Dietician Skills Checklist
Answer Key
1. No Experience 2. Requires Supervision 3. Proficient 4. Can Teach Others
Age of Patients Cared For
*
Rows
1
2
3
4
Newborn/Neonate (birth to 30 days)*
Infant (1 month to 1 year)*
Toddler (1 year to 3 years)*
Preschooler (3 years to 5 years)*
School Age Child (5 years to 12 years)*
Adolescents (12 years to 18 years)*
Young Adults (18 years to 39 years)*
Middle Adults (39 years to 64 years)*
Older Adults (64 years to 79 years)*
Elderly Adults (over 79+ years)*
General Skills
*
Rows
1
2
3
4
Standard Precautions*
Isolation Precautions*
Pediatric Respiratory/Cardiac Arrest*
Adult Respiratory/Cardiac Arrest*
Crash Carts*
Defibrillators*
Patient and Family Education*
Electronic Documentation*
List Types:
*
Rows
1
2
3
4
Managing Food-Drug Interactions*
Managing Food-Drug Timing*
Managing Nutrition Therapy Complications*
Assessment/Patient Care
*
Rows
1
2
3
4
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
*
Rows
1
2
3
4
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
*
Rows
1
2
3
4
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*
Depression*
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*
Morbid Obesity*
Mucositis
Pancreatitis*
Peritoneal Dialysis*
Post-Op Gastric Stapling/Gastric Bypass*
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
Medication Affecting Nutrition
*
Rows
1
2
3
4
Steroids
Immunosuppressants*
Antineoplastics*
Insulin*
Diuretics*
Blood Thinners*
Laxatives*
Lab Monitoring
*
Rows
1
2
3
4
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
*
Rows
1
2
3
4
Oral Diets*
Enteral Nutrition*
Parenteral Nutrition*
Writing Orders for Nutrition*
Intake and Output*
Fluid Balance*
Calorie Counts*
Small Bowel Feeding Tubes*
Gastrostomy Tubes*
Jejunostomy Tubes*
Undertaking
*
The Information I Provided is True & Accurate
Name
*
Date
*
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
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