ACEND® has begun to identify Noteworthy Nutrition and Dietetics Education Practices among ACEND®-accredited programs and would like to highlight one or more program(s) per quarter for their noteworthy practices on the ACEND® website and in the ACEND® UPdate Newsletter. ACEND® will post due dates for practice submissions via email blasts and newsletter articles.
Program directors or other individuals associated with an ACEND®-accredited program are asked to complete the submission form and an abstract of their noteworthy practice and email it to ACEND® for review. Submissions will be reviewed by an ACEND® Board review team and selected entries will be posted.
Email completed submission forms and supporting documentation to ACEND@eatright.org with the subject line: Noteworthy Practice Submission.
Cedar Crest College Dietetic Internship and Didactic Program in Dietetics
Marilou Wieder, MS, RD, CNSC, LDN
Patricia LaSalle, MS, RD, CDE, LDN
The undergraduate, dietetic intern and undergraduate nursing students at Cedar Crest College have developed a program of Inter-professional Education Collaboration participating in joint mock patient clinical simulations. The IPEC simulations replicate a mock patient simulation experience where the nursing and nutrition students participate jointly to assess, evaluate and provide intervention for patient care. Senior undergraduate MNT students rotate to participate in the simulations as a component of their MNT course. Dietetic interns have the opportunity to act as mentors to the undergrad seniors. The IPEC patient simulation focuses on nutrition students conducting a patient bedside nutrition interview and the nursing students complete a med pass administration. Both disciplines review the patient electronic medical record and record their assessment, evaluation and interventions. Upon review of the EMR, nursing and nutrition "enter" the patient's room for a joint patient care experience. The "mock" patient has been versed of their proposed medical diagnoses and contents of their medical record. Nursing students initiate and complete the patient assessment and med pass, with the nutrition students present. The nutrition students then conduct a focused nutrition assessment interview with nursing students present. At the conclusion of the "patient care" the instructor leads a discussion and the implications for both disciplines.
Murray State University Dietetic Internship and Didactic Program in Dietetics
Kathy K. Stanczyk, PhD, RD, LD
In an effort to foster interdisciplinary education among healthcare disciplines at Murray State University, faculty in the School of Nursing and Health Professions partnered to host an interdisciplinary workshop on enteral nutrition in the Fall of 2017.
The four-hour workshop focused on the Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient, which were developed by the American Society for Parenteral and Enteral Nutrition and the Society of Critical Care Medicine; these guidelines were published in 2016.
Participants of the workshop included senior nursing students in their final clinical course, senior dietetics students enrolled in Medical Nutrition Therapy II, and post-baccalaureate dietetic interns in the Murray State University Dietetic Internship. The students were divided into three groups, with an equal number of nursing students, dietetics students, and dietetic interns in each group.
During the four-hour workshop, groups rotated between three stations. The first of the three stations involved simulation, with students placing feeding tubes in mannequins. A nursing faculty member led this station, and nursing students peer taught the dietetics students and interns how to place the feeding tubes. The final two stations were led by faculty of the dietetics program. In each of these two stations, students discussed case studies that required them to delve into the guidelines developed by ASPEN and SCCM. Specifically, the case studies focused on the information presented in guideline D (Monitoring Tolerance and Adequacy of EN) and guideline E (Selection of Appropriate Enteral Formulation).