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Dietitian

This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Fusion Medical Staffing.

  • 0 = Not Applicable
  • 1 = No Experience
  • 2 = Some Experience
  • 3 = Intermittent Experience
  • 4 = Experienced
  • 5 = Very Experienced
*Required
n/a
1
2
3
4
5

* Required

Age of Patients Cared For

Newborn/Neonate (birth to 30 days)*

Infant (1 month to 1 year)*

Toddler (1 month to 3 years)*

Preschooler (3 years to 5 years)*

School Age Child (5 years to 12 years)*

Adolescents (12 years to 18 years)*

Young Adult (18 years to 39 years)*

Middle Adult (39 years to 64 years)*

Older Adult (64 years to 79 years)*

Elderly Adult (over 70+ years)*

General Skills

Standard Precautions*

Isolation Precautions*

Pediatric Respiratory/Cardiac Arrest*

Adult Respiratory/Cardiac Arrest*

Crash Carts*

Defibrillators*

Patient and Family Education*

Electronic Documentation*

Managing Food-Drug Interactions*

Managing Food-Drug Timing*

Managing Nutrition Therapy Complications*

Assessment/Patient Care

Develop Plan of Treatment*

Document Refusal of Care*

Document Non-Compliance*

Determine Usual or Adjusted Body Weight*

Determine Energy Requirements*

Determine Protein Requirements*

Determine Fluid Requirements*

Determine Electrolyte Requirements*

Determine Fat Requirements*

Determine Micronutrient Requirements*

Perform Nutrition Education*

Perform Nutrition Assessments*

Nutrition Status

Clinic Malnutrition*

Poor Diet*

Eating Difficulties*

Marginal Malnutrition*

Metabolic Demands*

Nutrient Deficiencies*

Assess Fluid Status*

Kwashiorkor*

Marasmus*

Cachexia*

Protein Calorie Malnutrition*

Conditions/Diseases Affecting Nutrition

Abdominal Wounds and Surgeries*

Abnormal Bleeding*

Acute MI*

Acute Renal Failure*

Alzheimer's Disease*

Anorexia Nervosa*

Aspiration*

Bulimia*

Cancer*

Chronic Diarrhea*

Coma*

Congenital Heart Defects*

Congestive Heart Failure*

COPD*

CVA*

Decubitus*

Diabetes*

Diabetic Ketoacidosis*

Draining Abscesses*

Draining Wounds*

Drug Overdose*

Dysphagia*

Elevated Cholesterol/Triglycerides*

End Stage Renal Disease*

Epiglottitis*

Excessive Alcohol Intake*

Extensive Burns*

Failure to Thrive*

Fever*

Fistulae*

Hemodialysis*

Hepatitis*

HIV/AIDS*

Homelessness/Limited Access to Food*

Hyperemesis*

Infection*

Inflammatory Bowel Disease*

Liver Failure*

Low Blood Sugar*

Major Surgery*

Malabsorption Syndromes*

Mucositis*

Pancreatitis*

Peritoneal Dialysis*

Pregnancy*

Protracted Emesis*

Radiation*

RDS*

Refeeding Syndrome*

Renal Transplants*

Sepsis*

Short Gut Syndrome*

Sickle Cell Anemia*

Status Asthmaticus*

Stomatitis*

Transplants*

Trauma*

Tuberculosis*

Vented Patient*

Wounds*

Morbid Obesity*

Post-Op Gastric Stapling/Gastric Bypass*

Depression*

Medication Affecting Nutrition

Steroids*

Immunosuppressants*

Antineoplastics*

Insulin*

Diuretics*

Blood Thinners*

Laxatives*

Lab Monitoring

LFT's*

Serum Ammonia*

Serum Amylase*

Cholesterol*

BUN*

Serum Electrolytes*

Blood Glucose*

Hematology*

Creatinine*

Albumin*

Pre-Albumin*

C-Reactive Proteins*

Nitrogen Balance*

Acid/Base Balance*

Protein-Energy Balance*

Vitamins and Minerals*

Managing Nutrition Therapy

Oral Diets*

Enteral Nutrition*

Parenteral Nutrition*

Writing Orders for Nutrition*

Intake and Output*

Fluid Balanace*

Calorie Counts*

Small Bowel Feeding Tubes*

Gastrostomy Tubes*

Jejunostomy Tubes*

Settings

Hospital*

Clinic*

Long Term Care*

Retirement Center*

Hospice*

Home Health*

Research*

Daycare*

Correctional Facility*

Restaurant*

Public Health*

Community Programs*

Certifications

RD/RDN

Other Skills

Age-Appropriate Care: Ability to adapt care to incorporate normal growth and development, adapt method and terminology of client instructions as it relates to the age and comprehension level of the client, and to ensure a safe environment - reflecting specific needs of the client and various age groups.

Application Agreement

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Fusion Medical Staffing. Submit this skills evaluation with your initial application. To be updated annually.

By completing this Skills Checklist, you agree to receive calls, AI-generated calls, text messages, or emails from and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at Privacy Policy.