Thursday, September 27, 2012

Long Term Care

Three weeks of the internship just flew by.

This week we started working at a nursing home. Our preceptor showed us around the facility and introduced us to all of the staff. I sat in on the weekly resident care process meeting and listened to a few of the care processes for some residents. Every day the chef in the kitchen made us salads for lunch, they were delicious and all the staff was very friendly!

I started looking at the medical records to find a patient to use the nutrition care process on, but I had never looked at a medical record before. It was a whole new process. I took some time to go through the big binder and figure out where everything was. Next I had to decipher what was written.

At this rotation I sat in on a US foods meeting which was very interesting.  I was able to see how the system works for ordering foods and saw their nutrient analysis program which can be used for menus. We talked to the RD after the meeting, for this facility the dietitian is only present one day a week.

Over the course of the week we finished 10 ADIME notes (nutrition care process documentation) and completed our requirements at the facility.

Seeing the patients here at the nursing home really made me smile, most of the patients congregate in the hall and they are always moving around the halls. Many of the patients would say good morning and ask who I was. They were friendly and I really enjoyed chatting with them!



Sunday, September 16, 2012

WIC

Week two started the Woman, Infants and Children (WIC)  rotation. This is a community nutrition rotation.

I learned about the WIC system and food packages. WIC provides Federal grants to States for supplemental foods, health care referrals, and nutrition education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk. (http://www.fns.usda.gov/wic/)

I watched how the WIC clinic accepts new clients and also watched how the checks are given. There were many projects given during this rotation. My first project: Make a table of the 34 infant formulas you can get from WIC (only 4 are contract, the other 30 you need a doctor's note for) and compare them to breast milk. My assignment was 8 pages in length, comparing carbohydrate source, protein source, fat source, other added nutrients, fiber, osmolarity, calories and use for every formula.

The next project to do was to make 10 short easy recipes, and two lesson plans with handouts to go with it.

While at WIC, I was able to sit in with the nutritionists and listen to their nutrition education. It was kind of cool to see what was going on and how to interact with clients. I really enjoyed this part of this rotation.

Friday we attended a Health Fair in another county, representing WIC.


WIC taught me how to communication with a client.

The second week at WIC was pretty good, Monday I went to the other Leon County WIC office and observed the LD (Licensed Dietitian) at their office. The RD/LD's are the only persons at WIC who can see the high risk clients and the medical issue clients.

I attended the breastfeeding classes. It was interesting and I actually enjoyed listening to mother's talk about their future concerns and breastfeeding mothers talked about their past problems and how they over came them. I'm completely pro-breastfeeding (not that I wasn't before WIC). I learned such valuable information at WIC about breastfeeding . I feel that WIC does a GREAT job supporting breastfeeding with their breastfeeding support group class.

The second week I was able to counsel my own WIC clients. I did two that afternoon with a different RD. It went well for the most part.  I easily met the goal of  counseling 10 clients. Everything turned out really good for this rotation and our evaluations. The Dietitians gave great advice to me. WIC was a great experience.

Monday, September 10, 2012

FIRST WEEK AS AN INTERN!

Week one officially finished of my dietetic internship.. only 37 more to go... The first week was spent at Food, Nutrition and Wellness. During this week, we reviewed our schedule and worked on a  menu project for the summer break spot program. It was interesting to learn about the Summer Food Service Program, I knew very little about the program prior to working at Food, Nutrition and Wellness.


We got fruit buddies from our internship director- they use these fruit and vegetable buddies in schools to promote fresh fruit and vegetables.

After the first week of the internship. I was exhausted. I only worked a 4 day week but man it took a lot out of me! I was unsure of what was coming in the future weeks. I took some time and explored Tallahassee.

Tuesday, September 4, 2012

FDACS Internship Program

The dietetic internship program I was selected into was from the Florida Department of Agriculture and Consumer Services, Division of Food, Nutrition and Wellness (FDACS, FNW). This internship is located in Tallahassee, Florida. This internship program is nine months long and accepts only two interns per year. This program is concentrated on the Unites States Department of Agriculture Child Nutrition Programs and school food service management. Completion of the internship gives eligibility to take the Commission on Dietetic Registration's Registration Examination for Dietitians.

The mission of the Dietetic Internship Program is to provide quality supervised practice and didactic training, with a focus in School Food Service Management. Students will develop the expertise and skills necessary to apply the nutrition knowledge and theory of their didactic education to the work environment.


There are many rotations that I will go through. Each rotation will have it's own blog entry. The rotations I will be going through are:

Clinic Rotation - Fourteen Weeks
Pediatric Pulmonary Center, Gainesville, Florida - 2 weeks
Tallahassee Memorial HealthCare - Diabetes Center - 1 week
DaVita Healthcare, Tallahassee/surrounding area – 2 weeks
Riverchase Care Center, Quincy, Florida – 1 week


Food Service Rotation - Eight Weeks 
Sarasota County School Board – Osprey, Florida and surrounding area - 4 weeks
School District of Manatee County – Bradenton, Florida – 2 weeks
Tallahassee Memorial HealthCare r – 2 weeks


Community Rotation - Sixteen Weeks
Leon County Health Department - WIC, Tallahassee, Florida
Florida Department of Agriculture and Consumer Services – Food, Nutrition and Wellness and Office of Healthy Schools, Tallahassee, Florida
Florida Department of Health – Child Care Food Program, Tallahassee, Florida
University of Florida Cooperative Extension Service, Wakulla, Florida
Florida Department of Elder Affairs, Tallahassee, Florida


For more information check out: http://www.freshforfloridakids.com/Sponsors/Programs/DieteticInternshipProgram.aspx

I am officially an intern. We received our schedule. The other intern and myself are together for many rotations which will be VERY helpful. I start clinical in just over a month, and we start our rotation at WIC next week. Jan-Feb we'll be traveling to Sarasota school district and we'll be there for a month! We were given many projects and assignments. After we talked about our internship schedule we got our background checks done- thank goodness our director drove us there! I would have never found the place!

The Food, Nutrition, and Wellness (FNW) department is really making the right steps towards a healthier schools. They are implementing the food menu changes while undergoing a department change (entire department changed in Jan 2012 from Department of Education to  Department of Agriculture). They are working on grants, funding for schools, working with USDA on many projects, they have an awesome Nutrition Ed program-- all being led by a great team leader- Robin. She's actually an attorney to help with the move from Education to Agriculture and also into the government to help make changes for nutrition. She's really a go-getter!

I'm excited to be in this internship!

Introduction to my blog :)

I'm Brittany- a Dietetic Intern with the Florida Department of Agriculture and Consumer Services. I decided to start a blog to document my experiences as an intern, and hopefully help future interns with this whole crazy process. I'll also enlighten those who are reading this about my career and what it takes to become a Registered Dietitian. 

First- I need to set some acronyms I will use from here on out. 
DI= Dietetic Intern
FDACS= Florida Department of Agriculture and Consumer Services 
RD=Registered Dietitian
There will be plenty more to come...

For those of you unfamiliar with RD's here is some helpful definitions. According to Wikipedia "Dietitians are experts in food and nutrition. They advise people on what to eat in order to lead a healthy lifestyle or achieve a specific health-related goal. Dietitians work in various different capacities in the field of healthcare, food service, corporate setting, and educational arenas". 

RD's have a more complete education related to nutrition, where as "A nutritionist is a person who advises on matters of food and nutrition impacts on health. Different professional terms are used in different countries, employment settings and contexts — some examples include: nutrition scientist, public health nutritionist, dietitian-nutritionist, clinical nutritionist, and sports nutritionist". In my world there is a HUGE difference between RD and a Nutritionist, so please don't confuse these! 

So where do I stand in this world of nutritionist and RD's? I am considered a nutritionist at the moment because I have taken nutrition classes. Any one that takes a nutrition class can call themselves a nutritionist. However, in order to become a RD, I have to complete a dietetic internship then take an exam and only then, after I pass, can I add 'RD' after my name. 

As an undergraduate at the University of Rhode Island (URI), the in -state university I chose to go to school at, I started out as a Nursing student. I realized within my first year at school that nursing wasn't my career path that I wanted. I knew I wanted to do something health care related and I wanted to work with people- not sit at a desk all day. 

I had a meltdown the summer after my freshman year because I had absolutely no idea what I wanted to do with my life. I  spoke with career services and took a career exam. I based my fall classes off the results of the exam- nutrition being one of those classes. I realized this was the career for me. I'm pretty sure I didn't realize I would still be in school 5 years later... I completed my sophomore year at URI and did a national exchange at the University of Hawaii (UH) for two semesters- my entire junior year. I took summer courses and graduated on time (within 4 years) from URI with a Bachelor of Science in Nutrition and Dietetics. So therefore I can call myself a nutritionist.

My senior year at URI I applied for dietetic internships. I applied for 5 or 6 internship, paid at least $50 a piece for the applications, had to pay for a matching program ( it was roughly $600 total I spent), only to find out two months later in April 2010, that I wasn't matched with any programs and I had nothing planned for after graduation. 

I then had another melt down and had no idea what to do with my future. Thank goodness for my exchange to Hawaii because one the Chef who taught my food service management class in Hawaii encouraged me to apply to the graduate program at UH. He wrote my a recommendation letter for the program. I was accepted into the food science master's program withing a few weeks. I started the the coming fall. I had somewhat of a plan again.  

UH proved to be a challenge, there were many ups and downs with the program. I ended up changing into their Master of Science in Nutritional Sciences program where I finished my degree summer 2012. 

Still, I can only call my self a nutritionist, but this time I'm Brittany Pond, MS. One step closer to "RD" I guess. February 2012, I applied for 5 dietetic internship programs, again paying a few more hundred dollars only to find out April 2012 that once again I was not matched with any programs. 

In March 2012 I had an interview with one program- I had to be up at 3:30am to do an interview for 5am with an east coast internship.  I thought I was going to get into that program and I was absolutely devastated when I didn't get in. I was full of doubt and miserable. Twice I did not get into an internship and I figured 'RD' was not my path. 

I just thought about finishing my MS degree and getting through the rest of the semester. Well.. Things changed three days after I was not matched.  I received a call from the internship which interviewed me! One of the selected interns turned the acceptance down (kind of a big no-no/taboo in the dietetic world). I couldn't have been more happier to be accepted! My dreams of being and RD were coming true! 

So my very long winded story was to explain that dietetics is a tough field to get into. There is only about a 50% match rate for internships. For me, getting to this internship program has taken a while and I've dealt with ups and downs but I've worked hard to to get to where I want to be. I know everything will be worth it in the end.