Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Revised 2021 standards of practice and standards of professional performance for registered dietitian nutritionists (competent, proficient, and expert) in nutrition support

Abstract

Nutrition support is a therapy that crosses all ages, diseases, and conditions as health care practitioners strive to meet the nutrition requirements of individuals who are unable to meet nutrition and/or hydration needs with oral intake alone. Registered dietitian nutritionists (RDNs), as integral members of the nutrition support team provide needed information, such as identification of malnutrition risk, macro‐ and micronutrient requirements, and type of nutrition support therapy (eg, enteral or parenteral), including the route (eg, nasogastric vs nasojejunal or tunneled catheter vs port). The Dietitians in Nutrition Support Dietetic Practice Group, American Society for Parenteral and Enteral Nutrition, along with the Academy of Nutrition and Dietetics Quality Management Committee, have updated the Standards of Practice (SOP) and Standards of Professional Performance (SOPP) for RDNs working in nutrition support. The SOP and SOPP for RDNs in Nutrition Support provide indicators that describe the following 3 levels of practice: competent, proficient, and expert. The SOP uses the Nutrition Care Process and clinical workflow elements for delivering patient/client care. The SOPP describes the 6 domains that focus on professional performance. Specific indicators outlined in the SOP and SOPP depict how these standards apply to practice. The SOP and SOPP are complementary resources for RDNs and are intended to be used as a self‐evaluation tool for assuring competent practice in nutrition support and for determining potential education and training needs for advancement to a higher practice level in a variety of settings.

El nutricionista-dietista como agente de cambio en la unidad de cuidados intensivos

“…El paciente en estado crítico requiere atención por parte de un equipo de expertos en cuidados críticos, entre los que se incluyen médicos y enfermeras especialistas, personal de rehabilitación física, técnicos en inhaloterapia, entre otros. En la actualidad, se reconoce a la terapia médico-nutricional como una estrategia de bajo riesgo y costo-efectiva para mejorar la calidad de la atención hospitalaria, misma que requiere la colaboración interdisciplinaria y la inclusión del nutricionista-dietista (ND) con habilidades para la implementación del proceso de atención nutricional (1)(2)(3) .…”

Casting Light on the Necessary, Expansive, and Evolving Role of the Critical Care Dietitian: An Essential Member of the Critical Care Team

“…Standards of practice and professional performance for dietitians, as endorsed by the ASPEN, outline a four-step nutrition care process that align with the needs of critically ill patients (32). First, the critical care dietitian is trained and possesses skills to use accurate and relevant data (e.g., biochemical data and nutrition-focused physical examination) to conduct a nutrition assessment.…”

Managing nutrition support product shortages: What have we learned?

“…Self‐education on PN management should be a priority for any individual responsible for PN order writing or compounding. Institutions should ensure that support to meet standards of practice and competency is provided for clinicians who are responsible for PN management and evaluate whether additional learning experiences, such as a certificate program or a PN writing workshop, would be beneficial to optimize the quality of PN management within their hospital 62–68 …”

“…Institutions should ensure that support to meet standards of practice and competency is provided for clinicians who are responsible for PN management and evaluate whether additional learning experiences, such as a certificate program or a PN writing workshop, would be beneficial to optimize the quality of PN management within their hospital. [62][63][64][65][66][67][68] Update the PN order and related orders to reflect shortage management strategies Reconcile PN orders at transitions of care…”