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Nutrition and Dietary Services consists of three main components providing service as follows:
1. Food Production and Service seven days a week with two shifts working from 0530 to 1800 hours.
- Staffing
- One CO-5 Registered Dietitian/Licensed Nutrition
- Three WG-8 Senior Cooks
- One WG-6 Junior Cooks
- One Contract Food Service Worker
- Food Service is provided to Hope Lodge residential clients; Visiting Health Care students and Temporary Physicians for the SU and EPI programs; and GMS/Pediatric/Mental Health patients.
2. Medical Nutrition Therapy (MNT) to:
- All patients according to adopted IHS Nutritional Care Standards found in:
- Nutrition and Diagnosis - Related Care; Sylvia Escott-Stump, 4th Edition.
- Pediatric, Adult, and Geriatric Inpatients including screening, assessment and intervention
- Inpatients are initially screened by Nursing staff, followed by screening for level of care and basic intervention by WG-8 AD staff. Screening includes patient interview for subjective information and record for anthropometrics, diagnoses, diet order with indications for RD referral.
- Referrals for RD assessment and intervention are made at any point in the admission and screening process.
- Assessment include patient interview and record review for: admit diagnosis, diet order, anthropometrics, lab values, medications, and history.
- Intervention examples include recommendation and provision for: adjustment of food textures or types, supplementation or alteration of nutrient levels, tube feeding (TEN), and/or education of patients and significant family members.
- Outpatients on an on-call/walk-in basis (8:00 a.m. to 4:30 p.m. Monday through Friday) from:
- General Outpatient Clinic
- Diabetes Clinic
- OB/GYN Clinic
- Other Specialty Clinics
- Outpatients on an appointment basis from 8:00 a.m. to 4:30 p.m. Monday through Friday.
- USPHS Commissioned Officer Nutrition consultation for Primary Provider, Nursing and Dietetics staff 24 hours / 7 days a week.
- Through residence telephone contact or through cellular phone when in leave status (i.e. for diet order / TEN recommendation, provision of special formulas, etc...).
- Secondary consultation available by call tree by:
3. Nutrition consultation and education services to various community organizations and groups including, but not limited to:
- Rural America Initiatives programs such as Early Head Start and Head Start
- Girls Inc. Mentoring Group
- Dietetic Intership students
- Okiciyapi Wellness group
- Diabetes Inc. Kamp For Kids
- Rosebud Food Service and Primary Care Provider Staff
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