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NTR296 Dietetic Technician Internship
Nutrition Care Process & Medical Nutrition Therapy Project
Directions/Rubric Evaluation Form Type Intern First and Last Name
Project Overview Glossary
In the Nutrition Care Process, the NDTR and the RDN work as a team. Interns should read the NDTR and RDN
ACEND: Accreditation Council for Education in Nutrition and Dietetics
responsibilities in the Academy of Nutrition and Dietetics 2012 Standards of Practice for Dietetic Technicians,
CNDT: Required Core Competency for Nutrition and Dietetic Technicians
Registered in Nutrition Care available under this project in Blackboard.
Competency: A competency is the capability to apply or use a set of related
Before Intern begins
knowledge, skills, and abilities required to successfully perform "critical work
This Project requires a minimum 168 hours of supervised practice over 7 weeks based on 24 hours/week. functions" or tasks in a defined work setting.
This project must be planned, discussed and agreed to by the Preceptor.
Rubric Evaluation: A rubric is a tool that explicitly represents the performance
Interns must complete and submit the documents required in Blackboard.
expectations for an assignment or piece of work. A rubric divides the assigned
During the course of the project, Interns should review the documents and reports with their Preceptor.
work into component parts and provides clear descriptions of the
Preceptors will use assessment rubrics to guide how they evaluate the Intern’s work.
characteristics of the work associated with each component, at varying levels
The Intern will have additional assignments that are submitted in Blackboard and graded by the Internship
of mastery.
Instructor.
Supervised Practice Activities: Activities and assignments developed to meet
the ACEND competencies and must be supervised by Internship Preceptor
Directions/Instructions
The activities required for this project should be completed using both in-patient and out-patient settings that allow the Intern to experience the variety of patient health conditions and nutrition
issues appropriate for an entry-level NDTR.
Interns are expected to learn first by observing their Preceptors and discussing “how” and “why” professional activities are performed. Interns should advance as quickly as possible to performing
with supervision the skills expected of an entry-level NDTR. Once Interns have demonstrated the skill, they should gradually increase the amount of responsibility that they can manage well until
they can handle the work load expected of an entry-level practitioner. Preceptors should continue to monitor the Intern’s performance to ensure that competencies are being demonstrated
consistently at entry level.
Column 1 Column 2 Column 3 Column 4, 5, 6
CNDT# CNDT Competencies Description Supervised Practice Activities Rubric Evaluation
(Required Core Competency for Nutrition and
(e.g 2.5)
Dietetic Technicians (CNDT))
Each Dietetic Technician competency is listed These activities and assignments The rubrics are meant to assist all Preceptors in an objective rather than subjective
and accompanied by one or more rubrics for were developed by the Director and rating of the Interns’ competency.
Interns to complete. College Faculty to meet the ACEND A rating of Needs Improvement for any direction must be repeated until at least
As the Intern works on the competencies, please competencies and must be the Entry-Level is attained. If it applies, leave “Needs Improvement” checked
review and provide feedback of their completed supervised by Internship Preceptor. The CAC Dietetic Education Program will evaluate areas where Interns need
written work that supports their attainment of improvement. Continuous quality improvement and changes in curriculum will be
the expected knowledge and skills. driven by these (if any) Needs Improvement rubrics.
Meeting these competencies is mandated by the The Intern cannot pass this project until all rubrics are checked off as at least entry-
Accreditation Council for Education in Nutrition level.
and Dietetics (ACEND).
Summary Page
Complete Summary (last page).
Contact the CAC Internship Instructor for any questions or clarifications regarding this project.
When making comments, please reference the competency number e.g. CNDT 2.5.
Nutrition Care Process & Model/MNT NTR296 DT Internship –Directions/Rubric Evaluation Form (ACEND 2017 Standards-updated in 2018) Effective Spring 2020 Page 1 of 9
RUBRIC EVALUATION
e
s A rating of Needs Improvement must be repeated by the Intern until Entry Level is attained.
CNDT
T
U
D
e
Competencies Supervised Practice Activities
NEEDS IMPROVEMENT, check If ENTRY LEVEL is met, check If EXCEEDS ENTRY LEVEL,
N
c
i
f
f
C
Description
red box and REPEAT black box check black box
O
2.2 CNDT 2.2 Use Oral communications related to 1 Oral communications Most oral communications Used clear and effective,
clear and an Intern’s supervised practice were unclear and/or were clear and effective. concise and engaging oral
effective oral experience must be clear and ineffective. communication.
and written effective.
communication
Written assignments must be 2 Written communications Most written Used clear and effective,
clear, concise, accurate and were unclear and/or communications were professionally written
easily understood. ineffective. clear and/or effective. communication.
3.1 CNDT 3.1 Using the NCP, perform nutrition 3 Did not or could not Performed expected Performed many more
Perform screening in conjunction with consistently perform number and varieties of than expected number and
nutrition organizational guidelines. expected number and nutrition screening varieties of nutrition
screening and varieties of nutrition according to screening according to
identify clients Screen patients who have a screenings according to organizational guidelines. organizational guidelines.
or patients to be variety of conditions and organizational guidelines.
referred to the nutritional needs.
registered
dietitian Identify clients or patients and
nutritionist. refer them appropriately to the
RD/RDN or other professional
As needed, observe the Intern’s
Preceptor while he/she sees
patients.
With the Preceptor, see patients
each day and learn to obtain,
interpret, and record pertinent
information.
Refer situations outside the 4 Did not consistently According to According to organizational
dietetic technician scope of identify clients or patients organizational guidelines, guidelines, identified clients
practice or area of competence to be referred to the identified clients or or patients to be referred to
to the Registered Registered patients to be referred to the Registered
Dietitian/Registered Dietitian Dietitian/Registered the Registered Dietitian/Registered
Nutritionist or other professional. Dietitian Nutritionist Dietitian/Registered Dietitian Nutritionist and to
according to Dietitian Nutritionist other Health Care
organizational guidelines Professionals e.g. Speech
or Occupational Therapy.
Nutrition Care Process & Model/MNT NTR296 DT Internship –Directions/Rubric Evaluation Form (ACEND 2017 Standards-updated in 2018) Effective Spring 2020 Page 2 of 9
RUBRIC EVALUATION
e
s A rating of Needs Improvement must be repeated by the Intern until Entry Level is attained.
CNDT
T
U
D
e
Competencies Supervised Practice Activities
NEEDS IMPROVEMENT, check If ENTRY LEVEL is met, check If EXCEEDS ENTRY LEVEL,
N
c
i
f
f
C
Description
red box and REPEAT black box check black box
O
3.2 CNDT 3.2 For all activities related to NCP, 5 Did not consistently Collected data required for Collected required data for
Perform specific students should begin by and/or completely collect inclusion into the nutrition inclusion into the nutrition
activities of the observing the Preceptor, and data needed for inclusion assessment. assessment and on at
Nutrition Care then progress through assisting into the nutrition least one occasion
Process as the Preceptor, implementing with assessment. gathered data not easily
assigned by supervision, and implementing recognized that could
registered with only occasional monitoring. have an affect nutritional
dietitian Students should progress from status.
nutritionists in working with small numbers of
accordance with assigned patients and simpler
6 Did not or could not Assessed the nutritional Assessed the nutritional
the Scope of conditions to being responsible
assess the nutritional status of individuals, status of individuals,
Nutrition and for the number and type of
status of individuals, groups, and populations in groups, and populations in
Dietetics patients appropriate for an entry-
groups, and populations a variety of settings where a variety of settings where
Practice for level NDTR.
in a variety of settings nutrition care is nutrition care is appropriate
individuals,
where nutrition care is appropriate. and on more than one
groups and Throughout this project the
appropriate. occasion gathered data
populations in a Intern should screen/assess,
not easily recognized that
variety of calculate needs and write PES
could influence
settings. statements for at least 30
nutritional status.
patients/clients.
Students should always plan
their work and discuss findings
and next steps with their
Preceptor.
Calculate IBW, estimate calorie
and fluid needs using the
formula suggested by the
Intern’s Preceptor.
Determine protein needs for at
least 10 patients.
Take dietary history using
method suggested by the
Preceptor. Calculate patient’s
24-hr and/or 3-day intake.
Summarize, analyze, and report
findings. Discuss implications
with Preceptor.
Note what percent the IBW and
intake of calories and protein is
over or under needs. Indicate
what should be done and why.
Nutrition Care Process & Model/MNT NTR296 DT Internship –Directions/Rubric Evaluation Form (ACEND 2017 Standards-updated in 2018) Effective Spring 2020 Page 3 of 9
RUBRIC EVALUATION
e
s A rating of Needs Improvement must be repeated by the Intern until Entry Level is attained.
CNDT
T
U
D
e
Competencies Supervised Practice Activities
NEEDS IMPROVEMENT, check If ENTRY LEVEL is met, check If EXCEEDS ENTRY LEVEL,
N
c
i
f
f
C
Description
red box and REPEAT black box check black box
O
3.2 CNDT 3.2 Review as many medical records 7 Did not or could not Identified pertinent Identified pertinent
Perform specific as necessary to identify at least diagnose nutrition information and diagnosed information and diagnosed
activities of the 5 medical patients who are at problems. nutrition problems high-risk nutrition problems
Nutrition Care high nutrition risk, have a accurately under the accurately under the
Process as nutrition problem, or findings that guidance of a Registered guidance of a Registered
assigned by could indicate a nutrition problem Dietitian. Dietitian.
registered e.g. weight for height, chewing
8 Did not or could not Created accurate, Created accurate, well-
dietitian and swallowing issues, lab
create accurate, appropriate, and complete written, concise,
nutritionists in results, medications, food intake
appropriate and complete problem, etiology, signs appropriate, and complete
accordance with issues and patterns, food
problem, etiology, signs and symptoms (PES) problem, etiology, signs and
the Scope of intolerances or physical activity.
and symptoms (PES) statements. symptoms (PES)
Nutrition and Note these and discuss with the
statements statements.
Dietetics Preceptor.
Practice for
individuals, Write PES statements for the
groups and nutritional diagnosis for each of 3
populations in a or more patients daily for at least
variety of 3 weeks. Review these with the
settings. Preceptor and revise as needed.
Patients selected should include
those with a variety of disorders
and represent various gender,
age, and cultural backgrounds.
In table format, summarize and
submit in writing pertinent patient
data considered and the
complete, concise, and accurate
PES statements for 4 patients
who have different backgrounds
and nutritional needs.
Nutrition Care Process & Model/MNT NTR296 DT Internship –Directions/Rubric Evaluation Form (ACEND 2017 Standards-updated in 2018) Effective Spring 2020 Page 4 of 9
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