Marywood University Scranton, Pennsy|vania Department of Nutrition & Dietetics Module 3 Checklist — Nutrition Screening and Assessment Maintain all entries and records in your binder. Please have your preceptor sign below that satisfactory performance was shown in the following areas. Enclose all pertinent material. The inge has: completed assigned documentation on nutrition related problems or conditions ~ coordinated his/her caseload based on priority of need for patients residents assessed and ensure that appropriate follow up is achieved. Z - completed documentation utilizing the Nutrition Care Process (NCP), including the Jes of the PES statements, -completed a minimum of 5 eases/documentation using electronic data retrieval and storage. 0 ES ea lab nn nics ag COMBE be Feviewed and provide a report in the c-binder) - referred patients residents to other professional as case required. / - gbserved a swallowing evaluation. (if not completed in LTC) - participated in the development of the nutritional care plan for the multidisciplinary care tings. ieee acceptable encounter forms for 15 uncomplicated cases has submitted acceptable encounter forms for $ complicated cases et / gompleted documentation as per institutions Policy and Procedures. reviewed coding and billing procedures. XY P9695 Bi Preceptor signature / date