Job description for a dietary nurse

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Job description for a dietary nurse. Full document

Occupational Safety and Health

Occupational Safety and Health / Job descriptions

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I. General Provisions

This Job Description defines the job duties, rights and responsibilities of a dietary nurse.
A person with secondary medical education and appropriate training in the specialty “Dietetics” is appointed to the position of dietary nurse.
The dietary nurse should know:

fundamentals of health care legislation;
legal documents regulating the activities of healthcare institutions;
structure, main aspects of the activities of health facilities;
safety regulations;
fundamentals of labor legislation;
rules of internal labor regulations;
rules and norms of labor protection, safety measures, industrial sanitation and fire protection.

In her specialty, a dietary nurse should know:

fundamentals of dietetics as an independent clinical discipline;
tasks, organization, structure, staffing and equipment of the nutrition service;
current legal and instructive and methodological documents in the specialty;
rules for issuing medical documentation;
principles of planning activities and reporting of nutrition services;
methods and procedures for monitoring its activities.

A dietary nurse is appointed and dismissed by order of the head of the institution in accordance with current legislation.
The dietary nurse reports directly to the dietitian.

II. Official duties

Monitors the operation of the catering unit and compliance with the sanitary and hygienic regime.
Checks the quality of products when they arrive at the warehouse and kitchen, monitors the correct storage of food supplies.
With the participation of the production manager (chef) and under the guidance of a nutritionist, he compiles a daily menu layout in accordance with the dish card index.
Performs periodic calculations of the chemical composition and calorie content of diets, monitoring the chemical composition of actually prepared dishes and diets (content of protein, fat, carbohydrates, vitamins, minerals, energy value, etc.) by selectively sending individual dishes to the laboratory of the state sanitary and epidemiological inspection center.
Controls the stocking of products and the release of dishes from the kitchen to the departments, according to received orders, and carries out rejecting of finished products.
Monitors the sanitary condition of dispensing and canteens at the departments, equipment, utensils, as well as the observance of personal hygiene rules by dispensing employees.
Organizes training sessions with paramedics and kitchen staff on clinical nutrition.
Monitors the timely conduct of preventive medical examinations of catering workers and prevents persons from working who have not undergone a preliminary or periodic medical examination.
Prepares official documentation in the prescribed manner.
Qualified and timely executes orders, orders and instructions of the management of the institution, as well as legal acts on his professional activities.
Complies with the rules of internal regulations, fire safety and safety, sanitary and epidemiological regime.
Promptly takes measures, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors.
Systematically improves his skills.

III. Rights

The dietary nurse has the right to:

make proposals to the management of the health care facility to improve the work of the catering department, incl. on issues of organization and conditions of their work;
control the work of catering workers, give them orders within the framework of their official duties and demand their strict execution;
request, receive and use information materials and legal documents necessary for the performance of their duties;
take part in scientific and practical conferences and meetings at which issues related to its work are discussed;
pass certification in accordance with the established procedure with the right to obtain the appropriate qualification category;
improve their qualifications at refresher courses at least once every 5 years.

IV. A responsibility

The dietary nurse is responsible for:

performance of the duties assigned to it;
organization of their work, timely and qualified execution of orders, instructions and instructions of the management, regulatory legal acts on their activities;
compliance with internal regulations, fire safety and safety;
timely and high-quality execution of medical and other official documentation provided for by the current regulatory documents;
providing, in accordance with the established procedure, statistical and other information on its activities;
prompt action, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors.

For violation of labor discipline, legislative and regulatory acts, a dietary nurse may be subject to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.

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All people age differently, some faster, some slower, but, taken as a whole, signs of old age appear in everyone at about the same age. With one exception: in the event that a person is sick with progeria, he begins to age extremely early. This disease has two variants, children's and adults, children's is called Hutchinson-Gilford syndrome, adult - Werner's syndrome.

Children with progeria suffer from diseases characteristic of old age: thinning and wrinkling of the skin, baldness, cardiovascular diseases, lipid metabolism disorders, atherosclerosis, joint problems, etc. They have a sharp slowdown in growth and develop a characteristic appearance: large head, small pointed face, underdeveloped lower jaw. On average, patients with a childhood form of progeria live no longer than 12-13 years.

People with adult progeria live longer, but they also experience age-related changes much earlier than usual - in their 20s, hair begins to gray and fall out, by the age of 30, cataracts, osteoporosis, and other diseases, such as diabetes, develop, and usually a person with Werner's syndrome does not live past 60 years of age. It is known that, at least in the severe form, much of the same molecular changes occur in the cells as during normal aging, so if we find a way to slow down progeria, it may give us a tool against aging in general.

The secrets of the disease could be understood by observing the stem cells that were obtained from sick people. Some time ago, researchers from the Salk Institute for Biological Research were able to turn the skin cells of children with Hutchinson-Gilford syndrome into an analogue of embryonic stem cells, the so-called induced pluripotent stem cells. Further, it was possible to experiment with them, finding out what was wrong in the stem processes in patients with progeria. But when they tried to do the same with the cells of patients with Werner's syndrome, nothing came of it - their cells were too damaged by the disease to withstand a return to the stem, undifferentiated state. Then Juan Carlos Izpisua Belmonte (Juan Carlos Izpisua Belmonte), along with colleagues from the Chinese Academy of Science and Peking University, took a different path - they modeled progeria in initially healthy cells.

It is known that Werner's syndrome is accompanied by mutations in the WRN gene, which is involved in the processes of DNA copying and repair. And so, in order to create a model of the disease, the researchers simply broke this gene in stem cells from a human embryo. Embryonic cells in the course of development turn into more specialized varieties, which in the future can give rise to one or another tissue - for example, into mesenchymal stem cells, the "ancestors" of adipose tissue, cartilage and bones. In an article in Science, the authors write that when stem cells with a non-functioning WRN gene turned into mesenchymal ones, they immediately began to age dramatically: a lot of damage accumulated in their DNA, they stopped dividing, and, finally, their telomeres were greatly shortened. This is the name of the ends of chromosomes, which, when copying DNA, protect genes from damage associated with the peculiarities of the work of the protein copier. Telomeres shorten with each cell division, and therefore they are considered something like a molecular clock that measures the lifespan.

However, cells with Werner's syndrome had another feature that most of all attracted the attention of the authors of the work. It is known that DNA in the cell nucleus is in complex with proteins. Some of them perform some kind of ongoing work on certain genes (for example, they synthesize RNA), while others play a structural role, maintaining rather large fragments of chromosomes in a packed state. The packaged, structured portion of DNA is called heterochromatin. And it turned out that in sick cells there is very little heterochromatin - in other words, DNA with Werner's syndrome comes to a free, "disheveled" state.

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