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TUESDAY, OCTOBER 20

RESEARCH & PRACTICE INNOVATIONS: DIETETICS MANAGEMENT, LEADERSHIP, AND EDUCATION (PART 2)

A

egistered Dietitians and the Interdisciplinarynticoagulation Team

uthor(s): J. Standfill, A. Pennington, N. Campalans, P. Carroll,. Pipkin, P. Bryant; Central Arkansas Veterans Healthcare System,ittle Rock, AR

earning Outcome: Expanding the role of the registered dietitians part of an interdisciplinary, anticoagulation team.

nticoagulants, such as Coumadin, are commonly used to treatardiac disease, cerebrovascular accident and thrombolembolism. These or misuse carries a significant potential for patient harm. Theepartment of Veterans Affairs (VA) has created a directive whichutlines policy and guidance for the proper management of patientseceiving Anticoagulation Therapy which meets the Jointommission’s National Patient Safety Goal (NPSG 3.05.01). Atentral Arkansas Veterans Healthcare System (CAVHS), theedication Management Program (Coumadin Clinic) has

pproximately 500 patients with the potential of gaining a total of,300 patients with active Coumadin prescriptions in the next twoears. The expanded clinic enrollment supported the addition ofietitian positions on the CAVHS Anticoagulation Team. Thisresented dietitians with a unique opportunity to give more in-depthducation to patients with potential food/drug interactions as well asroviding medical nutrition therapy for comorbidities for patients inhe medical center and on an out-patient basis. Registered dietitiansre involved in the interdisciplinary management by participating inocal and regional anticoagulation teams and committees. Coumadinietitians have updated patient educational materials and createdow, moderate and high Vitamin K diets for patients receivingoumadin and meal services. Coumadin dietitians participate innnual continuing education on anticoagulation therapy as well asarticipating in online discussion boards involved within the VAystem. With the successful development of the Anticoagulationeam, Veterans at CAVHS are receiving comprehensive medicationanagement and improved nutritional care.

unding Disclosure: None

entorship Program for Dietetic Interns in a Canadianeaching Hospital - Evaluation of 4 Years Experience

uthor(s): M. McCall; Specialized Complex Care Program, St.ichael’s Hospital, Toronto, ON, Canada

earning Outcome: To evaluate the mentorship program that isrovided as a component of the St. Michael’s Hospital Graduateietetic Internship.

ackground: The mentorship program was initiated to provide andded level of personal and professional support to dietetic internsnd to foster job enrichment for dietitian mentors. The hope was thatentorship would ease the interns’ transition into hospital culture,

he professional world and provide emotional support.

ethods: Interns were matched with a mentor at the start of theirrogram, and each pair defined the frequency of meetings based uponheir needs. Most interactions were private meetings between theentor and mentee, although several group outings were also

lanned each year. Mentors and mentees for four consecutive,eparate internship classes were asked to complete an open-endeduestionnaire to evaluate the 45 week program.

esults: A total of 51/58 participants completed questionnaires.ighty-four percent of mentees felt that participating in the programas a positive experience. Subjects discussed were varied and

ncluded both personal and professional issues. Common topicsncluded life-work balance, family issues, employment advice, stressnd workload management. Eight-one percent of mentors said theyould participate in the program again. The most cited positivespects for mentors included providing support outside of anvaluator context, sharing their expertise and personal satisfactionrom helping someone new to the profession.

onclusion: Overall, the mentorship component to our Dieteticnternship Program appears to be meeting its objectives and is highlyalued by both mentors and mentees.

unding Disclosure: None

-80 / September 2009 Suppl 3—Abstracts Volume 109 Number 9

reating Sustainability Strategic Plans for Healthcareoodservice Operations

uthor(s): D. Henroid, J. Henderson, A. Bhow, L. Vargas,. Sullivan, F. Rivera; Nutrition & Food Services, University ofalifornia, San Francisco (UCSF) Medical Center, San Francisco, CA

earning Outcome: Learn to develop sustainable foodserviceperations plans.

here are considerable benefits to developing environmentallyonscience and sustainable foodservice operations. A comprehensiveeview of environmentally conscience initiatives were evaluated in aarge, urban academic medical center healthcare foodserviceepartment. The initial step was to develop a commitment statementhat would formally guide department decision making in evaluatingurrent and future food systems. The next step was to conduct aormal set of analyses following the flow of food from the initial menulanning stage to end consumption utilizing an analysis, plan,mplement, evaluate model. Waste streams were delineated betweenhose the department maintain control and those where they did not.ncillary areas of the department such as the departmentdministrative office were included in a subsequent analysis. Anverall sustainability framework was developed in the followingreas: 1) food selection and sourcing, 2) packaging and wasteanagement, 3) energy efficiency, 4) policy and practice changes, 5)

ducation and awareness of environmental efforts, and 6) greenuildings and facilities. The review revealed opportunities toncorporate sustainable practices in menu development, productelection, procurement practice, waste stream management, andartnership development. Department sustainability efforts wereormalized into a strategic plan highlighting previousccomplishments, current programs under development, and futuretrategic efforts. A number of achievements have been madencluding a 30% reduction in the number of delivery days from therimary vendor, participation in donation program for waste oil to aio-diesel cooperative, and the recycling or composting of 84% ofetail foodservice waste from a high volume cafe.

unding Disclosure: None