Dietitian II, Gastroenterology, Hepatology and Nutrition - BC Children’s Hospital

Dietitian II, Gastroenterology, Hepatology and Nutrition

BC Children’s Hospital

Vancouver, BC

What You’ll do :

As a primary focus, provides nutrition care to patients, conducts nutrition screening and assessment of patients based on established standards and best practice guidelines, physical nutrition assessment, identification of relevant laboratory and other data.

Identifies relevant data through interviews with patient and / or family, collects anthropometrics data, conducts chart review, and participates in patient care rounds.

Uses advanced knowledge of disease processes to identify specific vitamin and mineral deficiencies. Uses advanced clinical techniques such as body composition analysis, and measurement of additional anthropometric parameters including Triceps Skin Folds (TSF), Mid-Arm Muscle Circumference (MAMC), and abdominal girth to interpret body composition as part of a comprehensive growth assessment.

Identifies nutrition diagnosis as appropriate.

Based on assessment and using a patient centred approach, develops disease specific and age-appropriate nutrition goals.

Calculates requirements for infant formula, modified oral diets, enteral and parenteral nutrition support, as appropriate.

Makes recommendations to the healthcare team regarding the nutrition support modality : oral, enteral, or parenteral, including time and rate of feeding.

Makes recommendations regarding diet order, formula selection, macronutrient adjustments, micronutrient supplementation and laboratory monitoring to the healthcare team.

In consultation with the patient / family, physician and other health care professionals as appropriate, monitors and evaluates patient response to the comprehensive nutrition care plan, including ability to achieve nutrition goals, tolerance to nutrition support through methods such as performing and reviewing additional anthropometric parameters, nutrient intake records, growth and gastrointestinal function.

Adjusts care plans including diet orders, macronutrient composition, micronutrient supplementation, infant formula, enteral and parenteral nutrition orders as required.

Consults with physicians, health care professionals and family as appropriate regarding the patient’s response to the nutrition care plan and ability to meet goals.

Makes recommendations to the team and / or family for changes or adjustments as required.

Documents the comprehensive nutrition care plan and recommendations at each stage of the nutrition care process in the patient health record according to established format and policy, time-lines, and legal requirements.

Documents nutrition support / diet order changes.

What you bring

• Bachelor’s degree in Dietetics or Nutritional Sciences from an accredited university. Graduate of an accredited Dietetic Internship Program, or equivalent education, training and experience as approved by the College of Dietitians of BC.
• Registration with the College of Dietitians of British Columbia with Restricted Activity A, B, and C as appropriate for designated patient / client population.
• Certification as a Nutrition Support Clinician by the National Board of Nutrition Support Certification, Inc.
• Completion of an advanced anthropometrics workshop or an equivalent combination of education training and experience
• A minimum of two years recent related pediatric clinical experience including nutrition support in an acute pediatric health care setting focusing on gastrointestinal disorders or an equivalent combination of education training and experience

You will also have :

• Advanced knowledge of nutrition management principles and medical nutrition therapy for acute and chronic disease states and clinical conditions relating to the designated patient / client population, including gastroenterology and hepatologic diseases, the macronutrient and micronutrient sequelae of disease and associated nutrition treatment therapies and modalities.
• Demonstrated ability to apply advanced clinical techniques such as advanced anthropometrics including TSF, MAMC for monitoring of patient body composition.
• Advanced knowledge of pediatric clinical nutrition theory and practice within a patient / client / family centered model of care for designated patient / client population.
• Advanced knowledge of ASPEN Standards of Care for Pediatric Nutrition Support and nutrition support practice guidelines, including knowledge of oral, enteral nutrition and parenteral nutrition as appropriate for designated patient / client population, and macronutrient and micronutrient manipulations for gastrointestinal and hepatological disease.
• Demonstrated ability to design, implement and monitor pediatric nutrition care plans including therapeutic diets delivered via oral , enteral and parenteral routes.
• Broad knowledge of the standards of practice established by the College of Dietitians of British Columbia.
• Commitment to develop knowledge and understanding of legislative obligations and provincial commitments found in the foundational documents including Truth & Reconciliation Commission’s Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan and Remembering Keegan : A First Nations Case Study and how they intersect across the health care system.
• Commitment to upholding the shared responsibility of creating lasting and meaningful reconciliation in Canada as per TRC (2015) and BC's Declaration on the Rights of Indigenous Peoples Act (2019).
• As a strong asset for consideration, we are looking for our successful candidate to have : Knowledge of social, economic, political and historical realities of settler colonialism on Indigenous Peoples and familiarity with addressing Indigenous-specific anti-racism, anti-racism and Indigenous Cultural Safety and foundational documents and legislative commitments (The Declaration Act, the Declaration Action Plan, TRC, IPS, Remembering Keegan, etc.).

What we bring

Every PHSA employee enables the best possible patient care for our patients and their families. Whether you are providing direct care, conducting research, or making it possible for others to do their work, you impact the lives of British Columbians today and in the future.

That’s why we’re focused on your care too offering health, wellness, development programs to support you at work and at home.

• Join one of BC’s largest employers with province-wide programs, services and operations offering vast opportunities for growth, development, and recognition programs that honour the commitment and contribution of all employees.
• Access to professional development opportunities through our in-house training programs, including +2,000 courses, such as our San’yas Indigenous Cultural Safety Training course, or Core Linx for Leadership roles.
• Enjoy a comprehensive benefits package, including municipal pension plan, and psychological health & safety programs and holistic wellness resources.
• Annual statutory holidays (13) with generous vacation entitlement and accruement.
• PHSA is a remote work friendly employer, welcoming flexible work options to support our people (eligibility may vary, depending on position).
• Access to WorkPerks, a premium discount program offering a wide range of local and national discounts on electronics, entertainment, dining, travel, wellness, apparel, and more.

Requisition # 168243E

As per the current Public Health Order, full vaccination against COVID-19 is a condition of employment with PHSA as of October 26, 2021.

What we do

BCCH) provides care for the most seriously ill or injured children and youth from across British Columbia.

BCCH is part of the Provincial Health Services Authority (PHSA).

The Provincial Health Services Authority () plans, manages and evaluates specialized health services with the BC health authorities to provide equitable and cost-effective health care for people throughout the province.

Our values reflect our commitment to excellence and include : Respect people Be compassionate Dare to innovate Cultivate partnerships Serve with purpose.

Learn more about PHSA and our programs :

PHSA and BCCH are committed to employment equity, encouraging all qualified individuals to apply. We recognize that our ability to provide the best care for our diverse patient populations relies on a rich diversity of skills, knowledge, background and experience, and value a safe, inclusive and welcoming environment.

One of PHSA’s North Star priorities is to eradicate Indigenous-specific racism, which includes dismantling barriers to health care employment at every level.

We welcome Indigenous individuals to apply and / or contact the Sanya'kula Team (Indigenous Recruitment & Employee Experience) for support at .

Indigenous-specific anti-racism initiatives are rooted in addressing the unique forms of discrimination, historical and ongoing injustices, and marginalization faced by Indigenous peoples.

These initiatives align with an Indigenous rights-based approach, recognizing the inherent rights and self-determination of Indigenous communities.

PHSA must uphold legislative obligations and provincial commitments found in the foundational documents such as including Truth & Reconciliation Commission’s Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan and Remembering Keegan : A First Nations Case Study.