What is NOT a restricted activity?

- Daily activities - Providing info for development - Drawing venous blood

What is nutrition support?

Therapy for disease/trauma-related metabolic abnormalities

What is enteral nutrition?

Feeding through GI tract, catheter, stoma

What are the 4 practice settings?

- Acute care - Chronic care - Inpatient/outpatient - Home care

Restricted activities: Tubes What 3 tubes can authorized RD's insert/remove

- Nasoenteric - Gastrostomy (G-tubes) - Jejunostomy (J-tubes)

Restricted activities: prescribing parental nutrition What type of drug can RD's prescribe?

Schedule 1 drugs for nutrition support - Can only prescribe as part of parenteral nutrition

T/F: authorized RD's can prescribe parenteral nutrition (IV nutrition)

True

T/F: RD's must be authorized to prescribe schedule 1 drugs after PN

False, must be authorized before PN

Do schedule 1 drugs require prescription?

Yes

What are schedule 2 drugs?

- Behind the counter - No prescription

What are schedule 3 drugs?

Sold in pharmacy area

Restricted activities: contrasting agents When and what kind of oral contrasting agents are used?

- Prescribe and administer oral barium contrast - ONLY during swallowing studies - only during MNT

What is MNT? Medical nutrition therapy

Assessment + treatment using nutrition therapy

T/F: Dieticians can distribute (without paying) scheduled drugs - What is the exception

True - Only for nutrition support or MNT - Schedule 1 drugs need prescription

Are nutritional supplements and enteral formulas restricted?

No, they are not drugs

Can RD's write prescriptions for schedule 1 drugs while unauthorized?

No

Do RD's need to be authorized to work with eating disorder clients?

No

What are the restricted and non restricted activities involved in swallowing assessments?

Restricted: dosing/administering barium Non-restricted: bedside dysphagia assessment

What are the emergency exceptions for restricted activities?

- To provide comfort - Stabilize someone

What are the 4 steps of the authorization process?

1. Notify 2. Competence development 3. Supervised training 4. Authorization

What is the notify step of authorization?

- RD's notify college BEFORE training - Complete forms - Name appear on college register before training

What is the competence development step of authorization?

- Ex: clinical, site-based education, exposure

What is the supervised training step of authorization?

- Must be supervised by authorized practitioner which can assist - Must be in approved internship - Must be onsite

What is the authorization step?

- Happens when competence is demonstrated and verified by pro - Practice permit issued