Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.
U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.
Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
Level IThe diet technician is responsible f orthepreparation and delivery ofall infant/pediatric formula. Preparati ontechniques must adhere to allsanitary regulations and standards establ ished by regulating agenciesand the health care facility, which should i nclude compliance withpolicies related to the institution's HACCP plan f orenteral feedings.Duties include (1) maintaining adequate supplies that meet patientneeds; (2) operating all equipment needed to prepare formula forpediatric patients; (3) maintaining sanitation in the preparation roo m;(4) filing temperature records and formula orders; (5) securing thefor mula room; and (6) assisting with the training of ancillarypersonnel,as necessary.The diet technician assists the clinical dietitian with nutrit ionscreening, data collection/entry, coordination of patient diet needsw ith food service, and the provision of technical functions in theimpleme ntation of nutrition care.Level IIThe dietetic technician, in additionto the responsibilities/duties ofLevel I, assists the clinical dietitianwit h direct clinical nutritioncare in assigned inpatient and outpatientarea s including family/patientdiet education.Assumes leadership functions in the relationship with the department ofFood Service and/or in theinfant formula room.
Level IAll work is perf ormed under the supervision of a registered dietitianlicensed in the sta te of North Carolina.Prepares and delivers all infant/pediatric formulaa s ordered.Verifies new or questionable pediatric formula orders with are gistereddietitian (RD) for accuracy.Utilizes standardized recipes orspec ial recipesprepared by RD asneeded.Prepares pediatric formulaaccurately according to established writtenformulations, following pre-established formula preparation proceduresand adhering to quality controlstandards.U ses correct technique to measure powders and liquids.Storespreparedinfan t formula properly until delivery to the patientarea.Delivers prepared infant formula to patient area refrigerators.Uses clinicalinformation sys tem to update patient formula orders and tocreate/print labels andproduc tion lists.Completes daily batch records for prepared formulas.Maintains a daily log of refrigeration and freezer temperatures in theformula roo m.Removes unused, previously prepared formula from unitrefrigerators and discards according to established protocol.Inventoriesand maintains suff icient pediatric formula lab stock.Completes daily tally or censussheetsindicating formulas prepared.Prepares storeroom or purchasing requisiti on for all infant formula,glassware, bottles, and other supplies,as need ed to maintain adequatesupply levels.Orders productsand suppliesand noti fies supervisor of any shortages.Orders pediatricformulas frommaterials management department and/ornotifies administrative assistantand/or supe rvisor to order from anapproved and reliable vendor.Checks expiration da tes on products (returns short-date formuladeliveries).Follows procedure s for formula recalls at the direction of thesupervisor.Maintains sanita tion in preparation area.Cleans and sanitizes all work surfaces in the p ediatric formulapreparation room before and after each formula preparati on per protocol.Cleans utensils, equipment, andstorage areasused in the pediatricformula preparation room according to established procedures.Fo llows aseptic technique.Follows department and infection control policie s regarding formulahandling.Maintains daily appearance according to depa rtmental guidelines.Checks equipment for proper operation and reports pr oblems to theappropriate supervisor.Assists in training other employees in pediatric formula preparation andproper handling techniques, as neede d.Communicates with patient care units regarding problems with formulaor ders, storage, or administration.Prepares monthly quality assurance repo rt, production summaries, andstock invoices.Screens patientsadmitted to assigned units to determine nutrition risk.Identifies patients at high n utrition risk and refers them to theclinicaldietitian as appropriate.Fol lows outlined nutrition screening guidelines and documentsaccordingto po licy.Monitors nutritional status of patients who are NPO,according topol icy.Records nutrient intake data and completes summary, according to pol icy.Records laboratory data, patient weight, andother data as requested bysupervising clinical dietitian.Coordinates patient food service needs with food service associatesand/or supervisors as needed.Provides admini strative support for assigned team and department asrequested.Creates an annual professional development plan inconsultation withdepartment lead ership.Adheres to time and attendance policies.Uses timeeffectively; wor ks well under pressure.Participates inimproving work processes and facil itating change.Follows department/institutional safetystandards.Works co llaboratively with colleagues in clinical service unitteams andacross th e health system.Demonstrates concern and courtesy; treats all with digni ty.Performs additional duties as assigned.Level IIPerforms all duties of Level IDocumentspatient plan of care and educationprovided according t opolicy.Counselspatients and/or families about therapeutic diets.(e.g. b ut not limited to no concentratedsweets,low sodium, diet afterostomy, high protein/calorie, step I AHA))Develops/updates education materials a s needed.Participates in department and/or hospital/health systemcouncil s/committees with approval of department head.Assists in the education o f students and interns and helpsorient newemployees.
Knowled ge, Skills and Abilities
Level IKnowledge ofand familiarity with The American Dietetic AssociationGuidelines for thepreparation of formul a.Closely follow policies andprocedures.Ability towork independently, wi th limited direct daily supervision.Work in closecollaboration with pedi atric dietitians.Level IISduals of varying personalities to meet common goals (includingprofessioname as level I plus demonstrated ability to su ccessfully work withindivial staff).Basic knowledge of disease processes and nutrition care for patients indesignated area.Ability to counsel pat ients and/or families about therapeutic/modifieddiets. Knowledge of the food service department method of operationandfamiliarity with its leade rship Knowledge of and familiaritywith The American Dietetic Association Guidelines for the preparationof formula
Level Characterist ics
Level I - High School Diploma. Enrollment in a dietetic technician program (Associates Degree or the equivalent) preferred. Level II - Associate's degree from a dietetic technician registered program approved by the Commission on Accreditation for Dietetic Education of the American Dietetic Association. 450 hours clinical experience or completion of a Baccalaureate degree granted by a US regionally accredited college/university, or foreign equivalent, and completion of a Commissionon Accreditation of Dietetics Education Didactic Program in Dietetics or Coordinated Program in Dietetics (CP).
Level I - Active enrollment in a dietetic technician registered program (Associates Degree or the equivalent) and is in good standing & completion of the first semester of the dietetic technician program. Or 2 years Relevant hospital Experience preferably in food and nutrition services role. Level II - Two years of clinical experience preferred or combination of experience and/or education.
Degrees, Licensures, Certifications
Level I None required. Level II Registration (DTR) by the Commission on Dietetic Registration.
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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.
We believe that good health is the cornerstone of progress. We are firm in our resolve to make exemplary health care accessible and affordable to all, dedicated to lowering the high rate of cardiovascular disease, including stroke, in minority populations and committed to advocacy and diversity. We are guided by ethical principles in all transactions and strive for excellence in our training and skills.