234. Who Is Prescribing Nutrition Support Orders and How Can RDNs Do More?
In May 2014, the Centers for Medicare and Medicaid Services published their final ruling, which became effective in July 2014, permitting registered dietitian nutritionists (RDNs) to to order patient diets under the hospital conditions of participation. A follow-up ruling has applied this regulation to the long term care setting. Individual institutions determine who has privileges to independently order therapeutic diets, including enteral and parenteral nutrition (EN/PN), and is variable by state. Some states face barriers from State Boards of Pharmacy. This session will reveal collaborative data between the American Society for Parenteral and Enteral Nutrition (ASPEN) and the Dietitians in Nutrition Support Dietetic Practice Group (DNS) on current practices of RDN EN/PN prescription across the United States; demonstrate value for this RDN role; and assist those not yet able to write EN/PN orders in elevating their practice.
- Describe current RDN nutrition support order-writing practices in the U.S. in comparison to previous practices.
- Understand state and institutional regulations in RDN order-writing.
- Identify strategies to increase RDN order-writing practices.
Learning Need Codes:
- 5440 – Enteral and parenteral nutrition support (nutritional care)
- 9050 – Publication, communications of research outcomes
- 7180 – Strategic planning
- 6.1.6 Develops and implements strategies, techniques and tools for process improvement in consultation with others.
- 6.1.7 Evaluates, documents and communicates quality improvement outcomes.
- 3.2.1 Advocates for, and participates in, activities that support advancement of the profession.
Wendy Phillips, MS, RD, CNSC, CLE, FAND
Division Director of Clinical Nutrition
Stephanie Dobak, MS, RD, LDN, CNSC
Peggi Guenter, PhD, RN, FAAN, FASPEN
Senior Director of Clinical Practice, Quality, and Advocacy
American Society for Parenteral and Enteral Nutrition