary Ann Browne R.D. CDE Nutrition Care Manager 703-664-7425 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Linda Buckley Sent: Wednesday, June 17, 2009 4:54 PM To: cnm at lists.my180.net; Monica Merrell Subject: Re: [Cnm] average height/weight tables for elderly >65 We have been trying to research the same thing, and it looks like BMI is the preferred thing to use. There are tables available, but they are all old. I would also appreciate updated references, if there are any. Linda Buckley, MS, RD, CDE Clinical Nutrition Supervisor 201-447-8000 x 2460, pager 0391 >>> Monica Merrell 6/16/2009 10:28 AM >>> Our RDs adjust weight for those with BMI>27 or >125% IBW. We have a reference height/weight table for persons >65 years of age that is dated 1960! I am trying to update our information and make sure we are current in our practices but am getting some hesitation from a few RDs. Is anyone adjusting the weight for people >65 years based on height, weight and age? If so, do you have an updated table? I know the Life insurance tables are for ages 25-59... If not, do you have current info on why it isn't necessary? Thanks so much!Monica Stewart, RD, LD Clinical Nutrition Manager Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 479-463-7198 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From rdconnect at yahoo.com Thu Jun 18 09:36:57 2009 From: rdconnect at yahoo.com (Jean Harnisch) Date: Thu, 18 Jun 2009 09:36:57 -0700 (PDT) Subject: [Cnm] billing outpatients Message-ID: <126834.68334.qm@web62003.mail.re1.yahoo.com> Anyone have any experience to draw from on an outpatient basis as far as billing outpatients for service ordered thru a physician? ? We have an issue here where RD's were consulted to see an outpatient for tube feeding adjustments.? The patient was not physically seen and the assessment was completed without the face-to-face contact.? Our insurance coordinator says this would not be reimbursable since it was not a face-to-face contact. ? Additionally, we have had phone consults and this is also felt to not be reimbursable without the contact. ? What have you seen?? I know there are business entrepreneurs out there who are very involved with RD phone consulting...maybe they are getting their $ up front thru credit cards/ paytel...your thoughts? -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/19e73de5/attachment.html From pcharney at mac.com Thu Jun 18 10:04:32 2009 From: pcharney at mac.com (Pam Charney) Date: Thu, 18 Jun 2009 10:04:32 -0700 Subject: [Cnm] billing outpatients In-Reply-To: <126834.68334.qm@web62003.mail.re1.yahoo.com> References: <126834.68334.qm@web62003.mail.re1.yahoo.com> Message-ID: If you are billing through most of the major payers, you will not be reimbursed for phone, e-mail, or other non-face-to-face contacts. Medicare for sure won't pay. Some insurers are beginning to pay for use of secure messaging. Group Health Cooperative is testing a system to pay providers for appropriate, timely use of secure messaging with patients. Additionally, I'm not sure how one can assess nutrition status without actually seeing the patient. There are also some third party payers who will reimburse for telephone follow-up if the call is scheduled with the patient. However, you must stay on top of reimbursement issues, as this changes quite frequently. Also, patients and/or providers can appeal decisions, although this can be a lengthy and difficult process. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 18, 2009, at 9:36 AM, Jean Harnisch wrote: > Anyone have any experience to draw from on an outpatient basis as > far as billing outpatients for service ordered thru a physician? > > We have an issue here where RD's were consulted to see an outpatient > for tube feeding adjustments. The patient was not physically seen > and the assessment was completed without the face-to-face contact. > Our insurance coordinator says this would not be reimbursable since > it was not a face-to-face contact. > > Additionally, we have had phone consults and this is also felt to > not be reimbursable without the contact. > > What have you seen? I know there are business entrepreneurs out > there who are very involved with RD phone consulting...maybe they > are getting their $ up front thru credit cards/ paytel...your > thoughts? > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/054c8d44/attachment.html From cketterman at wellspan.org Thu Jun 18 10:19:56 2009 From: cketterman at wellspan.org (Ketterman-Hopkins, Cindra) Date: Thu, 18 Jun 2009 13:19:56 -0400 Subject: [Cnm] billing outpatients In-Reply-To: References: <126834.68334.qm@web62003.mail.re1.yahoo.com> Message-ID: <5B32BC7FE9D04B43A8B78CA7A19CBD4E050B1939@EXCH4.wellspan.org> We follow our outpt nutrition support patients via phone. - their labs/vitals/weights are electronic and we get updates from our home infusion program staff. We consult for the health system's home infusion program so we bill them monthly for our hours. It's great because they deal with the insurance and we always get paid! Cindra L. Ketterman, MS, RD, LDN Chief Clinical Dietitian York Hospital.WellSpan Health 1001 South George Street York, PA 17405-7198 (717) 851 - 3991 (717) 851 - 2345 ask for pager 0093 (717) 851 - 2934 (fax) ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Pam Charney Sent: Thursday, June 18, 2009 13:05 To: Jean Harnisch Cc: cnm at lists.my180.net Subject: Re: [Cnm] billing outpatients If you are billing through most of the major payers, you will not be reimbursed for phone, e-mail, or other non-face-to-face contacts. Medicare for sure won't pay. Some insurers are beginning to pay for use of secure messaging. Group Health Cooperative is testing a system to pay providers for appropriate, timely use of secure messaging with patients. Additionally, I'm not sure how one can assess nutrition status without actually seeing the patient. There are also some third party payers who will reimburse for telephone follow-up if the call is scheduled with the patient. However, you must stay on top of reimbursement issues, as this changes quite frequently. Also, patients and/or providers can appeal decisions, although this can be a lengthy and difficult process. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 18, 2009, at 9:36 AM, Jean Harnisch wrote: Anyone have any experience to draw from on an outpatient basis as far as billing outpatients for service ordered thru a physician? We have an issue here where RD's were consulted to see an outpatient for tube feeding adjustments. The patient was not physically seen and the assessment was completed without the face-to-face contact. Our insurance coordinator says this would not be reimbursable since it was not a face-to-face contact. Additionally, we have had phone consults and this is also felt to not be reimbursable without the contact. What have you seen? I know there are business entrepreneurs out there who are very involved with RD phone consulting...maybe they are getting their $ up front thru credit cards/ paytel...your thoughts? _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/3a2553a8/attachment-0001.html From LCarver at Reshealthcare.org Thu Jun 18 10:33:01 2009 From: LCarver at Reshealthcare.org (Carver, Leslee) Date: Thu, 18 Jun 2009 12:33:01 -0500 Subject: [Cnm] billing outpatients In-Reply-To: <126834.68334.qm@web62003.mail.re1.yahoo.com> References: <126834.68334.qm@web62003.mail.re1.yahoo.com> Message-ID: <5330B54133B6194BA13930BDEFE9A30E04704233@rhcexch3.reshealthcare.org> there are some situations where MNT is covered for distance consultations but it is strictly limited to rural/low service areas - and I believe the areas are delineated by CMS. additionally, I think there are a # of hoops to jump through to establish the service. obviously, being in Chicago, I quickly figured that feature of MNT was not available here. Leslee Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jean Harnisch Sent: Thursday, June 18, 2009 11:37 AM To: cnm at lists.my180.net Subject: [Cnm] billing outpatients Anyone have any experience to draw from on an outpatient basis as far as billing outpatients for service ordered thru a physician? We have an issue here where RD's were consulted to see an outpatient for tube feeding adjustments. The patient was not physically seen and the assessment was completed without the face-to-face contact. Our insurance coordinator says this would not be reimbursable since it was not a face-to-face contact. Additionally, we have had phone consults and this is also felt to not be reimbursable without the contact. What have you seen? I know there are business entrepreneurs out there who are very involved with RD phone consulting...maybe they are getting their $ up front thru credit cards/ paytel...your thoughts? -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/2b3b3a5d/attachment.html From Catherine.McIsaac at vtmednet.org Thu Jun 18 11:19:00 2009 From: Catherine.McIsaac at vtmednet.org (McIsaac, Catherine L.) Date: Thu, 18 Jun 2009 14:19:00 -0400 Subject: [Cnm] billing outpatients In-Reply-To: <5B32BC7FE9D04B43A8B78CA7A19CBD4E050B1939@EXCH4.wellspan.org> References: <126834.68334.qm@web62003.mail.re1.yahoo.com> <5B32BC7FE9D04B43A8B78CA7A19CBD4E050B1939@EXCH4.wellspan.org> Message-ID: We do the same for our own infusion pts, one of RD is paid by the pharmacy 8 hours/week to monitor our home TPN/TF pts. When an outside vendor is involved, we contact the vendor to find out what their support services are (many larger companies, such as Apria, have RDs on staff), and turn the case over to them. We've voiced our opinion about the need for RD coverage to home care companies enough so that two in our area have now contracted with a RD (outside of our organization). We've had a good working relationship with these RDs, and we have definitely cut down the amount of time on the phone with newly discharged patient, the VNA, their docs, etc... and our RDs are definitely less stressed about it, too! Cathy McIsaac, MS, RD Manager, Clinical Nutrition Nutrition Services Fletcher Allen Health Care 111 Colchester Ave Burlington, VT 05401 P: 802-847-2703 F: 802-847-2790 Please consider the environment before printing this email. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Ketterman-Hopkins, Cindra Sent: Thursday, June 18, 2009 1:20 PM To: Pam Charney; Jean Harnisch Cc: cnm at lists.my180.net Subject: Re: [Cnm] billing outpatients We follow our outpt nutrition support patients via phone. - their labs/vitals/weights are electronic and we get updates from our home infusion program staff. We consult for the health system's home infusion program so we bill them monthly for our hours. It's great because they deal with the insurance and we always get paid! Cindra L. Ketterman, MS, RD, LDN Chief Clinical Dietitian York Hospital.WellSpan Health 1001 South George Street York, PA 17405-7198 (717) 851 - 3991 (717) 851 - 2345 ask for pager 0093 (717) 851 - 2934 (fax) ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Pam Charney Sent: Thursday, June 18, 2009 13:05 To: Jean Harnisch Cc: cnm at lists.my180.net Subject: Re: [Cnm] billing outpatients If you are billing through most of the major payers, you will not be reimbursed for phone, e-mail, or other non-face-to-face contacts. Medicare for sure won't pay. Some insurers are beginning to pay for use of secure messaging. Group Health Cooperative is testing a system to pay providers for appropriate, timely use of secure messaging with patients. Additionally, I'm not sure how one can assess nutrition status without actually seeing the patient. There are also some third party payers who will reimburse for telephone follow-up if the call is scheduled with the patient. However, you must stay on top of reimbursement issues, as this changes quite frequently. Also, patients and/or providers can appeal decisions, although this can be a lengthy and difficult process. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 18, 2009, at 9:36 AM, Jean Harnisch wrote: Anyone have any experience to draw from on an outpatient basis as far as billing outpatients for service ordered thru a physician? We have an issue here where RD's were consulted to see an outpatient for tube feeding adjustments. The patient was not physically seen and the assessment was completed without the face-to-face contact. Our insurance coordinator says this would not be reimbursable since it was not a face-to-face contact. Additionally, we have had phone consults and this is also felt to not be reimbursable without the contact. What have you seen? I know there are business entrepreneurs out there who are very involved with RD phone consulting...maybe they are getting their $ up front thru credit cards/ paytel...your thoughts? _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/9f32cd28/attachment.html From Shannon.Jackson at wilmed.org Thu Jun 18 11:29:52 2009 From: Shannon.Jackson at wilmed.org (Shannon Byrd Jackson) Date: Thu, 18 Jun 2009 14:29:52 -0400 Subject: [Cnm] Pouchitis Message-ID: <8169B6DBE9D5194DA89219B5C5A6AFBA011E00DC@wmhcs03.wmh.org> We had a patient come in today for outpatient nutrition counseling for POUCHITIS. Does anyone have any handouts on this condition? If you have any information on this, please let me know. Thanks Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/25d69dcd/attachment-0001.html From thedietitian at yahoo.com Thu Jun 18 12:25:36 2009 From: thedietitian at yahoo.com (Cordialis Msora) Date: Thu, 18 Jun 2009 12:25:36 -0700 (PDT) Subject: [Cnm] Food from outside sources Message-ID: <123994.22070.qm@web35702.mail.mud.yahoo.com> If you currently allow patients to bring in food from outside places. Do you store it in the patient nourishment refridgerator, a seperate refridgerator or your facility does not store?patient food?at all. Is it an infection control issue to store food from outside sources together with the patient nourishments we supply? ?The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease.? --Thomas A Edison -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/69f60d02/attachment.html From HicksCM at ah.org Thu Jun 18 12:36:15 2009 From: HicksCM at ah.org (Clare Hicks) Date: Thu, 18 Jun 2009 12:36:15 -0700 Subject: [Cnm] Food from outside sources Message-ID: <4A3A34C1020000AE00006E94@ahgwrsvl.ah.org> We do not store food that has brought in from outside. The patient is welcome to keep it in their room if it is non-perishable. If it is perishable, we just apologize and let the patient/family know we cannot store it for them. We just changed our policy a few years back - we used to store outside food in the pantry refrigerators on the floor. I really haven't noticed any problems since we changed the policy... Clare Hicks, RD Sonora Regional Medical Center Sonora, CA >>> Cordialis Msora 06/18/09 12:32 PM >>> If you currently allow patients to bring in food from outside places. Do you store it in the patient nourishment refridgerator, a seperate refridgerator or your facility does not store patient food at all. Is it an infection control issue to store food from outside sources together with the patient nourishments we supply? ?The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease.? --Thomas A Edison From ldalgleish at lakelandregional.org Thu Jun 18 13:03:59 2009 From: ldalgleish at lakelandregional.org (Lisa Dalgleish) Date: Thu, 18 Jun 2009 16:03:59 -0400 Subject: [Cnm] Food from outside sources In-Reply-To: <123994.22070.qm@web35702.mail.mud.yahoo.com> References: <123994.22070.qm@web35702.mail.mud.yahoo.com> Message-ID: <4A3A6557.8B75.000C.0@lakelandregional.org> Outside food is stored in the patient nourishment fridge. Neither Infection Control, Joint Comm, or the health dept have questioned this practice, but I can understand your concerns. >>> Cordialis Msora 6/18/2009 3:25 PM >>> If you currently allow patients to bring in food from outside places. Do you store it in the patient nourishment refridgerator, a seperate refridgerator or your facility does not store patient food at all. Is it an infection control issue to store food from outside sources together with the patient nourishments we supply? ?The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease.? --Thomas A Edison -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/f0ddfde2/attachment.html From mpappo at montefiore.org Thu Jun 18 13:05:06 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Thu, 18 Jun 2009 16:05:06 -0400 Subject: [Cnm] Food from outside sources Message-ID: Only Pediatrics have a fridge in each pts' room. For adults, outside food is stored in the Patient Food Fridge, labelled w/ name & date. We decided to allow perishable food from outside sources to be kept for only one day as we cannot verify their food handling techniques. The dating of the food is our biggest issue re compliance. I dont see storing of outside & internal foods as a problem as they are in separate containers. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> Cordialis Msora 06/18/09 3:25 PM >>> If you currently allow patients to bring in food from outside places. Do you store it in the patient nourishment refridgerator, a seperate refridgerator or your facility does not store patient food at all. Is it an infection control issue to store food from outside sources together with the patient nourishments we supply? "The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease." --Thomas A Edison -------------- next part -------------- An embedded and charset-unspecified text was scrubbed... Name: Miriam Pappo.vcf Url: /pipermail/cnm_lists.my180.net/attachments/20090618/fcd89e87/attachment.pl From Catherine.McIsaac at vtmednet.org Tue Jun 16 13:32:49 2009 From: Catherine.McIsaac at vtmednet.org (McIsaac, Catherine L.) Date: Tue, 16 Jun 2009 16:32:49 -0400 Subject: [Cnm] Warfarin and Enteral Nutrition In-Reply-To: <003a01c9eebd$c02acd70$02be7878@local.abbgen.net> References: <003a01c9eebd$c02acd70$02be7878@local.abbgen.net> Message-ID: According to the attached publication, it's not the vitamin K in the TF that causes an interaction, but it looks like there another interaction, perhaps binding that is impacting the INRs. We don't routinely hold TF, but it is part of our policy that we (the RDs) check in the the pharmDs regarding pts on TF and warfarin and discuss if an alternate schedule is needed. they rarely suggest that we adjust the TF. Cathy McIsaac, MS, RD Manager, Clinical Nutrition Nutrition Services Fletcher Allen Health Care 111 Colchester Ave Burlington, VT 05401 P: 802-847-2703 F: 802-847-2790 Please consider the environment before printing this email. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Annette Doucet Sent: Tuesday, June 16, 2009 4:05 PM To: 'Jessie Pavlinac'; cnm at lists.my180.net Subject: Re: [Cnm] Warfarin and Enteral Nutrition We do not. Since the TF is the diet, wouldn't the recommendation apply, same as food, to keep the Vit. K intake consistent and not eliminate any foods? ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessie Pavlinac Sent: Tuesday, June 16, 2009 1:55 PM To: cnm at lists.my180.net Subject: [Cnm] Warfarin and Enteral Nutrition Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.73/2180 - Release Date: 06/16/09 07:41:00 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/dec09ecd/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: warfarin tf.pdf Type: application/pdf Size: 346120 bytes Desc: warfarin tf.pdf Url : /pipermail/cnm_lists.my180.net/attachments/20090616/dec09ecd/attachment-0001.pdf From lmerrima at nyp.org Wed Jun 17 07:58:24 2009 From: lmerrima at nyp.org (Louise R. Merriman) Date: Wed, 17 Jun 2009 10:58:24 -0400 Subject: [Cnm] Warfarin and Enteral Nutrition In-Reply-To: <87F7E27F-9758-446B-91EC-54242729519F@mimectl> References: <87F7E27F-9758-446B-91EC-54242729519F@mimectl> Message-ID: <2249_1245250715_0KLE00JZT1LLG120_4A390490.60306@nyp.org> this is a reference that we have reviewed with regard to this issue... anecdotal but seems there is binding of the drug with some component of the enteral feed Heberle, Heather N. wrote: > We do not hold TF for warfarin dosing either. If anything, I think they would be better on TF instead of eating. At least you know it is consistent. > > Heather Heberle, RD, LD > Clinical Nutrition Manager > Capital Region Medical Center > 1125 Madison St > Jefferson City, MO 65101 > phone: 573.632.5192 > fax: 573.632.5879 > Heberle-Heather at aramark.com > > > ------------------------------------------------------------------------ > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net > -------------------- This electronic message is intended to be for the use only of the named recipient, and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. Thank you. -------------- next part -------------- A non-text attachment was scrubbed... Name: warfarin and enteral feeding.pdf Type: application/pdf Size: 346120 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090617/cb8cff82/attachment-0001.pdf From MariaLewis at dochs.org Thu Jun 18 14:36:38 2009 From: MariaLewis at dochs.org (Lewis, Maria (SMC)) Date: Thu, 18 Jun 2009 14:36:38 -0700 Subject: [Cnm] zyvox and low tyramine diet Message-ID: <304A991E3C8B4948A52DB718FF048D7F08E383DB@DOCHS-MSG-SMC.BAY.DOCHS.LOCAL> Just wondering if anyone is restricting tyramine in the diet when patients are on Zyvox? The insert suggests to avoid tyramine containing foods while on Zyvox due to it may raise your blood pressure to dangerous levels. I know traditionally we have avoided tyramine for MAO inhibitors. Any help greatly appreciated. Thank You, Maria C. Lewis, RD, CNSD Clinical Nutrition Manager Seton Medical Center & Seton Coastside 1900 Sullivan Avenue Daly City, CA 94015 (650) 991-5915 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/32196e25/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 11748 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090618/32196e25/attachment.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 2184 bytes Desc: image002.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090618/32196e25/attachment.gif From rossjanv at fuse.net Thu Jun 18 15:02:44 2009 From: rossjanv at fuse.net (Janet V. Ross) Date: Thu, 18 Jun 2009 18:02:44 -0400 Subject: [Cnm] Uniforms? In-Reply-To: <005b01c9f022$7b42cee0$71c86ca0$@org> Message-ID: <6C.FC.09581.889BA3A4@gwout2> Dept Provides the shirts, employees provide the black pants. Janet V. Ross, MBA, RD, LD rossjanv at fuse.net 4615 Joana Pl Cincinnati, OH 45238 513-478-0135 http://www.linkedin.com/in/rossjanv _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Melissa Tewes Sent: Thursday, June 18, 2009 10:39 AM To: cnm at lists.my180.net Subject: [Cnm] Uniforms? If you have a hostess program and they are required to wear uniforms, are they provided by the hospital or are employees required to buy their own? Thanks Melissa Tewes RD, LDN Clinical Nutrition Manager Washington County Health System 251 East Antietam Street Hagerstown, MD 21740 Phone: 301-790-8084 Fax: 301-790-8535 mtewes at wchsys.org ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/2cd3a461/attachment.html From TTaylor at dmc-sp.org Thu Jun 18 17:54:05 2009 From: TTaylor at dmc-sp.org (Taylor, Tracy) Date: Thu, 18 Jun 2009 17:54:05 -0700 Subject: [Cnm] Food from outside sources References: Message-ID: <222E81132BE3E54584CB9A5DB1CDD7E207E982@bks-emx001.dmc-sp.org> We do not store food from outside. It was a huge issue with recent CMS survey due to infection control issues and therapeutic diet issues as well. Tracy Taylor RD, CDE Director: Diabetes Management/Outpatient Nutrition Programs Clinical Nutrition Manager Doctors Medical Center San Pablo 2000 Vale Rd San Pablo, CA 94806 phone: 510-970-5344 fax: 510-970-5739 email: ttaylor at dmc-sp.org CONFIDENTIAL AND PRIVILEGED: May contain materials protected by law. This communication contains information intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged and/or confidential. If you are not the intended recipient or an employee or agent responsible for delivering the communication to the intended recipient, you are hereby notified that any disclosure, copying, distribution, or use of its contents is prohibited. If you have received this communication in error, please notify me immediately by telephone at (510) 970-5344, return the original communication by reply e-mail, and permanently delete the communication from your system. Thank you. "A year from now you will wish you had started today." --Karen Lamb -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of cnm-request at lists.my180.net Sent: Thursday, June 18, 2009 1:23 PM To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 85 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Food from outside sources (Cordialis Msora) 2. Re: Food from outside sources (Clare Hicks) 3. Re: Food from outside sources (Lisa Dalgleish) 4. Re: Food from outside sources (Miriam Pappo) 5. Re: Warfarin and Enteral Nutrition (McIsaac, Catherine L.) ---------------------------------------------------------------------- Message: 1 Date: Thu, 18 Jun 2009 12:25:36 -0700 (PDT) From: Cordialis Msora Subject: [Cnm] Food from outside sources To: Cnm at lists.my180.net Message-ID: <123994.22070.qm at web35702.mail.mud.yahoo.com> Content-Type: text/plain; charset="utf-8" If you currently allow patients to bring in food from outside places. Do you store it in the patient nourishment refridgerator, a seperate refridgerator or your facility does not store?patient food?at all. Is it an infection control issue to store food from outside sources together with the patient nourishments we supply? ?The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease.? --Thomas A Edison -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/69f60d02/attachment- 0001.html ------------------------------ Message: 2 Date: Thu, 18 Jun 2009 12:36:15 -0700 From: "Clare Hicks" Subject: Re: [Cnm] Food from outside sources To: , Message-ID: <4A3A34C1020000AE00006E94 at ahgwrsvl.ah.org> Content-Type: text/plain; charset=UTF-8 We do not store food that has brought in from outside. The patient is welcome to keep it in their room if it is non-perishable. If it is perishable, we just apologize and let the patient/family know we cannot store it for them. We just changed our policy a few years back - we used to store outside food in the pantry refrigerators on the floor. I really haven't noticed any problems since we changed the policy... Clare Hicks, RD Sonora Regional Medical Center Sonora, CA >>> Cordialis Msora 06/18/09 12:32 PM >>> If you currently allow patients to bring in food from outside places. Do you store it in the patient nourishment refridgerator, a seperate refridgerator or your facility does not store patient food at all. Is it an infection control issue to store food from outside sources together with the patient nourishments we supply? ?The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease.? --Thomas A Edison ------------------------------ Message: 3 Date: Thu, 18 Jun 2009 16:03:59 -0400 From: "Lisa Dalgleish" Subject: Re: [Cnm] Food from outside sources To: ,"Cordialis Msora" Message-ID: <4A3A6557.8B75.000C.0 at lakelandregional.org> Content-Type: text/plain; charset="utf-8" Outside food is stored in the patient nourishment fridge. Neither Infection Control, Joint Comm, or the health dept have questioned this practice, but I can understand your concerns. >>> Cordialis Msora 6/18/2009 3:25 PM >>> If you currently allow patients to bring in food from outside places. Do you store it in the patient nourishment refridgerator, a seperate refridgerator or your facility does not store patient food at all. Is it an infection control issue to store food from outside sources together with the patient nourishments we supply? ?The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease.? --Thomas A Edison -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090618/f0ddfde2/attachment- 0001.html ------------------------------ Message: 4 Date: Thu, 18 Jun 2009 16:05:06 -0400 From: "Miriam Pappo" Subject: Re: [Cnm] Food from outside sources To: , Message-ID: Content-Type: text/plain; charset="us-ascii" Only Pediatrics have a fridge in each pts' room. For adults, outside food is stored in the Patient Food Fridge, labelled w/ name & date. We decided to allow perishable food from outside sources to be kept for only one day as we cannot verify their food handling techniques. The dating of the food is our biggest issue re compliance. I dont see storing of outside & internal foods as a problem as they are in separate containers. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> Cordialis Msora 06/18/09 3:25 PM >>> If you currently allow patients to bring in food from outside places. Do you store it in the patient nourishment refridgerator, a seperate refridgerator or your facility does not store patient food at all. Is it an infection control issue to store food from outside sources together with the patient nourishments we supply? "The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease." --Thomas A Edison -------------- next part -------------- An embedded and charset-unspecified text was scrubbed... Name: Miriam Pappo.vcf Url: /pipermail/cnm_lists.my180.net/attachments/20090618/fcd89e87/attachment- 0001.pl ------------------------------ Message: 5 Date: Tue, 16 Jun 2009 16:32:49 -0400 From: "McIsaac, Catherine L." Subject: Re: [Cnm] Warfarin and Enteral Nutrition To: 'Annette Doucet' , 'Jessie Pavlinac' , "'cnm at lists.my180.net'" Message-ID: Content-Type: text/plain; charset="us-ascii" According to the attached publication, it's not the vitamin K in the TF that causes an interaction, but it looks like there another interaction, perhaps binding that is impacting the INRs. We don't routinely hold TF, but it is part of our policy that we (the RDs) check in the the pharmDs regarding pts on TF and warfarin and discuss if an alternate schedule is needed. they rarely suggest that we adjust the TF. Cathy McIsaac, MS, RD Manager, Clinical Nutrition Nutrition Services Fletcher Allen Health Care 111 Colchester Ave Burlington, VT 05401 P: 802-847-2703 F: 802-847-2790 Please consider the environment before printing this email. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Annette Doucet Sent: Tuesday, June 16, 2009 4:05 PM To: 'Jessie Pavlinac'; cnm at lists.my180.net Subject: Re: [Cnm] Warfarin and Enteral Nutrition We do not. Since the TF is the diet, wouldn't the recommendation apply, same as food, to keep the Vit. K intake consistent and not eliminate any foods? ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessie Pavlinac Sent: Tuesday, June 16, 2009 1:55 PM To: cnm at lists.my180.net Subject: [Cnm] Warfarin and Enteral Nutrition Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.73/2180 - Release Date: 06/16/09 07:41:00 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/dec09ecd/attachment. html -------------- next part -------------- A non-text attachment was scrubbed... Name: warfarin tf.pdf Type: application/pdf Size: 346120 bytes Desc: warfarin tf.pdf Url : /pipermail/cnm_lists.my180.net/attachments/20090616/dec09ecd/attachment. pdf ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 85 *********************************** From LCarver at Reshealthcare.org Fri Jun 19 06:33:35 2009 From: LCarver at Reshealthcare.org (Carver, Leslee) Date: Fri, 19 Jun 2009 08:33:35 -0500 Subject: [Cnm] zyvox and low tyramine diet In-Reply-To: <304A991E3C8B4948A52DB718FF048D7F08E383DB@DOCHS-MSG-SMC.BAY.DOCHS.LOCAL> References: <304A991E3C8B4948A52DB718FF048D7F08E383DB@DOCHS-MSG-SMC.BAY.DOCHS.LOCAL> Message-ID: <5330B54133B6194BA13930BDEFE9A30E04704451@rhcexch3.reshealthcare.org> the detailed instructions for Zyvox restrict tyramine to 100 mg per meal. the traditional low tyramine diet is 25 mg per day. the attached is what one of our Pharm D's and I developed. Leslee Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Lewis, Maria (SMC) Sent: Thursday, June 18, 2009 4:37 PM To: cnm at lists.my180.net Cc: Alhbahbeh, Zaid (SMC) Subject: [Cnm] zyvox and low tyramine diet Just wondering if anyone is restricting tyramine in the diet when patients are on Zyvox? The insert suggests to avoid tyramine containing foods while on Zyvox due to it may raise your blood pressure to dangerous levels. I know traditionally we have avoided tyramine for MAO inhibitors. Any help greatly appreciated. Thank You, Maria C. Lewis, RD, CNSD Clinical Nutrition Manager Seton Medical Center & Seton Coastside 1900 Sullivan Avenue Daly City, CA 94015 (650) 991-5915 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090619/bf6d3d28/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 11748 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090619/bf6d3d28/attachment-0001.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 2184 bytes Desc: image002.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090619/bf6d3d28/attachment-0001.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: ZYVOX.DOC Type: application/msword Size: 13824 bytes Desc: ZYVOX.DOC Url : /pipermail/cnm_lists.my180.net/attachments/20090619/bf6d3d28/attachment-0001.dot From sconnell at atriumhealthcare.net Fri Jun 19 08:02:55 2009 From: sconnell at atriumhealthcare.net (Susie Connell) Date: Fri, 19 Jun 2009 10:02:55 -0500 Subject: [Cnm] zyvox and low tyramine diet In-Reply-To: <304A991E3C8B4948A52DB718FF048D7F08E383DB@DOCHS-MSG-SMC.BAY.DOCHS.LOCAL> References: <304A991E3C8B4948A52DB718FF048D7F08E383DB@DOCHS-MSG-SMC.BAY.DOCHS.LOCAL> Message-ID: We are not restricting the diet but Zyvox is one of the drugs we monitor for DNI education, if the patient is discharged on it. Susie Connell, MS, RD, LD Clinical Nutrition Manager Atrium Medical Center 3305 Corinth Parkway Corinth , Texas 76208 940-270-4196 sconnell at atriumhealthcare.net EMAILING FOR THE GREATER GOOD Join me Date: Thu, 18 Jun 2009 14:36:38 -0700 From: MariaLewis at dochs.org To: cnm at lists.my180.net CC: ZaidAlhbahbeh at dochs.org Subject: [Cnm] zyvox and low tyramine diet Just wondering if anyone is restricting tyramine in the diet when patients are on Zyvox? The insert suggests to avoid tyramine containing foods while on Zyvox due to it may raise your blood pressure to dangerous levels. I know traditionally we have avoided tyramine for MAO inhibitors. Any help greatly appreciated. Thank You, Maria C. Lewis, RD, CNSD Clinical Nutrition Manager Seton Medical Center & Seton Coastside 1900 Sullivan Avenue Daly City, CA 94015 (650) 991-5915 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090619/63960fb0/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: image001.jpg Type: image/jpeg Size: 11748 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090619/63960fb0/attachment.jpg -------------- next part -------------- A non-text attachment was scrubbed... Name: image002.gif Type: image/gif Size: 2184 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090619/63960fb0/attachment.gif From jross at jaycountyhospital.com Fri Jun 19 08:32:24 2009 From: jross at jaycountyhospital.com (Julayne Ross) Date: Fri, 19 Jun 2009 11:32:24 -0400 Subject: [Cnm] lab tests Message-ID: <10DE3A7624A2BD48B81AFE4E90A5094D0217F6EA@EX1.jaycountyhospital.com> Just curious...when a comprehensive metabolic panel is done (BUN/creatinine, glucose, calcium, lytes, albumin, total protein, bilirubin, ALT, AST, alk phos, lipid panel, and CBC. If you are not fasting.... Triglycerides will likely be higher than they would be nonfasting also blood sugars...etc. but anything else? Just curious. I forgot to fast and I can get my blood work tested for free and today is the last day! Thanks, Julayne -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090619/e002e3c5/attachment.html From fns at abbgen.net Fri Jun 19 09:55:55 2009 From: fns at abbgen.net (Annette Doucet) Date: Fri, 19 Jun 2009 11:55:55 -0500 Subject: [Cnm] Dialysis pt with PEG & allergies Message-ID: <000301c9f0fe$d02efeb0$02be7878@local.abbgen.net> This pt is in LTAC and is allergic to milk, eggs, shellfish, tomatoes, mayonnaise. Pt has a PEG tube which was not being used due to pt eating, but now has very poor PO intake, so need to use the PEG to feed. Having problems finding an enteral product that does not have nutrients that she is allergic to. After being fed 8oz Nepro on two occasions, each time, had diarrhea very shortly thereafter. We have checked nutrient content of all Abbott Nutrition products that we thought might be appropriate and all of these contain milk. Any suggestions? Annette Doucet, RD, LDN Director of Food & Nutrition Services Abbeville General Hospital Phone: (337) 898-6589 Email: fns at abbgen.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090619/1beab193/attachment.html From RBijold1 at smdc.org Fri Jun 19 12:02:21 2009 From: RBijold1 at smdc.org (Bijold, Roxanne M.) Date: Fri, 19 Jun 2009 14:02:21 -0500 Subject: [Cnm] Calorie Counts In-Reply-To: <000301c9f0fe$d02efeb0$02be7878@local.abbgen.net> References: <000301c9f0fe$d02efeb0$02be7878@local.abbgen.net> Message-ID: <42A90F8376E770489AF180BC11195B05010DFB98@BOREAL.ntcampus.smdc.org> Let's talk about calorie counts: 1. Are you still doing them at your facility? 2. What strategies have you found to be helpful to get the cooperation of the nursing staff to accurately and consistently record intake, so calorie intake can be calculated? Thanks. Roxanne Bijold, MSE, RD, LD Clinical Nutrition Manager SMDC Health System 400 E 3rd Street Duluth, MN 55807 218-786-4669 rbijold1 at smdc.org "Nutrition Services: Nourishing Your Body and Soul" This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you need to hold this information as privileged and confidential. If you have received this communication in error, please notify the sender and destroy all copies of this communication and any attachments. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090619/f8378f1c/attachment.html From NEgelhofer at saintjosephri.com Fri Jun 19 12:29:55 2009 From: NEgelhofer at saintjosephri.com (Egelhofer, Nancy) Date: Fri, 19 Jun 2009 15:29:55 -0400 Subject: [Cnm] Calorie Counts In-Reply-To: <42A90F8376E770489AF180BC11195B05010DFB98@BOREAL.ntcampus.smdc.org> Message-ID: We document ourselves (Food Service passes and collects trays). It's still documented poorly. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Bijold, Roxanne M. Sent: Friday, June 19, 2009 3:02 PM To: cnm at lists.my180.net Subject: [Cnm] Calorie Counts Let's talk about calorie counts: 1. Are you still doing them at your facility? 2. What strategies have you found to be helpful to get the cooperation of the nursing staff to accurately and consistently record intake, so calorie intake can be calculated? Thanks. Roxanne Bijold, MSE, RD, LD Clinical Nutrition Manager SMDC Health System 400 E 3rd Street Duluth, MN 55807 218-786-4669 rbijold1 at smdc.org "Nutrition Services: Nourishing Your Body and Soul" This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you need to hold this information as privileged and confidential. If you have received this communication in error, please notify the sender and destroy all copies of this communication and any attachments. (THIS DOCUMENT IS INTENDED ONLY FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL, AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW.) If you are not the intended recipient any dissemination, distribution, copying or use of this document is strictly prohibited. If you have received this communication in error, please notify me immediately at the email address above and delete all copies of this communication. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090619/9a2e06f9/attachment.html From LAURAF at dmhhs.org Fri Jun 19 12:51:02 2009 From: LAURAF at dmhhs.org (ETCHASON,LAURA) Date: Fri, 19 Jun 2009 14:51:02 -0500 Subject: [Cnm] Calorie Counts In-Reply-To: References: <42A90F8376E770489AF180BC11195B05010DFB98@BOREAL.ntcampus.smdc.org> Message-ID: <4A3BA5D6.21B0.00A0.0@dmhhs.org> Our food service tray passers do the documentation. I did a QI study on monitoring po intake/calorie counts. It raised awareness and also significantly improved the documentation (30% to 85%). I had great support from the food service supervisors as well as from my director, which also helped. Laura A. Etchason, MS, RD, LDN Clinical Nutrition Manager Decatur Memorial Hospital 2300 N. Edward Street Decatur, IL 62526 217-876-5306 (office line and voice mail) 217-876-5305 (fax) 217-876-5301 (general line) lauraf at dmhhs.org Developer, Harmony, Maximizer, Individualization, Belief >>> "Egelhofer, Nancy" 6/19/2009 2:29 PM >>> We document ourselves (Food Service passes and collects trays). It's still documented poorly. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Bijold, Roxanne M. Sent: Friday, June 19, 2009 3:02 PM To: cnm at lists.my180.net Subject: [Cnm] Calorie Counts Let's talk about calorie counts: 1. Are you still doing them at your facility? 2. What strategies have you found to be helpful to get the cooperation of the nursing staff to accurately and consistently record intake, so calorie intake can be calculated? Thanks. Roxanne Bijold, MSE, RD, LD Clinical Nutrition Manager SMDC Health System 400 E 3rd Street Duluth, MN 55807 218-786-4669 rbijold1 at smdc.org "Nutrition Services: Nourishing Your Body and Soul" This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you need to hold this information as privileged and confidential. If you have received this communication in error, please notify the sender and destroy all copies of this communication and any attachments. (THIS DOCUMENT IS INTENDED ONLY FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL, AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW). If you are not the intended recipient any dissemination, distribution, copying or use of this document is strictly prohibited. If you have received this communication in error, please notify me immediately at the email address above and delete all copies of this communication. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090619/f0f66d7c/attachment.html From LDALGLEISH at lakelandregional.org Fri Jun 19 13:38:55 2009 From: LDALGLEISH at lakelandregional.org (Lisa Dalgleish) Date: Fri, 19 Jun 2009 16:38:55 -0400 Subject: [Cnm] Calorie Counts In-Reply-To: <42A90F8376E770489AF180BC11195B05010DFB98@BOREAL.ntcampus.smdc.org> References: <000301c9f0fe$d02efeb0$02be7878@local.abbgen.net> <42A90F8376E770489AF180BC11195B05010DFB98@BOREAL.ntcampus.smdc.org> Message-ID: <4A3BBF07.DF60.000C.0@lakelandregional.org> 1. Yes 2. Most cal count data is collected by our Host/Hostesses, not Nursing. To help the h/h staff we post a collection envelope near the I/O sheet in the pt's room, note 'calorie count' on the tray slip, and put a bright 'calorie count' sticker on the h/h diet sheet. Lisa Dalgleish, RD Clinical Nutrition Supervisor Lakeland HealthCare 1234 Napier Avenue St. Joseph, MI 49085 (269) 983-8674 work phone (269) 982-4313 fax ldalgleish at lakelandregional.org >>> "Bijold, Roxanne M." 6/19/2009 3:02 PM >>> Let's talk about calorie counts: 1. Are you still doing them at your facility? 2. What strategies have you found to be helpful to get the cooperation of the nursing staff to accurately and consistently record intake, so calorie intake can be calculated? Thanks. Roxanne Bijold, MSE, RD, LD Clinical Nutrition Manager SMDC Health System 400 E 3rd Street Duluth, MN 55807 218-786-4669 rbijold1 at smdc.org "Nutrition Services: Nourishing Your Body and Soul" This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you need to hold this information as privileged and confidential. If you have received this communication in error, please notify the sender and destroy all copies of this communication and any attachments. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090619/dad57c58/attachment.html From lrichter at notes.cc.sunysb.edu Fri Jun 19 13:43:05 2009 From: lrichter at notes.cc.sunysb.edu (lrichter at notes.cc.sunysb.edu) Date: Fri, 19 Jun 2009 16:43:05 -0400 Subject: [Cnm] JCAHO Visit Message-ID: JCAHO was in our facility this week. Their focus was on competencies. They asked for one dietitian's HR file and wanted to see the credential verification from the ADA Website for Registration. They checked the date it was printed from the Web page. They also wanted to know my credentials. Since they interviewed a dietitian on the Pediatric unit, they wanted to see how she was competent to work in Pediatrics. The dietitian is a Board Certified Specialist in Pediatric Nutrition. They also did many tracers but only interviewed 2 dietitians. They observed a dietitian doing an assessment on MICU and one on PICU. The surveyor asked the dietitian what their plan of care was for the patient and verified that the information was also written in the Medical Record. They did visit the Food & Nutrition Department with one of their tracers. The surveyor wanted to observe our Room Service Staff taking an meal order in our Call Center. They liked the scripting. Feel free to contact me if you have any questions. Lisa L. Richter, MS, RD Clinical Nutrition Manager Stony Brook University Hospital Stony Brook, New York 11794-7012 631-444-8233 ****************************************************************************** This e- mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by e-mail and destroy all copies of the original. ****************************************************************************** -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090619/9f08b0a2/attachment.html From ESCOTTSTUMPS at ecu.edu Fri Jun 19 14:18:11 2009 From: ESCOTTSTUMPS at ecu.edu (Escott-Stump, Sylvia) Date: Fri, 19 Jun 2009 17:18:11 -0400 Subject: [Cnm] Legislative News Message-ID: [cid:image001.jpg at 01C9F0F9.9BECA530] Friday, June 19, 2009 ----------------------------------------------------------------------------------------------------------------------------- PPW Update! Webinar informs and inspires ADA members ADA members logged in to the Public Policy Workshop Update! Webinar this week for insight into speaking effectively on behalf of effective food, nutrition and health policies. Participants heard the latest news on pending health reform legislation and reauthorization of the Child Nutrition Act from ADA President Jessie Pavlinac, Legislative and Public Policy Committee members Marcia Kyle and Mary Lee Watts, and staff from ADA?s Washington office. The health reform update centered on ADA?s public policy initiatives, focusing on the role of nutrition and nutrition counseling in current health reform debate. ADA identified goals for ensuring the important role of nutrition in current health reform deliberations. ?ADA strives to make sure that Congress understands the role, the unique role, that nutrition plays in health itself, and particularly in prevention,? Pavlinac said. ?Nutrition must be the cornerstone of prevention.? ADA members had three opportunities to participate in Tuesday?s webinar. California logged in the most attendees, followed closely by New York, Pennsylvania, Florida and Ohio. The Webinar is available on ADA?s Web site, www.eatright.org, and all members are encouraged to view it at their earliest convenience and to follow up on the recent Action Alerts. Other health care professionals are making their voices heard. Opportunities for dietitians are manifold, but only if you advocate and ask to be included in the legislation. At this crucial crossroads in American healthcare, we must insure we are part of the team. ?If we want to have an impact, we must be a part of it,? Pavlinac said. In Washington it?s all about the rain, the heat and health reform It became painfully obvious this week just how hard it will be for Congress to pass meaningful, affordable health reform; and not just this year, but any time soon. The long anticipated national debate over a sweeping overhaul of the nation's health care system got off to a rocky start in the Senate as the Finance Committee was forced to delay the release of its draft bill, while at the same time the Health, Education, Labor and Pensions Committee?s bill appeared to be far more expensive and far less comprehensive than advertised. The week started with President Obama traveling to Chicago to address the American Medical Association convention. He challenged critics of his healthcare plan and said any claims that he favors a government takeover are false. Obama said that reform is crucial because reducing growth in healthcare costs is vital to the economic future of the public, American business and the federal government. His comments were made before the Congressional Budget Office made public its analysis of the HELP Committee?s bill, which is supported by the President. The CBO analysis revealed that if the bill was fully implemented, the number of uninsured would decline from 47 million to almost 36 million, representing 13 percent of the adult population. To make matters worse for supporters of the bill, its price tag shocked everyone. On a preliminary basis the cost estimate (known as the score of the bill) would result in a net increase in federal deficits of about $1.0 trillion for fiscal years 2010 through 2019. That estimate primarily reflects the subsidies that would be provided to purchase coverage through the new insurance exchanges. With Obama boldly saying, ?If we do not fix our healthcare system, America may go the way of GM: paying more, getting less and going broke,? a bill this costly may be more than some Democrats are willing to support. The CBO analysis was also in stark contrast to Obama?s statement that Americans who like their current healthcare coverage and physician would be able to keep both, which is one of his election promises. CBO concluded that millions of Americans would eventually be forced to switch their health insurance coverage to the government funded program contained in the bill. All of this caused the Senate Finance Committee Chair Max Baucus (D-MT) to postpone release of his draft legislation, possibly until after the July 4 recess. "A bipartisan bill takes far more time than not," said Baucus who had planned to unveil a package of reforms this week and hold a committee mark-up next week. Obama has made health care reform his top domestic priority, calling it a ?moral imperative? to extend coverage to the country?s 47 million uninsured. Obama also tied the long-term fiscal soundness of the U.S. to controlling medical costs. Health care consumes 18 percent of the U.S. economy and may rise to 34 percent by 2040. It will be difficult for supporters of the HELP bill to reconcile how spending over $1.0 trillion on health care will help reduce costs at the same time. As a result, a bill that has been introduced by Sen. Ron Wyden (D-OR) is suddenly taking on luster as a realistic alternative to what the Finance and HELP Committees have offered. Wyden?s bill would replace the tax exclusion for employer-based health benefits with a standard deduction and it would do more to contain health care spending than the Finance Committee?s plan to cap the exclusion, according to a recent assessment by the Joint Committee on Taxation. This revelation is lending a boost to Wyden as he attempts to sell Finance members on the key concepts in his signature Healthy Americans Act. Wyden told ADA that he spent six months negotiating his bill with then Director of CBO Peter Orszag, who was later appointed by Obama to be the Administer of the Office of Management and Budget. Wyden has introduced his bill in the last two Congresses and CBO has scored it as deficit neutral. The Healthy Americans Act already has 13 co-sponsors, including several conservative Republicans and members of the Finance Committee. Also this week, Democrats in the House Ways and Means Committee discussed their soon to be released health reform bill with several Obama administration officials. House Democrats might release a draft of their bill next week and they still have a goal of passing it by July 31. ADA is working with Congress, along with the help of many ADA members and affiliate leaders, to promote the role of nutrition in the health reform debate. Dietitians included in student loan repayment bill Legislation to establish a Frontline Providers Loan Repayment Program that includes registered dietitians was introduced this week by Rep. Bruce Braley (D-IA). The Access to Frontline Healthcare Act of 2009 (HR 2891) would amend the Public Health Service Act to create a student loan repayment program for eligible healthcare providers who commit to not less than two years of service in a designated ?frontline scarcity area,? in order to increase the availability of quality health care in the United States. Notably, the bill would provide this loan repayment option to individuals with interdisciplinary health care backgrounds. In addition to dietetics, the following qualify as frontline services: general surgery, chiropractic, optometry, ophthalmology, audiology, speech language pathology, pharmacy, public health, podiatric medicine, physical therapy, occupational therapy, general pediatrics, respiratory therapy, medical technology, and radiologic technology. All services must be performed by a health care provider with the appropriate education. Scarcity areas would be designated by the Department of Health and Human Services or the states. The amount of the loan repayment would also be determined by the Secretary of HHS. If passed, the bill would present a valuable opportunity for registered dietitians to gain experience in underserved areas while still honoring their student loan commitments. Medicare: Coverage does not equate to utilization Former Sen. Tom Daschle (D-SD) inspired local area agency on aging staff to implement the ?Diabetes Screening: Medicare Benefits for Better Health? program sponsored by the National Council on Aging and the Medicare Diabetes Screening Project. The goal of this community-based program is to get individuals diagnosed and in treatment to better manage their disease and to more effectively utilize Medicare?s dollars. In 2007, Medicare began to cover diabetes screening tests, with no copay or coinsurance costs. And yet, the new service is not being utilized. Statistics show that 7 in 10 persons over 65 years of age has either diabetes mellitus or pre-diabetes. But roughly half have not been diagnosed and are not yet in treatment. To spur this program, the MDSP is offering ten awards of up to $2500 to local organizations that can demonstrate how they will implement grassroots programs to promote the free diabetes screening benefit in Medicare. The application deadline is July 10, 2009. Additional information is available from Rachel Bright (rlbr at novonordisk.com) or www.screenfordiabetes.org. House committee approves food safety overhaul The House Energy and Commerce Committee this week approved a food safety overhaul bill that boosts the Food and Drug Administration?s authority for surveillance and recalls. The legislation strengthens food traceability requirements, allows implementation of mandatory food quarantines and increases the frequency of inspections at certain food facilities. In addition, food facilities serving U.S. consumers would be required to register with the FDA and pay annual fee. Those fees would be used to mitigate the cost of heightened inspection specifications mandated by the bill. Republican concerns for small producers were met by compromise language that allows the FDA to change the inspection schedule for some producers at its discretion and that mandatory quarantines should only be as large as necessary to contain an outbreak. The annual fee assessments were also reduced to gain bi-partisan support. The bill has gained support and advanced quickly since recent high-profile outbreaks of foodborne illness. It now moves to the House floor for approval. High food prices remain a global concern High food prices have pushed another 105 million people into hunger in the first half of 2009, the leader of the United Nations World Food Program said this week. ?This year, we are clocking in, on average, four million new hungry people a week - urgently hungry,? Josette Sheeran said. At the same time, the WFP is facing a fiscal crunch due to declining contributions. Sheeran said the agency needs $6.4 billion this year for food aid, but the agency had around $1.5 billion at the end of last week. An article in ?The Financial Times? reports that the WFP has started reducing rations and closing down distribution operations to conserve cash. The article cited reductions in daily food rations in Rwanda and suspension of food distribution in Uganda as cost cutting measures. Sheeran confirmed that WFP had to cut food aid rations and shut down some operations in eastern Africa and North Korea because of the credit crunch. Norovirus and Salmonella most common foodborne outbreaks The Centers for Disease Control and Prevention announced this week that Norovirus and Salmonella led foodborne disease outbreaks in 2006. Over half of the 1,270 outbreaks were from Norovirus and almost 20 percent were from Salmonella. Norovirus outbreaks occur prominently from poor hygiene practices by food handlers while Salmonella is from foods that are raw or inadequately cooked and are contaminated with animal feces. Of the food categories measured, poultry, leafy vegetables, and fruits-nuts were the categories with the most number of illness cases in 2006. Patricia M. Griffin, MD, chief of CDC?s Enteric Diseases Epidemiology Branch says, ?Identification of particular food commodities that have caused outbreaks can help public health officials and the food industry to target control efforts from the farm to the table.? State legislators speak up in Washington The Progressive States Network this week voiced support for public health insurance in health reform in a meeting with Sen. Tom Harkin (D-IA) and HHS Secretary Kathleen Sebelius. ?The real goal is to give everyone access to health care that is affordable,? said state Rep. Garnet Coleman (D-Houston) co-chairman of the coalition, which aims to transform the political landscape by sparking progressive actions at the state level. Coleman argued a public-insurance component would mean that no one would be forced to go without health insurance because of cost. Harkin said a public insurance plan would set a benchmark for coverage and reduce prices in the private market. The Progressive States Network gave Harkin a letter signed by more than 700 state legislators from 47 states that outlines key priorities for an overhaul. Legislators working with Progressive States Network have joined together to form State Legislators for Progressive Health Care Reform, group focused on ensuring that the states and federal government work together to advance health reform. Improving access to language services in health care: A look at national and state efforts A new resource, funded by the Agency for Healthcare Research and Quality, describes emerging national efforts to ensure access to health care by patients with limited English proficiency, and profiles work in three leading states - California, Minnesota, and New York. The brief highlights challenges, successes, and implications for future policy and activities related to language services. The experiences of these states pass on lessons to others looking to provide language services and ultimately improve health care for patients with limited English proficiency. You can access the brief at http://www.ahrq.gov/populations/languageservicesbr.pdf. To find other AHRQ resources on language access and linguistic competence, access AHRQ's Health Literacy and Cultural Competence page at: http://www.ahrq.gov/browse/hlitix.htm#Cultural AHRQ promotes men?s health this Father?s Day The Agency for Healthcare Research and Quality has designed a Father?s Day e-card designed to encourage men?s health. Provided through the AHRQ Web site, well-wishers are encouraged to remind their father about the importance of talking to his doctor about preventive tests he needs to stay healthy. Go to www.ahrq.gov and click on the Health e-Card image in the upper right corner to customize and send your Father?s Day card. Robert Wood Johnson Foundation seeks Health & Society Scholars The Robert Wood Johnson Foundation Health & Society Scholars program provides two years of support to postdoctoral scholars at all stages of their careers to build the United States' capacity for research and leadership to address the multiple determinants of population health and contribute to policy change. The program is based on the principle that progress in the field of population health depends upon multidisciplinary collaboration and exchange. Applicants must have significant research experience, clearly connect their research interests to substantive population health concerns, and be citizens or permanent residents of the United States or its territories at the time of application. Visit the RWJF Web site for complete application procedures: http://www.rwjf.org/applications/solicited/cfp.jsp?ID=20741. Editor?s note: Is eatright.org a ?spammer?? We discovered this week that eatright.org was identified as a ?spammer? with several internet providers. If you have not received ?On the Pulse? in recent weeks, it may be that your provider has blocked emails coming from ADA. ADA is working to resolve the problem and you can help too. Please make sure your email address on file with ADA is current. And if you have missed receiving the ?On the Pulse?, remember that the most recent issue is posted online at www.eatright.org/advocacy. Upcoming * Registration and housing reservations for FNCE is now open. More information is available at www.eatright.org/events. * Abstract submissions for the 2010 Food Safety Education Conference co-hosted by USDA and NSF International are due July 1. Details available at http://guest.cvent.com/EVENTS/Info/Custom.aspx?cid=17&e=0076080c-a4e7-40b2-a429-e8b206e6c7cc. * The Secretary?s Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020 will meet July 10 via WebEx software. Pre-registration is required at http://www.healthypeople.gov/hp2020/advisory/default.asp. ---------------------------------------------------------------------------------------------------------------------------- Government Relations Contacts: Nutrition Policy Jennifer Weber jweber at eatright.org Regulatory Issues Mary Hager mhager at eatright.org Congressional & Political Affairs Ron Smith rsmith at eatright.org Jennifer Teters jteters at eatright.org Charmaine Jones cjones at eatright.org State Government Relations Juliana Smith jsmith at eatright.org State & Regulatory Coordinator Dana Whitley dwhitley at eatright.org Reimbursement Issues Pam Michael pmichael at eatright.org Tori Bender tbender at eatright.org General Issues Stephanie Patrick spatrick at eatright.org ----------------------------------------------------------------------------------------------------------------------------- --- You are currently subscribed to receive On The Pulse at: escottstumps at ecu.edu To unsubscribe send a blank email to leave-4429149-14232391.c25a8f8417898df068b326123ea47b18 at list.eatright.org or contact pulse at eatright.org with a request to remove your e-mail address. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090619/628b04b8/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: image001.jpg Type: image/jpeg Size: 11245 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090619/628b04b8/attachment-0001.jpg From Heberle-Heather at aramark.com Fri Jun 19 14:24:14 2009 From: Heberle-Heather at aramark.com (Heberle, Heather N.) Date: Fri, 19 Jun 2009 16:24:14 -0500 Subject: [Cnm] State/TJC and Milk Crates In-Reply-To: References: Message-ID: <06FDC330-5DE8-44AF-BF04-CCDADAEC0DC1@mimectl> I was recently informed that several nursing homes in our area are being cited for keeping milk in the walk in coolers still in the milk crates. We currently have a specific cooler for our milk, but it is stored in the crates. Has anyone else experienced this issue? What are you doing instead? Heather Heberle, RD, LD Clinical Nutrition Manager Capital Region Medical Center 1125 Madison St Jefferson City, MO 65101 phone: 573.632.5192 fax: 573.632.5879 Heberle-Heather at aramark.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090619/1e184306/attachment.html From cwatters at ualberta.ca Sat Jun 20 10:32:47 2009 From: cwatters at ualberta.ca (cwatters at ualberta.ca) Date: Sat, 20 Jun 2009 11:32:47 -0600 Subject: [Cnm] Disaster Plan for menus In-Reply-To: References: Message-ID: <20090620113247.14176mdi2z2z1og0@webmail.ualberta.ca> Please post to the list. Thanks, Corilee Watters, MSc, RD, PhD Coordinator, Nutrition Services Vancouver Island Health Authority Victoria, BC Quoting Suzanne_Mach at CHS.net: > Suzanne Mach, MS, RD > Assistant Director of Patient Services > Clinical Nutrition Manager > Southside Regional Medical Center > 200 Medical Park BLVD. > Petersburg, VA 23805 > Office: 804-765-5178 > Email: suzanne_mach at chs.net > > > Is anybody willing to share their Policy regarding Disaster Planning? > Specifically menus for 7 days. > thank you > > -------------------------------------------------------------------------- > Disclaimer: This electronic message may contain information that is > Proprietary, Confidential, or legally privileged or protected. It > is intended only for the use of the individual(s) and entity named > in the message. If you are not an intended recipient of this > message, please notify the sender immediately and delete the > material from your computer. Do not deliver, distribute or copy > this message and do not disclose its contents or take any action in > reliance on the information it contains. From DLearnAlchon at christianacare.org Sun Jun 21 06:10:38 2009 From: DLearnAlchon at christianacare.org (Learn Alchon, Deborah A.) Date: Sun, 21 Jun 2009 09:10:38 -0400 Subject: [Cnm] Calorie Counts In-Reply-To: Message-ID: We no longer do calorie counts in our facility. Previously, our hostess recorded this information onto the patient menu. Our team did a study which showed how unreliable calorie counts were. Missing data, incomplete data, food from home not recorded, patients discharged before completion, etc. All were documented in our study and we brought before our nutrition committee and calorie counts were eliminated. The RDs can calorie count if they deem it appropriate (ie a transitioning pt from TPN to EN) Debbie Learn Alchon, MS, RD Associate Director, Food and Nutrition Services Christiana Care Health System 302-733-3556 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Egelhofer, Nancy Sent: Friday, June 19, 2009 15:30 To: Bijold, Roxanne M.; cnm at lists.my180.net Subject: Re: [Cnm] Calorie Counts We document ourselves (Food Service passes and collects trays). It's still documented poorly. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Bijold, Roxanne M. Sent: Friday, June 19, 2009 3:02 PM To: cnm at lists.my180.net Subject: [Cnm] Calorie Counts Let's talk about calorie counts: 1. Are you still doing them at your facility? 2. What strategies have you found to be helpful to get the cooperation of the nursing staff to accurately and consistently record intake, so calorie intake can be calculated? Thanks. Roxanne Bijold, MSE, RD, LD Clinical Nutrition Manager SMDC Health System 400 E 3rd Street Duluth, MN 55807 218-786-4669 rbijold1 at smdc.org "Nutrition Services: Nourishing Your Body and Soul" This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you need to hold this information as privileged and confidential. If you have received this communication in error, please notify the sender and destroy all copies of this communication and any attachments. (THIS DOCUMENT IS INTENDED ONLY FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL, AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW). If you are not the intended recipient any dissemination, distribution, copying or use of this document is strictly prohibited. If you have received this communication in error, please notify me immediately at the email address above and delete all copies of this communication. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090621/79adf856/attachment.html From eedwards at skmc.gov.ae Mon Jun 22 05:34:05 2009 From: eedwards at skmc.gov.ae (Ellen Edwards) Date: Mon, 22 Jun 2009 16:34:05 +0400 Subject: [Cnm] dysphagia DPG Message-ID: <9A99F98786F9254597C0A0C62685FB5A0875671D43@AHA-MAIL.skmc.gov.ae> Hello- we are building our own DPG in house for working with patients with dysphagia. If you do have access to specific resources we would be quite pleased to receive them. We already have 1. Eating Matters by the ADA DPG Consultant Dietitians in Health Care Facilities 2. http://www.dysphagiaonline.com/Pages/home.aspx web page by Nestle 3. some information from the CD's of the Behavioral Health DPG on eating difficulties Thank you kindly Ellen Edwards, RD LD AODA Country Representative UAE An American Dietetic Association Affiliate Head , Clinical Dietetics PO Box 51900 Sheikh Khalifa Medical City Managed by Cleveleand Clinic Abu Dhabi, UAE eedwards at skmc.gov.ae ________________________________ Confidentiality Note: This message and any included attachments are intended for the exclusive use of the individual or entity that is the named addressee and may contain information that is privileged or confidential or otherwise legally exempt from disclosure. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/a390efae/attachment.html From info at mywebdietitian.com Mon Jun 22 06:47:04 2009 From: info at mywebdietitian.com (Valerie Peters) Date: Mon, 22 Jun 2009 06:47:04 -0700 Subject: [Cnm] dysphagia DPG Message-ID: <20090622064704.f07410cd66d8a7f06e8c5ee19229fd55.aaec5a12e3.wbe@email04.secureserver.net> An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/a1bf22a1/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: top.letterhead Type: image/jpeg Size: 10935 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090622/a1bf22a1/attachment.jpe From LCarver at Reshealthcare.org Mon Jun 22 06:24:25 2009 From: LCarver at Reshealthcare.org (Carver, Leslee) Date: Mon, 22 Jun 2009 08:24:25 -0500 Subject: [Cnm] test In-Reply-To: References: <26491_1245253483_0KLE00FCT3QHLR50_4A390F69.6040805@nyp.org> Message-ID: <5330B54133B6194BA13930BDEFE9A30E047047E9@rhcexch3.reshealthcare.org> testing system Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message From Janet.Barcroft at HCAhealthcare.com Mon Jun 22 07:19:48 2009 From: Janet.Barcroft at HCAhealthcare.com (Barcroft Janet) Date: Mon, 22 Jun 2009 09:19:48 -0500 Subject: [Cnm] Basing menu analysis on Food Guide Pyramid Message-ID: <65833C2337856946BD02F46A4DC8E8A1CA3FDD8B@NADCWPMSGCMS07.hca.corpad.net> Is this still acceptable? I saw something a few years ago stating that the following the pyramid guidelines as to recommended servings is nutritionally adequate and could be used in place of an analysis. Is anyone doing this? Janet Barcroft, RD,LDN Clinical Nutrition Manager Skyline Medical Center Nashville, TN 37207 (615) 769-2243 Pager (615) 923-8014 Janet.Barcroft at HCAHealthcare.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/6b1d6e04/attachment-0001.html From janet.fletcher at eamc.org Mon Jun 22 07:30:56 2009 From: janet.fletcher at eamc.org (Jan Fletcher) Date: Mon, 22 Jun 2009 09:30:56 -0500 Subject: [Cnm] Basing menu analysis on Food Guide Pyramid In-Reply-To: <65833C2337856946BD02F46A4DC8E8A1CA3FDD8B@NADCWPMSGCMS07.hca.corpad.net> References: <65833C2337856946BD02F46A4DC8E8A1CA3FDD8B@NADCWPMSGCMS07.hca.corpad.net> Message-ID: <8AF41BE5480EB240A37098F30EA04FD605936241@max.AD.EAMC.ORG> I used the FGP minimum serving as a planning guide. I made sure I met the minimum number of servings for each group....2 milk, 5 f/v, 6 b/c, 6 oz protein. I do not have a computerized program to evaluate the menus. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Barcroft Janet Sent: Monday, June 22, 2009 9:20 AM To: 'cnm at lists.my180.net' Subject: [Cnm] Basing menu analysis on Food Guide Pyramid Is this still acceptable? I saw something a few years ago stating that the following the pyramid guidelines as to recommended servings is nutritionally adequate and could be used in place of an analysis. Is anyone doing this? Janet Barcroft, RD,LDN Clinical Nutrition Manager Skyline Medical Center Nashville, TN 37207 (615) 769-2243 Pager (615) 923-8014 Janet.Barcroft at HCAHealthcare.com This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/67a99a6f/attachment.html From cathy.peterjohn at medicorp.org Mon Jun 22 08:44:20 2009 From: cathy.peterjohn at medicorp.org (cathy.peterjohn at medicorp.org) Date: Mon, 22 Jun 2009 11:44:20 -0400 Subject: [Cnm] Pressure ulcer ?"white paper" Message-ID: I seem to remember a couple months ago an article or "white paper" posted from a national meeting (or maybe CMS) related to pressure ulcer care and recommendations. I'm obviously quite foggy on the specifics. I searched the archives to no avail. If anyone thinks they know what I'm referencing please forward another copy. Cathy Peterjohn, MS, RD, CDE Clinical Nutrition/Diabetes Manager c/o Food & Nutrition Services Mary Washington Hospital 1001 Sam Perry Blvd. Fredericksburg, VA 22401 Phone: 540-741-1680 Fax: 540-741-4022 e-mail: cathy.peterjohn at medicorp.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/abf7b0c3/attachment.html From jross at jaycountyhospital.com Mon Jun 22 09:44:38 2009 From: jross at jaycountyhospital.com (Julayne Ross) Date: Mon, 22 Jun 2009 12:44:38 -0400 Subject: [Cnm] food safety Message-ID: <10DE3A7624A2BD48B81AFE4E90A5094D0217F912@EX1.jaycountyhospital.com> I am doing a radio interview on food safety on wed. and am trying to remember the name of the fast-food chain that served undercooked hamburgers (out West I believe) to young children who ended up with kidney failure. Thanks, Julayne -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/0693ba04/attachment.html From cfoner at dupageco.org Mon Jun 22 09:47:26 2009 From: cfoner at dupageco.org (Foner, Carole) Date: Mon, 22 Jun 2009 11:47:26 -0500 Subject: [Cnm] food safety References: <10DE3A7624A2BD48B81AFE4E90A5094D0217F912@EX1.jaycountyhospital.com> Message-ID: I believe it was "Jack-in the Box". Carole ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Julayne Ross Sent: Monday, June 22, 2009 11:45 AM To: cnm at lists.my180.net Subject: [Cnm] food safety I am doing a radio interview on food safety on wed. and am trying to remember the name of the fast-food chain that served undercooked hamburgers (out West I believe) to young children who ended up with kidney failure. Thanks, Julayne -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/2a534964/attachment.html From Karen.Auwaerter at chw.edu Mon Jun 22 10:04:01 2009 From: Karen.Auwaerter at chw.edu (Auwaerter, Karen - MSJ) Date: Mon, 22 Jun 2009 10:04:01 -0700 Subject: [Cnm] BMI coding In-Reply-To: <8AF41BE5480EB240A37098F30EA04FD605936241@max.AD.EAMC.ORG> References: <65833C2337856946BD02F46A4DC8E8A1CA3FDD8B@NADCWPMSGCMS07.hca.corpad.net> <8AF41BE5480EB240A37098F30EA04FD605936241@max.AD.EAMC.ORG> Message-ID: <891DC7E14FC0F449874219D643CB1CA8063D077E@CHW-MSG-403.chw.edu> Seeking input from anyone who attended the ADA's Malnutrition: No Longer in the Closet... Our coding specialist wants the RD to document BMI (but not necessarily do an assessment) on pts with BMI >40. I didn't listen to the teleseminar, but one of my RDs did and referenced p. 11 of the handout that states "An automatic computerized calculated BMI is not sufficient. There must be some interaction documented related to the BMI, or example: referral to outpatient counseling or education." Is it OK for the RD to just document the BMI and have the coders code for the BMI V-code? We don't do education or referrals with these folks unless they specifically request it. TIA Karen Auwaerter, RD Manager, Nutrition and Food Services Mercy San Juan Medical Center Greater Sacramento Area 916 537 5104 phone 916 859 1238 fax "Eat food. Mostly plants. Not too much." --Michael Pollan -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/a91db6c4/attachment.html From jross at jaycountyhospital.com Mon Jun 22 10:05:53 2009 From: jross at jaycountyhospital.com (Julayne Ross) Date: Mon, 22 Jun 2009 13:05:53 -0400 Subject: [Cnm] restaurants w/foodborne illness Message-ID: <10DE3A7624A2BD48B81AFE4E90A5094D0217F92A@EX1.jaycountyhospital.com> Jack in the Box in 1993, where 3 children got e-coli causing renal failure and death. Carl Jr's in 2000 had a food handler diagnosed with hepatitis and there was a hepatitis outbreak. Thanks for the help, once I got some names I googled the restaurants and go the details. Julayne -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/da8c1624/attachment.html From SRassekh at stfranciscare.org Mon Jun 22 11:10:39 2009 From: SRassekh at stfranciscare.org (Rassekh, Shoreh) Date: Mon, 22 Jun 2009 14:10:39 -0400 Subject: [Cnm] BMI coding In-Reply-To: <891DC7E14FC0F449874219D643CB1CA8063D077E@CHW-MSG-403.chw.edu> Message-ID: <0AB0670D124B96418F1D6AAFB11D5C31011FA12B@SFH15110MV23.sfhad.stfranciscare.org> I will be interested as well. thanks Shoreh Rassekh M.S., R.D., CD-N Clinical Nutrition Manager 860-714-5512 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Auwaerter, Karen - MSJ Sent: Monday, June 22, 2009 1:04 PM To: cnm at lists.my180.net Subject: [Cnm] BMI coding Seeking input from anyone who attended the ADA's Malnutrition: No Longer in the Closet... Our coding specialist wants the RD to document BMI (but not necessarily do an assessment) on pts with BMI >40. I didn't listen to the teleseminar, but one of my RDs did and referenced p. 11 of the handout that states "An automatic computerized calculated BMI is not sufficient. There must be some interaction documented related to the BMI, or example: referral to outpatient counseling or education." Is it OK for the RD to just document the BMI and have the coders code for the BMI V-code? We don't do education or referrals with these folks unless they specifically request it. TIA Karen Auwaerter, RD Manager, Nutrition and Food Services Mercy San Juan Medical Center Greater Sacramento Area 916 537 5104 phone 916 859 1238 fax "Eat food. Mostly plants. Not too much." --Michael Pollan NOTICE: This email and/or attachments may contain confidential or proprietary information which may be legally privileged. It is intended only for the named recipient(s). If an addressing or transmission error has misdirected this email, please notify the author by replying to this message. If you are not the named recipient, you are not authorized to use, disclose, distribute, make copies or print this email, and should immediately delete it from your computer system. Saint Francis Care has scanned this email and its attachments for malicious content. However, the recipient should check this email and any attachments for the presence of viruses. Saint Francis Care accepts no liability for any damage caused by any virus transmitted by this email. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/adf5550d/attachment-0001.html From lily.hong at ahmchealth.com Mon Jun 22 12:55:03 2009 From: lily.hong at ahmchealth.com (Hong, Lily) Date: Mon, 22 Jun 2009 12:55:03 -0700 Subject: [Cnm] BMI coding Message-ID: <45EACF0250433144B0BB6CD944C2E908E32B3E@sgvmc-msg-01.ahmchealth.net> I am interested in it as well. Thanks, Lily Hong MPH, RD Assistant Director of Patient Services San Gabriel Valley Medical Center ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Rassekh, Shoreh Sent: Monday, June 22, 2009 11:11 AM To: Auwaerter, Karen - MSJ; cnm at lists.my180.net Subject: Re: [Cnm] BMI coding I will be interested as well. thanks Shoreh Rassekh M.S., R.D., CD-N Clinical Nutrition Manager 860-714-5512 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Auwaerter, Karen - MSJ Sent: Monday, June 22, 2009 1:04 PM To: cnm at lists.my180.net Subject: [Cnm] BMI coding Seeking input from anyone who attended the ADA's Malnutrition: No Longer in the Closet... Our coding specialist wants the RD to document BMI (but not necessarily do an assessment) on pts with BMI >40. I didn't listen to the teleseminar, but one of my RDs did and referenced p. 11 of the handout that states "An automatic computerized calculated BMI is not sufficient. There must be some interaction documented related to the BMI, or example: referral to outpatient counseling or education." Is it OK for the RD to just document the BMI and have the coders code for the BMI V-code? We don't do education or referrals with these folks unless they specifically request it. TIA Karen Auwaerter, RD Manager, Nutrition and Food Services Mercy San Juan Medical Center Greater Sacramento Area 916 537 5104 phone 916 859 1238 fax "Eat food. Mostly plants. Not too much." --Michael Pollan NOTICE: This email and/or attachments may contain confidential or proprietary information which may be legally privileged. It is intended only for the named recipient(s). If an addressing or transmission error has misdirected this email, please notify the author by replying to this message. If you are not the named recipient, you are not authorized to use, disclose, distribute, make copies or print this email, and should immediately delete it from your computer system. Saint Francis Care has scanned this email and its attachments for malicious content. However, the recipient should check this email and any attachments for the presence of viruses. Saint Francis Care accepts no liability for any damage caused by any virus transmitted by this email. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/03448645/attachment.html From marlol at shands.ufl.edu Mon Jun 22 13:01:24 2009 From: marlol at shands.ufl.edu (Lee Marlowe) Date: Mon, 22 Jun 2009 16:01:24 -0400 Subject: [Cnm] BMI coding In-Reply-To: <891DC7E14FC0F449874219D643CB1CA8063D077E@CHW-MSG-403.chw.edu> References: <65833C2337856946BD02F46A4DC8E8A1CA3FDD8B@NADCWPMSGCMS07.hca.corpad.net> <8AF41BE5480EB240A37098F30EA04FD605936241@max.AD.EAMC.ORG> <891DC7E14FC0F449874219D643CB1CA8063D077E@CHW-MSG-403.chw.edu> Message-ID: <4A3FAADA.3BAE.000D.0@shands.ufl.edu> This is not my understanding of the intent of the coding. This is to document the BMI for additional compensation as it takes two PTs to walk an obese person, sometimes 3 to turn in bed, and more difficultly in transferring physically. The additional compensation is for the hospitals additional expenses. B. Lee Marlowe RD/LD A.D. Clinical Nutrition Services Food and Nutrition Services UF & Shands 352-265-0111ext. 4-6528 beeper 413-5444 marlol at shands.ufl.edu >>> "Auwaerter, Karen - MSJ" 6/22/2009 1:04 PM >>> Seeking input from anyone who attended the ADA?s Malnutrition: No Longer in the Closet? Our coding specialist wants the RD to document BMI (but not necessarily do an assessment) on pts with BMI >40. I didn?t listen to the teleseminar, but one of my RDs did and referenced p. 11 of the handout that states ?An automatic computerized calculated BMI is not sufficient. There must be some interaction documented related to the BMI, or example: referral to outpatient counseling or education.? Is it OK for the RD to just document the BMI and have the coders code for the BMI V-code? We don?t do education or referrals with these folks unless they specifically request it. TIA Karen Auwaerter, RD Manager, Nutrition and Food Services Mercy San Juan Medical Center Greater Sacramento Area 916 537 5104 phone 916 859 1238 fax "Eat food. Mostly plants. Not too much." --Michael Pollan -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/57d43822/attachment.html From Terese.Scollard at providence.org Mon Jun 22 13:13:14 2009 From: Terese.Scollard at providence.org (Scollard, Terese) Date: Mon, 22 Jun 2009 13:13:14 -0700 Subject: [Cnm] BMI coding In-Reply-To: <891DC7E14FC0F449874219D643CB1CA8063D077E@CHW-MSG-403.chw.edu> Message-ID: <37ABAEB17B0B5B40AA0B6118E57CF59A0402035A@wn1221.or.providence.org> Hi It is not okay for the RD to just document the BMI and have the coders pick up the code. There has to be some dietetics activity related to that. For example, handouts and referral to outpatient as part of the treatment plan. the morbid obesity has to be addressed in some way. The reference is on the ppt slide. Terese M. Scollard MBA, RD, LD Regional Clinical Nutrition Manager Providence Health & Services Regional Nutrition Service PHS-PSA Acute Care Phone: 503-216-2496 or 503-215-6974 terese.scollard at providence.org ________________________________ From: Auwaerter, Karen - MSJ [mailto:Karen.Auwaerter at chw.edu] Sent: Monday, June 22, 2009 10:04 AM To: cnm at lists.my180.net Subject: [Cnm] BMI coding Seeking input from anyone who attended the ADA's Malnutrition: No Longer in the Closet... Our coding specialist wants the RD to document BMI (but not necessarily do an assessment) on pts with BMI >40. I didn't listen to the teleseminar, but one of my RDs did and referenced p. 11 of the handout that states "An automatic computerized calculated BMI is not sufficient. There must be some interaction documented related to the BMI, or example: referral to outpatient counseling or education." Is it OK for the RD to just document the BMI and have the coders code for the BMI V-code? We don't do education or referrals with these folks unless they specifically request it. TIA Karen Auwaerter, RD Manager, Nutrition and Food Services Mercy San Juan Medical Center Greater Sacramento Area 916 537 5104 phone 916 859 1238 fax "Eat food. Mostly plants. Not too much." --Michael Pollan DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/0e0fad35/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: Scollard, Terese.vcf Type: text/x-vcard Size: 537 bytes Desc: Scollard, Terese.vcf Url : /pipermail/cnm_lists.my180.net/attachments/20090622/0e0fad35/attachment.vcf From pcharney at mac.com Mon Jun 22 13:22:35 2009 From: pcharney at mac.com (Pam Charney) Date: Mon, 22 Jun 2009 13:22:35 -0700 Subject: [Cnm] BMI coding In-Reply-To: <37ABAEB17B0B5B40AA0B6118E57CF59A0402035A@wn1221.or.providence.org> References: <37ABAEB17B0B5B40AA0B6118E57CF59A0402035A@wn1221.or.providence.org> Message-ID: Terese is correct. You cannot assign a code without having a plan for care in place. That plan can be as simple as providing a phone number to call for information, but there has to be a plan. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 22, 2009, at 1:13 PM, Scollard, Terese wrote: > Hi > It is not okay for the RD to just document the BMI and have the > coders pick up the code. There has to be some dietetics activity > related to that. For example, handouts and referral to outpatient as > part of the treatment plan. the morbid obesity has to be addressed > in some way. The reference is on the ppt slide. > > Terese M. Scollard MBA, RD, LD > Regional Clinical Nutrition Manager > Providence Health & Services > Regional Nutrition Service PHS-PSA Acute Care > Phone: 503-216-2496 or 503-215-6974 > terese.scollard at providence.org > > > From: Auwaerter, Karen - MSJ [mailto:Karen.Auwaerter at chw.edu] > Sent: Monday, June 22, 2009 10:04 AM > To: cnm at lists.my180.net > Subject: [Cnm] BMI coding > > Seeking input from anyone who attended the ADA?s Malnutrition: No > Longer in the Closet? > > Our coding specialist wants the RD to document BMI (but not > necessarily do an assessment) on pts with BMI >40. I didn?t listen > to the teleseminar, but one of my RDs did and referenced p. 11 of > the handout that states ?An automatic computerized calculated BMI is > not sufficient. There must be some interaction documented related > to the BMI, or example: referral to outpatient counseling or > education.? > > Is it OK for the RD to just document the BMI and have the coders > code for the BMI V-code? We don?t do education or referrals with > these folks unless they specifically request it. TIA > > Karen Auwaerter, RD > Manager, Nutrition and Food Services > Mercy San Juan Medical Center > Greater Sacramento Area > 916 537 5104 phone > 916 859 1238 fax > > "Eat food. Mostly plants. Not too much." --Michael Pollan > > > DISCLAIMER: > This message is intended for the sole use of the addressee, and may > contain information that is privileged, confidential and exempt from > disclosure under applicable law. If you are not the addressee you > are hereby notified that you may not use, copy, disclose, or > distribute to anyone the message or any information contained in the > message. If you have received this message in error, please > immediately advise the sender by reply email and delete this > message. Terese.vcf>_______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net > -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/62b332e3/attachment-0001.html From mpappo at montefiore.org Mon Jun 22 13:41:07 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Mon, 22 Jun 2009 16:41:07 -0400 Subject: [Cnm] BMI coding Message-ID: Additionally, My coders said that the increased revenue for BMI > 40 is for nurses increased cost of care, as was stated earlier. It has nothing to do with clinical nutrition (at this time). Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> Pam Charney 06/22/09 4:22 PM >>> Terese is correct. You cannot assign a code without having a plan for care in place. That plan can be as simple as providing a phone number to call for information, but there has to be a plan. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 22, 2009, at 1:13 PM, Scollard, Terese wrote: > Hi > It is not okay for the RD to just document the BMI and have the > coders pick up the code. There has to be some dietetics activity > related to that. For example, handouts and referral to outpatient as > part of the treatment plan. the morbid obesity has to be addressed > in some way. The reference is on the ppt slide. > > Terese M. Scollard MBA, RD, LD > Regional Clinical Nutrition Manager > Providence Health & Services > Regional Nutrition Service PHS-PSA Acute Care > Phone: 503-216-2496 or 503-215-6974 > terese.scollard at providence.org > > > From: Auwaerter, Karen - MSJ [mailto:Karen.Auwaerter at chw.edu] > Sent: Monday, June 22, 2009 10:04 AM > To: cnm at lists.my180.net > Subject: [Cnm] BMI coding > > Seeking input from anyone who attended the ADA's Malnutrition: No > Longer in the Closet* > > Our coding specialist wants the RD to document BMI (but not > necessarily do an assessment) on pts with BMI >40. I didn't listen > to the teleseminar, but one of my RDs did and referenced p. 11 of > the handout that states "An automatic computerized calculated BMI is > not sufficient. There must be some interaction documented related > to the BMI, or example: referral to outpatient counseling or > education." > > Is it OK for the RD to just document the BMI and have the coders > code for the BMI V-code? We don't do education or referrals with > these folks unless they specifically request it. TIA > > Karen Auwaerter, RD > Manager, Nutrition and Food Services > Mercy San Juan Medical Center > Greater Sacramento Area > 916 537 5104 phone > 916 859 1238 fax > > "Eat food. Mostly plants. Not too much." --Michael Pollan > > > DISCLAIMER: > This message is intended for the sole use of the addressee, and may > contain information that is privileged, confidential and exempt from > disclosure under applicable law. If you are not the addressee you > are hereby notified that you may not use, copy, disclose, or > distribute to anyone the message or any information contained in the > message. If you have received this message in error, please > immediately advise the sender by reply email and delete this > message. Terese.vcf>_______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net > -------------- next part -------------- An embedded and charset-unspecified text was scrubbed... Name: Miriam Pappo.vcf Url: /pipermail/cnm_lists.my180.net/attachments/20090622/14221e4b/attachment.pl From marlol at shands.ufl.edu Mon Jun 22 13:41:51 2009 From: marlol at shands.ufl.edu (Lee Marlowe) Date: Mon, 22 Jun 2009 16:41:51 -0400 Subject: [Cnm] BMI coding In-Reply-To: References: <37ABAEB17B0B5B40AA0B6118E57CF59A0402035A@wn1221.or.providence.org> Message-ID: <4A3FB459.3BAE.000D.0@shands.ufl.edu> We document our plan but it has to do with that patient's nutritional risk during hospitalization, we don't include weight loss unless the doctor thinks it's a priority during the hospitalization. Our plans are to provide adequate nutrition for healing. Since we are a tertiary care hospital, it's not always the appropriate time to work on this issue. B. Lee Marlowe RD/LD A.D. Clinical Nutrition Services Food and Nutrition Services UF & Shands 352-265-0111ext. 4-6528 beeper 413-5444 marlol at shands.ufl.edu >>> Pam Charney 6/22/2009 4:22 PM >>> Terese is correct. You cannot assign a code without having a plan for care in place. That plan can be as simple as providing a phone number to call for information, but there has to be a plan. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 22, 2009, at 1:13 PM, Scollard, Terese wrote: Hi It is not okay for the RD to just document the BMI and have the coders pick up the code. There has to be some dietetics activity related to that. For example, handouts and referral to outpatient as part of the treatment plan. the morbid obesity has to be addressed in some way. The reference is on the ppt slide. Terese M. Scollard MBA, RD, LD Regional Clinical Nutrition Manager Providence Health & Services Regional Nutrition Service PHS-PSA Acute Care Phone: 503-216-2496 or 503-215-6974 terese.scollard at providence.org From: Auwaerter, Karen - MSJ [mailto:Karen.Auwaerter at chw.edu] Sent: Monday, June 22, 2009 10:04 AM To: cnm at lists.my180.net Subject: [Cnm] BMI coding Seeking input from anyone who attended the ADA?s Malnutrition: No Longer in the Closet? Our coding specialist wants the RD to document BMI (but not necessarily do an assessment) on pts with BMI >40. I didn?t listen to the teleseminar, but one of my RDs did and referenced p. 11 of the handout that states ?An automatic computerized calculated BMI is not sufficient. There must be some interaction documented related to the BMI, or example: referral to outpatient counseling or education.? Is it OK for the RD to just document the BMI and have the coders code for the BMI V-code? We don?t do education or referrals with these folks unless they specifically request it. TIA Karen Auwaerter, RD Manager, Nutrition and Food Services Mercy San Juan Medical Center Greater Sacramento Area 916 537 5104 phone 916 859 1238 fax "Eat food. Mostly plants. Not too much." --Michael Pollan DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/bd817c8a/attachment.html From Terese.Scollard at providence.org Mon Jun 22 13:45:02 2009 From: Terese.Scollard at providence.org (Scollard, Terese) Date: Mon, 22 Jun 2009 13:45:02 -0700 Subject: [Cnm] BMI coding In-Reply-To: <4A3FB459.3BAE.000D.0@shands.ufl.edu> Message-ID: <37ABAEB17B0B5B40AA0B6118E57CF59A0402035F@wn1221.or.providence.org> We prioritize as you say below related to the patients risk and isses/needs during the treatment rather than weight loss...it is individualized to the pateints needs. We do not just "search out >40BMI" and do activity only related to that. I suppose if you had a setting that allowed for that, you could. Terese Scollard ________________________________ From: Lee Marlowe [mailto:marlol at shands.ufl.edu] Sent: Monday, June 22, 2009 1:42 PM To: Pam Charney; Scollard, Terese Cc: cnm at lists.my180.net Subject: Re: [Cnm] BMI coding We document our plan but it has to do with that patient's nutritional risk during hospitalization, we don't include weight loss unless the doctor thinks it's a priority during the hospitalization. Our plans are to provide adequate nutrition for healing. Since we are a tertiary care hospital, it's not always the appropriate time to work on this issue. B. Lee Marlowe RD/LD A.D. Clinical Nutrition Services Food and Nutrition Services UF & Shands 352-265-0111ext. 4-6528 beeper 413-5444 marlol at shands.ufl.edu >>> Pam Charney 6/22/2009 4:22 PM >>> Terese is correct. You cannot assign a code without having a plan for care in place. That plan can be as simple as providing a phone number to call for information, but there has to be a plan. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 22, 2009, at 1:13 PM, Scollard, Terese wrote: Hi It is not okay for the RD to just document the BMI and have the coders pick up the code. There has to be some dietetics activity related to that. For example, handouts and referral to outpatient as part of the treatment plan. the morbid obesity has to be addressed in some way. The reference is on the ppt slide. Terese M. Scollard MBA, RD, LD Regional Clinical Nutrition Manager Providence Health & Services Regional Nutrition Service PHS-PSA Acute Care Phone: 503-216-2496 or 503-215-6974 terese.scollard at providence.org ________________________________ From: Auwaerter, Karen - MSJ [mailto:Karen.Auwaerter at chw.edu] Sent: Monday, June 22, 2009 10:04 AM To: cnm at lists.my180.net Subject: [Cnm] BMI coding Seeking input from anyone who attended the ADA's Malnutrition: No Longer in the Closet... Our coding specialist wants the RD to document BMI (but not necessarily do an assessment) on pts with BMI >40. I didn't listen to the teleseminar, but one of my RDs did and referenced p. 11 of the handout that states "An automatic computerized calculated BMI is not sufficient. There must be some interaction documented related to the BMI, or example: referral to outpatient counseling or education." Is it OK for the RD to just document the BMI and have the coders code for the BMI V-code? We don't do education or referrals with these folks unless they specifically request it. TIA Karen Auwaerter, RD Manager, Nutrition and Food Services Mercy San Juan Medical Center Greater Sacramento Area 916 537 5104 phone 916 859 1238 fax "Eat food. Mostly plants. Not too much." --Michael Pollan DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/64ab6227/attachment-0001.html From Terese.Scollard at providence.org Mon Jun 22 13:45:47 2009 From: Terese.Scollard at providence.org (Scollard, Terese) Date: Mon, 22 Jun 2009 13:45:47 -0700 Subject: [Cnm] BMI coding In-Reply-To: Message-ID: <37ABAEB17B0B5B40AA0B6118E57CF59A04020360@wn1221.or.providence.org> any revenue would go to the organization,not just one department. The recognition is for the overall increased costs related to that comorbidity, so likely other activities from non-dietitians would count. But from the standpoint of the dietitian providing the data, one would need a dietetics related action. Terese Scollard -----Original Message----- From: Miriam Pappo [mailto:mpappo at montefiore.org] Sent: Monday, June 22, 2009 1:41 PM To: pcharney at mac.com; Scollard, Terese Cc: cnm at lists.my180.net Subject: Re: [Cnm] BMI coding Additionally, My coders said that the increased revenue for BMI > 40 is for nurses increased cost of care, as was stated earlier. It has nothing to do with clinical nutrition (at this time). Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> Pam Charney 06/22/09 4:22 PM >>> Terese is correct. You cannot assign a code without having a plan for care in place. That plan can be as simple as providing a phone number to call for information, but there has to be a plan. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 22, 2009, at 1:13 PM, Scollard, Terese wrote: > Hi > It is not okay for the RD to just document the BMI and have the coders > pick up the code. There has to be some dietetics activity related to > that. For example, handouts and referral to outpatient as part of the > treatment plan. the morbid obesity has to be addressed in some way. > The reference is on the ppt slide. > > Terese M. Scollard MBA, RD, LD > Regional Clinical Nutrition Manager > Providence Health & Services > Regional Nutrition Service PHS-PSA Acute Care > Phone: 503-216-2496 or 503-215-6974 > terese.scollard at providence.org > > > From: Auwaerter, Karen - MSJ [mailto:Karen.Auwaerter at chw.edu] > Sent: Monday, June 22, 2009 10:04 AM > To: cnm at lists.my180.net > Subject: [Cnm] BMI coding > > Seeking input from anyone who attended the ADA's Malnutrition: No > Longer in the Closet* > > Our coding specialist wants the RD to document BMI (but not > necessarily do an assessment) on pts with BMI >40. I didn't listen to > the teleseminar, but one of my RDs did and referenced p. 11 of the > handout that states "An automatic computerized calculated BMI is not > sufficient. There must be some interaction documented related to the > BMI, or example: referral to outpatient counseling or education." > > Is it OK for the RD to just document the BMI and have the coders code > for the BMI V-code? We don't do education or referrals with > these folks unless they specifically request it. TIA > > Karen Auwaerter, RD > Manager, Nutrition and Food Services > Mercy San Juan Medical Center > Greater Sacramento Area > 916 537 5104 phone > 916 859 1238 fax > > "Eat food. Mostly plants. Not too much." --Michael Pollan > > > DISCLAIMER: > This message is intended for the sole use of the addressee, and may > contain information that is privileged, confidential and exempt from > disclosure under applicable law. If you are not the addressee you are > hereby notified that you may not use, copy, disclose, or distribute to > anyone the message or any information contained in the message. If you > have received this message in error, please immediately advise the > sender by reply email and delete this message. Terese.vcf>_______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net > DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. From DerrickK at health.missouri.edu Mon Jun 22 13:48:30 2009 From: DerrickK at health.missouri.edu (Derrick, Karen) Date: Mon, 22 Jun 2009 15:48:30 -0500 Subject: [Cnm] BMI coding In-Reply-To: References: Message-ID: <6D7787A6B00FCF41993911F1118272370697CAD1@UM-XMAIL02.um.umsystem.edu> Our coders said the same as Miriam's. The increased revenues for BMI > 40 is for the total increased cost of care. I was told physicians can also verify BMI's > 40. I will double check though. Karen Derrick, MA, RD, LD, CDE University of Missouri Health System MU Health Care Nutrition and Food Service Assistant Manager Clinical Nutrition Columbia, MO 65211 573-882-2251 (office) 573-499-7070 (pager) 573-884-4990 (fax) 573-999-4484 (cell) -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Miriam Pappo Sent: Monday, June 22, 2009 3:41 PM To: pcharney at mac.com; Terese.Scollard at providence.org Cc: cnm at lists.my180.net Subject: Re: [Cnm] BMI coding Additionally, My coders said that the increased revenue for BMI > 40 is for nurses increased cost of care, as was stated earlier. It has nothing to do with clinical nutrition (at this time). Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> Pam Charney 06/22/09 4:22 PM >>> Terese is correct. You cannot assign a code without having a plan for care in place. That plan can be as simple as providing a phone number to call for information, but there has to be a plan. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 22, 2009, at 1:13 PM, Scollard, Terese wrote: > Hi > It is not okay for the RD to just document the BMI and have the > coders pick up the code. There has to be some dietetics activity > related to that. For example, handouts and referral to outpatient as > part of the treatment plan. the morbid obesity has to be addressed > in some way. The reference is on the ppt slide. > > Terese M. Scollard MBA, RD, LD > Regional Clinical Nutrition Manager > Providence Health & Services > Regional Nutrition Service PHS-PSA Acute Care > Phone: 503-216-2496 or 503-215-6974 > terese.scollard at providence.org > > > From: Auwaerter, Karen - MSJ [mailto:Karen.Auwaerter at chw.edu] > Sent: Monday, June 22, 2009 10:04 AM > To: cnm at lists.my180.net > Subject: [Cnm] BMI coding > > Seeking input from anyone who attended the ADA's Malnutrition: No > Longer in the Closet* > > Our coding specialist wants the RD to document BMI (but not > necessarily do an assessment) on pts with BMI >40. I didn't listen > to the teleseminar, but one of my RDs did and referenced p. 11 of > the handout that states "An automatic computerized calculated BMI is > not sufficient. There must be some interaction documented related > to the BMI, or example: referral to outpatient counseling or > education." > > Is it OK for the RD to just document the BMI and have the coders > code for the BMI V-code? We don't do education or referrals with > these folks unless they specifically request it. TIA > > Karen Auwaerter, RD > Manager, Nutrition and Food Services > Mercy San Juan Medical Center > Greater Sacramento Area > 916 537 5104 phone > 916 859 1238 fax > > "Eat food. Mostly plants. Not too much." --Michael Pollan > > > DISCLAIMER: > This message is intended for the sole use of the addressee, and may > contain information that is privileged, confidential and exempt from > disclosure under applicable law. If you are not the addressee you > are hereby notified that you may not use, copy, disclose, or > distribute to anyone the message or any information contained in the > message. If you have received this message in error, please > immediately advise the sender by reply email and delete this > message. Terese.vcf>_______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net > -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/21b4acd9/attachment.html From CShipman at baymedical.org Mon Jun 22 13:50:38 2009 From: CShipman at baymedical.org (Shipman, Cindy) Date: Mon, 22 Jun 2009 15:50:38 -0500 Subject: [Cnm] BMI coding In-Reply-To: Message-ID: <28C9A616766126479E11A1BC4DDA43B20576D874@BMCEXCHVS2.corp.baymedical.org> What if the MD gives the pt a dx of Morbid Obesity? Can this be coded without a Plan of Care? Thanks, Cindy -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Pam Charney Sent: Monday, June 22, 2009 3:23 PM To: Scollard, Terese Cc: cnm at lists.my180.net Subject: Re: [Cnm] BMI coding Terese is correct. You cannot assign a code without having a plan for care in place. That plan can be as simple as providing a phone number to call for information, but there has to be a plan. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 22, 2009, at 1:13 PM, Scollard, Terese wrote: Hi It is not okay for the RD to just document the BMI and have the coders pick up the code. There has to be some dietetics activity related to that. For example, handouts and referral to outpatient as part of the treatment plan. the morbid obesity has to be addressed in some way. The reference is on the ppt slide. Terese M. Scollard MBA, RD, LD Regional Clinical Nutrition Manager Providence Health & Services Regional Nutrition Service PHS-PSA Acute Care Phone: 503-216-2496 or 503-215-6974 terese.scollard at providence.org ________________________________ From: Auwaerter, Karen - MSJ [mailto:Karen.Auwaerter at chw.edu] Sent: Monday, June 22, 2009 10:04 AM To: cnm at lists.my180.net Subject: [Cnm] BMI coding Seeking input from anyone who attended the ADA's Malnutrition: No Longer in the Closet... Our coding specialist wants the RD to document BMI (but not necessarily do an assessment) on pts with BMI >40. I didn't listen to the teleseminar, but one of my RDs did and referenced p. 11 of the handout that states "An automatic computerized calculated BMI is not sufficient. There must be some interaction documented related to the BMI, or example: referral to outpatient counseling or education." Is it OK for the RD to just document the BMI and have the coders code for the BMI V-code? We don't do education or referrals with these folks unless they specifically request it. TIA Karen Auwaerter, RD Manager, Nutrition and Food Services Mercy San Juan Medical Center Greater Sacramento Area 916 537 5104 phone 916 859 1238 fax "Eat food. Mostly plants. Not too much." --Michael Pollan DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------------------------------------------------- Confidentiality Notice: The information contained in this e-mail is intended solely for the person(s) to whom it is addressed. This information is the property of Bay Medical Center and may be confidential. If you are not the intended addressee, you should not distribute, copy or disclose this e-mail. Please notify the sender immediately if you received this e-mail by mistake and delete this email from your system and destroy all printed copies. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/dd61ebcf/attachment-0001.html From Terese.Scollard at providence.org Mon Jun 22 13:54:04 2009 From: Terese.Scollard at providence.org (Scollard, Terese) Date: Mon, 22 Jun 2009 13:54:04 -0700 Subject: [Cnm] BMI coding In-Reply-To: <28C9A616766126479E11A1BC4DDA43B20576D874@BMCEXCHVS2.corp.baymedical.org> Message-ID: <37ABAEB17B0B5B40AA0B6118E57CF59A04020362@wn1221.or.providence.org> The MD diagnosis is adequate in itself for the coders to use, just as with the other CC's and MCC's. Terese Scollard ________________________________ From: Shipman, Cindy [mailto:CShipman at baymedical.org] Sent: Monday, June 22, 2009 1:51 PM To: Pam Charney; Scollard, Terese Cc: cnm at lists.my180.net Subject: RE: [Cnm] BMI coding What if the MD gives the pt a dx of Morbid Obesity? Can this be coded without a Plan of Care? Thanks, Cindy -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Pam Charney Sent: Monday, June 22, 2009 3:23 PM To: Scollard, Terese Cc: cnm at lists.my180.net Subject: Re: [Cnm] BMI coding Terese is correct. You cannot assign a code without having a plan for care in place. That plan can be as simple as providing a phone number to call for information, but there has to be a plan. Regards, pam Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 22, 2009, at 1:13 PM, Scollard, Terese wrote: Hi It is not okay for the RD to just document the BMI and have the coders pick up the code. There has to be some dietetics activity related to that. For example, handouts and referral to outpatient as part of the treatment plan. the morbid obesity has to be addressed in some way. The reference is on the ppt slide. Terese M. Scollard MBA, RD, LD Regional Clinical Nutrition Manager Providence Health & Services Regional Nutrition Service PHS-PSA Acute Care Phone: 503-216-2496 or 503-215-6974 terese.scollard at providence.org ________________________________ From: Auwaerter, Karen - MSJ [mailto:Karen.Auwaerter at chw.edu] Sent: Monday, June 22, 2009 10:04 AM To: cnm at lists.my180.net Subject: [Cnm] BMI coding Seeking input from anyone who attended the ADA's Malnutrition: No Longer in the Closet... Our coding specialist wants the RD to document BMI (but not necessarily do an assessment) on pts with BMI >40. I didn't listen to the teleseminar, but one of my RDs did and referenced p. 11 of the handout that states "An automatic computerized calculated BMI is not sufficient. There must be some interaction documented related to the BMI, or example: referral to outpatient counseling or education." Is it OK for the RD to just document the BMI and have the coders code for the BMI V-code? We don't do education or referrals with these folks unless they specifically request it. TIA Karen Auwaerter, RD Manager, Nutrition and Food Services Mercy San Juan Medical Center Greater Sacramento Area 916 537 5104 phone 916 859 1238 fax "Eat food. Mostly plants. Not too much." --Michael Pollan DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ________________________________ Confidentiality Notice: The information contained in this e-mail is intended solely for the person(s) to whom it is addressed. This information is the property of Bay Medical Center and may be confidential. If you are not the intended addressee, you should not distribute, copy or disclose this e-mail. Please notify the sender immediately if you received this e-mail by mistake and delete this email from your system and destroy all printed copies. DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090622/20fd4e77/attachment.html From dsbecker2 at me.com Sat Jun 20 09:23:58 2009 From: dsbecker2 at me.com (Donna Becker) Date: Sat, 20 Jun 2009 11:23:58 -0500 Subject: [Cnm] Ellyn Satter In-Reply-To: References: Message-ID: I have know Ellyn many years and followed her work and read all her books (many of my family and friends have received one of her books as a present.) In my opinion she is certainly in the " list of top five" of dietitians in her area of practice. Donna Becker On Jun 16, 2009, at 9:57 PM, Ann Merritt wrote: > > Hi > (I get the listserve emails by digest,so sorry if your question has > already been answered.) > Ellyn is an RD and a licensed therapist. Her eating competence > model is based on internal regulation of food intake vs external > regulation which includes diets and meal plans. She goes further > encouraging people to take pleasure, even joy from eating. There is > evidence to support improved nutrient intake and better management > of nutrition related diseases with this approach. > Check out her website: http://www.ellynsatter.com/adults.jsp She > has several articles related to the concept.. > I've taken other seminars from her and highly recommend her. > Ann > > Ann M. Merritt MS, RD, LD. > Valley Regional Hospital > 243 Elm Street > Claremont, New Hampshire 03743 > Phone: (603) 542-1862 > Fax: (603) 543-5616 _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090620/019f66ac/attachment.html From jbaye at mail.mcg.edu Tue Jun 23 06:52:29 2009 From: jbaye at mail.mcg.edu (Jessica Baye) Date: Tue, 23 Jun 2009 09:52:29 -0400 Subject: [Cnm] Length of Stay Message-ID: <4A40A5DE.E045.0010.0@mail.mcg.edu> For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu From LAURAF at dmhhs.org Tue Jun 23 07:00:43 2009 From: LAURAF at dmhhs.org (ETCHASON,LAURA) Date: Tue, 23 Jun 2009 09:00:43 -0500 Subject: [Cnm] Length of Stay In-Reply-To: <4A40A5DE.E045.0010.0@mail.mcg.edu> References: <4A40A5DE.E045.0010.0@mail.mcg.edu> Message-ID: <4A4099BC.21B0.00A0.0@dmhhs.org> We see ICU patients by day 4 and all others by day 7. Laura A. Etchason, MS, RD, LDN Clinical Nutrition Manager Decatur Memorial Hospital 2300 N. Edward Street Decatur, IL 62526 217-876-5306 (office line and voice mail) 217-876-5305 (fax) 217-876-5301 (general line) lauraf at dmhhs.org Developer, Harmony, Maximizer, Individualization, Belief >>> "Jessica Baye" 6/23/2009 8:52 AM >>> For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090623/a81e4317/attachment.html From dianac226 at aol.com Tue Jun 23 07:01:30 2009 From: dianac226 at aol.com (dianac226 at aol.com) Date: Tue, 23 Jun 2009 10:01:30 -0400 Subject: [Cnm] enteral Nutrition Formula Substitution Message-ID: <8CBC2223E0F18E2-D6C-25F@Webmail-mg12.sim.aol.com> Hi Everyone, We are working on revising our supplement substitution list and I was looking to see what products other facilities send if they need to substitute the following enteral nutrition products: Osmolite 1.0, Promote, Jevity 1.2, Osmolite 1.5, Pediasure, Nutren Jr., Peptamen 1.5, Crucial, Pulmocare, Suplena, Nepro, two Cal, Glytrol, Oxepa, Thank You in Advance Diana Cangemi Clinical Nutrition Manager From LCarver at Reshealthcare.org Tue Jun 23 07:05:24 2009 From: LCarver at Reshealthcare.org (Carver, Leslee) Date: Tue, 23 Jun 2009 09:05:24 -0500 Subject: [Cnm] Length of Stay In-Reply-To: <4A40A5DE.E045.0010.0@mail.mcg.edu> References: <4A40A5DE.E045.0010.0@mail.mcg.edu> Message-ID: <5330B54133B6194BA13930BDEFE9A30E04704C63@rhcexch3.reshealthcare.org> 7 days on most units - 14 days for adult psychiatry and our inpt headache tx unit. leslee Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessica Baye Sent: Tuesday, June 23, 2009 8:52 AM To: cnm at lists.my180.net Subject: [Cnm] Length of Stay For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From fns at abbgen.net Tue Jun 23 08:04:44 2009 From: fns at abbgen.net (Annette Doucet) Date: Tue, 23 Jun 2009 10:04:44 -0500 Subject: [Cnm] Length of Stay In-Reply-To: <4A40A5DE.E045.0010.0@mail.mcg.edu> References: <4A40A5DE.E045.0010.0@mail.mcg.edu> Message-ID: <000d01c9f413$f21f3fe0$02be7878@local.abbgen.net> Don't think that you need to use length of stay, unless the nutrition screening by nursing at admission and every shift resulting in referrals, in addition to a daily computerized nutrition screening used by the RD, do not identify the pts at nutrition risk. We stopped using length of stay about two years ago. A PI study could be used to identify, if length of stay is not needed to identify pts at risk. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessica Baye Sent: Tuesday, June 23, 2009 8:52 AM To: cnm at lists.my180.net Subject: [Cnm] Length of Stay For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.89/2197 - Release Date: 06/23/09 05:54:00 From julie.mclaughlin at hotmail.com Tue Jun 23 08:25:48 2009 From: julie.mclaughlin at hotmail.com (Julie McLaughlin) Date: Tue, 23 Jun 2009 11:25:48 -0400 Subject: [Cnm] Length of Stay In-Reply-To: <4A40A5DE.E045.0010.0@mail.mcg.edu> References: <4A40A5DE.E045.0010.0@mail.mcg.edu> Message-ID: I thought screening for LOS is almost like a re-screen if nursing screens upon admission. If nsg does the initial screening and a pt does not meet any criteria triggering a referral, nutrition would "re-screen" at LOS. I've always heard that your LOS would be defined as your hospital's average LOS + 1 day. Not exactly sure where all my info comes from!! (-; Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL 33316 > Date: Tue, 23 Jun 2009 09:52:29 -0400 > From: jbaye at mail.mcg.edu > To: cnm at lists.my180.net > Subject: [Cnm] Length of Stay > > For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? > > Is there any data or guidelines to support a particular number? > > TIA > Jessica > > Jessica Baye, RD, LD > Clinical Nutrition Manager > Food & Nutrition Services > MCG Health System > BA1565 > 1120 15th Street > Augusta, GA 30912 > 706.721.3202 (office) > 706.533.3313 (cell) > 706.721.7243 x1405 (pager) > jbaye at mcg.edu > > > > > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _________________________________________________________________ Bing? brings you maps, menus, and reviews organized in one place. Try it now. http://www.bing.com/search?q=restaurants&form=MLOGEN&publ=WLHMTAG&crea=TEXT_MLOGEN_Core_tagline_local_1x1 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090623/9a37dd10/attachment.html From AtkinsMJ at ah.org Tue Jun 23 08:40:19 2009 From: AtkinsMJ at ah.org (Melva Atkins) Date: Tue, 23 Jun 2009 08:40:19 -0700 Subject: [Cnm] Length of Stay In-Reply-To: <4A40A5DE.E045.0010.0@mail.mcg.edu> References: <4A40A5DE.E045.0010.0@mail.mcg.edu> Message-ID: <4A4094F3.A92C.00A7.0@ah.org> We use LOS at 5 days as our average LOS is 4 days. In the psychiatric units, we use 10 days. Melva Atkins, RD, LD Clinical Nutrition Manager Adventist Medical Center 503-251-6151 AtkinsMJ at ah.org >>> "Jessica Baye" 06/23/2009 06:52 >>> For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net From mpappo at montefiore.org Tue Jun 23 10:22:08 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Tue, 23 Jun 2009 13:22:08 -0400 Subject: [Cnm] Length of Stay Message-ID: Our avg LOS is 5.2-5.5, & I had used 4 days . The last TJC surveyor thought that was too aggressive & thought that 7 would be more appropriate given a LOS of 5. As it turns out, my QI shows that with unconsulted LOS pts, we really do see them in 7-8 days (except for unconsulted TF). I changed it to 7 days Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Jessica Baye" 06/23/09 9:52 AM >>> For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- A non-text attachment was scrubbed... Name: Miriam Pappo.vcf Type: application/octet-stream Size: 170 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090623/c5cd0a61/attachment.obj From mpappo at montefiore.org Tue Jun 23 10:26:14 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Tue, 23 Jun 2009 13:26:14 -0400 Subject: [Cnm] Length of Stay Message-ID: All surveyors (TJC, DOH, CMS) ask for a back up plan for those not caught by other screening methods. It's not a regulatory mandate but they ask. One doesnt have to use LOS tho. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Annette Doucet" 06/23/09 11:04 AM >>> Don't think that you need to use length of stay, unless the nutrition screening by nursing at admission and every shift resulting in referrals, in addition to a daily computerized nutrition screening used by the RD, do not identify the pts at nutrition risk. We stopped using length of stay about two years ago. A PI study could be used to identify, if length of stay is not needed to identify pts at risk. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessica Baye Sent: Tuesday, June 23, 2009 8:52 AM To: cnm at lists.my180.net Subject: [Cnm] Length of Stay For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.89/2197 - Release Date: 06/23/09 05:54:00 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- A non-text attachment was scrubbed... Name: Miriam Pappo.vcf Type: application/octet-stream Size: 170 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090623/c4d1821b/attachment.obj From fns at abbgen.net Tue Jun 23 11:50:12 2009 From: fns at abbgen.net (Annette Doucet) Date: Tue, 23 Jun 2009 13:50:12 -0500 Subject: [Cnm] Length of Stay In-Reply-To: References: Message-ID: <001c01c9f433$70ef9a30$02be7878@local.abbgen.net> Included in our computerized RD Diet Census are the following: name, DOB, date admitted, diet order, admitting dx, specific meds from the MAR that we have asked for (meds that we educate pt and family on food-drug interactions, meds that affect blood sugar such as OHA, insulin, steroids, PN solutions, etc.), allergies and name of MD. We do automatic consults on all TF's and PN's. We recently developed a protocol of PN and there is an RD consult requested in the MD orders. The clinical RD uses this census to prioritize the daily work. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Miriam Pappo Sent: Tuesday, June 23, 2009 12:22 PM To: cnm at lists.my180.net; jbaye at mail.mcg.edu Subject: Re: [Cnm] Length of Stay Our avg LOS is 5.2-5.5, & I had used 4 days . The last TJC surveyor thought that was too aggressive & thought that 7 would be more appropriate given a LOS of 5. As it turns out, my QI shows that with unconsulted LOS pts, we really do see them in 7-8 days (except for unconsulted TF). I changed it to 7 days Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Jessica Baye" 06/23/09 9:52 AM >>> For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.89/2197 - Release Date: 06/23/09 05:54:00 From hpatronik at shorehealth.org Tue Jun 23 12:01:34 2009 From: hpatronik at shorehealth.org (Holly Patronik) Date: Tue, 23 Jun 2009 15:01:34 -0400 Subject: [Cnm] RDE Message-ID: I have a new RDE. Wondering if anyone in the state of Maryland can respond to what the time frame is for co-signing notes and what do you do about Licensure?? Holly Patronik, RD, LDN Clinical Nutrition Manager, Sodexo 219 South Washington Street Easton, Maryland 21601 410-822-1000, ext 5624 410-819-0989 (fax) *** The information contained in this transmission is confidential and is intended only for the individual named above. If you have received this information in error, please notify the sender immediately and delete this message. If the reader of this message is not the intended recipient, you are hereby notified that any disclosure, dissemination, distribution, or copying of the communication or its contents is strictly prohibited -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090623/a990c9f9/attachment.html From lhodgson at SARATOGACARE.ORG Tue Jun 23 12:23:51 2009 From: lhodgson at SARATOGACARE.ORG (Hodgson, Lisa) Date: Tue, 23 Jun 2009 15:23:51 -0400 Subject: [Cnm] length of stay In-Reply-To: References: Message-ID: Do those of you with more aggressive screening criteria have diet techs to do the screenings? Are any of you using the nutrition care process to establish screening criteria instead of medical diagnoses? Thanks, Lisa Hodgson Lisa Hodgson, RD, CDN, CDE Clinical Nutrition Manager Saratoga Hospital Saratoga Springs, NY 12866 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of cnm-request at lists.my180.net Sent: Tuesday, June 23, 2009 3:00 PM To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 99 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Re: Length of Stay (Carver, Leslee) 2. Re: Length of Stay (Annette Doucet) 3. Re: Length of Stay (Julie McLaughlin) 4. Re: Length of Stay (Melva Atkins) 5. Re: Length of Stay (Miriam Pappo) 6. Re: Length of Stay (Miriam Pappo) 7. Re: Length of Stay (Annette Doucet) ---------------------------------------------------------------------- Message: 1 Date: Tue, 23 Jun 2009 09:05:24 -0500 From: "Carver, Leslee" Subject: Re: [Cnm] Length of Stay To: "Jessica Baye" , Message-ID: <5330B54133B6194BA13930BDEFE9A30E04704C63 at rhcexch3.reshealthcare.org> Content-Type: text/plain; charset="us-ascii" 7 days on most units - 14 days for adult psychiatry and our inpt headache tx unit. leslee Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessica Baye Sent: Tuesday, June 23, 2009 8:52 AM To: cnm at lists.my180.net Subject: [Cnm] Length of Stay For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ------------------------------ Message: 2 Date: Tue, 23 Jun 2009 10:04:44 -0500 From: "Annette Doucet" Subject: Re: [Cnm] Length of Stay To: "'Jessica Baye'" , Message-ID: <000d01c9f413$f21f3fe0$02be7878 at local.abbgen.net> Content-Type: text/plain; charset="us-ascii" Don't think that you need to use length of stay, unless the nutrition screening by nursing at admission and every shift resulting in referrals, in addition to a daily computerized nutrition screening used by the RD, do not identify the pts at nutrition risk. We stopped using length of stay about two years ago. A PI study could be used to identify, if length of stay is not needed to identify pts at risk. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessica Baye Sent: Tuesday, June 23, 2009 8:52 AM To: cnm at lists.my180.net Subject: [Cnm] Length of Stay For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.89/2197 - Release Date: 06/23/09 05:54:00 ------------------------------ Message: 3 Date: Tue, 23 Jun 2009 11:25:48 -0400 From: Julie McLaughlin Subject: Re: [Cnm] Length of Stay To: , CNM List Serve Message-ID: Content-Type: text/plain; charset="windows-1252" I thought screening for LOS is almost like a re-screen if nursing screens upon admission. If nsg does the initial screening and a pt does not meet any criteria triggering a referral, nutrition would "re-screen" at LOS. I've always heard that your LOS would be defined as your hospital's average LOS + 1 day. Not exactly sure where all my info comes from!! (-; Julie McLaughlin, RD, LD/N Assistant Director, Patient Services Broward General Medical Center Ft. Lauderdale, FL 33316 > Date: Tue, 23 Jun 2009 09:52:29 -0400 > From: jbaye at mail.mcg.edu > To: cnm at lists.my180.net > Subject: [Cnm] Length of Stay > > For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? > > Is there any data or guidelines to support a particular number? > > TIA > Jessica > > Jessica Baye, RD, LD > Clinical Nutrition Manager > Food & Nutrition Services > MCG Health System > BA1565 > 1120 15th Street > Augusta, GA 30912 > 706.721.3202 (office) > 706.533.3313 (cell) > 706.721.7243 x1405 (pager) > jbaye at mcg.edu > > > > > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net _________________________________________________________________ Bing? brings you maps, menus, and reviews organized in one place. Try it now. http://www.bing.com/search?q=restaurants&form=MLOGEN&publ=WLHMTAG&crea=T EXT_MLOGEN_Core_tagline_local_1x1 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090623/9a37dd10/attachment- 0001.html ------------------------------ Message: 4 Date: Tue, 23 Jun 2009 08:40:19 -0700 From: "Melva Atkins" Subject: Re: [Cnm] Length of Stay To: ,"Jessica Baye" Message-ID: <4A4094F3.A92C.00A7.0 at ah.org> Content-Type: text/plain; charset=US-ASCII We use LOS at 5 days as our average LOS is 4 days. In the psychiatric units, we use 10 days. Melva Atkins, RD, LD Clinical Nutrition Manager Adventist Medical Center 503-251-6151 AtkinsMJ at ah.org >>> "Jessica Baye" 06/23/2009 06:52 >>> For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ------------------------------ Message: 5 Date: Tue, 23 Jun 2009 13:22:08 -0400 From: "Miriam Pappo" Subject: Re: [Cnm] Length of Stay To: , Message-ID: Content-Type: text/plain; charset="us-ascii" Our avg LOS is 5.2-5.5, & I had used 4 days . The last TJC surveyor thought that was too aggressive & thought that 7 would be more appropriate given a LOS of 5. As it turns out, my QI shows that with unconsulted LOS pts, we really do see them in 7-8 days (except for unconsulted TF). I changed it to 7 days Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Jessica Baye" 06/23/09 9:52 AM >>> For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- A non-text attachment was scrubbed... Name: Miriam Pappo.vcf Type: application/octet-stream Size: 170 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090623/c5cd0a61/attachment- 0001.obj ------------------------------ Message: 6 Date: Tue, 23 Jun 2009 13:26:14 -0400 From: "Miriam Pappo" Subject: Re: [Cnm] Length of Stay To: ,, Message-ID: Content-Type: text/plain; charset="us-ascii" All surveyors (TJC, DOH, CMS) ask for a back up plan for those not caught by other screening methods. It's not a regulatory mandate but they ask. One doesnt have to use LOS tho. Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Annette Doucet" 06/23/09 11:04 AM >>> Don't think that you need to use length of stay, unless the nutrition screening by nursing at admission and every shift resulting in referrals, in addition to a daily computerized nutrition screening used by the RD, do not identify the pts at nutrition risk. We stopped using length of stay about two years ago. A PI study could be used to identify, if length of stay is not needed to identify pts at risk. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessica Baye Sent: Tuesday, June 23, 2009 8:52 AM To: cnm at lists.my180.net Subject: [Cnm] Length of Stay For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.89/2197 - Release Date: 06/23/09 05:54:00 _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- A non-text attachment was scrubbed... Name: Miriam Pappo.vcf Type: application/octet-stream Size: 170 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090623/c4d1821b/attachment- 0001.obj ------------------------------ Message: 7 Date: Tue, 23 Jun 2009 13:50:12 -0500 From: "Annette Doucet" Subject: Re: [Cnm] Length of Stay To: "'Miriam Pappo'" , , Message-ID: <001c01c9f433$70ef9a30$02be7878 at local.abbgen.net> Content-Type: text/plain; charset="US-ASCII" Included in our computerized RD Diet Census are the following: name, DOB, date admitted, diet order, admitting dx, specific meds from the MAR that we have asked for (meds that we educate pt and family on food-drug interactions, meds that affect blood sugar such as OHA, insulin, steroids, PN solutions, etc.), allergies and name of MD. We do automatic consults on all TF's and PN's. We recently developed a protocol of PN and there is an RD consult requested in the MD orders. The clinical RD uses this census to prioritize the daily work. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Miriam Pappo Sent: Tuesday, June 23, 2009 12:22 PM To: cnm at lists.my180.net; jbaye at mail.mcg.edu Subject: Re: [Cnm] Length of Stay Our avg LOS is 5.2-5.5, & I had used 4 days . The last TJC surveyor thought that was too aggressive & thought that 7 would be more appropriate given a LOS of 5. As it turns out, my QI shows that with unconsulted LOS pts, we really do see them in 7-8 days (except for unconsulted TF). I changed it to 7 days Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> "Jessica Baye" 06/23/09 9:52 AM >>> For those of you in acute care - How many days are you screening for length of stay? 7 days, 10 days? longer?? Is there any data or guidelines to support a particular number? TIA Jessica Jessica Baye, RD, LD Clinical Nutrition Manager Food & Nutrition Services MCG Health System BA1565 1120 15th Street Augusta, GA 30912 706.721.3202 (office) 706.533.3313 (cell) 706.721.7243 x1405 (pager) jbaye at mcg.edu _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.89/2197 - Release Date: 06/23/09 05:54:00 ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 99 *********************************** This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Saratoga Hospital immediately by e-mail at privacy at saratogacare.org and destroy all copies of this communication and any attachments. From DrNCollins at aol.com Tue Jun 23 19:36:41 2009 From: DrNCollins at aol.com (DrNCollins at aol.com) Date: Tue, 23 Jun 2009 22:36:41 EDT Subject: [Cnm] Need Help with An article Message-ID: Hi there, I am writing an article on best practices (real life!) for preventing/treating unintended weight loss in patients, increasing protein in the diet and/or healing wounds. If you would like to showcase your nutrition practice in a national journal, please send me a short paragraph (about 100 words) describing your best trick, practice, idea, policy or system. Please include your name, credentials, and city and state. Your act of submission will be considered permission to publish your name and blurb in print. All submissions are needed right away. Thanks so much, NANCY Dr. Nancy Collins, PhD, RD, LD/N, FAPWCA President/Executive Director RD411.com, Inc. Where Healthcare Professionals Go for Information 318 Indian Trace, Suite 126 Weston, FL 33326 Office: 954-349-2198 Fax: 954-349-2197 NCtheRD at aol.com _www.RD411.com_ (http://www.rd411.com/) **************An Excellent Credit Score is 750. See Yours in Just 2 Easy Steps! (http://pr.atwola.com/promoclk/100126575x1222377052x1201454391/aol?redir=http://www.freecreditreport.com/pm/default.aspx?sc=668072&hmpgID=62&bcd=Jun eExcfooterNO62) -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090623/03868287/attachment.html From Vanessa.Martinez2 at HCAhealthcare.com Wed Jun 24 07:36:22 2009 From: Vanessa.Martinez2 at HCAhealthcare.com (Martinez Vanessa) Date: Wed, 24 Jun 2009 09:36:22 -0500 Subject: [Cnm] Free Handouts/ Merchandise Message-ID: <4BF03F5404EBDE409AF9232DA74B9DED2AC05DB3FF@FWDCWPMSGCMS09.hca.corpad.net> Hello All, My facility is doing a community family health fair. Of course, the response given when I asked about the budget was "very minimal spending." I'm trying to find free stuff. Any suggestions on where I can get free colorful handouts or free merchandise? Thanks in advance, Vanessa -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/57696df8/attachment.html From Vanessa.Martinez2 at HCAhealthcare.com Wed Jun 24 09:06:26 2009 From: Vanessa.Martinez2 at HCAhealthcare.com (Martinez Vanessa) Date: Wed, 24 Jun 2009 11:06:26 -0500 Subject: [Cnm] Free Handouts/ Merchandise In-Reply-To: <4BF03F5404EBDE409AF9232DA74B9DED2AC05DB3FF@FWDCWPMSGCMS09.hca.corpad.net> References: <4BF03F5404EBDE409AF9232DA74B9DED2AC05DB3FF@FWDCWPMSGCMS09.hca.corpad.net> Message-ID: <4BF03F5404EBDE409AF9232DA74B9DED2AC06D8E8A@FWDCWPMSGCMS09.hca.corpad.net> Thank you for all your responses!!! Greatly appreciated! From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Martinez Vanessa Sent: Wednesday, June 24, 2009 10:36 AM To: cnm at lists.my180.net Subject: [Cnm] Free Handouts/ Merchandise Hello All, My facility is doing a community family health fair. Of course, the response given when I asked about the budget was "very minimal spending." I'm trying to find free stuff. Any suggestions on where I can get free colorful handouts or free merchandise? Thanks in advance, Vanessa -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/7d1d3409/attachment.html From Amy.Childress at sodexo.com Wed Jun 24 10:37:21 2009 From: Amy.Childress at sodexo.com (Childress, Amy) Date: Wed, 24 Jun 2009 13:37:21 -0400 Subject: [Cnm] FW: Patient VIP refrigerators References: Message-ID: <24089FC2EA149A4693BAEEE1A69F26E6031084F4@nausbf-exmb01.na.sdxcorp.net> ???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????:)???????????????????????????????:)????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????>???????????????>??????????????????????????????????????????????????????>???????????????>???????????????????????????????????????????*????????????????????>???????????????>????????????????????????????????????????????????????*????????????????????>???????????????>????????????????????????????????????????????????????????????????????????????????????>????????????????????>??????????????????????????????????????????????*????????????????????>???????????????>????????????????????????????????????????????????????????????????????>???????????????>??????????????????????????????????????>???*????????????????????*???????????????????????????????????????*??????????????????????????????????????????????????>?????????????????>???????????????????????????????????????>?????????????????????????????????????>????????????????????????????????????????????????????????????????????????????????????*?????????????????????????????????????????????????????????????????????????>??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????>?????????????????????????????????????????????????>??????????????????????????????????????????????????????????????????>????????????????????????????????????????*????????????????????????>????????????????????????????????????????????????????*????????????????????????>????????????????????????????????????????????????????????????????????????>????????????????????>??????????????????????????????????????????????*????????????????????????>??????????????????????????????????????????????????*??????????????????????????????????????????? ________________________________ Confidentiality Notice: This electronic message transmission contains information from Sodexo, Inc. which may be confidential and/or proprietary. If you are not the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this information is prohibited. If you have received this electronic transmission in error, please let us know by reply and then delete it from your system. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/6112f717/attachment-0001.html From Vanessa.Martinez2 at HCAhealthcare.com Wed Jun 24 10:57:16 2009 From: Vanessa.Martinez2 at HCAhealthcare.com (Martinez Vanessa) Date: Wed, 24 Jun 2009 12:57:16 -0500 Subject: [Cnm] Free Handouts/ Merchandise In-Reply-To: References: <4BF03F5404EBDE409AF9232DA74B9DED2AC05DB3FF@FWDCWPMSGCMS09.hca.corpad.net> Message-ID: <4BF03F5404EBDE409AF9232DA74B9DED2AC06D909A@FWDCWPMSGCMS09.hca.corpad.net> Thank you all for all your responses. Several people suggested Mrs. Dash, Splenda & Bell Institute. Below are the responses. Our companies we do business with like our Kraft rep. gave us lots of free stuff for our health fair. Got Milk - 3 a day - Dairy Council Berio Olive Oil, Ocean Spray, Tribe Hummus, Nordic Naturals, and Cabot Cheese General Mills (Bell Institute)- free Fiber One Cereal with literature and coupons and heart health information Team Nutrition www.beefnutrition.org will send 100 food guide pyramids and poster size as well (if you put in various addresses to have them sent to you can get more than 100) (they also have other tear pads available) www.move.va.gov has nice handouts on weight management (click on Nutrition) - would have to print pdf files on color http://www.changingdiabetes-us.com/ will send FREE diabetic booklets (we use the carb counting books) www.splenda.com - if you sign up under health care provider you can get samples and educational handouts www.truelemon.com will send samples and information www.mrsdash.com has handouts and samples that they will send www.rd411.com has handouts that you can print information in color ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Martinez Vanessa Sent: Wednesday, June 24, 2009 10:36 AM To: cnm at lists.my180.net Subject: [Cnm] Free Handouts/ Merchandise Hello All, My facility is doing a community family health fair. Of course, the response given when I asked about the budget was "very minimal spending." I'm trying to find free stuff. Any suggestions on where I can get free colorful handouts or free merchandise? Thanks in advance, Vanessa -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/5ecff550/attachment.html From Farzeen.Sukheswalla at HCAhealthcare.com Wed Jun 24 11:50:33 2009 From: Farzeen.Sukheswalla at HCAhealthcare.com (Sukheswalla Farzeen) Date: Wed, 24 Jun 2009 13:50:33 -0500 Subject: [Cnm] Scripting Message-ID: Hello Everyone, We have been asked to develop scripting for our diet clerks as they answer patient phone calls. We have a non-select menu, so the diet clerks do not visit the patient, they only speak with the patient on the phone if the patient calls regarding a food dislike or like. Do any of you have a developed script that I may borrow? Thanks in advance. Farzeen Sukheswalla MS, RD, LD Clinical Nutrition Manager Medical Center of McKinney 972-540-4487 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/70526453/attachment.html From Sandra.Harrison at lrmc.com Wed Jun 24 12:44:06 2009 From: Sandra.Harrison at lrmc.com (Sandra Harrison) Date: Wed, 24 Jun 2009 15:44:06 -0400 Subject: [Cnm] JCAHO Message-ID: <4A4249C6.B0D7.000E.0@lrmc.com> Has anyone gone through JC survey and been questioned about not having dietitian coverage on weekends? We have provided 7 day coverage but am having to reduce labor expenses and am considering eliminating the weekend coverage. Sandra Harrison, MSA, RD Clinical Nutrition Manager Lakeland Regional Medical Center Ext. 2631 Sandra.Harrison at lrmc.com Confidentiality Notice: This is a transmission from Lakeland Regional Medical Center. This message and any attached documents may be confidential and contain information protected by state and federal medical privacy statutes. They are intended only for the use of the addressee. If you are not the intended recipient, any disclosure, copying, or distribution of this information is strictly prohibited. If you received this transmission in error, please accept our apologies and notify the sender. This Message has been scanned for Viruses and objectionable content by McAfee Webshield." -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/e630144a/attachment.html From FREED_KATHARINE at GUTHRIE.ORG Wed Jun 24 12:59:37 2009 From: FREED_KATHARINE at GUTHRIE.ORG (FREED_KATHARINE at GUTHRIE.ORG) Date: Wed, 24 Jun 2009 15:59:37 -0400 Subject: [Cnm] Quality Goal Message-ID: Does anyone have a quality goal related to reducing the Hospital Acquired Infection Index for their department? How do you go about measuring it? This is something I have been asked to come up with and I'm stumped. TIA for any help with this, Kait Freed Katharine Ward Freed, MS, RD, LDN, CDE Clinical Supervisor Food & Nutrition Dept. Robert Packer Hospital One Guthrie Square Sayre, PA 18840 Tel 570-882-4297 Fax 570-882-5122 Email: "freed_katharine at guthrie.org" CONFIDENTIALITY NOTICE: This e-mail, including attachments, may include confidential, restricted, protected health and/or proprietary information, and may be used only for the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. Notice: The disclosure of medical information is strictly prohibited by federal regulation. Unauthorized release of medical information may result in administrative, civil and criminal sanctions. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/844ce61c/attachment.html From janet.fletcher at eamc.org Wed Jun 24 13:03:17 2009 From: janet.fletcher at eamc.org (Jan Fletcher) Date: Wed, 24 Jun 2009 15:03:17 -0500 Subject: [Cnm] Quality Goal In-Reply-To: References: Message-ID: <8AF41BE5480EB240A37098F30EA04FD605970DD6@max.AD.EAMC.ORG> We do a handwashing monitor in the kitchen and on the trayline. One supervisor each week is responsible for observing 10 food handlers at random to see if they are using gloves, washing hands at proper times, etc. The sheets are given to me and I keep them as part of our PI folder. Jan Fletcher, M.S., R.D., L.D. Clinical Nutrition Manager East Alabama Medical Center Auburn/Opelika, Al. 334-528-1878 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of FREED_KATHARINE at GUTHRIE.ORG Sent: Wednesday, June 24, 2009 3:00 PM To: cnm at lists.my180.net Subject: [Cnm] Quality Goal Does anyone have a quality goal related to reducing the Hospital Acquired Infection Index for their department? How do you go about measuring it? This is something I have been asked to come up with and I'm stumped. TIA for any help with this, Kait Freed Katharine Ward Freed, MS, RD, LDN, CDE Clinical Supervisor Food & Nutrition Dept. Robert Packer Hospital One Guthrie Square Sayre, PA 18840 Tel 570-882-4297 Fax 570-882-5122 Email: "freed_katharine at guthrie.org" CONFIDENTIALITY NOTICE: This e-mail, including attachments, may include confidential, restricted, protected health and/or proprietary information, and may be used only for the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. Notice: The disclosure of medical information is strictly prohibited by federal regulation. Unauthorized release of medical information may result in administrative, civil and criminal sanctions. This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/3cbabb7b/attachment.html From marlol at shands.ufl.edu Wed Jun 24 13:18:23 2009 From: marlol at shands.ufl.edu (Lee Marlowe) Date: Wed, 24 Jun 2009 16:18:23 -0400 Subject: [Cnm] JCAHO In-Reply-To: <4A4249C6.B0D7.000E.0@lrmc.com> References: <4A4249C6.B0D7.000E.0@lrmc.com> Message-ID: <4A4251D0.3BAE.000D.0@shands.ufl.edu> We were surveyed this month and no one ask about this. B. Lee Marlowe RD/LD A.D. Clinical Nutrition Services Food and Nutrition Services UF & Shands 352-265-0111ext. 4-6528 beeper 413-5444 marlol at shands.ufl.edu >>> "Sandra Harrison" 6/24/2009 3:44 PM >>> Has anyone gone through JC survey and been questioned about not having dietitian coverage on weekends? We have provided 7 day coverage but am having to reduce labor expenses and am considering eliminating the weekend coverage. Sandra Harrison, MSA, RD Clinical Nutrition Manager Lakeland Regional Medical Center Ext. 2631 Sandra.Harrison at lrmc.com Confidentiality Notice: This is a transmission from Lakeland Regional Medical Center. This message and any attached documents may be confidential and contain information protected by state and federal medical privacy statutes. They are intended only for the use of the addressee. If you are not the intended recipient, any disclosure, copying, or distribution of this information is strictly prohibited. If you received this transmission in error, please accept our apologies and notify the sender. This Message has been scanned for Viruses and objectionable content by McAfee Webshield." -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/f5402c36/attachment.html From KBOEHME at meriter.com Wed Jun 24 13:21:53 2009 From: KBOEHME at meriter.com (Boehme, Karen) Date: Wed, 24 Jun 2009 15:21:53 -0500 Subject: [Cnm] JCAHO In-Reply-To: <4A4249C6.B0D7.000E.0@lrmc.com> References: <4A4249C6.B0D7.000E.0@lrmc.com> Message-ID: <8CFCAB1537E1964AB1BAB60E81B019B683DE35B8@EXVS1.meriter.com> We staff one RD only on saturday; not sunday. We have never been questioned about this staffing pattern. However, I must say that I haven't highlighted that fact to any JCAHO surveyor either! Karen ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Sandra Harrison Sent: Wednesday, June 24, 2009 2:44 PM To: cnm at lists.my180.net Subject: [Cnm] JCAHO Has anyone gone through JC survey and been questioned about not having dietitian coverage on weekends? We have provided 7 day coverage but am having to reduce labor expenses and am considering eliminating the weekend coverage. Sandra Harrison, MSA, RD Clinical Nutrition Manager Lakeland Regional Medical Center Ext. 2631 Sandra.Harrison at lrmc.com Confidentiality Notice: This is a transmission from Lakeland Regional Medical Center. This message and any attached documents may be confidential and contain information protected by state and federal medical privacy statutes. They are intended only for the use of the addressee. If you are not the intended recipient, any disclosure, copying, or distribution of this information is strictly prohibited. If you received this transmission in error, please accept our apologies and notify the sender. This Message has been scanned for Viruses and objectionable content by McAfee Webshield." -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/27d7a533/attachment.html From janet.fletcher at eamc.org Wed Jun 24 13:22:50 2009 From: janet.fletcher at eamc.org (Jan Fletcher) Date: Wed, 24 Jun 2009 15:22:50 -0500 Subject: [Cnm] Quality Goal In-Reply-To: <0DAF44B706E29940A409E32DC69005C00505F399@exchange1.phoebe.com> References: <8AF41BE5480EB240A37098F30EA04FD605970DD6@max.AD.EAMC.ORG> <0DAF44B706E29940A409E32DC69005C00505F399@exchange1.phoebe.com> Message-ID: <8AF41BE5480EB240A37098F30EA04FD605970DFE@max.AD.EAMC.ORG> Well, it is really nothing special but here it is. Jan Fletcher, M.S., R.D., L.D. Clinical Nutrition Manager East Alabama Medical Center Auburn/Opelika, Al. 334-528-1878 ________________________________ From: Orlowski, Hannah [mailto:horlowsk at ppmh.org] Sent: Wednesday, June 24, 2009 3:12 PM To: Jan Fletcher Cc: Benton, Marilyn Subject: RE: [Cnm] Quality Goal Would you mind sharing the form? -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net]On Behalf Of Jan Fletcher Sent: Wednesday, June 24, 2009 4:03 PM To: FREED_KATHARINE at GUTHRIE.ORG; cnm at lists.my180.net Subject: Re: [Cnm] Quality Goal We do a handwashing monitor in the kitchen and on the trayline. One supervisor each week is responsible for observing 10 food handlers at random to see if they are using gloves, washing hands at proper times, etc. The sheets are given to me and I keep them as part of our PI folder. Jan Fletcher, M.S., R.D., L.D. Clinical Nutrition Manager East Alabama Medical Center Auburn/Opelika, Al. 334-528-1878 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of FREED_KATHARINE at GUTHRIE.ORG Sent: Wednesday, June 24, 2009 3:00 PM To: cnm at lists.my180.net Subject: [Cnm] Quality Goal Does anyone have a quality goal related to reducing the Hospital Acquired Infection Index for their department? How do you go about measuring it? This is something I have been asked to come up with and I'm stumped. TIA for any help with this, Kait Freed Katharine Ward Freed, MS, RD, LDN, CDE Clinical Supervisor Food & Nutrition Dept. Robert Packer Hospital One Guthrie Square Sayre, PA 18840 Tel 570-882-4297 Fax 570-882-5122 Email: "freed_katharine at guthrie.org" CONFIDENTIALITY NOTICE: This e-mail, including attachments, may include confidential, restricted, protected health and/or proprietary information, and may be used only for the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. Notice: The disclosure of medical information is strictly prohibited by federal regulation. Unauthorized release of medical information may result in administrative, civil and criminal sanctions. This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. ________________________________ Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/1a874113/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: 2009 Hand Hygiene Monitor.doc Type: application/msword Size: 42496 bytes Desc: 2009 Hand Hygiene Monitor.doc Url : /pipermail/cnm_lists.my180.net/attachments/20090624/1a874113/attachment-0001.doc From Virginia.Carney at STJUDE.ORG Wed Jun 24 13:41:15 2009 From: Virginia.Carney at STJUDE.ORG (Carney, Virginia H) Date: Wed, 24 Jun 2009 15:41:15 -0500 Subject: [Cnm] Free Handouts/ Merchandise In-Reply-To: <4BF03F5404EBDE409AF9232DA74B9DED2AC06D909A@FWDCWPMSGCMS09.hca.corpad.net> Message-ID: <6EAE916704479E4BB6AB5A133BA224F7151D905D95@SJMEMXMBS11.stjude.sjcrh.local> The RD411 is sponsored by Abbott. I would not recommend their breastfeeding information. Ginger Virginia Carney, RD, LDN, IBCLC, RLC, FILCA Director, Clinical Nutrition St. Jude Children's Research Hospital 262 Danny Thomas Place, Mail Stop 732 Memphis, TN 38105-3678 901-595-3315 (office) pager 595-3578, PIN# 0838 virginia.carney at stjude.org [cid:039064020 at 24062009-2619] [cid:039064020 at 24062009-2619] Finding cures. Saving children. www.stjude.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Martinez Vanessa Sent: Wednesday, June 24, 2009 12:57 PM To: cnm at lists.my180.net Subject: Re: [Cnm] Free Handouts/ Merchandise Thank you all for all your responses. Several people suggested Mrs. Dash, Splenda & Bell Institute. Below are the responses. Our companies we do business with like our Kraft rep. gave us lots of free stuff for our health fair. Got Milk - 3 a day - Dairy Council Berio Olive Oil, Ocean Spray, Tribe Hummus, Nordic Naturals, and Cabot Cheese General Mills (Bell Institute)- free Fiber One Cereal with literature and coupons and heart health information Team Nutrition www.beefnutrition.org will send 100 food guide pyramids and poster size as well (if you put in various addresses to have them sent to you can get more than 100) (they also have other tear pads available) www.move.va.gov has nice handouts on weight management (click on Nutrition) - would have to print pdf files on color http://www.changingdiabetes-us.com/ will send FREE diabetic booklets (we use the carb counting books) www.splenda.com - if you sign up under health care provider you can get samples and educational handouts www.truelemon.com will send samples and information www.mrsdash.com has handouts and samples that they will send www.rd411.com has handouts that you can print information in color ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Martinez Vanessa Sent: Wednesday, June 24, 2009 10:36 AM To: cnm at lists.my180.net Subject: [Cnm] Free Handouts/ Merchandise Hello All, My facility is doing a community family health fair. Of course, the response given when I asked about the budget was "very minimal spending." I'm trying to find free stuff. Any suggestions on where I can get free colorful handouts or free merchandise? Thanks in advance, Vanessa ________________________________ Email Disclaimer: www.stjude.org/emaildisclaimer -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/8fdf7cdd/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: St. Jude logo.gif Type: image/gif Size: 43 bytes Desc: St. Jude logo.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090624/8fdf7cdd/attachment.gif From CKeinath at chs-mi.com Wed Jun 24 13:55:59 2009 From: CKeinath at chs-mi.com (CKeinath at chs-mi.com) Date: 24-Jun-2009 16:55:59 EDT Subject: [Cnm] competency An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/da390709/attachment.html From mpappo at montefiore.org Wed Jun 24 14:18:12 2009 From: mpappo at montefiore.org (Miriam Pappo) Date: Wed, 24 Jun 2009 17:18:12 -0400 Subject: [Cnm] Fwd: Re: competency Message-ID: For the RDs I started out with Core Competencies, a list. They had to pass that by the end of probation . Then I started asking each specialty area for additions that made them different (I delegated it to them) & came up with several. We keep adding areas of specialty, including ambulatory. Initially each time they are assigned to a new area, they have to pass the competencies. Now they're adding this to our Performance Appraisals for each RD. A bit redundant. Here are 2 examples... I'm in the midst of changing the forms a bit tho to add population specific competencies. Additionally, there are annual competencies applicable when something new is presented hospital or dept'l wide (upgrade in CBORD or new Fire Safety or NPSG etc). Miriam Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> 06/24/09 4:55 PM >>> What are you doing at your campus for competency for kitchen staff? Also for clinical staff? If you could share, it would be greatly appreciated. Carol E. Keinath, MS RD Clinical Nutrition Manager Covenant HealthCare Phone: 989-583-4663 1447 N. Harrison St. FAX: 989-583-4851 Saginaw, MI 48602 http://www.covenanthealthcare.com/ "Life isn't about waiting for The Storm to Pass -- it's about Learning to Dance in The Rain". This email may contain legally privileged and/or confidential information. If you are not the intended recipient, or the employee or agent responsible for delivery of this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you have received this message in error, please immediately notify the sender and delete this email from your computer. Your cooperation is appreciated. -------------- next part -------------- A non-text attachment was scrubbed... Name: Core competencies, revised 6-09.doc Type: application/msword Size: 51712 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090624/a373c7a1/attachment-0002.doc -------------- next part -------------- A non-text attachment was scrubbed... Name: Critical Care competencies.doc Type: application/msword Size: 37888 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090624/a373c7a1/attachment-0003.doc -------------- next part -------------- An embedded and charset-unspecified text was scrubbed... Name: Miriam Pappo.vcf Url: /pipermail/cnm_lists.my180.net/attachments/20090624/a373c7a1/attachment-0001.pl From Lori.Zimmerman at ministryhealth.org Wed Jun 24 14:28:32 2009 From: Lori.Zimmerman at ministryhealth.org (Zimmerman, Lori A) Date: Wed, 24 Jun 2009 16:28:32 -0500 Subject: [Cnm] competency In-Reply-To: <27e5d7ee-3ad4-457d-af6e-28fa36064c63@lists.my180.net> References: <27e5d7ee-3ad4-457d-af6e-28fa36064c63@lists.my180.net> Message-ID: Please share to the list, I'm interested as well. Lori A. Zimmerman MS, RD, CD ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of CKeinath at chs-mi.com Sent: Wednesday, June 24, 2009 3:56 PM To: cnm at lists.my180.net Subject: [Cnm] competency What are you doing at your campus for competency for kitchen staff? Also for clinical staff? If you could share, it would be greatly appreciated. Carol E. Keinath, MS RD Clinical Nutrition Manager Covenant HealthCare Phone: 989-583-4663 1447 N. Harrison St. FAX: 989-583-4851 Saginaw, MI 48602 http://www.covenanthealthcare.com/ "Life isn't about waiting for The Storm to Pass -- it's about Learning to Dance in The Rain". ________________________________ This email may contain legally privileged and/or confidential information. If you are not the intended recipient, or the employee or agent responsible for delivery of this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you have received this message in error, please immediately notify the sender and delete this email from your computer. Your cooperation is appreciated. ________________________________ CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify the sender at the electronic mail address noted above and destroy all copies of this communication and any attachments. Thank you for your cooperation. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/d3250b14/attachment.html From LCarver at Reshealthcare.org Wed Jun 24 13:31:24 2009 From: LCarver at Reshealthcare.org (Carver, Leslee) Date: Wed, 24 Jun 2009 15:31:24 -0500 Subject: [Cnm] JCAHO In-Reply-To: <4A4251D0.3BAE.000D.0@shands.ufl.edu> References: <4A4249C6.B0D7.000E.0@lrmc.com> <4A4251D0.3BAE.000D.0@shands.ufl.edu> Message-ID: <5330B54133B6194BA13930BDEFE9A30E0476FFA1@rhcexch3.reshealthcare.org> just be careful to have your policies reflect time elements - consistently 7 days a wk. we have Saturday coverage on site and on-call Sunday. we state 48 hrs for seeing pts screened as high risk and also for consults, although we see most w/in 24 hrs we needed to cover ourselves for Saturday late day consults and admissions. (we did do a QA audit and showed that 85% were seen in less than 24 hrs and 10-12% not seen in that time element were just not available - surgery/tests/didn't want to talk to us, etc. that reassured administration. note: I was asked by JC ~6 yrs ago about this. the statement was from an MD (surgeon) in a large meeting "well, if you had someone come in on Friday for surgery and they left first thing Sat morning, you are saying you would not be committing to see them." My response was that, since we can't go into surgery or the PAR and trying to talk to someone who is not fully out of anesthesia is not very productive, the thing keeping us from doing a diet instruction on Friday was not policy related. got a good laugh and we moved on. Leslee R. Carver, MSPH, RD, LDN Clinical Nutrition Manager Saint Joseph Hospital 2900 N. Lake Shore Dr. Chicago, Il. 60657 773-665-3326 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. All personal messages express view solely of the sender, which are not to be attributed to Resurrection Health Care. Unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Lee Marlowe Sent: Wednesday, June 24, 2009 3:18 PM To: cnm at lists.my180.net; Sandra Harrison Subject: Re: [Cnm] JCAHO We were surveyed this month and no one ask about this. B. Lee Marlowe RD/LD A.D. Clinical Nutrition Services Food and Nutrition Services UF & Shands 352-265-0111ext. 4-6528 beeper 413-5444 marlol at shands.ufl.edu >>> "Sandra Harrison" 6/24/2009 3:44 PM >>> Has anyone gone through JC survey and been questioned about not having dietitian coverage on weekends? We have provided 7 day coverage but am having to reduce labor expenses and am considering eliminating the weekend coverage. Sandra Harrison, MSA, RD Clinical Nutrition Manager Lakeland Regional Medical Center Ext. 2631 Sandra.Harrison at lrmc.com Confidentiality Notice: This is a transmission from Lakeland Regional Medical Center. This message and any attached documents may be confidential and contain information protected by state and federal medical privacy statutes. They are intended only for the use of the addressee. If you are not the intended recipient, any disclosure, copying, or distribution of this information is strictly prohibited. If you received this transmission in error, please accept our apologies and notify the sender. This Message has been scanned for Viruses and objectionable content by McAfee Webshield." -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090624/80648956/attachment.html From DrNCollins at aol.com Wed Jun 24 22:41:16 2009 From: DrNCollins at aol.com (DrNCollins at aol.com) Date: Thu, 25 Jun 2009 01:41:16 EDT Subject: [Cnm] Free Handouts/ Merchandise Message-ID: HI there, I would like to clarify Ginger's statement. RD411.com has many sponsors, one of which is Abbott. I am the owner and founder of RD411.com. All of the content on the site was contributed by RDs and nurses. There are literally hundreds of contributors to this community site. Once an article is sent in, I have it peer reviewed and then sent to an editor. If there is something wrong with the breastfeeding information, please let me know and I will go back to the RD who contributed it and ask her to evaluate the feedback. The site sponsors do not write the content - our colleagues do as a convenient way to share information or highlight something they have developed. RD411.com is a community site and any RD is welcome to contribute to it. If you want to share something with your peers, just let me know. The more efficient, better prepared each individual dietitian is, the better the entire profession is. My goal for RD411.com is to provide you with reliable, free materials so you can get back to doing what you do best with patients and clients - not sit behind a desk recreating every document. Right now there are over 1400 different free resources on _www.RD411.com_ (http://www.RD411.com) for your use. And over 100 more items are ready to be added as soon as we make some back end technology upgrades. Again, if you believe there is misinformation in a document, certainly let me know so we can contact the RD who submitted it and check it. Thanks, NANCY Dr. Nancy Collins, PhD, RD, LD/N, FAPWCA President/Executive Director RD411.com, Inc. Where Healthcare Professionals Go for Information 318 Indian Trace, Suite 126 Weston, FL 33326 Office: 954-349-2198 Fax: 954-349-2197 NCtheRD at aol.com _www.RD411.com_ (http://www.rd411.com/) Follow me on Twitter _www.twitter.com/RD411_ (http://www.twitter.com/RD411) In a message dated 6/24/2009 4:43:12 P.M. Eastern Daylight Time, Virginia.Carney at STJUDE.ORG writes: The RD411 is sponsored by Abbott. I would not recommend their breastfeeding information. Ginger Virginia Carney, RD, LDN, IBCLC, RLC, FILCA Director, Clinical Nutrition St. Jude Children's Research Hospital 262 Danny Thomas Place, Mail Stop 732 Memphis, TN 38105-3678 901-595-3315 (office) pager 595-3578, PIN# 0838 _virginia.carney at stjude.org_ (mailto:virginia.carney at stjude.org) Finding cures. Saving children. _www.stjude.org_ (http://www.stjude.org/) ____________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Martinez Vanessa Sent: Wednesday, June 24, 2009 12:57 PM To: cnm at lists.my180.net Subject: Re: [Cnm] Free Handouts/ Merchandise Thank you all for all your responses. Several people suggested Mrs. Dash, Splenda & Bell Institute. Below are the responses. Our companies we do business with like our Kraft rep. gave us lots of free stuff for our health fair. Got Milk - 3 a day ? Dairy Council Berio Olive Oil, Ocean Spray, Tribe Hummus, Nordic Naturals, and Cabot Cheese General Mills (Bell Institute)- free Fiber One Cereal with literature and coupons and heart health information Team Nutrition _www.beefnutrition.org_ (http://www.beefnutrition.org/) will send 100 food guide pyramids and poster size as well (if you put in various addresses to have them sent to you can get more than 100) (they also have other tear pads available) _www.move.va.gov_ (http://www.move.va.gov/) has nice handouts on weight management (click on Nutrition) ? would have to print pdf files on color _http://www.changingdiabetes-us.com/_ (http://www.changingdiabetes-us.com/) will send FREE diabetic booklets (we use the carb counting books) _www.splenda.com_ (http://www.splenda.com/) ? if you sign up under health care provider you can get samples and educational handouts _www.truelemon.com_ (http://www.truelemon.com/) will send samples and information _www.mrsdash.com_ (http://www.mrsdash.com/) has handouts and samples that they will send _www.rd411.com_ (http://www.rd411.com/) has handouts that you can print information in color ____________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Martinez Vanessa Sent: Wednesday, June 24, 2009 10:36 AM To: cnm at lists.my180.net Subject: [Cnm] Free Handouts/ Merchandise Hello All, My facility is doing a community family health fair. Of course, the respo nse given when I asked about the budget was ?very minimal spending.? I?m trying to find free stuff. Any suggestions on where I can get free colorful handouts or free merchandise? Thanks in advance, Vanessa ____________________________________ Email Disclaimer: www.stjude.org/emaildisclaimer _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net **************Shop Popular Dell Laptops now starting at $349! (http://pr.atwola.com/promoclk/100126575x1222031056x1201446063/aol?redir=http:%2F%2Fad.dou bleclick.net%2Fclk%3B215910283%3B38350812%3Ba) -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/cfc44efd/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 43 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090625/cfc44efd/attachment.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 43 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090625/cfc44efd/attachment-0001.gif From mltphd at mindspring.com Thu Jun 25 05:17:11 2009 From: mltphd at mindspring.com (mltphd at mindspring.com) Date: Thu, 25 Jun 2009 08:17:11 -0400 Subject: [Cnm] Pressure ulcer ?"white paper" Message-ID: <380-220096425121711218@mindspring.com> May 2009 issue of Advances in Skin & Wound Care inlcudes the NPUAP white paper - The Role Of Nutriton in Pressure Ulcer Prevention and Treatment. Another 2009 reference is The Advanced Practitoner's Guide to Nutriton & Wounds. www.casesoftware.com Mary Litchford PhD, RD ,LDN ----- Original Message ----- From: To: cnm at lists.my180.net Sent: 6/22/2009 11:48:12 AM Subject: [Cnm] Pressure ulcer ?"white paper" I seem to remember a couple months ago an article or "white paper" posted from a national meeting (or maybe CMS) related to pressure ulcer care and recommendations. I'm obviously quite foggy on the specifics. I searched the archives to no avail. If anyone thinks they know what I'm referencing please forward another copy. Cathy Peterjohn, MS, RD, CDE Clinical Nutrition/Diabetes Manager c/o Food & Nutrition Services Mary Washington Hospital 1001 Sam Perry Blvd. Fredericksburg, VA 22401 Phone: 540-741-1680 Fax: 540-741-4022 e-mail: cathy.peterjohn at medicorp.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/3cc51ef1/attachment.html From eedwards at skmc.gov.ae Thu Jun 25 05:33:14 2009 From: eedwards at skmc.gov.ae (Ellen Edwards) Date: Thu, 25 Jun 2009 16:33:14 +0400 Subject: [Cnm] Food Service Graphics, etc In-Reply-To: <5E0B84746A9E1A489C20EC729FF2256605B35685@mtccexchg02.ad.bmhcc.org> References: <5E0B84746A9E1A489C20EC729FF2256605B35685@mtccexchg02.ad.bmhcc.org> Message-ID: <9A99F98786F9254597C0A0C62685FB5A08756E44CE@AHA-MAIL.skmc.gov.ae> The Dietary Managers course is excellent to raise interest, staff morale and your confidence of what is being done. I Ellen Edwards, RD LD Head, Clinical Dietetics Chief Clinical Dietitian Sheikh Khalifa Medical City (SKMC) Managed by Cleveland Clinic P.O. Box 51900 Abu Dhabi, United Arab Emirates Direct: +971 2 610-2024 Fax: +971 2 610-2577 Mobile: +971 050-661-7297 Email: eedwards at skmc.gov.ae ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Karen Burnett Sent: Wednesday, June 10, 2009 11:37 PM To: cnm at lists.my180.net Subject: [Cnm] Food Service Graphics, etc Hi all, Our director is looking for a few things. I would appreciate any information on the following: 1) Any free food service graphics that can be downloaded, or requested and 2) any information regarding basic "foodservice 101" inservices or tutorials that can help ensure consistency and competency in training food service employees. We're talking basics like taking temperatures, sanitation, etc. We're open to free or "for fee" publications. Thanks very much for any help, Karen Karen Burnett, RD, LDN, MBA Assistant Director, Clinical Food and Nutrition Services Baptist Memorial Hospital Memphis Phone: 901.226.5724 Fax: 901.226.5470 The information within this message is considered confidential unless otherwise noted. Any opinions expressed herein are not necessarily those of Baptist Memorial Health Care Corporation or any of its affiliates. ________________________________ Smart Medicine. Inspired Care. And the awards to prove it. Recognized as a Top 50 Healthcare Network. To learn about other recognition and awards Baptist has earned, visit: http://www.bmhcc.org/aboutus/awards/index.asp This message and any files transmitted with it may contain legally privileged, confidential, or proprietary information. If you are not the intended recipient of this message, you are not permitted to use, copy, or forward it, in whole or in part without the express consent of the sender. Please notify the sender of the error by reply email, disregard the foregoing messages, and delete it immediately. ________________________________ Confidentiality Note: This message and any included attachments are intended for the exclusive use of the individual or entity that is the named addressee and may contain information that is privileged or confidential or otherwise legally exempt from disclosure. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/f68916f2/attachment-0001.html From eedwards at skmc.gov.ae Thu Jun 25 05:39:22 2009 From: eedwards at skmc.gov.ae (Ellen Edwards) Date: Thu, 25 Jun 2009 16:39:22 +0400 Subject: [Cnm] IBW under 5 foot In-Reply-To: <4F21268C197FF8408219D0D6B7614AEE0331720DF5@EXCHANGE2.trmc.us> References: <00a801c9efbc$e395b860$aac12920$@net> <0DAF44B706E29940A409E32DC69005C00505F359@exchange1.phoebe.com> <4F21268C197FF8408219D0D6B7614AEE0331720DF5@EXCHANGE2.trmc.us> Message-ID: <9A99F98786F9254597C0A0C62685FB5A08756E44D2@AHA-MAIL.skmc.gov.ae> Hello- I am 4'10" and try to follow this topic all of the time.... ;-> The 5 pound rule for every inch under 5 foot was what I was taught along with BMI However, there are some people much shorter that have a higher bone density that needs to be considered. I used the wrist measurement criteria to identify if they were large or small bone frame Ellen x 2024 050-661-7297 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Sandra Moretz Sent: Thursday, June 18, 2009 6:07 PM To: Orlowski, Hannah; Jo Lynn Worden; Sassouni, Saba; cnm at lists.my180.net Subject: Re: [Cnm] IBW under 5 foot Same here ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Orlowski, Hannah Sent: Thursday, June 18, 2009 9:53 AM To: Jo Lynn Worden; Sassouni, Saba; cnm at lists.my180.net Subject: Re: [Cnm] Cnm Digest, Vol 31, Issue 70 I was always taught to deduct 2.5# per inch under 5'. No reference material. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net]On Behalf Of Jo Lynn Worden Sent: Wednesday, June 17, 2009 10:32 PM To: 'Sassouni, Saba'; cnm at lists.my180.net Subject: Re: [Cnm] Cnm Digest, Vol 31, Issue 70 Post to list please. I use 2-3 lbs for each inch under 60 inches. However, I have been known to actually write in the note that it is difficult to assess "this adult with short stature by standard means" and I use what might be a reasonable estimate with the wt between 90-100 lbs. Actually had a very experienced nursing home consultant do that and I learned from her. To me, this is where clinical judgment comes in and what we are educated to do. There just isn't a calculation and easy answer for everything. Looking forward to seeing what others do and if there are some references out there. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Sassouni, Saba Sent: Wednesday, June 17, 2009 10:24 AM To: cnm at lists.my180.net Subject: Re: [Cnm] Cnm Digest, Vol 31, Issue 70 I have been practicing for many years and I am still confused about the simplest calculation because there are discrepancies everywhere regarding the topic. I was taught that a female under 5 feet tall is subtracted by 5# for every inch to obtain IBW. There are books that say deduct 2#, 2.5#, and 5#. I cannot seem to find the answer from a reputable source. Every chart I look at states something different as well. Every RD I know has a different answer too! Does anyone know what the answer is and which source this information comes from? Thank you. S. Sassouni, MS, RD, CDN Silvercrest Nursing & Rehab 718-480-4092 (office) SabaSassouni at IamMorrison.com ________________________________ From: cnm-bounces at lists.my180.net on behalf of cnm-request at lists.my180.net Sent: Wed 6/17/2009 10:10 AM To: cnm at lists.my180.net Subject: Cnm Digest, Vol 31, Issue 70 Send Cnm mailing list submissions to cnm at lists.my180.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net or, via email, send a message with subject or body 'help' to cnm-request at lists.my180.net You can reach the person managing the list at cnm-owner at lists.my180.net When replying, please edit your Subject line so it is more specific than "Re: Contents of Cnm digest..." Today's Topics: 1. Re: Warfarin and Enteral Nutrition (Booth, Patricia) 2. Re: Ellyn Satter (Ann Merritt) 3. inpatient policy for insulin pumps (Hollie_Colle at ssmhc.com) 4. Nutrient Analysis of Menu (Maritza Rodriguez) 5. Pt. Admission Packet (amy pirozek) 6. Fwd: WM DPG Webinar on Motivational Interviewing (mrogard at charter.net) 7. NCP Diagnosis for pt not nutritionally compromised (Heberle, Heather N.) ---------------------------------------------------------------------- Message: 1 Date: Tue, 16 Jun 2009 17:54:00 -0700 From: "Booth, Patricia" Subject: Re: [Cnm] Warfarin and Enteral Nutrition To: "'Jessie Pavlinac'" , "cnm at lists.my180.net" Message-ID: Content-Type: text/plain; charset="us-ascii" We do not hold tube feedings for Warfarin administration. Patricia Booth, MS, RD, FADA Associate Director, Nutrition Services Director, Dietetic Internship Nutrition and Food Services UCSF Medical Center M-294 Box 0212 San Francisco, CA 94143-0212 Office: 415-353-1355 Email: patricia.booth at ucsfmedctr.org This document is intended only for the use of those to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you have received this electronic document in error, please immediately notify me by telephone or email. Thank you. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jessie Pavlinac Sent: Tuesday, June 16, 2009 11:55 AM To: cnm at lists.my180.net Subject: [Cnm] Warfarin and Enteral Nutrition Does anyone hold enteral nutrition for 1 hour before and after warfarin administration. There are a couple of articles in the pharmacy literature suggesting this and our pharmacy thinks this is a good idea even though our official policy is that we maintain a consistent amount of vit K and would not do this. We even discussed this a year ago and decided not to hold tube feedings but now they want us to consider it. I have a meeting on Friday to discuss and would like to get a national perspective on this. Thanks. Jessie Jessie Pavlinac, MS, RD, CRS, LD Manager, Clinical Nutrition Food & Nutrition Services Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239 503-494-3762 503-494-3769 (fax) pavlinac at ohsu.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/90b0398b/attachment-0001.html ------------------------------ Message: 2 Date: Tue, 16 Jun 2009 22:57:39 -0400 From: Ann Merritt Subject: Re: [Cnm] Ellyn Satter To: cnm at lists.my180.net Message-ID: Content-Type: text/plain; charset="us-ascii" Hi (I get the listserve emails by digest,so sorry if your question has already been answered.) Ellyn is an RD and a licensed therapist. Her eating competence model is based on internal regulation of food intake vs external regulation which includes diets and meal plans. She goes further encouraging people to take pleasure, even joy from eating. There is evidence to support improved nutrient intake and better management of nutrition related diseases with this approach. Check out her website: http://www.ellynsatter.com/adults.jsp She has several articles related to the concept.. I've taken other seminars from her and highly recommend her. Ann Ann M. Merritt MS, RD, LD. Valley Regional Hospital 243 Elm Street Claremont, New Hampshire 03743 Phone: (603) 542-1862 Fax: (603) 543-5616 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090616/67c8c3f5/attachment-0001.html ------------------------------ Message: 3 Date: Wed, 17 Jun 2009 08:45:44 -0500 From: Hollie_Colle at ssmhc.com Subject: [Cnm] inpatient policy for insulin pumps To: CNM Message-ID: Content-Type: text/plain; charset="us-ascii" Does anyone have a policy for inpatient use of insulin pumps they'd be willing to share? Hollie Colle, MS, RD, LDN Clinical Nutrition Manager St. Mary's Good Samaritan, Inc. Mount Vernon IL 62864 (618) 241-2356 Centralia IL 62801 (618) 436-8897 Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/478d82ec/attachment-0001.html ------------------------------ Message: 4 Date: Wed, 17 Jun 2009 10:02:15 -0400 From: "Maritza Rodriguez" Subject: [Cnm] Nutrient Analysis of Menu To: "Elaine Rosenthal" Cc: cnm at lists.my180.net Message-ID: <32EDCA3D1F5C4C41B7E1A4573DFACCC602117FE9 at SVIPEXC1.msmc.com> Content-Type: text/plain; charset="us-ascii" Hi Elaine, Some time ago you requested to the list some insight about menu analysis for selective menus: how do you sample your menus, the therapeutic extensions, which DRI used, average ages, what nutrients included and state regulations for menu nutrient analysis. Did you get something you could share? Could someone else help? Thank you, Maritza Rodriguez Maritza Rodriguez, RD LDN Clinical Nutrition Manager Mount Sinai Medical Center 4300 Alton Road Miami Beach, Florida 33140 Tel: 305-674-2121 Ext. 56181 Fax: 305-674-2234 m-rodrig at msmc.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain CONFIDENTIAL or PRIVILEGED information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and immediately destroy all copies of the original message and all attachments. Any opinions expressed here are not necessarily those of Mount Sinai Medical Center. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/4477edbf/attachment-0001.html ------------------------------ Message: 5 Date: Wed, 17 Jun 2009 10:01:54 -0400 From: amy pirozek Subject: [Cnm] Pt. Admission Packet To: Message-ID: Content-Type: text/plain; charset="windows-1252" Goodmorning All- Does anyone have a nice brochure or blurb about the food and nutrition dept. in their patient admission packet? We currently do not, but want to include the following info: Cafe hours, Contact information, something about special diets, etc. I would appreciate any information you could send. Please send to amy.pirocek at tenethealth.com. Thanks much! Amy _________________________________________________________________ Lauren found her dream laptop. Find the PC that?s right for you. http://www.microsoft.com/windows/choosepc/?ocid=ftp_val_wl_290 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/d033cfa7/attachment-0001.html ------------------------------ Message: 6 Date: Wed, 17 Jun 2009 7:05:45 -0700 From: Subject: [Cnm] Fwd: WM DPG Webinar on Motivational Interviewing To: CNM Message-ID: <20090617100545.G4FUR.400198.root at mp11> Content-Type: text/plain; charset="utf-8" Weight Management DPG Webinar information described below. MJ -- Mary Jane Rogalski, MBA, RD, LDN Manager, Clinical Nutrition Food and Nutrition Services - C1340 Baystate Medical Center 759 Chestnut Street Springfield, MA 01199 Work #: 413-794-4954 Fax #: 413-794-4949 Work email: mary.jane.rogalski at bhs.org Professional email: mrogard at charter.net > From: "Michele M. Doucette, PhD" > To: "DPGOfficer" > Subject: WM DPG Webinar on Motivational Interviewing > Date: Mon, 15 Jun 2009 14:13:19 -0600 > > Hello All, > > > > The Weight Management DPG has an upcoming webinar on Motivational > Interviewing scheduled for July, 29, 2009. If you feel this would be of > interest to your DPG, would you please pass on the announcement below to > your membership .. > > > > Although this webinar is being offered free of charge to WM members only, > non-members can join WM for $25 (the typical cost of one of our webinars) > and have access to this CPEU opportunity, plus all of our resources and > other CPEU offerings throughout the year. > > > > Thank you for your time and assistance. > > > > All the best, > > Michele > > ____________________ > > Michele M. Doucette, PhD > > WM DPG, Chair > > > > mdoucette at nutritionpulse.com > > > > > > > > > > > _____ > > how are you spending your summer vacation? > > > > Here's what WM DPG members are doing: > > > > Attending a free webinar to sharpen their counseling skills: > > Beyond the Handout: Motivational Interviewing Skills for Behavior Change > webinar > July 29, 2009 from 1-2pm EST > Eileen Stellefson Myers, RD, MPH > > > > This free webinar for WM members will provide one CPEU credit! > > > > For more details please see the WM website at www.wmdpg.org > or contact Linda Gigliotti at lmgiglio at uci.edu. > > > > > > > > > --- > You are currently subscribed to dpgofficer as: mrogard at charter.net > To unsubscribe send a blank email to leave-4399665-19653469.d6278c60ed1d53404e33f15201b6e48f at list.eatright.org -------------- next part -------------- A non-text attachment was scrubbed... Name: image003.jpg Type: image/jpeg Size: 4002 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090617/09e26a21/attachment-0001.jpg ------------------------------ Message: 7 Date: Wed, 17 Jun 2009 09:10:35 -0500 From: "Heberle, Heather N." Subject: [Cnm] NCP Diagnosis for pt not nutritionally compromised To: Message-ID: <39E9FC17-E10D-4337-A337-0838F254275C at mimectl> Content-Type: text/plain; charset="iso-8859-1" I know there have been several questions regarding this issue, I apologize if this is repetitive. I was wondering what other facilities were doing regarding patients who do not have a nutrition diagnosis? Thanks. Heather Heberle, RD, LD Clinical Nutrition Manager Capital Region Medical Center 1125 Madison St Jefferson City, MO 65101 phone: 573.632.5192 fax: 573.632.5879 Heberle-Heather at aramark.com -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090617/6001e647/attachment.html ------------------------------ _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net End of Cnm Digest, Vol 31, Issue 70 *********************************** DISCLAIMER Important! This message is intended for the above named person(s) only and is CONFIDENTIAL AND PROPRIETARY. If you are not the intended recipient of this e-mail and have received it in error, please immediately notify the sender by return email and then delete it from your mailbox. This message may be protected by the attorney-client privilege and/or work product doctrine. Accessing, copying, disseminating or re-using any of the information contained in this e-mail by anyone other than the intended recipient is strictly prohibited. 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If you have received this e-mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail. ________________________________ Confidentiality Note: This message and any included attachments are intended for the exclusive use of the individual or entity that is the named addressee and may contain information that is privileged or confidential or otherwise legally exempt from disclosure. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/8c1189d5/attachment-0001.html From eedwards at skmc.gov.ae Thu Jun 25 05:43:26 2009 From: eedwards at skmc.gov.ae (Ellen Edwards) Date: Thu, 25 Jun 2009 16:43:26 +0400 Subject: [Cnm] Infant feeding In-Reply-To: <8169B6DBE9D5194DA89219B5C5A6AFBA011E002B@wmhcs03.wmh.org> References: <8169B6DBE9D5194DA89219B5C5A6AFBA011E002B@wmhcs03.wmh.org> Message-ID: <9A99F98786F9254597C0A0C62685FB5A08756E44DA@AHA-MAIL.skmc.gov.ae> The American Academy of Pediatricians for years has stated (and ADA agrees) that no dairy's under one year. If there is any risk of pediatric diabetes developing - even a teaspoon could trigger the immune system. ADA pediatric diet manual is quite good and when I studied for my CSP found that no nuts (allergies) no sticky foods (choking) no egg white (allergies) and no citrus (strawberry, tomato, papaya, mango etc) to allow the immune system to fully develop. If you research literature on asthma you may find that they discourage the use of fish in children in a family of asthma risk until age 3 years and then encourage its intake. Ellen Edwards, RD LD Head, Clinical Dietetics Chief Clinical Dietitian Sheikh Khalifa Medical City (SKMC) Managed by Cleveland Clinic P.O. Box 51900 Abu Dhabi, United Arab Emirates Direct: +971 2 610-2024 Fax: +971 2 610-2577 Mobile: +971 050-661-7297 Email: eedwards at skmc.gov.ae ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Shannon Byrd Jackson Sent: Thursday, June 11, 2009 12:04 AM To: cnm at lists.my180.net Subject: [Cnm] Infant feeding Question: What foods are acceptable for a 7 month old infant? I've read different things from different resources and not sure which to go by. One reference says to avoid cottage cheese until 10 months and another says it is okay at 7 months. ?? Can someone help ? What are others doing? Thanks Shannon Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org ________________________________ Confidentiality Note: This message and any included attachments are intended for the exclusive use of the individual or entity that is the named addressee and may contain information that is privileged or confidential or otherwise legally exempt from disclosure. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/58b14574/attachment.html From fynan-carla at CooperHealth.edu Thu Jun 25 06:11:50 2009 From: fynan-carla at CooperHealth.edu (Fynan, Carla) Date: Thu, 25 Jun 2009 09:11:50 -0400 Subject: [Cnm] CBORD DOS to Windows Conversion Message-ID: <77F33794DD223B40BF24AB3D379302501992D54433@mxmbx01.chsmail.root.cooperhealth.edu> Good Morning! We are a facility that still uses CBORD DOS with our Diet Office and Menu Management. We are considering a move to upgrade to a windows system. Any pointers would be appreciated. I do believe that DOS will eventually not be supported so the conversion will be inevitable at some point.... Thanks in advance, Carla Fynan, RD Clinical Nutrition Manager Food & Nutrition Department Cooper University Hospital One Cooper Paza Camden, NJ 08103 (856) 342-2320 **************************************************************** This email, including attachments, may include confidential and/or proprietary information, and may be used only by the person or entity to which it is addressed. If the reader of this email is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution, or copying of this email is prohibited. If you received this email in error, please notify the sender by replying to this message and delete this email immediately. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/26de0411/attachment.html From fns at abbgen.net Thu Jun 25 06:57:54 2009 From: fns at abbgen.net (Annette Doucet) Date: Thu, 25 Jun 2009 08:57:54 -0500 Subject: [Cnm] Quality Goal In-Reply-To: References: Message-ID: <000001c9f59c$f2971260$02be7878@local.abbgen.net> We do PI (Joint nursing and nutrition) for TF orders. Criteria used measures whether we meet our policies and procedures for enteral feedings. Some of the criteria is infection-control-related and the goal is 100%. Examples: Documentation in the chart showing that feeding container for type of fdg not allowed to hang more than the established no. of hrs before being changed. Documentation of fdg tube being changed at appropriate intervals per P&P. Appropriate expiration date of the fdg that pt is currently receiving. Clinical RD gathers the data using a checklist of criteria, while reviewing the patient's chart during assessment, etc. At the same time, we are looking at documentation of tube flushes done appropriately per P&P. We complile the data, share it with nursing service and present it to PI Committee. Improvements have resulted from this PI study. _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of FREED_KATHARINE at GUTHRIE.ORG Sent: Wednesday, June 24, 2009 3:00 PM To: cnm at lists.my180.net Subject: [Cnm] Quality Goal Does anyone have a quality goal related to reducing the Hospital Acquired Infection Index for their department? How do you go about measuring it? This is something I have been asked to come up with and I'm stumped. TIA for any help with this, Kait Freed Katharine Ward Freed, MS, RD, LDN, CDE Clinical Supervisor Food & Nutrition Dept. Robert Packer Hospital One Guthrie Square Sayre, PA 18840 Tel 570-882-4297 Fax 570-882-5122 Email: "freed_katharine at guthrie.org" CONFIDENTIALITY NOTICE: This e-mail, including attachments, may include confidential, restricted, protected health and/or proprietary information, and may be used only for the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. Notice: The disclosure of medical information is strictly prohibited by federal regulation. Unauthorized release of medical information may result in administrative, civil and criminal sanctions. No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.339 / Virus Database: 270.12.90/2200 - Release Date: 06/24/09 12:49:00 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/4e69449f/attachment.html From Sandra.Moretz at tiftregional.com Thu Jun 25 07:18:14 2009 From: Sandra.Moretz at tiftregional.com (Sandra Moretz) Date: Thu, 25 Jun 2009 10:18:14 -0400 Subject: [Cnm] Federal CMS and Assessment Forms Message-ID: <4F21268C197FF8408219D0D6B7614AEE033195CD1C@EXCHANGE2.trmc.us> Federal CMS was in our Transitional Care Unit this week; they have never been before (we usually just have state). A dietitian was on the team of 2. There was mention of several "dignity" issues, including serving desserts on black plastic plates and using disposable utensils. There were SEVERAL "dignity" issues raised, including camouflaging the foley bags. They spent over 2 hours in the kitchen. I'm new as a CNM and to this CNM group and still learning my way. This may have been addressed before, but does anyone have a nutrition assessment form they would be willing to share that includes NCP? Thank you, Sandra Moretz, RD, LD Clinical Nutrition Manager Tift Regional Medical Center Tifton, Georgia 229-353-6017 229-353-6673 This e-mail and any files transmitted with it may contain PRIVILEDGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the e-mail or any of its attachments, please be advised that you have received this e-mail in error and that use, dissemination, distribution, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/b036acb0/attachment.html From LDALGLEISH at lakelandregional.org Thu Jun 25 07:27:31 2009 From: LDALGLEISH at lakelandregional.org (Lisa Dalgleish) Date: Thu, 25 Jun 2009 10:27:31 -0400 Subject: [Cnm] Federal CMS and Assessment Forms In-Reply-To: <4F21268C197FF8408219D0D6B7614AEE033195CD1C@EXCHANGE2.trmc.us> References: <4F21268C197FF8408219D0D6B7614AEE033195CD1C@EXCHANGE2.trmc.us> Message-ID: <4A4350F9.DF60.000C.0@lakelandregional.org> Here is our assessment form. We are in the process of creating a f/u form that includes NCP. Lisa Dalgleish, RD Clinical Nutrition Supervisor Lakeland HealthCare 1234 Napier Avenue St. Joseph, MI 49085 (269) 983-8674 work phone (269) 982-4313 fax ldalgleish at lakelandregional.org >>> Sandra Moretz 6/25/2009 10:18 AM >>> Federal CMS was in our Transitional Care Unit this week; they have never been before (we usually just have state). A dietitian was on the team of 2. There was mention of several ?dignity? issues, including serving desserts on black plastic plates and using disposable utensils. There were SEVERAL ?dignity? issues raised, including camouflaging the foley bags. They spent over 2 hours in the kitchen. I?m new as a CNM and to this CNM group and still learning my way. This may have been addressed before, but does anyone have a nutrition assessment form they would be willing to share that includes NCP? Thank you, Sandra Moretz, RD, LD Clinical Nutrition Manager TiftRegional Medical Center Tifton, Georgia 229-353-6017 229-353-6673 This e-mail and any files transmitted with it may contain PRIVILEDGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the e-mail or any of its attachments, please be advised that you have received this e-mail in error and that use, dissemination, distribution, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please immediately purge it and all attachments and notify the sender by reply e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/8f74249b/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: Nutrition Assessment Form-REVISED (1-25-09).doc Type: application/msword Size: 41984 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090625/8f74249b/attachment-0001.doc From Virginia.Carney at STJUDE.ORG Thu Jun 25 07:31:08 2009 From: Virginia.Carney at STJUDE.ORG (Carney, Virginia H) Date: Thu, 25 Jun 2009 09:31:08 -0500 Subject: [Cnm] Infant feeding In-Reply-To: <9A99F98786F9254597C0A0C62685FB5A08756E44DA@AHA-MAIL.skmc.gov.ae> Message-ID: <6EAE916704479E4BB6AB5A133BA224F7151D905E63@SJMEMXMBS11.stjude.sjcrh.local> Makes you wonder about infant formula made with cow's milk too... In our area, we have one of the lowest rates of breastfeeding and one of the highest rates of obesity/diabetes in the country. Food for thought :) Ginger Virginia Carney, RD, LDN, IBCLC, RLC, FILCA Director, Clinical Nutrition St. Jude Children's Research Hospital 262 Danny Thomas Place, Mail Stop 732 Memphis, TN 38105-3678 901-595-3315 (office) pager 595-3578, PIN# 0838 virginia.carney at stjude.org [cid:741102814 at 25062009-09B3] [cid:741102814 at 25062009-09B3] Finding cures. Saving children. www.stjude.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Ellen Edwards Sent: Thursday, June 25, 2009 7:43 AM To: Shannon Byrd Jackson; cnm at lists.my180.net Subject: Re: [Cnm] Infant feeding The American Academy of Pediatricians for years has stated (and ADA agrees) that no dairy's under one year. If there is any risk of pediatric diabetes developing - even a teaspoon could trigger the immune system. ADA pediatric diet manual is quite good and when I studied for my CSP found that no nuts (allergies) no sticky foods (choking) no egg white (allergies) and no citrus (strawberry, tomato, papaya, mango etc) to allow the immune system to fully develop. If you research literature on asthma you may find that they discourage the use of fish in children in a family of asthma risk until age 3 years and then encourage its intake. Ellen Edwards, RD LD Head, Clinical Dietetics Chief Clinical Dietitian Sheikh Khalifa Medical City (SKMC) Managed by Cleveland Clinic P.O. Box 51900 Abu Dhabi, United Arab Emirates Direct: +971 2 610-2024 Fax: +971 2 610-2577 Mobile: +971 050-661-7297 Email: eedwards at skmc.gov.ae ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Shannon Byrd Jackson Sent: Thursday, June 11, 2009 12:04 AM To: cnm at lists.my180.net Subject: [Cnm] Infant feeding Question: What foods are acceptable for a 7 month old infant? I've read different things from different resources and not sure which to go by. One reference says to avoid cottage cheese until 10 months and another says it is okay at 7 months. ?? Can someone help ? What are others doing? Thanks Shannon Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org ________________________________ Confidentiality Note: This message and any included attachments are intended for the exclusive use of the individual or entity that is the named addressee and may contain information that is privileged or confidential or otherwise legally exempt from disclosure. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. ________________________________ Email Disclaimer: www.stjude.org/emaildisclaimer -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/7dea956a/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: St. Jude logo.gif Type: image/gif Size: 43 bytes Desc: St. Jude logo.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090625/7dea956a/attachment.gif From Shannon.Jackson at wilmed.org Thu Jun 25 08:21:57 2009 From: Shannon.Jackson at wilmed.org (Shannon Byrd Jackson) Date: Thu, 25 Jun 2009 11:21:57 -0400 Subject: [Cnm] Hypoglycemia policies Message-ID: <8169B6DBE9D5194DA89219B5C5A6AFBA022F4780@wmhcs03.wmh.org> Does anyone have hypoglycemia procedures for inpatients they can share? thanks shannon Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/96b3107f/attachment.html From Virginia.Carney at STJUDE.ORG Thu Jun 25 08:41:13 2009 From: Virginia.Carney at STJUDE.ORG (Carney, Virginia H) Date: Thu, 25 Jun 2009 10:41:13 -0500 Subject: [Cnm] Free Handouts/ Merchandise In-Reply-To: Message-ID: <6EAE916704479E4BB6AB5A133BA224F7151D905E98@SJMEMXMBS11.stjude.sjcrh.local> Hi Nancy, Thank you so much for your email. I think the site is beautiful with wonderful materials for general nutrition; however, with formula manufactures advertising on the site, I would not use the breastfeeding information. As an IBCLC, I feel that this would be giving a mixed message. I don't think we can say we promote breastfeeding while we advertise infant formula products and sponsors. I will point out some specific examples of things I think are not appropriate, but I am addressing my comments are related to infant feeding only. The first thing I noticed was that when you click on "Breastfeeding," at the top of the list is "Problems & Solutions." Listed under that is "Guide to Formula Preparation & Storage" along with "Infant Formula: Choosing a Formula." Seems to be a mixed message to me. I will have to say that the section on "Breastfeeding: 12 Tips for Success" is good information and evidence-based. The only problem here is that one tip suggests to get "lactation counseling." As RDs, would we ever advise someone to get "nutrition counseling?" That could mean someone at the health food store. I think we would refer to a registered dieitian. In the same light, this should refer moms to an IBCLC, who is a registered lactation consultant. On other sites, for instance, "Hydration," even though it highlights infants, there is no mention of providing human milk. In another section on "Nutrition Support" there is no mention of human milk; "Healthy Eating" does not mention human milk past 12 months of age, which is completely acceptable and even recommended throughout the 2nd year of life by the World Health Organization. Another thing that jumps out is at the very top of the page entitled, "What and How Much Babies Need to Eat," there is a picture of a baby being fed a bottle. I am glad to see that at least it is the father rather than the mother (hopefully the breastfeeding mother was not available :), but this too gives the idea that bottle feeding is considered the norm for babies. This does not promote breastfeeding. The "Feeding Challenges" section does not encourage breastfeeding in some situations. For instance, a specific product is recommended for supplementing breastmilk during diarrhea. This will result in a reduced milk supply in a mother---a suggestion that may sabbotoge breastfeeding. More frequent breastfeeds are all that is needed. There are more examples of how the information and layout, albeit very attractive and colorful, discourages/downplays breastfeeding. These are subtle, but powerful, messages. I am very impressed by the wonderful list of contributors to this website, who are outstanding representatives of our profession and for whom I have utmost respect. This said, I did not see anyone with the IBCLC credential who could have provided solid guidance on making the site "breastfeeding friendly." There are some knowledgeable and experienced RDs who also hold this credential that I feel would be an excellent addition to the contributing staff when it is updated. I will be glad to provide some suggestions if needed. Wishing you all the best, Ginger Virginia Carney, RD, LDN, IBCLC, RLC, FILCA Director, Clinical Nutrition St. Jude Children's Research Hospital 262 Danny Thomas Place, Mail Stop 732 Memphis, TN 38105-3678 901-595-3315 (office) pager 595-3578, PIN# 0838 virginia.carney at stjude.org [cid:970493314 at 25062009-09C8] [cid:970493314 at 25062009-09C8] Finding cures. Saving children. www.stjude.org ________________________________ From: DrNCollins at aol.com [mailto:DrNCollins at aol.com] Sent: Thursday, June 25, 2009 12:41 AM To: Carney, Virginia H; Vanessa.Martinez2 at HCAhealthcare.com; cnm at lists.my180.net Subject: Re: [Cnm] Free Handouts/ Merchandise HI there, I would like to clarify Ginger's statement. RD411.com has many sponsors, one of which is Abbott. I am the owner and founder of RD411.com. All of the content on the site was contributed by RDs and nurses. There are literally hundreds of contributors to this community site. Once an article is sent in, I have it peer reviewed and then sent to an editor. If there is something wrong with the breastfeeding information, please let me know and I will go back to the RD who contributed it and ask her to evaluate the feedback. The site sponsors do not write the content - our colleagues do as a convenient way to share information or highlight something they have developed. RD411.com is a community site and any RD is welcome to contribute to it. If you want to share something with your peers, just let me know. The more efficient, better prepared each individual dietitian is, the better the entire profession is. My goal for RD411.com is to provide you with reliable, free materials so you can get back to doing what you do best with patients and clients - not sit behind a desk recreating every document. Right now there are over 1400 different free resources on www.RD411.com for your use. And over 100 more items are ready to be added as soon as we make some back end technology upgrades. Again, if you believe there is misinformation in a document, certainly let me know so we can contact the RD who submitted it and check it. Thanks, NANCY Dr. Nancy Collins, PhD, RD, LD/N, FAPWCA President/Executive Director RD411.com, Inc. Where Healthcare Professionals Go for Information 318 Indian Trace, Suite 126 Weston, FL 33326 Office: 954-349-2198 Fax: 954-349-2197 NCtheRD at aol.com www.RD411.com Follow me on Twitter www.twitter.com/RD411 In a message dated 6/24/2009 4:43:12 P.M. Eastern Daylight Time, Virginia.Carney at STJUDE.ORG writes: The RD411 is sponsored by Abbott. I would not recommend their breastfeeding information. Ginger Virginia Carney, RD, LDN, IBCLC, RLC, FILCA Director, Clinical Nutrition St. Jude Children's Research Hospital 262 Danny Thomas Place, Mail Stop 732 Memphis, TN 38105-3678 901-595-3315 (office) pager 595-3578, PIN# 0838 virginia.carney at stjude.org [cid:970493314 at 25062009-09BA] [cid:970493314 at 25062009-09C1] Finding cures. Saving children. www.stjude.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Martinez Vanessa Sent: Wednesday, June 24, 2009 12:57 PM To: cnm at lists.my180.net Subject: Re: [Cnm] Free Handouts/ Merchandise Thank you all for all your responses. Several people suggested Mrs. Dash, Splenda & Bell Institute. Below are the responses. Our companies we do business with like our Kraft rep. gave us lots of free stuff for our health fair. Got Milk - 3 a day - Dairy Council Berio Olive Oil, Ocean Spray, Tribe Hummus, Nordic Naturals, and Cabot Cheese General Mills (Bell Institute)- free Fiber One Cereal with literature and coupons and heart health information Team Nutrition www.beefnutrition.org will send 100 food guide pyramids and poster size as well (if you put in various addresses to have them sent to you can get more than 100) (they also have other tear pads available) www.move.va.gov has nice handouts on weight management (click on Nutrition) - would have to print pdf files on color http://www.changingdiabetes-us.com/ will send FREE diabetic booklets (we use the carb counting books) www.splenda.com - if you sign up under health care provider you can get samples and educational handouts www.truelemon.com will send samples and information www.mrsdash.com has handouts and samples that they will send www.rd411.com has handouts that you can print information in color ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Martinez Vanessa Sent: Wednesday, June 24, 2009 10:36 AM To: cnm at lists.my180.net Subject: [Cnm] Free Handouts/ Merchandise Hello All, My facility is doing a community family health fair. Of course, the response given when I asked about the budget was "very minimal spending." I'm trying to find free stuff. Any suggestions on where I can get free colorful handouts or free merchandise? Thanks in advance, Vanessa ________________________________ Email Disclaimer: www.stjude.org/emaildisclaimer _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ________________________________ Shop Popular Dell Laptops now starting at $349! -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/501cd778/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: St.Judelogo.gif Type: image/gif Size: 43 bytes Desc: St.Judelogo.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090625/501cd778/attachment-0003.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: St.Judelogo.gif Type: image/gif Size: 43 bytes Desc: St.Judelogo.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090625/501cd778/attachment-0004.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: St. Jude logo.gif Type: image/gif Size: 43 bytes Desc: St. Jude logo.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090625/501cd778/attachment-0005.gif From Christine.Schwartz at sfdph.org Thu Jun 25 10:48:06 2009 From: Christine.Schwartz at sfdph.org (Christine Schwartz) Date: Thu, 25 Jun 2009 10:48:06 -0700 Subject: [Cnm] MD request for "healthier" supplement alternatives Message-ID: We have an MD here who is involved in alternative therapies and has taken some nutrition courses. He works in hematology/oncology and is on the cancer committee. He is requesting a healthier alternative to Ensure & Boost for his patients. We try to encourage intake of well-balanced meals first, but many of our patients have barriers beyond nausea & vomiting including limited access to food, limited access to cooking facilities, fatigue limiting ability to prepare or go get food as well as interfering with intake itself. While inpatient, we don't have the staffing to make supplements/shakes, etc. Patients can be discharged home with a case of Ensure from the outpatient pharmacy. While I understand the amount of sugar and "synthetic" ingredients in the commercial products, at some level its more about getting them the protein and calories they need, can tolerate, and is realistically available until things improve. Long winded background, but do you have any suggestions for alternatives to Ensure/Boost for inpatient and outpatient cancer patients in particular? Do you have any other thoughts on how to approach this issue with this MD? Thanks as always for your input and sharing your wisdom! Christine Schwartz, RD ~ Chief Dietitian San Francisco General Hospital & Trauma Center Voice Mail: (415) 206-6286 Fax: (415) 206-6291 Pager: (415) 327-4139 Christine.Schwartz at sfdph.org From k.stephens10 at verizon.net Thu Jun 25 10:52:28 2009 From: k.stephens10 at verizon.net (Kathy Stephens) Date: Thu, 25 Jun 2009 12:52:28 -0500 Subject: [Cnm] Fantastic Job Opportunity in South Bend, Indiana Message-ID: <00eb01c9f5bd$b593dbc0$20bb9340$@stephens10@verizon.net> Memorial Hospital and Health System in South Bend, IN is searching for a Clinical Services Manager. This is a 450 bed, progressive, not-for-profit hospital. The position includes managing the clinical nutrition team, patient tray service and patient hospitality team, and diet office. RD with clinical and supervisory experience is required. Memorial Hospital's Nutrition Services Department is committed to becoming nationally recognized for excellence. Great location and great community. South Bend is only 90 minutes from Chicago. Interested applicants should visit Memorial's website: www.qualityoflife.org, refer to job number 294712 to apply or email resumes to bjohnson4 at memorialsb.org. Kathy Stephens, PhD, RD, LD Executive Success Coach Don Miller & Associates - Good To Best k.stephens10 at verizon.net 817-228-2471 (cell) -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/4da81b32/attachment.html From bhaine at Elliot-HS.org Thu Jun 25 10:57:40 2009 From: bhaine at Elliot-HS.org (Haine, Barbara) Date: Thu, 25 Jun 2009 13:57:40 -0400 Subject: [Cnm] MD request for "healthier" supplement alternatives In-Reply-To: References: Message-ID: Check out the website for Diana Dyer, a dietitian who has had cancer several times. She has some great recipes and information. -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Christine Schwartz Sent: Thursday, June 25, 2009 1:48 PM To: cnm at lists.my180.net Subject: [Cnm] MD request for "healthier" supplement alternatives We have an MD here who is involved in alternative therapies and has taken some nutrition courses. He works in hematology/oncology and is on the cancer committee. He is requesting a healthier alternative to Ensure & Boost for his patients. We try to encourage intake of well-balanced meals first, but many of our patients have barriers beyond nausea & vomiting including limited access to food, limited access to cooking facilities, fatigue limiting ability to prepare or go get food as well as interfering with intake itself. While inpatient, we don't have the staffing to make supplements/shakes, etc. Patients can be discharged home with a case of Ensure from the outpatient pharmacy. While I understand the amount of sugar and "synthetic" ingredients in the commercial products, at some level its more about getting them the protein and calories they need, can tolerate, and is realistically available until things improve. Long winded background, but do you have any suggestions for alternatives to Ensure/Boost for inpatient and outpatient cancer patients in particular? Do you have any other thoughts on how to approach this issue with this MD? Thanks as always for your input and sharing your wisdom! Christine Schwartz, RD ~ Chief Dietitian San Francisco General Hospital & Trauma Center Voice Mail: (415) 206-6286 Fax: (415) 206-6291 Pager: (415) 327-4139 Christine.Schwartz at sfdph.org _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ----------------------------------------- **** CONFIDENTIAL COMMUNICATION - PLEASE READ PRIVACY NOTICE **** This communication is confidential and may be read only by its intended recipient(s). It may contain legally privileged and protected information. If you believe you have received this communication in error, please "Reply" to the Sender and so indicate or call (603) 663-2800. Then, please promptly "Delete" this communication from your computer. This communication, and any information contained herein, may only be forwarded, printed, disclosed, copied or disseminated by those specifically authorized to do so. UNAUTHORIZED DISCLOSURE MAY RESULT IN LEGAL LIABILITY FOR THOSE PERSONS RESPONSIBLE. From m-rodrig at msmc.com Thu Jun 25 11:06:17 2009 From: m-rodrig at msmc.com (Maritza Rodriguez) Date: Thu, 25 Jun 2009 14:06:17 -0400 Subject: [Cnm] EMR In-Reply-To: References: Message-ID: <32EDCA3D1F5C4C41B7E1A4573DFACCC602118023@SVIPEXC1.msmc.com> Hi: Our facility is having some preliminary discussion for the transition to EMR: 1. Could you mention some softweare that support nutrition documentation in EMR? 2. What is your experience? 3. What are the most recommended? 4. What steps did you follow in order to implement nutrition documentation in EMR in your facilities? Thank you, Maritza Rodriguez, RD LDN Mount Sinai Medical Center Miami Beach, Florida m-rodrig at msmc.com From FREED_KATHARINE at GUTHRIE.ORG Thu Jun 25 12:20:57 2009 From: FREED_KATHARINE at GUTHRIE.ORG (FREED_KATHARINE at GUTHRIE.ORG) Date: Thu, 25 Jun 2009 15:20:57 -0400 Subject: [Cnm] "Through put" Goals Message-ID: Our new COO has requested "through put" goals (?) for Clinical Nutrition. I don't know if I'm getting too old for this but I'm not sure what she means. Any insight or help would be greatly appreciated. TIA, Kait Freed Katharine Ward Freed, MS, RD, LDN, CDE Clinical Supervisor Food & Nutrition Dept. Robert Packer Hospital One Guthrie Square Sayre, PA 18840 Tel 570-882-4297 Fax 570-882-5122 Email: "freed_katharine at guthrie.org" CONFIDENTIALITY NOTICE: This e-mail, including attachments, may include confidential, restricted, protected health and/or proprietary information, and may be used only for the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. Notice: The disclosure of medical information is strictly prohibited by federal regulation. Unauthorized release of medical information may result in administrative, civil and criminal sanctions. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/d0845d41/attachment.html From jlworden at att.net Thu Jun 25 12:38:08 2009 From: jlworden at att.net (Jo Lynn Worden) Date: Thu, 25 Jun 2009 14:38:08 -0500 Subject: [Cnm] "Through put" Goals In-Reply-To: References: Message-ID: <00f701c9f5cc$784b63f0$68e22bd0$@net> Post to list. I don't know how old you are - but I've never heard that term either. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of FREED_KATHARINE at GUTHRIE.ORG Sent: Thursday, June 25, 2009 2:21 PM To: cnm at lists.my180.net Subject: [Cnm] "Through put" Goals Our new COO has requested "through put" goals (?) for Clinical Nutrition. I don't know if I'm getting too old for this but I'm not sure what she means. Any insight or help would be greatly appreciated. TIA, Kait Freed Katharine Ward Freed, MS, RD, LDN, CDE Clinical Supervisor Food & Nutrition Dept. Robert Packer Hospital One Guthrie Square Sayre, PA 18840 Tel 570-882-4297 Fax 570-882-5122 Email: "freed_katharine at guthrie.org" CONFIDENTIALITY NOTICE: This e-mail, including attachments, may include confidential, restricted, protected health and/or proprietary information, and may be used only for the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. Notice: The disclosure of medical information is strictly prohibited by federal regulation. Unauthorized release of medical information may result in administrative, civil and criminal sanctions. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/e3939f80/attachment.html From BLusk at unch.unc.edu Thu Jun 25 12:41:40 2009 From: BLusk at unch.unc.edu (Lusk, Barbara) Date: Thu, 25 Jun 2009 15:41:40 -0400 Subject: [Cnm] Billing & New vs. Established Patients Question Message-ID: For those that see outpatients, how do you handle the following situation? Situation: A patient is seen by a Dietitian on the inpatient unit and after discharge is seen by the same Dietitian (or his/her practice partner) in a hospital based outpatient clinic within three years of the inpatient visit. Question: Do you count the first outpatient visit (within three years of the medical record number being given to the patient as an inpatient) as an initial "new" patient or as an established "return" patient for MNT? Barbara Lusk, R.D., L.D.N. Associate Director Clinical Nutrition / Patient Services Director Nutrition and Food Services University of North Carolina Hospitals 101 Manning Drive Chapel Hill, NC 27514 phone: (919) 843-0062 email: BLusk at unch.unc.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/95ea32bd/attachment.html From SLewis at mercycare.org Thu Jun 25 12:42:07 2009 From: SLewis at mercycare.org (Lewis, Suzanne) Date: Thu, 25 Jun 2009 14:42:07 -0500 Subject: [Cnm] Patient Refrigerators Message-ID: <63A81A57A6254849B538D2FF4F1D5399045A475E@VS01EXC01.mercycare.org> We have been having some discussions regarding refrigerators in patient rooms. I'm looking to see how other facilities are dealing with this and if there have been any concerns with JCAHO. Who takes the temperatures ? Do you take temperatures even on days when the room isn't occupied? If the patients family brings in food, do you date/label the leftovers? If so, who does it? In your Birthplace units, do you store breast milk in these? Thanks Suzanne Lewis, RD, LD Assistant Director of Nutrition Services Mercy Medical Center Cedar Rapids, Iowa 52403-1292 Office - 319-398-6093 Cell - 319-533-4140 slewis at mercycare.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/cd5af613/attachment.html From Karen.Auwaerter at chw.edu Thu Jun 25 12:44:28 2009 From: Karen.Auwaerter at chw.edu (Auwaerter, Karen - MSJ) Date: Thu, 25 Jun 2009 12:44:28 -0700 Subject: [Cnm] "Through put" Goals In-Reply-To: <00f701c9f5cc$784b63f0$68e22bd0$@net> References: <00f701c9f5cc$784b63f0$68e22bd0$@net> Message-ID: <891DC7E14FC0F449874219D643CB1CA8063D07A0@CHW-MSG-403.chw.edu> Our hospital uses the term "throughput" to describe how to speed the patients through our system. We work on getting consults completed quickly so pts aren't waiting for a consult or diet instruction before DC. We eliminated caffeine and decaf products on all pts on the telemetry, ED, Cardiac ICU units so they wouldn't have to wait for caffeine to clear before having the persantine test. Anything you can think of that Nutrition can do to prevent delays in patient care and discharge. Karen Auwaerter, RD Manager, Nutrition and Food Services Mercy San Juan Medical Center Greater Sacramento Area 916 537 5104 phone 916 859 1238 fax "Eat food. Mostly plants. Not too much." --Michael Pollan ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jo Lynn Worden Sent: Thursday, June 25, 2009 12:38 PM To: FREED_KATHARINE at GUTHRIE.ORG; cnm at lists.my180.net Subject: Re: [Cnm] "Through put" Goals Post to list. I don't know how old you are - but I've never heard that term either. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of FREED_KATHARINE at GUTHRIE.ORG Sent: Thursday, June 25, 2009 2:21 PM To: cnm at lists.my180.net Subject: [Cnm] "Through put" Goals Our new COO has requested "through put" goals (?) for Clinical Nutrition. I don't know if I'm getting too old for this but I'm not sure what she means. Any insight or help would be greatly appreciated. TIA, Kait Freed Katharine Ward Freed, MS, RD, LDN, CDE Clinical Supervisor Food & Nutrition Dept. Robert Packer Hospital One Guthrie Square Sayre, PA 18840 Tel 570-882-4297 Fax 570-882-5122 Email: "freed_katharine at guthrie.org" CONFIDENTIALITY NOTICE: This e-mail, including attachments, may include confidential, restricted, protected health and/or proprietary information, and may be used only for the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. Notice: The disclosure of medical information is strictly prohibited by federal regulation. Unauthorized release of medical information may result in administrative, civil and criminal sanctions. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/32a51496/attachment.html From CKeinath at chs-mi.com Thu Jun 25 12:45:31 2009 From: CKeinath at chs-mi.com (CKeinath at chs-mi.com) Date: 25-Jun-2009 15:45:31 EDT Subject: [Cnm] Fw: competency An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/da390709/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: ecblank.gif Type: image/gif Size: 45 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090625/da390709/attachment-0001.gif From SKanarek at stelizabeth.com Thu Jun 25 12:51:43 2009 From: SKanarek at stelizabeth.com (Sheri Kanarek) Date: Thu, 25 Jun 2009 15:51:43 -0400 Subject: [Cnm] MD request for "healthier" supplement alternatives In-Reply-To: References: Message-ID: <4A439D0D.D05A.0055.0@stelizabeth.com> I have been involved in the development of a new product of fortified soups made with whole foods for cancer patients. The name of the product line is Comfort Care. The web site is www.comfort-care-products.com. Many of our cancer patients love the products. I am attaching another link to a news story that ran about the product that has a testimonial from a patient. http://www.wcpo.com/news/local/story/Comfort-Care-Finds-Niche-With-Cancer-Patients/kYTXmyMDbESKqNdIHlgD1w.cspx Let me know if you have questions. Sheri Kanarek RD, LD Clinical Nutrition Manager St. Elizabeth Healthcare One Medical Village Dr Edgewood, KY 41017 859 301-2401 skanarek at stelizabeth.com >>> Christine Schwartz 6/25/2009 1:48 pm >>> We have an MD here who is involved in alternative therapies and has taken some nutrition courses. He works in hematology/oncology and is on the cancer committee. He is requesting a healthier alternative to Ensure & Boost for his patients. We try to encourage intake of well-balanced meals first, but many of our patients have barriers beyond nausea & vomiting including limited access to food, limited access to cooking facilities, fatigue limiting ability to prepare or go get food as well as interfering with intake itself. While inpatient, we don't have the staffing to make supplements/shakes, etc. Patients can be discharged home with a case of Ensure from the outpatient pharmacy. While I understand the amount of sugar and "synthetic" ingredients in the commercial products, at some level its more about getting them the protein and calories they need, can tolerate, and is realistically available until things improve. Long winded background, but do you have any suggestions for alternatives to Ensure/Boost for inpatient and outpatient cancer patients in particular? Do you have any other thoughts on how to approach this issue with this MD? Thanks as always for your input and sharing your wisdom! Christine Schwartz, RD ~ Chief Dietitian San Francisco General Hospital & Trauma Center Voice Mail: (415) 206-6286 Fax: (415) 206-6291 Pager: (415) 327-4139 Christine.Schwartz at sfdph.org _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net ----------------------------------------- CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s), and may contain confidential and privileged information protected by state and federal medical privacy statutes. Any unauthorized review, use, disclosure or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail (attaching the original message) and destroy all copies of the original message (including on your own computer and on any network to which your computer is connected). From info at mywebdietitian.com Thu Jun 25 12:52:34 2009 From: info at mywebdietitian.com (Valerie Peters) Date: Thu, 25 Jun 2009 12:52:34 -0700 Subject: [Cnm] "Through put" Goals Message-ID: <20090625125234.f07410cd66d8a7f06e8c5ee19229fd55.f21edbbe31.wbe@email04.secureserver.net> An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/7b8080ad/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: top.letterhead Type: image/jpeg Size: 10935 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090625/7b8080ad/attachment.jpe From DLearnAlchon at christianacare.org Thu Jun 25 12:54:04 2009 From: DLearnAlchon at christianacare.org (Learn Alchon, Deborah A.) Date: Thu, 25 Jun 2009 15:54:04 -0400 Subject: [Cnm] "Through put" Goals In-Reply-To: Message-ID: This is business jargon. It generally refers to the amount of input required to get a specific output. In the clinical nutrition setting, I can only think it is related to productivity. How many clinical hours are needed to cover patient load. How much clinical time it takes to do specific activities; ie. education, assessment. The term is generally not used in measure of human production, but I guess corporate lingo radiates. Debbie Learn Alchon, M.S., R.D. Associate Director, Food and Nutrition Services, Christiana Care Health Services (302)-733-3556 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of FREED_KATHARINE at GUTHRIE.ORG Sent: Thursday, June 25, 2009 3:21 PM To: cnm at lists.my180.net Subject: [Cnm] "Through put" Goals Our new COO has requested "through put" goals (?) for Clinical Nutrition. I don't know if I'm getting too old for this but I'm not sure what she means. Any insight or help would be greatly appreciated. TIA, Kait Freed Katharine Ward Freed, MS, RD, LDN, CDE Clinical Supervisor Food & Nutrition Dept. Robert Packer Hospital One Guthrie Square Sayre, PA 18840 Tel 570-882-4297 Fax 570-882-5122 Email: "freed_katharine at guthrie.org" CONFIDENTIALITY NOTICE: This e-mail, including attachments, may include confidential, restricted, protected health and/or proprietary information, and may be used only for the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. Notice: The disclosure of medical information is strictly prohibited by federal regulation. Unauthorized release of medical information may result in administrative, civil and criminal sanctions. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/221973ef/attachment.html From m-rodrig at msmc.com Thu Jun 25 12:54:40 2009 From: m-rodrig at msmc.com (Maritza Rodriguez) Date: Thu, 25 Jun 2009 15:54:40 -0400 Subject: [Cnm] "Through put" Goals In-Reply-To: <00f701c9f5cc$784b63f0$68e22bd0$@net> References: <00f701c9f5cc$784b63f0$68e22bd0$@net> Message-ID: <32EDCA3D1F5C4C41B7E1A4573DFACCC602118026@SVIPEXC1.msmc.com> How old are you? I have not heard that in 16 years of experience. Maritza Rodriguez Maritza Rodriguez, RD LDN Clinical Nutrition Manager Mount Sinai Medical Center 4300 Alton Road Miami Beach, Florida 33140 Tel: 305-674-2121 Ext. 56181 Fax: 305-674-2234 m-rodrig at msmc.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain CONFIDENTIAL or PRIVILEGED information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and immediately destroy all copies of the original message and all attachments. Any opinions expressed here are not necessarily those of Mount Sinai Medical Center. ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jo Lynn Worden Sent: Thursday, June 25, 2009 3:38 PM To: FREED_KATHARINE at GUTHRIE.ORG; cnm at lists.my180.net Subject: Re: [Cnm] "Through put" Goals Post to list. I don't know how old you are - but I've never heard that term either. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of FREED_KATHARINE at GUTHRIE.ORG Sent: Thursday, June 25, 2009 2:21 PM To: cnm at lists.my180.net Subject: [Cnm] "Through put" Goals Our new COO has requested "through put" goals (?) for Clinical Nutrition. I don't know if I'm getting too old for this but I'm not sure what she means. Any insight or help would be greatly appreciated. TIA, Kait Freed Katharine Ward Freed, MS, RD, LDN, CDE Clinical Supervisor Food & Nutrition Dept. Robert Packer Hospital One Guthrie Square Sayre, PA 18840 Tel 570-882-4297 Fax 570-882-5122 Email: "freed_katharine at guthrie.org" CONFIDENTIALITY NOTICE: This e-mail, including attachments, may include confidential, restricted, protected health and/or proprietary information, and may be used only for the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. Notice: The disclosure of medical information is strictly prohibited by federal regulation. Unauthorized release of medical information may result in administrative, civil and criminal sanctions. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/fb638cd0/attachment-0001.html From pcharney at mac.com Thu Jun 25 12:55:19 2009 From: pcharney at mac.com (Pam Charney) Date: Thu, 25 Jun 2009 12:55:19 -0700 Subject: [Cnm] EMR In-Reply-To: <32EDCA3D1F5C4C41B7E1A4573DFACCC602118023@SVIPEXC1.msmc.com> References: <32EDCA3D1F5C4C41B7E1A4573DFACCC602118023@SVIPEXC1.msmc.com> Message-ID: <67E35697-4AAF-4C1B-A161-336F09AF358E@mac.com> Hi, See my responses below. While I'm not currently working in a clinical setting other than with our supervised practice students, my MS program has a focus on clinical informatics, which includes EMR use. Pam Charney PhD, RD Clinical Coordinator Graduate Coordinated Program in Dietetics Lecturer, Department of Epidemiology Nutrition Sciences Program School of Public Health and Community Medicine Box 353410, 306-C Raitt Hall Affiliate Associate Professor School of Pharmacy MS Student Clinical Informatics and Patient Centered Technology School of Nursing University of Washington Seattle, WA charnepa at u.washington.edu http://www.linkedin.com/in/pamcharney "The person who says it can't be done should not interrupt the person doing it" - Ethel Kennedy On Jun 25, 2009, at 11:06 AM, Maritza Rodriguez wrote: > > > Hi: > > Our facility is having some preliminary discussion for the transition > to > EMR: > > 1. Could you mention some softweare that support nutrition > documentation > in EMR? I'm not sure what you mean here. Your clinical information > system, if it supports documentation by other disciplines, will > support nutrition documentation. I'd suggest you meet as soon as > possible with your build/implementation (depending on where you are > in the process) team to let them know your needs. First, however, > you have to know what your needs are! The switch from manual to > electronic documentation is much more involved than simply putting > down the pen and picking up the keyboard. > 2. What is your experience? > 3. What are the most recommended? If you are asking about clinical > information systems, most are only as good as the database behind > them and the human interface (your user support). Each of the > commercial systems will have its fan club and its not quite so fan > club. However, it's all in the build, implementation and support > 4. What steps did you follow in order to implement nutrition > documentation in EMR in your facilities? Meet with your build team > (or whatever your facility is calling it) as soon as possible. It's > best to get involved as soon as you hear that an RFP has gone out. > Customization is possible, depending on time and money available. > Document the workflow of your staff. EMR use can go bad before it > really starts due simply to not understanding how staff work. > Collect all the forms and reports you use now; evaluate them > carefully; which duplicate data, which are outdated, which are vital > to your survival, and which can be edited and still work. Ask your > systems folks if you can talk to other facilities who are using the > same or similar system. My other advice is to be curious and learn as much as you can about your system. > > Thank you, > > Maritza Rodriguez, RD LDN > Mount Sinai Medical Center > Miami Beach, Florida > m-rodrig at msmc.com > > > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/08d57722/attachment.html From cketterman at wellspan.org Thu Jun 25 12:53:40 2009 From: cketterman at wellspan.org (Ketterman-Hopkins, Cindra) Date: Thu, 25 Jun 2009 15:53:40 -0400 Subject: [Cnm] "Through put" Goals In-Reply-To: <00f701c9f5cc$784b63f0$68e22bd0$@net> References: <00f701c9f5cc$784b63f0$68e22bd0$@net> Message-ID: <5B32BC7FE9D04B43A8B78CA7A19CBD4E050B19A1@EXCH4.wellspan.org> If you Google "thourhput goals" you get a lot of references re performance improvement. The term is also associated with Lean Six Sigma which is the newest twist on PI. We have implemented Lean Six Sigma (LSS) here. All the managers had to go to training (all day) which I did. I don't remember any thing about "throughput goals" but it was probably there in the mountain of info we received. In my opinion, the LSS is very strongly routed in saving bucks. There's a LSS board that evaluates proposals for potential projects. Although PI potential of the project is put front and center, project approval is based on $$$ saved. Once a project is approved a multidisciplinary project team is assembled. The project is sponsored by the primary department. We have a LSS team looking at the issue of late trays and wasted trays so the core of the team is made up of food and nutrition folks but we pull nursing, unit clerks, ED staff, etc. in to the meetings/process. The hospital has several LSS academy graduates (extensive and ongoing training) that serve as the project leaders. I could say more but I'm trying to be good...... Cindra L. Ketterman, MS, RD, LDN Chief Clinical Dietitian York Hospital.WellSpan Health 1001 South George Street York, PA 17405-7198 (717) 851 - 3991 (717) 851 - 2345 ask for pager 0093 (717) 851 - 2934 (fax) ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jo Lynn Worden Sent: Thursday, June 25, 2009 15:38 To: FREED_KATHARINE at GUTHRIE.ORG; cnm at lists.my180.net Subject: Re: [Cnm] "Through put" Goals Post to list. I don't know how old you are - but I've never heard that term either. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of FREED_KATHARINE at GUTHRIE.ORG Sent: Thursday, June 25, 2009 2:21 PM To: cnm at lists.my180.net Subject: [Cnm] "Through put" Goals Our new COO has requested "through put" goals (?) for Clinical Nutrition. I don't know if I'm getting too old for this but I'm not sure what she means. Any insight or help would be greatly appreciated. TIA, Kait Freed Katharine Ward Freed, MS, RD, LDN, CDE Clinical Supervisor Food & Nutrition Dept. Robert Packer Hospital One Guthrie Square Sayre, PA 18840 Tel 570-882-4297 Fax 570-882-5122 Email: "freed_katharine at guthrie.org" CONFIDENTIALITY NOTICE: This e-mail, including attachments, may include confidential, restricted, protected health and/or proprietary information, and may be used only for the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. Notice: The disclosure of medical information is strictly prohibited by federal regulation. Unauthorized release of medical information may result in administrative, civil and criminal sanctions. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/d2c14b2d/attachment.html From LDALGLEISH at lakelandregional.org Thu Jun 25 13:08:38 2009 From: LDALGLEISH at lakelandregional.org (Lisa Dalgleish) Date: Thu, 25 Jun 2009 16:08:38 -0400 Subject: [Cnm] Billing & New vs. Established Patients Question In-Reply-To: References: Message-ID: <4A43A0EC.DF60.000C.0@lakelandregional.org> I would consider the first outpatient visit as 'new patient'. Lisa Dalgleish, RD Clinical Nutrition Supervisor Lakeland HealthCare 1234 Napier Avenue St. Joseph, MI 49085 (269) 983-8674 work phone (269) 982-4313 fax ldalgleish at lakelandregional.org >>> "Lusk, Barbara" 6/25/2009 3:41 PM >>> For those that see outpatients, how do you handle the following situation? Situation:A patient is seen by a Dietitian on the inpatient unit and after discharge is seen by the same Dietitian (or his/her practice partner) in a hospital based outpatient clinic within three years of the inpatient visit. Question: Do you count the first outpatient visit (within three years of the medical record number being given to the patient as an inpatient) as an initial ?new? patient or as an established ?return? patient for MNT? Barbara Lusk, R.D., L.D.N. Associate Director Clinical Nutrition / Patient Services Director Nutrition and Food Services University of North Carolina Hospitals 101 Manning Drive Chapel Hill, NC 27514 phone: (919) 843-0062 email: BLusk at unch.unc.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/56742d1c/attachment-0001.html From HopkinsA at sjchs.org Thu Jun 25 13:24:06 2009 From: HopkinsA at sjchs.org (Hopkins, Anne) Date: Thu, 25 Jun 2009 16:24:06 -0400 Subject: [Cnm] "Through put" Goals Message-ID: Our hospital system uses "throughput" to describe how efficiently we are moving patients through the system. We focus on removing any barriers which may slow a patient's transition from one level of care to the next up to and including discharge. Anne Hopkins, RD, LD Operations Manager, Nutrition Services St. Joseph's/Candler Health System 11705 Mercy Blvd Savannah, GA 31419 (912) 819-2556 (912) 819-4070 _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Ketterman-Hopkins, Cindra Sent: Thursday, June 25, 2009 3:54 PM To: Jo Lynn Worden; FREED_KATHARINE at GUTHRIE.ORG; cnm at lists.my180.net Subject: Re: [Cnm] "Through put" Goals If you Google "thourhput goals" you get a lot of references re performance improvement. The term is also associated with Lean Six Sigma which is the newest twist on PI. We have implemented Lean Six Sigma (LSS) here. All the managers had to go to training (all day) which I did. I don't remember any thing about "throughput goals" but it was probably there in the mountain of info we received. In my opinion, the LSS is very strongly routed in saving bucks. There's a LSS board that evaluates proposals for potential projects. Although PI potential of the project is put front and center, project approval is based on $$$ saved. Once a project is approved a multidisciplinary project team is assembled. The project is sponsored by the primary department. We have a LSS team looking at the issue of late trays and wasted trays so the core of the team is made up of food and nutrition folks but we pull nursing, unit clerks, ED staff, etc. in to the meetings/process. The hospital has several LSS academy graduates (extensive and ongoing training) that serve as the project leaders. I could say more but I'm trying to be good...... Cindra L. Ketterman, MS, RD, LDN Chief Clinical Dietitian York Hospital.WellSpan Health 1001 South George Street York, PA 17405-7198 (717) 851 - 3991 (717) 851 - 2345 ask for pager 0093 (717) 851 - 2934 (fax) _____ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Jo Lynn Worden Sent: Thursday, June 25, 2009 15:38 To: FREED_KATHARINE at GUTHRIE.ORG; cnm at lists.my180.net Subject: Re: [Cnm] "Through put" Goals Post to list. I don't know how old you are - but I've never heard that term either. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of FREED_KATHARINE at GUTHRIE.ORG Sent: Thursday, June 25, 2009 2:21 PM To: cnm at lists.my180.net Subject: [Cnm] "Through put" Goals Our new COO has requested "through put" goals (?) for Clinical Nutrition. I don't know if I'm getting too old for this but I'm not sure what she means. Any insight or help would be greatly appreciated. TIA, Kait Freed Katharine Ward Freed, MS, RD, LDN, CDE Clinical Supervisor Food & Nutrition Dept. Robert Packer Hospital One Guthrie Square Sayre, PA 18840 Tel 570-882-4297 Fax 570-882-5122 Email: "freed_katharine at guthrie.org" CONFIDENTIALITY NOTICE: This e-mail, including attachments, may include confidential, restricted, protected health and/or proprietary information, and may be used only for the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. Notice: The disclosure of medical information is strictly prohibited by federal regulation. Unauthorized release of medical information may result in administrative, civil and criminal sanctions. ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ ______________________________________________________________________ This e-mail has been scanned by MCI Managed Email Content Service, using Skeptic(tm) technology powered by MessageLabs. For more information on MCI's Managed Email Content Service, visit http://www.mci.com. ______________________________________________________________________ CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information. ##################################################################################### This e-mail message has been scanned for Viruses and Content and cleared. ##################################################################################### -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/f8d913d7/attachment.html From acheramielists at hotmail.com Thu Jun 25 13:54:23 2009 From: acheramielists at hotmail.com (amanda cheramie) Date: Thu, 25 Jun 2009 15:54:23 -0500 Subject: [Cnm] "Through put" Goals In-Reply-To: <00f701c9f5cc$784b63f0$68e22bd0$@net> References: <00f701c9f5cc$784b63f0$68e22bd0$@net> Message-ID: We had the same request here. We implemented a system to notify us of urgent consults (i.e. pt with an order for education prior to d/c home) to remove any barriers to a timely discharge. Feel free to email me directly if you would like more info. Amanda Cheramie, RD, CSP, LDN Clinical Nutrition Manager West Jefferson Medical Center Marrero, LA 70072 T: 504 349 1161 amanda.cheramie at wjmc.org From: jlworden at att.net To: FREED_KATHARINE at GUTHRIE.ORG; cnm at lists.my180.net Date: Thu, 25 Jun 2009 14:38:08 -0500 Subject: Re: [Cnm] "Through put" Goals Post to list. I don?t know how old you are ? but I?ve never heard that term either. From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of FREED_KATHARINE at GUTHRIE.ORG Sent: Thursday, June 25, 2009 2:21 PM To: cnm at lists.my180.net Subject: [Cnm] "Through put" Goals Our new COO has requested "through put" goals (?) for Clinical Nutrition. I don't know if I'm getting too old for this but I'm not sure what she means. Any insight or help would be greatly appreciated. TIA, Kait Freed Katharine Ward Freed, MS, RD, LDN, CDE Clinical Supervisor Food & Nutrition Dept. Robert Packer Hospital One Guthrie Square Sayre, PA 18840 Tel 570-882-4297 Fax 570-882-5122 Email: "freed_katharine at guthrie.org" CONFIDENTIALITY NOTICE: This e-mail, including attachments, may include confidential, restricted, protected health and/or proprietary information, and may be used only for the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. Notice: The disclosure of medical information is strictly prohibited by federal regulation. Unauthorized release of medical information may result in administrative, civil and criminal sanctions. _________________________________________________________________ Hotmail? has ever-growing storage! Don?t worry about storage limits. http://windowslive.com/Tutorial/Hotmail/Storage?ocid=TXT_TAGLM_WL_HM_Tutorial_Storage_062009 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/5ec84ede/attachment.html From SaussotteM at exempla.org Thu Jun 25 14:45:12 2009 From: SaussotteM at exempla.org (Saussotte, Mary Ann) Date: Thu, 25 Jun 2009 15:45:12 -0600 Subject: [Cnm] Severity of malnutrition documentation in the EMR In-Reply-To: References: Message-ID: <046C53EC7F67A3428FA3D9223392957C02DB8977@egs-mail1.exempla.org> Hi Andrea and Maureen: If I haven't already written you both, thank you so much for sending this information along! It is so helpful. We're hoping to order Therese Scollard's webinar from ADA to help us go the next step in launching our malnutrition severity charting program. Thanks again! Mary Ann Saussotte Mary Ann Saussotte, MS, RD, CNSC Clinical Nutrition Manager Exempla Good Samaritan Medical Center 200 Exempla Circle Lafayette, CO 80026 303-689-5509 Pager 303- 897-2697 ________________________________ From: A.Jackson at FMHospital.com [mailto:A.Jackson at FMHospital.com] Sent: Friday, May 01, 2009 12:00 PM To: McAndrews, Maureen Cc: cnm at lists.my180.net; cnm-bounces at lists.my180.net; Saussotte, Mary Ann Subject: Re: [Cnm] Severity of malnutrition documentation in the EMR Maureen, I was hoping to view your chart, but was unable to open it. Do you have it saved in a different version of Word? Thanks Andrea Jackson, RD, LD Clinical Nutrition Manager Frisbie Memorial Hospital 11 Whitehall Rd. Rochester, NH 03867 603-335-8446 "McAndrews, Maureen" Sent by: cnm-bounces at lists.my180.net 05/01/2009 01:20 PM To "'Saussotte, Mary Ann'" , "cnm at lists.my180.net" cc Subject Re: [Cnm] Severity of malnutrition documentation in the EMR This is what we developed and the references we used. We had it approved by our Nutrition Support Committee. Maureen Maureen McAndrews, MPH, RD, LD Assistant Director, FNS Director, Dietetic Internship Emory Hospitals Atlanta, GA 30322 404-712-4176 From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Saussotte, Mary Ann Sent: Friday, May 01, 2009 12:26 PM To: cnm at lists.my180.net Subject: [Cnm] Severity of malnutrition documentation in the EMR Hello---We are working on building the fields with drop-down lists to document mild, moderate, or severe, protein or protein-calorie malnutrition in our electronic medical record (EMR). We are asking the EMR team to have these malnutrition assessments mapped to physicians' notes so that they can be used by coders. Has anyone else had recent experience with the effects of malnutrition documentation on MS-DRGs and other elements (risk of mortality, severity of illness, case mix index)? Thanks in advance. Mary Ann Saussotte, MS, RD, CNSC Clinical Nutrition Manager Exempla Good Samaritan Medical Center 200 Exempla Circle Lafayette, CO 80026 303-689-5509 Pager 303- 897-2697 ________________________________ This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments)._______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/9bfa825c/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 4389 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090625/9bfa825c/attachment-0001.jpe From Terese.Scollard at providence.org Thu Jun 25 15:30:37 2009 From: Terese.Scollard at providence.org (Scollard, Terese) Date: Thu, 25 Jun 2009 15:30:37 -0700 Subject: [Cnm] Severity of malnutrition documentation in the EMR In-Reply-To: <046C53EC7F67A3428FA3D9223392957C02DB8977@egs-mail1.exempla.org> Message-ID: <37ABAEB17B0B5B40AA0B6118E57CF59A040203D7@wn1221.or.providence.org> Yes, the chart is printabe from the pdf files that come with the teleseminar. It really needs to be looked at in context with the teleseminar to prevent mis-interpretation. Terese M. Scollard MBA, RD, LD Regional Clinical Nutrition Manager Providence Health & Services Regional Nutrition Service PHS-PSA Acute Care Phone: 503-216-2496 or 503-215-6974 terese.scollard at providence.org ________________________________ From: Saussotte, Mary Ann [mailto:SaussotteM at exempla.org] Sent: Thursday, June 25, 2009 2:45 PM To: A.Jackson at FMHospital.com; McAndrews, Maureen Cc: cnm at lists.my180.net; cnm-bounces at lists.my180.net Subject: Re: [Cnm] Severity of malnutrition documentation in the EMR Hi Andrea and Maureen: If I haven't already written you both, thank you so much for sending this information along! It is so helpful. We're hoping to order Therese Scollard's webinar from ADA to help us go the next step in launching our malnutrition severity charting program. Thanks again! Mary Ann Saussotte Mary Ann Saussotte, MS, RD, CNSC Clinical Nutrition Manager Exempla Good Samaritan Medical Center 200 Exempla Circle Lafayette, CO 80026 303-689-5509 Pager 303- 897-2697 ________________________________ From: A.Jackson at FMHospital.com [mailto:A.Jackson at FMHospital.com] Sent: Friday, May 01, 2009 12:00 PM To: McAndrews, Maureen Cc: cnm at lists.my180.net; cnm-bounces at lists.my180.net; Saussotte, Mary Ann Subject: Re: [Cnm] Severity of malnutrition documentation in the EMR Maureen, I was hoping to view your chart, but was unable to open it. Do you have it saved in a different version of Word? Thanks Andrea Jackson, RD, LD Clinical Nutrition Manager Frisbie Memorial Hospital 11 Whitehall Rd. Rochester, NH 03867 603-335-8446 "McAndrews, Maureen" Sent by: cnm-bounces at lists.my180.net 05/01/2009 01:20 PM To "'Saussotte, Mary Ann'" , "cnm at lists.my180.net" cc Subject Re: [Cnm] Severity of malnutrition documentation in the EMR This is what we developed and the references we used. We had it approved by our Nutrition Support Committee. Maureen Maureen McAndrews, MPH, RD, LD Assistant Director, FNS Director, Dietetic Internship Emory Hospitals Atlanta, GA 30322 404-712-4176 From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Saussotte, Mary Ann Sent: Friday, May 01, 2009 12:26 PM To: cnm at lists.my180.net Subject: [Cnm] Severity of malnutrition documentation in the EMR Hello---We are working on building the fields with drop-down lists to document mild, moderate, or severe, protein or protein-calorie malnutrition in our electronic medical record (EMR). We are asking the EMR team to have these malnutrition assessments mapped to physicians' notes so that they can be used by coders. Has anyone else had recent experience with the effects of malnutrition documentation on MS-DRGs and other elements (risk of mortality, severity of illness, case mix index)? Thanks in advance. Mary Ann Saussotte, MS, RD, CNSC Clinical Nutrition Manager Exempla Good Samaritan Medical Center 200 Exempla Circle Lafayette, CO 80026 303-689-5509 Pager 303- 897-2697 ________________________________ This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments)._______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net DISCLAIMER: This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090625/847693cc/attachment.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 4389 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090625/847693cc/attachment.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: Scollard, Terese.vcf Type: text/x-vcard Size: 537 bytes Desc: Scollard, Terese.vcf Url : /pipermail/cnm_lists.my180.net/attachments/20090625/847693cc/attachment.vcf From horlowsk at ppmh.org Fri Jun 26 04:01:17 2009 From: horlowsk at ppmh.org (Orlowski, Hannah) Date: Fri, 26 Jun 2009 07:01:17 -0400 Subject: [Cnm] (no subject) Message-ID: <0DAF44B706E29940A409E32DC69005C0044F448A@exchange1.phoebe.com> Does anyone have a Gluten menu for inpt that they are willing to share? Thanks in advance. ----------------------------------------- Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. From horlowsk at ppmh.org Fri Jun 26 04:58:05 2009 From: horlowsk at ppmh.org (Orlowski, Hannah) Date: Fri, 26 Jun 2009 07:58:05 -0400 Subject: [Cnm] (no subject) References: <0DAF44B706E29940A409E32DC69005C0044F448B@exchange1.phoebe.com> Message-ID: <0DAF44B706E29940A409E32DC69005C0044F448E@exchange1.phoebe.com> Our outpt oncology physicians have asked for a Hemotology/Oncology outpt RD. I know we need it but I have to go in front of an FTE panel and convince them of the value of an RD in that setting. This panel is not fun to go in front of during these very hard times. It is made of our CFO, VP of HR and VP of Nursing. I would like to see if any of you or your Onc RD's have any good articles on supporting RD in outpt oncology position. Also, if you all have a job description Hemotolgy/ Oncology. Do any of you have a Oncology/Hematology RD and a Radiation Oncology RD? We have had a full time Rad/Onc RD for 26 yrs because the lead MD insisted. She carries a load of over 85 pts so she has only been able to see Hemotology/Oncology patients when consulted. Anything you have will help. Thanks. ----------------------------------------- Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. From janet.fletcher at eamc.org Fri Jun 26 06:10:27 2009 From: janet.fletcher at eamc.org (Jan Fletcher) Date: Fri, 26 Jun 2009 08:10:27 -0500 Subject: [Cnm] (no subject) In-Reply-To: <0DAF44B706E29940A409E32DC69005C0044F448A@exchange1.phoebe.com> References: <0DAF44B706E29940A409E32DC69005C0044F448A@exchange1.phoebe.com> Message-ID: <8AF41BE5480EB240A37098F30EA04FD6059A8EE9@max.AD.EAMC.ORG> Ours is very generic. Jan Fletcher, M.S., R.D., L.D. Clinical Nutrition Manager East Alabama Medical Center Auburn/Opelika, Al. 334-528-1878 -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Orlowski, Hannah Sent: Friday, June 26, 2009 6:01 AM To: cnm at lists.my180.net Subject: [Cnm] (no subject) Does anyone have a Gluten menu for inpt that they are willing to share? Thanks in advance. ----------------------------------------- Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. -------------- next part -------------- A non-text attachment was scrubbed... Name: Gluten Free.dot Type: application/octet-stream Size: 29184 bytes Desc: Gluten Free.dot Url : /pipermail/cnm_lists.my180.net/attachments/20090626/e8c5f6f2/attachment-0001.obj From SarahRozell at texashealth.org Fri Jun 26 06:21:21 2009 From: SarahRozell at texashealth.org (Rozell, Sarah) Date: Fri, 26 Jun 2009 08:21:21 -0500 Subject: [Cnm] Contract RD rates Message-ID: <574C73794C2B5E40A4CD1E7B43CD280F02AB11EDE0@ftwexmb01.txhealth.org> I know we are not to discuss rates on this website; however, If anyone is willing to share information regarding the contract rate for RDs in Texas, or a similar location please contact me. We are looking for someone to do some prn work at a bariatric office associated with our facility. I will be out on vaction soon, so a quick reply would be very appreciated. Sarah Rozell, RD LD Clinical Nutrition Texas Health Presbyterian Hospital Denton 3000 I-35 N - Denton, TX 76201 940-898-7161 fax 940-323-7947 sarahrozell at texashealth.org TexasHealth.org Texas Health Resources: Arlington Memorial, Harris Methodist and Presbyterian Hospitals A shared mission and now a shared name The information contained in this message and any attachments is intended only for the use of the individual or entity to which it is addressed, and may contain information that is PRIVILEGED, CONFIDENTIAL, and exempt from disclosure under applicable law. If you are not the intended recipient, you are prohibited from copying, distributing, or using the information. Please contact the sender immediately by return e-mail and delete the original message from your system. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090626/90b76de4/attachment.html From KBOEHME at meriter.com Fri Jun 26 06:52:27 2009 From: KBOEHME at meriter.com (Boehme, Karen) Date: Fri, 26 Jun 2009 08:52:27 -0500 Subject: [Cnm] (no subject) In-Reply-To: <0DAF44B706E29940A409E32DC69005C0044F448A@exchange1.phoebe.com> References: <0DAF44B706E29940A409E32DC69005C0044F448A@exchange1.phoebe.com> Message-ID: <8CFCAB1537E1964AB1BAB60E81B019B683DE35BA@EXVS1.meriter.com> We have Room Service but we created this paper menu for Gluten Free diets to choose from rather than putting gluten free items on our printed general menus. The patients can still call and order room service but use the paper menus to know what we offer. Karen -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Orlowski, Hannah Sent: Friday, June 26, 2009 6:01 AM To: cnm at lists.my180.net Subject: [Cnm] (no subject) Does anyone have a Gluten menu for inpt that they are willing to share? Thanks in advance. ----------------------------------------- Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- A non-text attachment was scrubbed... Name: PAPER_MENU GLUTEN FREE 2009 PRINT.doc Type: application/msword Size: 88576 bytes Desc: PAPER_MENU GLUTEN FREE 2009 PRINT.doc Url : /pipermail/cnm_lists.my180.net/attachments/20090626/12c180b8/attachment-0001.doc From Liz.Anthony at milfordhospital.org Fri Jun 26 07:34:14 2009 From: Liz.Anthony at milfordhospital.org (Anthony Liz) Date: Fri, 26 Jun 2009 10:34:14 -0400 Subject: [Cnm] Medicare reimbursement In-Reply-To: <8CFCAB1537E1964AB1BAB60E81B019B683DE35BA@EXVS1.meriter.com> Message-ID: Hi All, I just want to advise you of a problem we encountered to spare you of making this error as I did. Medicare does not cover outpatient medical nutrition therapy for Steroid-induced Diabetes. We did not know this and provided services without getting an ABN signed, therefore we will not get paid. Liz Anthony Milford Hospital From S.Anderson at nvrh.org Fri Jun 26 09:19:50 2009 From: S.Anderson at nvrh.org (Anderson, Sharon) Date: Fri, 26 Jun 2009 12:19:50 -0400 Subject: [Cnm] MVI question Message-ID: <8399E503ADA6AB438FDF86223B23A83E0284314F@mason.nvrh.local> Please excuse my lack of knowledge here......I let my CNSD expire quite awhile ago. Our pharmacist asked me if it is necessary to supplement our TPN patients (which are about 6 in a year) with B12 and Vitamin K if our MVI adult from Hospira contains 5 mcg of B12 and 150 mg of Vitamin K and they receive the MVI daily through the TPN. We're thinking it is not necessary, but I just wanted to check in with all of you. Thank you. Sharon Anderson, RD,CD Northeastern Vermont Regional Hospital 1315 Hospital Drive, PO Box 905 Saint Johnsbury, VT 05819 802-748-7490 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090626/6f8d9d77/attachment.html From rossjanv at fuse.net Fri Jun 26 11:01:13 2009 From: rossjanv at fuse.net (Janet V. Ross) Date: Fri, 26 Jun 2009 14:01:13 -0400 Subject: [Cnm] (no subject) In-Reply-To: <0DAF44B706E29940A409E32DC69005C0044F448A@exchange1.phoebe.com> Message-ID: Someone shared this awhile back. Janet V. Ross, MBA, RD, LD rossjanv at fuse.net 4615 Joana Pl Cincinnati, OH 45238 513-478-0135 http://www.linkedin.com/in/rossjanv -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Orlowski, Hannah Sent: Friday, June 26, 2009 7:01 AM To: cnm at lists.my180.net Subject: [Cnm] (no subject) Does anyone have a Gluten menu for inpt that they are willing to share? Thanks in advance. ----------------------------------------- Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- A non-text attachment was scrubbed... Name: Gluten Free Diet One Week.doc Type: application/msword Size: 30720 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090626/12a9d169/attachment-0001.doc From cahns at carthageareahospital.com Fri Jun 26 11:09:43 2009 From: cahns at carthageareahospital.com (cahns at carthageareahospital.com) Date: Fri, 26 Jun 2009 18:09:43 +0000 Subject: [Cnm] Nutrition care manual for TJC Message-ID: <983755705-1246039784-cardhu_decombobulator_blackberry.rim.net-200324277-@bxe1318.bisx.prod.on.blackberry> For those of you who have printed out sections of the nutrition care manual to put on the floor and kitchen in binders, do you use the "client education" section? Or nutrition care section? Thank you Sent via BlackBerry by AT&T From NEgelhofer at saintjosephri.com Fri Jun 26 12:31:58 2009 From: NEgelhofer at saintjosephri.com (Egelhofer, Nancy) Date: Fri, 26 Jun 2009 15:31:58 -0400 Subject: [Cnm] Nutrition care manual for TJC In-Reply-To: <983755705-1246039784-cardhu_decombobulator_blackberry.rim.net-200324277-@bxe1318.bisx.prod.on.blackberry> Message-ID: I used the client ed section. Nancy -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of cahns at carthageareahospital.com Sent: Friday, June 26, 2009 2:10 PM To: Clinical Nutrition Listserve Subject: [Cnm] Nutrition care manual for TJC For those of you who have printed out sections of the nutrition care manual to put on the floor and kitchen in binders, do you use the "client education" section? Or nutrition care section? Thank you Sent via BlackBerry by AT&T _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net (THIS DOCUMENT IS INTENDED ONLY FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL, AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW.) If you are not the intended recipient any dissemination, distribution, copying or use of this document is strictly prohibited. If you have received this communication in error, please notify me immediately at the email address above and delete all copies of this communication. From esmerl21 at aol.com Fri Jun 26 12:55:40 2009 From: esmerl21 at aol.com (esmerl21 at aol.com) Date: Fri, 26 Jun 2009 15:55:40 -0400 Subject: [Cnm] LTC position available, Brooklyn NY Message-ID: <8CBC4AF378A1E83-AF0-876@WEBMAIL-DZ29.sysops.aol.com> Full Time Position/Registered Dietitian, Weekdays and some Saturdays 320 Bed LTC facility (long term and sub-acute beds) in Brooklyn seeks a full time Clinical Dietitian to assure that the nutritional needs of the individual residents/patients are being met and that all documentation is complete and accurate.? Nursing home experience with knowledge of MDS a plus.? Recent grads (RDE) planning to take the RD exam within the next 3 months will be considered.? Must have the ability to work as a team player and possess excellent communication skills. Nice working environment/Great staff Competitive Salary and Benefits Equal Opportunity Employer Please e-mail resume to erika.schmerl at seacresthcc.com or fax to (718) 484-1229 Attention: Erika Schmerl, MS RD ?????????????? Chief Clinical Dietitian -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090626/4c7875c8/attachment.html From KHunter at stmarysathens.org Fri Jun 26 13:10:41 2009 From: KHunter at stmarysathens.org (Hunter, Kim) Date: Fri, 26 Jun 2009 16:10:41 -0400 Subject: [Cnm] Probiotics Message-ID: NCP question.....In using the Intervention terminology, what would probiotic be under? I would think bioactive substance, but I don't see it listed anywhere under this category in the NCP manuals. Would this be the correct category when using a probiotic protocol as an intervention? Thanks, Kim Hunter, RD, LD Clinical Nutrition Manager Food and Nutrition Services St. Mary's Health Care System 1230 Baxter Street Athens, Georgia 30606-3791 Tel: (706) 389-3669 Fax: (706) 389-3670 Confidentiality Notice: This email, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please reply to the sender that you have received the message in error, then delete this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090626/01c526a1/attachment.html From ESCOTTSTUMPS at ecu.edu Fri Jun 26 19:28:10 2009 From: ESCOTTSTUMPS at ecu.edu (Escott-Stump, Sylvia) Date: Fri, 26 Jun 2009 22:28:10 -0400 Subject: [Cnm] FW: On the Pulse Summary - Friday, June 26, 2009 In-Reply-To: References: Message-ID: FYI. Sylvia Escott-Stump, MA, RD, LDN Legislative Chair, CNM 252-328-1352 ________________________________ Attached is this week?s On The Pulse summary document for your DPG list-serve. Please post it as soon as possible. The complete version of the Pulse will be available at www.eatright.org on Monday for your members to access. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090626/97efc7a7/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: summary062609.doc Type: application/msword Size: 131584 bytes Desc: summary062609.doc Url : /pipermail/cnm_lists.my180.net/attachments/20090626/97efc7a7/attachment-0001.doc From DerrickK at health.missouri.edu Fri Jun 26 05:26:51 2009 From: DerrickK at health.missouri.edu (Derrick, Karen) Date: Fri, 26 Jun 2009 07:26:51 -0500 Subject: [Cnm] Gluten Free Menu References: <0DAF44B706E29940A409E32DC69005C0044F448A@exchange1.phoebe.com> Message-ID: <6D7787A6B00FCF41993911F11182723705FB8BB5@UM-XMAIL02.um.umsystem.edu> Hi, Attached is a copy of ours. Karen Derrick, MA,RD,LD,CDE Assistant Manager, Nutrition & Food Service, Clinical Nutrition UMHC University Hospital 1 Hospital Drive; GE26; Columbia, MO 65212 573-882-2251 (office); 573-499-7070 (pager); 573-884-4990 (fax) -----Original Message----- From: cnm-bounces at lists.my180.net on behalf of Orlowski, Hannah Sent: Fri 6/26/2009 6:01 AM To: cnm at lists.my180.net Subject: [Cnm] (no subject) Does anyone have a Gluten menu for inpt that they are willing to share? Thanks in advance. ----------------------------------------- Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- A non-text attachment was scrubbed... Name: GlutenFree.pdf Type: application/pdf Size: 517399 bytes Desc: GlutenFree.pdf Url : /pipermail/cnm_lists.my180.net/attachments/20090626/6585e32c/attachment-0001.pdf From Kerry.Scott at providence.org Thu Jun 25 17:23:06 2009 From: Kerry.Scott at providence.org (Scott, Kerry R.) Date: Thu, 25 Jun 2009 17:23:06 -0700 Subject: [Cnm] Fwd: Re: competency In-Reply-To: References: Message-ID: These are our training competencies that go along with a FNS Department Orientation check list. Our annual evaluations are competency based evaluations, then we also conduct peer reviews on each other quarterly. Kerry Scott, RD, CD Clinical Nutrition Manager Food & Nutrition Services Providence Sacred Heart Medical Center & Children's Hospital (509)474-4774 Kerry.Scott at providence.org -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Miriam Pappo Sent: Wednesday, June 24, 2009 2:18 PM To: CKeinath at chs-mi.com Cc: cnm at lists.my180.net Subject: [Cnm] Fwd: Re: competency For the RDs I started out with Core Competencies, a list. They had to pass that by the end of probation . Then I started asking each specialty area for additions that made them different (I delegated it to them) & came up with several. We keep adding areas of specialty, including ambulatory. Initially each time they are assigned to a new area, they have to pass the competencies. Now they're adding this to our Performance Appraisals for each RD. A bit redundant. Here are 2 examples... I'm in the midst of changing the forms a bit tho to add population specific competencies. Additionally, there are annual competencies applicable when something new is presented hospital or dept'l wide (upgrade in CBORD or new Fire Safety or NPSG etc). Miriam Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> 06/24/09 4:55 PM >>> What are you doing at your campus for competency for kitchen staff? Also for clinical staff? If you could share, it would be greatly appreciated. Carol E. Keinath, MS RD Clinical Nutrition Manager Covenant HealthCare Phone: 989-583-4663 1447 N. Harrison St. FAX: 989-583-4851 Saginaw, MI 48602 http://www.covenanthealthcare.com/ "Life isn't about waiting for The Storm to Pass -- it's about Learning to Dance in The Rain". This email may contain legally privileged and/or confidential information. If you are not the intended recipient, or the employee or agent responsible for delivery of this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you have received this message in error, please immediately notify the sender and delete this email from your computer. Your cooperation is appreciated. -------------- next part -------------- A non-text attachment was scrubbed... Name: Competency - Dietitian.doc Type: application/msword Size: 68608 bytes Desc: Competency - Dietitian.doc Url : /pipermail/cnm_lists.my180.net/attachments/20090625/b717d574/attachment-0003.doc -------------- next part -------------- A non-text attachment was scrubbed... Name: Competency - Dietitian NICU.doc Type: application/msword Size: 61952 bytes Desc: Competency - Dietitian NICU.doc Url : /pipermail/cnm_lists.my180.net/attachments/20090625/b717d574/attachment-0004.doc -------------- next part -------------- A non-text attachment was scrubbed... Name: Competency - Dietitian Peds.PICU.doc Type: application/msword Size: 72704 bytes Desc: Competency - Dietitian Peds.PICU.doc Url : /pipermail/cnm_lists.my180.net/attachments/20090625/b717d574/attachment-0005.doc From kmershon at bak.rr.com Sat Jun 27 09:00:56 2009 From: kmershon at bak.rr.com (Kathleen Mershon) Date: Sat, 27 Jun 2009 09:00:56 -0700 Subject: [Cnm] Uniforms? In-Reply-To: <005b01c9f022$7b42cee0$71c86ca0$@org> References: <005b01c9f022$7b42cee0$71c86ca0$@org> Message-ID: <4A464238.8060100@bak.rr.com> We provide the shirt, vest, and bowtie, and shoes up to $30 (to reduce slip/falls). The employee must provide black pants (non-jean, non-"skinny" fit) and if they choose shoes that are more than $30 from our catalog, we pay the $30 and the rest comes out of their paycheck. Kathleen Mershon, MS.RD Assistant Director Nutritional Services Clinical Nutrition Manager San Joaquin Community Hospital Bakersfield, CA 93301 Melissa Tewes wrote: > > If you have a hostess program and they are required to wear uniforms, > are they provided by the hospital or are employees required to buy > their own? > > Thanks > > > > Melissa Tewes RD, LDN > > Clinical Nutrition Manager > > Washington County Health System > > 251 East Antietam Street > > Hagerstown, MD 21740 > > Phone: 301-790-8084 > > Fax: 301-790-8535 > > > > mtewes at wchsys.org > > > > > ***** CONFIDENTIALITY NOTICE ***** This message contains confidential > information and is intended only for the individual named. If you are > not the named addressee you should not disseminate, distribute or copy > this e-mail. Please notify the sender immediately by e-mail if you > have received this e-mail by mistake and delete this e-mail from your > system. > ------------------------------------------------------------------------ > > _______________________________________________ > Cnm mailing list > Cnm at lists.my180.net > http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net > -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090627/3d157c7e/attachment.html From amy.lafalce at gwu-hospital.com Sat Jun 27 09:34:54 2009 From: amy.lafalce at gwu-hospital.com (Amy LaFalce) Date: Sat, 27 Jun 2009 12:34:54 -0400 Subject: [Cnm] Uniforms? In-Reply-To: <4A464238.8060100@bak.rr.com> References: <005b01c9f022$7b42cee0$71c86ca0$@org>, <4A464238.8060100@bak.rr.com> Message-ID: An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090627/fb1c9348/attachment.html From Gail.Schechter at va.gov Sat Jun 27 10:47:03 2009 From: Gail.Schechter at va.gov (Schechter, Gail) Date: Sat, 27 Jun 2009 13:47:03 -0400 Subject: [Cnm] address change requested In-Reply-To: Message-ID: <10E935600C6A2E4184B8D72D07AA47820F662461@VHAV03MSG1.v03.med.va.gov> Could you please change the address for these messages to: Gail.schechter at gmail.com Delete my current address: gail.schechter at va.gov Thanks - Gail Gail Schechter, RD -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Scott, Kerry R. Sent: Thursday, June 25, 2009 8:23 PM To: CKeinath at chs-mi.com Cc: cnm at lists.my180.net Subject: Re: [Cnm] Fwd: Re: competency These are our training competencies that go along with a FNS Department Orientation check list. Our annual evaluations are competency based evaluations, then we also conduct peer reviews on each other quarterly. Kerry Scott, RD, CD Clinical Nutrition Manager Food & Nutrition Services Providence Sacred Heart Medical Center & Children's Hospital (509)474-4774 Kerry.Scott at providence.org -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Miriam Pappo Sent: Wednesday, June 24, 2009 2:18 PM To: CKeinath at chs-mi.com Cc: cnm at lists.my180.net Subject: [Cnm] Fwd: Re: competency For the RDs I started out with Core Competencies, a list. They had to pass that by the end of probation . Then I started asking each specialty area for additions that made them different (I delegated it to them) & came up with several. We keep adding areas of specialty, including ambulatory. Initially each time they are assigned to a new area, they have to pass the competencies. Now they're adding this to our Performance Appraisals for each RD. A bit redundant. Here are 2 examples... I'm in the midst of changing the forms a bit tho to add population specific competencies. Additionally, there are annual competencies applicable when something new is presented hospital or dept'l wide (upgrade in CBORD or new Fire Safety or NPSG etc). Miriam Miriam Pappo, MS, RD, CDN Director - Department of Clinical Nutrition Montefiore Medical Center 111 E. 210 St. Bronx, NY 10467 718-920-4253 Moses (M, W, Th) 718-904-2724 Weiler (Tu, F) 917-641-3736 pager >>> 06/24/09 4:55 PM >>> What are you doing at your campus for competency for kitchen staff? Also for clinical staff? If you could share, it would be greatly appreciated. Carol E. Keinath, MS RD Clinical Nutrition Manager Covenant HealthCare Phone: 989-583-4663 1447 N. Harrison St. FAX: 989-583-4851 Saginaw, MI 48602 http://www.covenanthealthcare.com/ "Life isn't about waiting for The Storm to Pass -- it's about Learning to Dance in The Rain". This email may contain legally privileged and/or confidential information. If you are not the intended recipient, or the employee or agent responsible for delivery of this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you have received this message in error, please immediately notify the sender and delete this email from your computer. Your cooperation is appreciated. From Shannon.Jackson at wilmed.org Mon Jun 29 11:08:21 2009 From: Shannon.Jackson at wilmed.org (Shannon Byrd Jackson) Date: Mon, 29 Jun 2009 14:08:21 -0400 Subject: [Cnm] Policy/Procedure for NG Tube Feeding Message-ID: <8169B6DBE9D5194DA89219B5C5A6AFBA022F47E0@wmhcs03.wmh.org> Can someone share their procedure for NG Tube Feeding? Thanks Shannon Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090629/4911d828/attachment.html From Shannon.Jackson at wilmed.org Mon Jun 29 11:23:54 2009 From: Shannon.Jackson at wilmed.org (Shannon Byrd Jackson) Date: Mon, 29 Jun 2009 14:23:54 -0400 Subject: [Cnm] Hang time for open system tube feedings Message-ID: <8169B6DBE9D5194DA89219B5C5A6AFBA022F47E1@wmhcs03.wmh.org> Hello, For enteral formulas poured from cans into bags, what is the recommended hang time? Thanks Shannon Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090629/26ff7a7f/attachment.html From LDALGLEISH at lakelandregional.org Tue Jun 30 05:42:51 2009 From: LDALGLEISH at lakelandregional.org (Lisa Dalgleish) Date: Tue, 30 Jun 2009 08:42:51 -0400 Subject: [Cnm] (no subject) In-Reply-To: <8CFCAB1537E1964AB1BAB60E81B019B683DE35BA@EXVS1.meriter.com> References: <0DAF44B706E29940A409E32DC69005C0044F448A@exchange1.phoebe.com> <8CFCAB1537E1964AB1BAB60E81B019B683DE35BA@EXVS1.meriter.com> Message-ID: <4A49CFF0.DF60.000C.0@lakelandregional.org> Here is ours. It's a supplement to our regular room service menu. Lisa Dalgleish, RD Clinical Nutrition Supervisor Lakeland HealthCare 1234 Napier Avenue St. Joseph, MI 49085 (269) 983-8674 work phone (269) 982-4313 fax ldalgleish at lakelandregional.org >>> "Boehme, Karen" 6/26/2009 9:52 AM >>> We have Room Service but we created this paper menu for Gluten Free diets to choose from rather than putting gluten free items on our printed general menus. The patients can still call and order room service but use the paper menus to know what we offer. Karen -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Orlowski, Hannah Sent: Friday, June 26, 2009 6:01 AM To: cnm at lists.my180.net Subject: [Cnm] (no subject) Does anyone have a Gluten menu for inpt that they are willing to share? Thanks in advance. ----------------------------------------- Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/d9ef4d4f/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: Gluten Free Menu Insert 22 May 09.doc Type: application/msword Size: 58368 bytes Desc: not available Url : /pipermail/cnm_lists.my180.net/attachments/20090630/d9ef4d4f/attachment-0001.doc From rtripp at PINNACLEHEALTH.org Tue Jun 30 06:41:03 2009 From: rtripp at PINNACLEHEALTH.org (Roberta Tripp) Date: Tue, 30 Jun 2009 09:41:03 -0400 Subject: [Cnm] (no subject) In-Reply-To: <4A49CFF0.DF60.000C.0@lakelandregional.org> Message-ID: <7375E17267B3DB4583032BDEFDA2D76E0902FF00@mailphs.pinnaclehealth.org> Lisa, are your cornflakes and frosted flakes GF since the Kellogg's ones contain barley malt? If so which distributor do you get them from? Thanks, Roberta Roberta Tripp MS RD LDN Clinical Nutrition Manager PinnacleHealth Department of Food and Nutrition Services 111 S. Front Street Harrisburg PA 17101 717 782 5283 rtripp at pinnaclehealth.org ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Lisa Dalgleish Sent: Tuesday, June 30, 2009 8:43 AM To: cnm at lists.my180.net; Karen Boehme; Hannah' 'Orlowski Subject: Re: [Cnm] (no subject) Here is ours. It's a supplement to our regular room service menu. Lisa Dalgleish, RD Clinical Nutrition Supervisor Lakeland HealthCare 1234 Napier Avenue St. Joseph, MI 49085 (269) 983-8674 work phone (269) 982-4313 fax ldalgleish at lakelandregional.org >>> "Boehme, Karen" 6/26/2009 9:52 AM >>> We have Room Service but we created this paper menu for Gluten Free diets to choose from rather than putting gluten free items on our printed general menus. The patients can still call and order room service but use the paper menus to know what we offer. Karen -----Original Message----- From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Orlowski, Hannah Sent: Friday, June 26, 2009 6:01 AM To: cnm at lists.my180.net Subject: [Cnm] (no subject) Does anyone have a Gluten menu for inpt that they are willing to share? Thanks in advance. ----------------------------------------- Disclaimer: The HIPAA Final Privacy Rule requires covered entities to safeguard certain Protected Health Information (PHI) related to a person's healthcare. Information being faxed to you may include PHI after appropriate authorization from the patient or under circumstances that do not require patient authorization. You, the recipient, are obligated to maintain PHI in a safe and secure manner. You may not re-disclose without additional patient consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject you to penalties described in federal (HIPAA) and state law. If you the reader of this message are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/1b9abedb/attachment.html From MELLINGTON at wakemed.org Tue Jun 30 07:06:29 2009 From: MELLINGTON at wakemed.org (MARTHA ELLINGTON) Date: Tue, 30 Jun 2009 10:06:29 -0400 Subject: [Cnm] Policy for Foods Made during Rehab therapy In-Reply-To: <4A49CFF0.DF60.000C.0@lakelandregional.org> References: <0DAF44B706E29940A409E32DC69005C0044F448A@exchange1.phoebe.com> <8CFCAB1537E1964AB1BAB60E81B019B683DE35BA@EXVS1.meriter.com> <4A49CFF0.DF60.000C.0@lakelandregional.org> Message-ID: We occasionally have our OT's have sessions with patients to teach cooking. Usually simple stuff like sandwiches or muffins. Our "Food from out side" policy says to date and throw out in 24 hours. This does not always fit if they want to keep some mayonnaise or eggs for a few days. We have this going on in out patient Rehab areas also. Does anyone have a policy that covers these issues? Thanks for your help. Martha J Ellington, RD, LDN Clinical Nutrition Manager, Food and Nutrition Services WakeMed Health and Hospitals Raleigh, NC 919-350-8182 mellington at wakemed.org ------------------------------------------------------------------------------- WakeMed Confidentiality Notice: This message, including any attachments, is for the sole use of the individual or entity to whom it is addressed and may contain confidential and/or legally privileged information. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any unauthorized review, use, copying, disclosure, or distribution of this message and attachments is strictly prohibited. ------------------------------------------------------------------------------- -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/e3896fc0/attachment.html From janet.fletcher at eamc.org Tue Jun 30 07:49:43 2009 From: janet.fletcher at eamc.org (Jan Fletcher) Date: Tue, 30 Jun 2009 09:49:43 -0500 Subject: [Cnm] TJC Diabetes Certification Message-ID: <8AF41BE5480EB240A37098F30EA04FD6059DAA42@max.AD.EAMC.ORG> Has anyone applied for and been granted certification for their inpatient diabetes care program? If so, how did you address the standard that requires a nutrition assessment for patients not meeting their glucose goals? Jan Fletcher, M.S., R.D., L.D. Clinical Nutrition Manager East Alabama Medical Center Auburn/Opelika, Al. 334-528-1878 This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/e9e61ad2/attachment.html From Hollie_Colle at ssmhc.com Tue Jun 30 08:09:10 2009 From: Hollie_Colle at ssmhc.com (Hollie_Colle at ssmhc.com) Date: Tue, 30 Jun 2009 10:09:10 -0500 Subject: [Cnm] Help... In-Reply-To: Message-ID: I was just informed today that I need to do some type of 'nutrition training' with med students on this Thursday. Does anyone have anything they are willing to share at such late notice? Any help would be appreciated. Hollie Colle, MS, RD, LDN Clinical Nutrition Manager St. Mary's Good Samaritan, Inc. Mount Vernon IL 62864 (618) 241-2356 Centralia IL 62801 (618) 436-8897 MARTHA ELLINGTON Sent by: cnm-bounces at lists.my180.net 06/30/2009 09:06 AM To "cnm at lists.my180.net" cc Subject [Cnm] Policy for Foods Made during Rehab therapy We occasionally have our OT?s have sessions with patients to teach cooking. Usually simple stuff like sandwiches or muffins. Our ?Food from out side? policy says to date and throw out in 24 hours. This does not always fit if they want to keep some mayonnaise or eggs for a few days. We have this going on in out patient Rehab areas also. Does anyone have a policy that covers these issues? Thanks for your help. Martha J Ellington, RD, LDN Clinical Nutrition Manager, Food and Nutrition Services WakeMed Health and Hospitals Raleigh, NC 919-350-8182 mellington at wakemed.org ------------------------------------------------------------------------------- WakeMed Confidentiality Notice: This message, including any attachments, is for the sole use of the individual or entity to whom it is addressed and may contain confidential and/or legally privileged information. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any unauthorized review, use, copying, disclosure, or distribution of this message and attachments is strictly prohibited. ------------------------------------------------------------------------------- _______________________________________________ Cnm mailing list Cnm at lists.my180.net http://lists.my180.net/mailman/listinfo/cnm_lists.my180.net Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/ed381bc1/attachment.html From Shannon.Jackson at wilmed.org Tue Jun 30 08:22:31 2009 From: Shannon.Jackson at wilmed.org (Shannon Byrd Jackson) Date: Tue, 30 Jun 2009 11:22:31 -0400 Subject: [Cnm] Estimating energy needs Message-ID: <8169B6DBE9D5194DA89219B5C5A6AFBA022F47F8@wmhcs03.wmh.org> When using the Penn State Equation, what should the activity factor be for sedated patients on mechanical vent- no activity factor or activity factor of 1.2? Thanks Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/f5de88e0/attachment.html From lbarker at randolphhospital.org Tue Jun 30 08:24:32 2009 From: lbarker at randolphhospital.org (Barker, Linda) Date: Tue, 30 Jun 2009 11:24:32 -0400 Subject: [Cnm] Kanana Banana flakes Message-ID: <95A089DB69910A4D96FE2627A27D78E537D30E4BA1@RH-EXCH02.rhnc.org> Good morning, I think that Kanana Banana Flakes may have been discussed before on the ListServ. I am looking for information from those of you using it in your facility. How well does it work? How long have you been using it? How do you procure it? Is it distributed through pharmacy in your hospital? Are there articles about its effectiveness? (I found one, but couldn't get to the source). Thanks for any assistance you can give. Linda Barker, RD, LDN Randolph Hospital Asheboro, NC -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/8405030d/attachment-0001.html From Shannon.Jackson at wilmed.org Tue Jun 30 08:25:38 2009 From: Shannon.Jackson at wilmed.org (Shannon Byrd Jackson) Date: Tue, 30 Jun 2009 11:25:38 -0400 Subject: [Cnm] Chloride lab value Message-ID: <8169B6DBE9D5194DA89219B5C5A6AFBA022F47F9@wmhcs03.wmh.org> Does anyone do any nutrition support intervention for low chloride levels? Shannon B. Jackson, RD, LDN Clinical Dietitian Supervisor Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 (252) 399-8768 www.wilmed.org -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/a54c29bb/attachment.html From jross at jaycountyhospital.com Tue Jun 30 10:24:43 2009 From: jross at jaycountyhospital.com (Julayne Ross) Date: Tue, 30 Jun 2009 13:24:43 -0400 Subject: [Cnm] soy byproducts Message-ID: <10DE3A7624A2BD48B81AFE4E90A5094D021BF924@EX1.jaycountyhospital.com> I am speaking to a cancer support group in less than 4 hours and I had a question come in about the concern of soy for someone who has had breast cancer. I know the American Institute for Cancer Research says to be moderate if you have had breast cancer. I wonder what exactly being moderate is? I know that when we talk about someone getting adequate soy for cholesterol reduction ...etc. the amount is 25 grams. I think it is hard to really get that amount... Any specifics? Also what is meant by byproducts? I don't think of soy flour or soy oil...etc as a byproduct? Thanks!! Julayne -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/2b0e0b8d/attachment.html From Janet.Hiser at danhosp.org Tue Jun 30 10:40:55 2009 From: Janet.Hiser at danhosp.org (Hiser, Janet D.) Date: Tue, 30 Jun 2009 13:40:55 -0400 Subject: [Cnm] psych unit meals Message-ID: <4865A403D47CFA419916A9082054AB62DFA9CC@dhsiexch03.danhosp.priv> We are currently sending suicide precaution meals on disposable trays. Needless to say the food is cold and unappealing. I would like to send on the thermal zed trays, but the unit feels this is too dangerous. What are others doing to safely serve food to this population? Thanks Janet D. Hiser, M.O.E., R.D., CD-N Chief Dietitian/Dietetic Internship Director Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 V: (203) 739-7216 | F: (203) 739-7619 | janet.hiser at danhosp.org http://www.danburyhospital.org P Please consider the environment before printing this e-mail This transmittal is intended for a particular addressee(s). If it is not clear that you are the intended recipient, you are hereby notified that you have received this transmittal in error; any review, copying or distribution or dissemination is strictly prohibited. If you suspect that you have received this transmittal in error, please notify Danbury Health Systems immediately by email reply to the sender, and delete the transmittal and any attachments. READER BEWARE: Internet e-mail is inherently insecure and occasionally unreliable. Please contact the sender if you wish to arrange for secure communication or to verify the contents of this message. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/9b9a308b/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 17147 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090630/9b9a308b/attachment-0002.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 5811 bytes Desc: image002.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090630/9b9a308b/attachment-0003.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 9749 bytes Desc: image003.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090630/9b9a308b/attachment-0001.gif From afrdrun at aol.com Tue Jun 30 11:15:20 2009 From: afrdrun at aol.com (Krista Clark) Date: Tue, 30 Jun 2009 14:15:20 -0400 Subject: [Cnm] Gastric diet Message-ID: <8CBC7C5DCE61337-1D1C-18C0@FWM-D05.sysops.aol.com> Does anyone have a Gastric Bypass Post-Op Diet that they would be willing to share? Thanks, Krista M. Clark, MBA, RD, LD, CNSD Chair-Elect, CNM DPG State Manager & Business Development Specialist Armstrong Nutrition Management 513.720.7208 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/f13d4c39/attachment.html From janet.fletcher at eamc.org Tue Jun 30 12:38:05 2009 From: janet.fletcher at eamc.org (Jan Fletcher) Date: Tue, 30 Jun 2009 14:38:05 -0500 Subject: [Cnm] psych unit meals In-Reply-To: <4865A403D47CFA419916A9082054AB62DFA9CC@dhsiexch03.danhosp.priv> References: <4865A403D47CFA419916A9082054AB62DFA9CC@dhsiexch03.danhosp.priv> Message-ID: <8AF41BE5480EB240A37098F30EA04FD6059DAE04@max.AD.EAMC.ORG> We send all disposables to the lock up unit but that is only temporary. When the patient is moved to a regular unit, we send plastic plates and utensils, but they get a hard, insulated tray to hold them. Jan Fletcher, M.S., R.D., L.D. Clinical Nutrition Manager East Alabama Medical Center Auburn/Opelika, Al. 334-528-1878 ________________________________ From: cnm-bounces at lists.my180.net [mailto:cnm-bounces at lists.my180.net] On Behalf Of Hiser, Janet D. Sent: Tuesday, June 30, 2009 12:41 PM To: cnm at lists.my180.net Subject: [Cnm] psych unit meals We are currently sending suicide precaution meals on disposable trays. Needless to say the food is cold and unappealing. I would like to send on the thermal zed trays, but the unit feels this is too dangerous. What are others doing to safely serve food to this population? Thanks Janet D. Hiser, M.O.E., R.D., CD-N Chief Dietitian/Dietetic Internship Director Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 V: (203) 739-7216 | F: (203) 739-7619 | janet.hiser at danhosp.org http://www.danburyhospital.org P Please consider the environment before printing this e-mail This transmittal is intended for a particular addressee(s). If it is not clear that you are the intended recipient, you are hereby notified that you have received this transmittal in error; any review, copying or distribution or dissemination is strictly prohibited. If you suspect that you have received this transmittal in error, please notify Danbury Health Systems immediately by email reply to the sender, and delete the transmittal and any attachments. READER BEWARE: Internet e-mail is inherently insecure and occasionally unreliable. Please contact the sender if you wish to arrange for secure communication or to verify the contents of this message. This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/fd71130b/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 17147 bytes Desc: image001.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090630/fd71130b/attachment-0002.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 5811 bytes Desc: image002.jpg Url : /pipermail/cnm_lists.my180.net/attachments/20090630/fd71130b/attachment-0003.jpe -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 9749 bytes Desc: image003.gif Url : /pipermail/cnm_lists.my180.net/attachments/20090630/fd71130b/attachment-0001.gif From RachelFlores at sach.org Tue Jun 30 17:57:19 2009 From: RachelFlores at sach.org (Flores, Rachel) Date: Tue, 30 Jun 2009 17:57:19 -0700 Subject: [Cnm] Cerner and Screening Message-ID: Hello, Is there anyone using the basic start content of Cerner for their nutrition screening? We are going live in October, with none of our requests in place. (Long story, the moral is do bodily harm to people if they won't let you participate in the building of your EMR.) Right now, the system generates a "consult" to Nutrition Services for anyone with nausea, anyone on a Diabetic diet at home, anyone with an eating disorder, anyone with emesis... It's totally not specific for who is at nutrition risk. I'm being told that there is no way they can change anything before January, and that then it may take 6 months to make the changes we want. If anyone is using Cerner with these triggers, can you tell me how you are wading through all the consults? How long does it take your dietitians to prioritize their workloads? Thank you!!!! Rachel Flores, RD, CNSC Clinical Nutrition Manager San Antonio Community Hospital (909) 985-2811 x24430 -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/0593c67b/attachment.html From afrdrun at aol.com Tue Jun 30 18:06:44 2009 From: afrdrun at aol.com (Krista Clark) Date: Tue, 30 Jun 2009 21:06:44 -0400 Subject: [Cnm] Gastric diet - THANKS! In-Reply-To: References: <8CBC7C5DCE61337-1D1C-18C0@FWM-D05.sysops.aol.com> Message-ID: <8CBC7FF55CB49DC-FBC-119F@FWM-D05.sysops.aol.com> Thanks to everyone who shared their Gastric Bypass Diets with me! ?Krista M. Clark, MBA, RD, LD, CNSD Chair-Elect, CNM DPG State Manager & Business Development Specialist Armstrong Nutrition Management 513.720.7208 -----Original Message----- From: Lusk, Barbara To: Krista Clark Sent: Tue, Jun 30, 2009 4:59 pm Subject: RE: [Cnm] Gastric diet Attached are our Gastric Bypass spreads and the Post Surgical and Post Gastrectomy diets. ? Barbara Lusk, R.D., L.D.N. Associate Director Clinical Nutrition / Patient Services Director Nutrition and Food Services University of North Carolina Hospitals 101 Manning Drive Chapel Hill, NC? 27514 phone: (919) 843-0062 email: BLusk at unch.unc.edu From: Krista Clark [mailto:afrdrun at aol.com] Sent: Tuesday, June 30, 2009 2:15 PM To: cnm at lists.my180.net Subject: [Cnm] Gastric diet ? Does anyone have a Gastric Bypass Post-Op Diet that they would be willing to share? Thanks, Krista M. Clark, MBA, RD, LD, CNSD Chair-Elect, CNM DPG State Manager & Business Development Specialist Armstrong Nutrition Management 513.720.7208 ? Save energy, paper and money -- get the Green Toolbar. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/619f6a06/attachment.html From jlworden at att.net Tue Jun 30 19:35:04 2009 From: jlworden at att.net (Jo Lynn Worden) Date: Tue, 30 Jun 2009 21:35:04 -0500 Subject: [Cnm] Consistent Carbohydrate Diets Message-ID: <007601c9f9f4$8bae1d30$a30a5790$@net> I am in the middle of getting the computerized diet orders to change name over to Consistent Carbohydrate Diet instead of 1800 ADA, etc. Long story but one of the objections is that CCD is already some kind of abbreviation for something that nurses already use in their vernacular. There has been suggestions we change CCD to something else. I haven't replied yet - but I have told a few people that this is readily accepted and part of the "nutrition world." Anyway - do any of you use any other "names" for consistent carbs. I thought of Consistent Carbohydrate Meal Plan but that gets long to write and then adding the words low, medium, high, etc. Would turn out to look like L-CCMP? And what does that mean to anyone? Any suggestions? Thanks, j -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/78d8b8d0/attachment.html From CJoseph at sierra-view.com Tue Jun 30 17:03:54 2009 From: CJoseph at sierra-view.com (Corina Joseph) Date: Tue, 30 Jun 2009 17:03:54 -0700 Subject: [Cnm] diabetes pathway or standard orders for education Message-ID: We are revamping our orders. We are a small hospital with limited technology. Would like to have the patient watch a video or TV station as part of the required education prior to discharge. We do not have an outpatient center. Can anyone send a copy of printed protocols or diabetic orders for education (new onset or existing DM)? can fax if needed to 559.784.2859. Thank you in advance. I have searched the archives already. Corina Joseph, R.D. Sierra View District Hospital Porterville, Ca Office # 559.788.6112 Pager# 559.782.6479 -------------------------------------------------------------------------- DISCLAIMER: The information contained in this email transmission is confidential and intended for the addressee only.? If the reader of this message is not the addressee or addressee's agent, you are hereby advised that any dissemination, distribution or copying of the information is strictly prohibited. The information contained in this email transmission may be protected under the Attorney/Client Privilege and protected from disclosure under California Evidence Code section 1157.? If protected by the attorney/client privilege or by California Evidence Code Section 1157, the information contained in this email transmission shall continue to be protected and will not be negated by virtue of sending the information via this email. If you receive this email in error, please call the Information Technology Security Coordinator at (559) 788-6065 (collect if necessary) immediately upon receipt. Thank you for your cooperation. -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/066ab0ef/attachment.html From WIL0CD at Integris-Health.com Tue Jun 30 15:51:08 2009 From: WIL0CD at Integris-Health.com (Willson, Carrie D) Date: Tue, 30 Jun 2009 17:51:08 -0500 Subject: [Cnm] Wound care nurse Message-ID: We have a new wound,ostomy,continence nurse who is writing in her progress note about protein status and making very specific nutrition interventions based on Albumin/ Pre-Albumin levels. I've scheduled a meeting with her to politely let her know that the dietitians at our facility take care of this and all she needs to document is that she has consulted an RD. Is it standard practice for these specialty RN's to do this? Does that fall into their scope of practice? Any references or suggestions I should bring with me to this discussion would be helpful- Carrie Willson RD, LD Clinical Dietitian INTEGRIS Bass Baptist Health Center P.O. Box 3168, Enid, OK 73702 Phone # 580-548-1175 Pager # 580-249-1234 FAX # 580-233-8802 carrie.willson at integrisok.com This e-mail may contain identifiable health information that is subject to protection under state and federal law. This information is intended to be for the use of the individual named above. If you are not the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this information is prohibited and may be punishable by law. If you have received this electronic transmission in error, please notify us immediately by electronic mail (reply). -------------- next part -------------- An HTML attachment was scrubbed... URL: /pipermail/cnm_lists.my180.net/attachments/20090630/f95a4996/attachment.html