Transcript Sodexo 2008 - MUSC Health

December 15, 2010
sodexoUSA.com
Our Role:
The pediatric dietitians are licensed, registered
experts who ensure that patients achieve
optimal growth and nutrition status. Utilizing a
unique skill set, the pediatric dietitians meet
the hospital standards and goals through
service, education, research, and clinical
expertise.
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Pediatric Dietitian Staff
Cecilia
McMillan
Carrie Finch
Jennifer Franks
Lauren
Whiteside
Katherine
Boyce
Level 2 Nursery
Neonatal ICU
Pediatric ICU
Cardiac ICU
Inpatient Manager
Outpatient
Manager
Metabolic
Inpatient
Ketogenic
Program
Pediatric
& Infant/ Toddler
General/Surgery
Hem/Oc
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Endocrine
Presentations, State/ Regional
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1.
Carrie Finch presented improvement
poster at VON collaborative meeting in
Austin, TX entitled: “Optimizing Nutrition
at Birth for very low-birth weight infants.”
Carrie also presented on neonatal
nutrition initiatives to Pediatric Grand
Rounds & Sodexo networking call
2.
Cecilia McMillan presented improvement
poster at VON collaborative meeting in
Minneapolis entitled: “Optimizing Enteral
Nutrition in very low-birth weight infants.”
3.
Jennifer Franks presented at MASPEN
on Pediatric PN Writing 101
4.
Lauren Whiteside presented on diet
therapies for epilepsy at the 1st Epilepsy
Bootcamp and Sodexo networking call
5.
Katherine Boyce interviewed by Abbott
on nutrition therapy for GI disorders for
international conference
Board Certifications
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1.
Jennifer Franks renewed her
certification as Certified
Nutrition Support Clinician
(CNSC) which is required
every 5 years.
2.
Katherine Boyce achieved
Certified Diabetes Educator
(CDE)
3.
Lauren Whiteside earned her
Board Certification as a
Specialist in Pediatric Nutrition
(CSP)
Publications
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Carrie Finch
● Fluid, Electrolyte, and Nutrition: Minutes Matter
manuscript published in Advances in Neonatal Care
journal
Katherine Boyce
● Keeping Young Bones Healthy: Dietary Treatement of
juvenile osteoporosis published in Therapy Times
magazine
Lauren Whiteside
● Chapter, Diet Therapies for Epilepsy published in
Handbook of Epilepsy: Diagnosis & Management
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Awards & Recognition

Jennifer Franks recognized for decade of clinical service to
Sodexo Health Care
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Jennifer Franks received nomination from CTDA for
Outstanding Dietitian of the Year

Cecilia Kennedy received SVP Special Recognition Nominee
for developing ‘Sodexo’s Star Chef Club’
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Best Practices
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Nutrition for patients with metabolic disorders
● Jennifer Franks
– Developed admission guidelines and worked with CORAM to
obtained specialized AA for PN
– Attended Metabolic University in Denver, CO
Nutrition for Infants with Chyle Leaks
● Jennifer Franks
– Skimmed breast milk
– Enfaport- approved by WIC in SC
– Resident/ Fellow training: writing parental nutrition orders
Pediatric Dietitian Internship
● Jennifer Franks & Cecilia McMillan
– Jennifer provided interns with notebook of pediatric nutrition
information
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– Boot camp provided to prepare interns for rotation
Best Practices
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Pediatric Dietitians’ Lunch & Learns
● Carrie Finch
– Topic presented to pediatric dietitians over lunch
meeting each month with the goal to enhance specific
clinical pediatric skills
– Outcome: Improved standard of nutrition care provided
when covering each specialty area of pediatrics and
enhance RD confidence in all aspects of pediatric/
neonatal nutrition practice
Neonatal Nutrition
● Carrie Finch presented at the following:
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Feeding conference
Charleston Area WIC
Neonatal-Pharmacology conference
Lectures for Nurse Practitioner & Resident on PN writing
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Vermont Oxford Network (VON)
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With the VON nutrition initiative, the percent of
VLBW infants avoiding extrauterine growth
restriction at discharge is 7-10%, decreased
from 35% in early 2009
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Potential Best Practices being used at MUSC:
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Monitor nutritional intake and nutritional outcome measures into medical
management of prematures infants.
Start parenteral nutrition (PN) soon after birth, with amino acids within two hours
and lipids within 24 hours of birth, in infants < 1.5 kg.
Promote and use human milk as the preferred nutritional substrate for premature
infants
Implement feeding guidelines which include early trophic feeds, an algorithm for
managing residuals, and systematic advancement for infants < 1.5 kg.
Supplement human milk with additional protein, calories, minerals, and
micronutrients to achieve at least 3.5 grams/kg/day of protein delivery and
adequate growth.
Promote post-discharge breastfeeding with appropriate nutrient fortification.
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Patient Experience
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Sodexo’s Star Chef Club
● Cecilia (Kennedy) McMillan
– Child referred from Child Life or Pediatric Dietitian to
have chef come to bedside to allow child to participate in
preparing his or her meal. Each child receives a chef hat
& apron
Ketogenic Cooking
● Lauren Whiteside
– To enhance the palatability of the diet, Nutricia
sponsored Chef Neil Pallister-Bosomworth, a chef
from the United Kingdom, to design carbohydrate-rich
foods that are compatible with the diet. Tours are
conducted in the United States to teach families how to
prepare delicious ketogenic recipes.
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Growth
Need for additional pediatric dietitians
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Dietetic Internship
● Accepted 2 additional interns
● Each intern spends 2 weeks with the Pediatric Dietitians
Metabolic Services
● Clinic coverage one ½ day per week
Cardiology Services
● Round daily with medical team
● Participate in research, National Pediatric Cardiology QI
Collaborative
Neonatology Services
● Member of Neonatal division groups: Evidence & Value, the
Vermont Oxford Network
Oncology Services
● Clinic coverage one ½ day per week
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2011 Goals
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Master’s and Board Certifications
Vermont Oxford Network:
● Discharge nutrition
● Access program
Feeding protocol with Pediatric Cardiology ICU
Sodexo Clinical Expert Update (CEU) program
Wellness and You®
Interface CPOE/McKesson and Health Touch
SharePoints
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Thank you for your support for
nutrition services!
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