Marywood University Scranton, Pennsylvania Department of Nutrition & Dieteties Checklist - Ethics and Professional Development This Module does not require your preceptors sign off. Instead, you will maintain all entries and records to be included in your e- binder. This checklist serves as a structure of what to include in your e-binder. You are required to show evidence for each of the items listed. The intern has: Z/_ - Provided a narrative on how you were compliant with the Academy Code of Ethics reviewed in Orientation and practiced in an ethical manner. _ ~ attended an Academy (state or local) meeting - enclose meeting agenda/name tag/handouts as evidence. Ifa meeting is not available during the rotation, list the date of the next available meeting that you will be attending. Over the course of the intemship you are to attend a membership meeting, board meeting and volunteer at a meeting. /_ - participated in a professional organization — provide Acadlemy Certificate as ‘evidence (Provide a narrative on the completed task and / or student role) also join local district of RD group. - Provided updated activity log including how this rotation helped you ‘meet any of your goals (developed using the Goal Wizard)Marywood University Scranton, Pennsylvania Department of Nutrition & Dietetics Checklist - Food Safety and Sanitation Maintain all entries and records in your electronic binder. Please have your preceptor sign below that satisfactory performance has been shown in the following areas. Enclose all pertinent material The aa submitted a Food Systems operation audit including a plan of correction with, appropriate action steps (During COVID you can complete this offsite in your home or another site and share results with your preceptor) - completed a time and temperature study (May not be possible during COVID). - performed a test tray evaluation (During COVID you can complete this offsite fe results with your preceptor). - presented an in-service training (During COVID this can be recorded and shared ith your preceptor) on the topic of: }YOw 40 some Cool Hol Focds /- sompleted a Lesson Plan inchuding measurable objectives XJ demonstrated knowledge and understanding of HACCP - reviewed MSDS material for chemicals used at the facility O[26|2o Preceptor signature DateMarywood University — Scranton, Pennsylvania Department of Nutrition & Dietetics Checklist - Purchasing, Receiving, Storage and Inventory Maintain all entries and records in your electronic binder. Please have your preceptor sign ‘below that satisfactory performance has been shown in the following areas. Enclose all pertinent material. ‘The intern has: 1 worked well with the food service employees and managers (During COVID this may be based off virtual interactions with preceptor) - completed an inventory (During COVID this may be done offsite or at “Another facility and reviewed with preceptor) = placed a food / supply order (During COVID this may be done offsite or at another Location and reviewed with the preceptor) - submitted a report on this area of food systems management Hoskun sk Le, Preceptor signatureMarywood University Scranton, Pennsylvania Department of Nutrition & Dietetics Checklist - Production and Service Systems Maintain all ents and records in your electronic binder. Please have your preceptor sign below that satisfactory performance has been shown in the following areas. Enclose all jest ti The We submitted a report on the Theme Meal Project, including: + Introduetion/explanation + Budgets + Production schedules + Standardized recipe (During COVID this may be done offsite in your home or another location and. shared with your preceptor including pictures and/or video. Ya eee xX completed a production schedule including HACCP principles z oe sensory evaluations possibly in conjunction with Theme meal - participated in taste panels possibly in conjunetion with Theme meal yas the facilities diet manual (During COVID this may not be possible) = completed the Menu Modification - Regular det provided - completed a manual analysis with values for all food items on the Regular diet. Heats Tedy ICS ta Proceptor signatureMarywood University Scranton, Pennsylvania Department of Nutrition & Dietetics Checklist - Quality Management / Productivity Maintain all entries and records in your electronic binder. Please have your preceptor sign bbelow that satisfactory performance has been shown in the following areas. Enclose all pertinent material ae articipated in various committee meetings (During COVID this may be virtual): 2 3 4 Z- participated in a PI study and presented results in department mangers (During pS foot: - completed a research project on: ‘Susieado ay 1° (Maybe the OM/PL topic presented data demonstrating ability create charts in MS Excel including formulas Z- completed productivity studies ~ displayed his / her ability to measure productivity oe this may be done virtually and with QM Committee also if possible). Preceptor signature lo DateMarywood University Scranton, Pennsylvania Department of Nutrition & Dieteties Checklist - Human Resources Maintain all entries and records in your electronic binder. Please have your preceptor sign below that satisfactory performance has been shown in the following areas. Enclose all Pertinent material. jewed the facilities Policy & Procedure Manual; including job descriptions and performance appraisals (During COVID this may be done with case studies) ‘ompleted the Human Resources Outline L. pcan en ene ean Dung COVE wt ay tbe sl) witnessed an employee evaluation (if not possible — reviewed a completed evaluation on file) Preceptor signature vMarywood University Scranton, Pennsy va Department of Nutrition & Dietetics Checklist - Financial Management and Employee Scheduling Maintain al entries and records in your electronic binder Please have yur preceptor sign below that satisfactory perfomance hasbeen shown inthe following areas. Enclose al petnen rostral ‘The intern has: Ve Z ;ompleted the financial management outline ~ completed a report on the facilities operating budget, ‘completed a Master Schedule Preceptor signature