Hi everyone! Just wanted to get some advice/opinions on my current situation.
I recently just took a job as a dietitian at a small/local hospital with 60 beds. When interviewing, the COO discussed with me that she would like me to do inpatient consults. Additionally, she is wanting me to change the menu as this hospital has been experiencing high blood glucose levels. Then eventually start seeing outpatient possibly after being here for a while. It sounds like a lot I know, but I have to meet 56 hrs every 2 weeks for benefits purposes so I need to stay busy. However, consults come in like once or twice a week, which is very low. Per policy, the only time the RD gets a consult is for cases of potential malnutrition. No LOS, diet education, pressure injury, etc. consults… which is concerning.
I have been left with no training from the previous RD. She retired earlier in the year and no longer lives close to the hospital even if I wanted to get in contact with her.
I have been left with a computer full of files/policies and 0 guidance. The hospital is also in a rural area, and the system is very outdated. I’m not even getting consults to pop up. I have no clue how to even put in orders.
While looking through the computer, I keep seeing that the hospital uses the ADA 1800-2100 kcal diet rather than the consistent carb diet. I discussed it with the director of nursing and the dietary manager. The director of nursing is all for it. The dietary manager (who I have been warned about) pretty much just shut me down and said the doctors won’t like it (?). And I don’t want this to sound judgmental, but the dietary manager is not a dietitian nor does she have much education.
I know this post is kinda all over the place, but SOS I need advice!! I would like to see this job out as I will only be here part time with benefits… and it’s close to my house. There’s just a lot going on in my brain hahah
Update: just found out that there’s no SLP and that there is no MST or MNA screening done… I have no clue how the RD managed this place for 30 years