Clinical Pediatric Dietitians 2010 Accomplishments

1. December 15, 2010 Clinical Pediatric Dietitians2010 Accomplishments sodexoUSA.com

2. Our Role: The pediatric dietitians are licensed, registered experts who ensure that patients achieve optimal growth and nutrition status. Utilizing a unique skill set, the pediatric dietitians meet the hospital standards and goals through service, education, research, and clinical expertise.

3. Pediatric Dietitian Staff Cecilia McMillan Level 2 Nursery Pediatric & Infant/ Toddler General/Surgery Carrie Finch Jennifer Franks Lauren Whiteside Inpatient Manager Ketogenic Program Katherine Boyce Outpatient Manager Endocrine Pediatric ICU Cardiac ICU Metabolic Inpatient Neonatal ICU Hem/Oc

4. Presentations, State/ Regional • Carrie Finch presented improvement poster at VON collaborative meeting in Austin, TX entitled: “Optimizing Nutrition at Birth for very low-birth weight infants.” Carrie also presented on neonatal nutrition initiatives to Pediatric Grand Rounds & Sodexo networking call • Cecilia McMillan presented improvement poster at VON collaborative meeting in Minneapolis entitled: “Optimizing Enteral Nutrition in very low-birth weight infants.” • Jennifer Franks presented at MASPEN on Pediatric PN Writing 101 • Lauren Whiteside presented on diet therapies for epilepsy at the 1st Epilepsy Bootcamp and Sodexo networking call • Katherine Boyce interviewed by Abbott on nutrition therapy for GI disorders for international conference

5. Board Certifications • Jennifer Franks renewed her certification as Certified Nutrition Support Clinician (CNSC) which is required every 5 years. • Katherine Boyce achieved Certified Diabetes Educator (CDE) • Lauren Whiteside earned her Board Certification as a Specialist in Pediatric Nutrition (CSP)

6. Publications • Carrie Finch • Fluid, Electrolyte, and Nutrition: Minutes Matter manuscript published in Advances in Neonatal Care journal • Katherine Boyce • Keeping Young Bones Healthy: Dietary Treatement of juvenile osteoporosis published in Therapy Times magazine • Lauren Whiteside • Chapter, Diet Therapies for Epilepsy published in Handbook of Epilepsy: Diagnosis & Management

7. Awards & Recognition • Jennifer Franks recognized for decade of clinical service to Sodexo Health Care • Jennifer Franks received nomination from CTDA for Outstanding Dietitian of the Year • Cecilia Kennedy received SVP Special Recognition Nominee for developing ‘Sodexo’s Star Chef Club’

8. Best Practices • Nutrition for patients with metabolic disorders • Jennifer Franks • Developed admission guidelines and worked with CORAM to obtained specialized AA for PN • Attended Metabolic University in Denver, CO • Nutrition for Infants with Chyle Leaks • Jennifer Franks • Skimmed breast milk • Enfaport- approved by WIC in SC • Resident/ Fellow training: writing parental nutrition orders • Pediatric Dietitian Internship • Jennifer Franks & Cecilia McMillan • Jennifer provided interns with notebook of pediatric nutrition information • Boot camp provided to prepare interns for rotation

9. Best Practices • Pediatric Dietitians’ Lunch & Learns • Carrie Finch • Topic presented to pediatric dietitians over lunch meeting each month with the goal to enhance specific clinical pediatric skills • Outcome: Improved standard of nutrition care provided when covering each specialty area of pediatrics and enhance RD confidence in all aspects of pediatric/ neonatal nutrition practice • Neonatal Nutrition • Carrie Finch presented at the following: • Feeding conference • Charleston Area WIC • Neonatal-Pharmacology conference • Lectures for Nurse Practitioner & Resident on PN writing

10. Vermont Oxford Network (VON) • With the VON nutrition initiative, the percent of VLBW infants avoiding extrauterine growth restriction at discharge is 7-10%, decreased from 35% in early 2009 • Potential Best Practices being used at MUSC: • Monitor nutritional intake and nutritional outcome measures into medical management of prematures infants. • Start parenteral nutrition (PN) soon after birth, with amino acids within two hours and lipids within 24 hours of birth, in infants < 1.5 kg. • Promote and use human milk as the preferred nutritional substrate for premature infants • Implement feeding guidelines which include early trophic feeds, an algorithm for managing residuals, and systematic advancement for infants < 1.5 kg. • Supplement human milk with additional protein, calories, minerals, and micronutrients to achieve at least 3.5 grams/kg/day of protein delivery and adequate growth. • Promote post-discharge breastfeeding with appropriate nutrient fortification.

11. Patient Experience • Sodexo’s Star Chef Club • Cecilia (Kennedy) McMillan • Child referred from Child Life or Pediatric Dietitian to have chef come to bedside to allow child to participate in preparing his or her meal. Each child receives a chef hat & apron • Ketogenic Cooking • Lauren Whiteside • To enhance the palatability of the diet, Nutricia sponsored Chef Neil Pallister-Bosomworth, a chef from the United Kingdom, to design carbohydrate-rich foods that are compatible with the diet. Tours are conducted in the United States to teach families how to prepare delicious ketogenic recipes.

12. GrowthNeed for additional pediatric dietitians • Dietetic Internship • Accepted 2 additional interns • Each intern spends 2 weeks with the Pediatric Dietitians • Metabolic Services • Clinic coverage one ½ day per week • Cardiology Services • Round daily with medical team • Participate in research, National Pediatric Cardiology QI Collaborative • Neonatology Services • Member of Neonatal division groups: Evidence & Value, the Vermont Oxford Network • Oncology Services • Clinic coverage one ½ day per week

13. 2011 Goals • Master’s and Board Certifications • Vermont Oxford Network: • Discharge nutrition • Access program • Feeding protocol with Pediatric Cardiology ICU • Sodexo Clinical Expert Update (CEU) program • Wellness and You® • Interface CPOE/McKesson and Health Touch • SharePoints

14. Thank you for your support for nutrition services!