Marywood University
Scranton, Pennsylvania
Department of Nuvrition & Diesetres
ment
Module 3 Checklist — Nutrition Screening and A:
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 materia
2 complied assigned documentation on nuion raed problems ar condtons
\Z_ - coordinated his/her caseload based on priority of need for patients residents
assessed and ensure that appropriate follow up is achieved.
= completed documentation utilizing the Nutrition Care Process (NCP), including the
development of the PES statements.
Z__ -completed a minimum of $ cases/documentation using electronic data retrieval and
storage.
Cee monitoring activities (may not be able to be completed during COVID. can be
eviewed and provide a report in the e-binder)
Z - referred patients residents to other professional as case required
ZZ, observed a swallowing evaluation. (if not completed in LTC)
\Z_ - participated in the development of the nutritional care plan for the multidisciplinary care
meetings
has submitted acceptable encounter forms for 15 uncomplicated cases
a as submitted acceptable encounter forms for 5 complicated cases
20mpleted documentation as per institutions Policy and Procedures.
reviewed coding and billing procedures.