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Georgia State University

Coordinated Program
Critical Care/Nutrition Support

student

Lo ,

Rotation oate
E=

1.
2.

Q,o(kJ-

Facility

{a*tL-L1 ,LolQ

Excels

M=

Preceptor

&rrld,fk'-^-s

Meets

Nl= Needs lmprovement DNM= Does Not Meet


NOO = No Opportunity to Observe

Apply evidence-based guidelines in the nutrition care process

using

Justify programs, products, services and care


appropriate evidence or data
3. Evaluate emerging research for application in dietetics
practice
4. Practice in compliance with the AND Scope of Dietetics
Practice, Standards of Professional Performance and Code of
Ethics for the Profession on Dietetics
5. Develop and demonstrate effective communication skills
maximize client education
6. Use effective education and counseling skills to
behavior change
7. Demonstrate aitive participation, teamwork and contributions
in group settings
&. Assign:patientiare activiHo DTRs and/or support '
personnel as appropriate.
Refer clients and patients to other professionals and services
when needs are beyond individual scope of practice scope of
practice.
10. Apply leadership skills to achieve desired outcomes.

to
facilitate

A
\-A
(9

M
M

1. Establish collaborative relationships with patients, caregivers,

physicians, nurses, and other health professional,


administrative and support personnel to facilities individual
goals.
12. Demonstrate professional attributes within various
organizational cultures.
13. Demonstrate negotiation skills

E
E

Nl
Nl
Nl
- NIf
Nl

E @ Nr
@ M Nr

DNM
DNM

NOO
NOO

DNM Noo
DNM Noo

DNM

DNM

DNM

NOO

DNM

NOO

DNM

NOO

DNM Noo
DNM Noo

@ M

NI DNM NOO

NI DNM NOO
NI DNM NOO

and O
A
l-/

M
M

Nl
Nl

14. Perform the Nutrition Care Process and use of standardized

nutrition language for individuals, groups, populations of


differing ages and health status in a variety of settings.
15. Demonstrate effective communication skills for clinical
customer services in a variety of formats.
16. Use current informatics technology to develop, store, retrieve
and disseminate information and

data.

Nl
Nl

A M Nr
O M Nl

M
M
@ M
' -@ -'- MO M

Gf^'[a t Cu

DNM

NOO

DNM

NOO

11114

Revised 9/15

Please comment on any N response you circled:

Additional comments or recommendations:

Preceptor's Signature/Date

Student's Signature/Dat

A,r*

+7,

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Georgia State University


Coordinated Program
Critical Care/Nutrition Support
Student
Rotation

Date 5&4^

tL-L1

Rate your satisfaction with the student's performance based on each of the following performance
indicators:

Nl = Needs lmprovement

U = Unacceptable

1. Prepared for rotation


2. Performed in ethicalmanner
3. tnterpersonalskills
4. A team player
5. Oralcommunication skills (clear and concise, professional,

MENIU
n
{
{
tr
,t
tr
n
diplomatic,"W
!
{

ME = Meets Expectation

respectful)
communication skills (clear and concise;
correct spelling and grammar)

6. Written

organized;

7. Technicalskills
8. Critical thinking/problem - solving skills
-g.Oiganizationalskilli---

10. Time management skills (completes work in a timely


11. Ability to work

independently
12. Punctuat
13. Dressed appropriately
14. Followed procedure of the facility
15. Contributions to the facility.

learning.
Numbers of days absent

16. Sought out opportunities for additional

Number of days tardy

manner

{
{
(
--aZ
{
@/
f
{
V
A/
q./

n
n
n
tr
tr

!
!

tr
_tr

tr

!
!
!

n
n
n

!
tr

!
!

Were hours made up?

lf not, why?

Signature of Preceptor
Signature of Student
11114

Revised 9/15

The Role of o-3 Fatty Acid supplemented


Parenteral Nutrition in Critical lllness in Adults:
A Systematic Review and Meta-Analysis
Aldrer.v i. Palmer, MB ChB, llScl; clemelt 1(. h'1. Ho, MBBS, PhD, FRCPathl;
Olan'unmi Ajibola, fufSct; Alison Ayenell, i\'iD,IVIBBS, FRCP, FRCPathL

tl"ffi=3

To determine wtletfier ttre supptementxlon of paren-

terd rerdixr with lu-3

rdy eits

conhrs

siti:a*f ila*#pdints"
llrta Samer We performed computerized

teaffistt

bemfits to

searches fer relevant

articles from 1996 to June 2O1 1 on MEDLINE, EMBASE and the


Gochrane register of conirolled trials and abstracts of scientific
meetiqgs lrorn 2OO5 to 2O"l t.
rlr3 turty acid
Randornireel wtholod tiab
patients adill
adult
in
criticalty
parcnteral
nubition
supplemented
their rotr
to
given
addition
in
therapy
unit,
intensive
to
the
mitted
fatty acid
tu-3
without
nutrition
parenteral
with
compared
care,
tine

ilf

s4pkrtarHln.

Sy,r$s*r

Five tully published trials and three trials published

in abstraet form with 3S1 Participants have been included'

Orcrdl

trial quality was poor. Mortali$ data were poo{ed from eight studbs uift 391 participanfs- No ffierences rvere loood wi*r a dsk
ratio for de#r ol O.8il {95h csrtrene iltnral O.57, 1'2O;
0.32). Data for infectior.rs complieations were availabie from five

p:

studies with 33? participants No differences were fourd, with


a risk ratio for inlection of O.78 (95% confidence intervat O'43'

Unil Universlty ol Abedeen' UK'


zDivision of Laboratory Medicine, University of Malaya Medicai Centre'
Kuala Lumpur, Malaysia
Supplemental digital content is avaitable for this article' Direet URL cita#.pp"rt in fle pinted ld ard ate ptollled- i" q? HTML ad PDF
ssims cxlt,*t **rie m t*re fierrd's I'Yb site {trt$;liasnau'lww'cor*
ccrnisrtnal)I Health Servicas Researctr

This work vras performed at the Health Services Researcfi UniN University
of Aberdeen.
Supported by lhe Heatth Servbes Research Uni! University of Aberdeen'

*ri'* n"a"a

by

fre Chie, scbnfid Ofu d *te Scr*tish Gcrersnert

tledth Direda"ates-

*. Haswdefrearid" csduted asdfdM pqo*im olfrc ft-

erature search, reviewed primary studies, and extracted stud data Dr' Flo,
extracted study data. Olawunmi Aiibola contribtrted to the developrnent of
the search skategy and condueted a signilicant proportion of the literature
search, Dr. Aveneit had the original idea developed the sarch strate{g'
s*acfed s*tdy eiq
co{dscied the searctr o{fhe conierence abffi'
revie*ed pirna*ysh:dieq ard ras *wohrcd in ihe erf,tirq ilf fte a'ffa
The authqs harre not disclosed any poEnfial corrflhts at isrercsi'
For information regarding this article, E-mait: aavenetl@abdn"ac'uk

-41 ;

p:

o31l- Daia for intensive therapy unii and hospital length

of stay nrere avail#e {rom six and rtree studbs *i*t 3O5 ard
11? pffticipantq respeclivdy. Urith respect to intemiue fierapy
unit length of stay, no differences rivse observed with a mean
(95o&
difference of O.5? days in favor of the or3 fatty acid group
reduction
confidence interval -5'o5. 3'9o; p: o'8o)' A signfficant
h hospltd lengtt of stay d gag @ls {9516 cor$dene interYd -16.51. -2'{?; p:9"966; vas &oeryed for ttce rcc*$ritg
nutrition, but results were
o-3 htty acid srppbmer*ed
sbongilyinffuerrced by one srnall

Cocfisklm On lhe

stu{-

basis of this systernatic review, h can be

erhded&d*Staty*fr! slryplemerUixrdpaer*erd re*itim


dos rd irprove $*othlity, iniectiors canflications, and intensive
ttreapy rnit length of stay in comparison with standard parenteral
nudio* Allhough *3 faQr aci*qappear to redrrce hmpitat leflgfh

rilay,

fre poor m#toddds/ d dre irc*:ded Eilt des ad fte


drlctrre inprouerterss nean lhey cdnot be

fure d ds

pre*n$y reconurrended. (Cnf Care 6ted 2A13;

Iry

rc

41

:307-316)

critical illness: meta-analysis; parenteraf nutrition; o-3

fafty acids

of
;r'-nritical illness can arise from a heterogerrecus grouphetthis
Despite
etiologies.
noninfectious
and
f.aio*
it
f]

\.*ierogeneity, many forms of critical

illness are character-

s:f,serok ingarmatory respoar syndrome {SIBS}' In


*ris.spdrorne, fu onrdkil rtspmse of drc imrmne qtffir is
lost aod uncontrolled release ofcytokines leads to
ized by

fu

sFtemic inflammation and widespr ad tissue inffi (1)' This


results in the cardinal signs of inflammation appearing at sites
ate

disant !o ee originalinsult and wi& it, the dinical cnsqrrnces


of or$n dysfunctioo {2)- Iatrr, 51gg b orylietd tf inulgruous imnrune supprasion' laviug patients vulnerable to sepsis'
Important secon&rF mediators of the SIRS indude &e
eicosanoid futty acids (FA), whih are derived from drc ar-6 FA,
GryyrigH O 2Of g bf fle Socic*y d Cdlicd Cae Medctole and Upptotcm
llWiarns &1/Vifi<ins
DOE I o.t

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