Medical Manager

Loraine R. Spreacker, RD

*** ******* *****

Lone Pine, CA 93545

Work: 702-***-****

********@*****.***

Objective

. To obtain a position as a full-time Registered Dietitian utilizing

my professional experience, training, internship, and education to

facilitate an improvement in the quality of life through better

nutrition that reflects a philosophy of dedication and professional

care.

Professional Experience

Registered Dietitian, Dietitians On Demand, Independent Contractor

Southern Inyo Hospital District

. Assess, treat, educate and write plans of nutritional care therapy

for a rural health Critical Access and Skilled Nursing Facility on

all residents and patients.

. Responsible for overseeing the interim Dietary Manager and all staff

of the Dietary Department.

. Serve as preceptor for the Dietetic Service Supervisor program

including instruction of nutrition therapy, management of

foodservice operations, human resource management, and sanitation.

. Development of Policies & Procedures for the Hospital that comply

with CMS, TJC, Title 22 and CAH regulations.

. Development of new weight procedures to assess and treat residents

with significant weight loss or gain.

. Responsible for managing the clinical nutrition of patients admitted

to both the ER and CAH acute beds.

. Responsible for managing all out patient nutrition counseling

including life cycle nutrition of pediatrics, prenatal and maternity

health, and geriatrics. Counseling on multiple diseases including

diabetes, ESRD, eating disorders, high school sports nutrition, and

weight loss.

. Developed QA and PI indicators for Dietary Department.

. Improved dietary compliance for MDS

. Successfully passed yearly state review with minimum tags.

Registered Dietitian, Marquis Care Centennial Hills: August 2010-present

. Assess, treat, educate and write plans of nutritional care therapy

for a Skilled Nursing Facility on all residents.

. Manage Dietary Department including the opening of the kitchen,

hiring staff, scheduling, setting up task lists, cleaning schedules,

budgeting and ordering, in service of facility staff, food handling,

and labor hours.

. Coordinated and lead interdisciplinary resident weight meetings

designing appropriate nutritional interventions and strategies for

weight loss.

. Charged with organizing all special events for Holidays, monthly

resident dinners, and promotional dining events.

. Charged with ensuring all nutritionally pertinent information is

noted on the Minimum Data Set and Care Area Assessments are accurate

and timely.

. Solely responsible for maintaining and evaluating procedures for

dietary and the clinical nutrition department for all regulatory

agencies including state and federal.

. Work daily with the interdisciplinary team to ensure residents

receive optimal nutritional care.

. Modify and analyze s corporate menu to better fit the needs of the

resident population.

. Opened the facility implemented several policies and procedures for

the dietary department.

Registered Dietitian, Spring Valley Hospital Medical Center: April 2008-

August 2010

. Assess, treat, educate and write nutritional therapy plans for

neonatal through geriatrics of a 200 bed facility, including

coverage at Summerlin Hospital Medical Center's pediatric unit.

. Solely responsible for the education, calculation of estimated

nutritional needs, actual intake, cultural preferences, dietary

restrictions and drug-nutrient education of patients on all units

including ICU, IMC, Medical Surgical, Surgical and Rehabilitation.

. Responsible for nutritional assessments and writing plans of care in

a Neonatal Intensive Care Unit. Counseling for at-risk mothers on

nutrition for breastfeeding, gestational diabetes, hyper emesis, and

prenatal nutrition. Specialized training in the level III NICU

through classes and hands-on experience at Valley Hospital Medical

Center.

. Training and utilization of the Nutrition Care Process, JCAHO

requirements and Medicaid reimbursement for medical nutrition.

. Experience in a wide variety of pathological processes needing

medical nutrition intervention.

. Responsible for writing and evaluating all total parenteral

nutrition (TPN) orders based on current lab values. Ability to

assess and recommend appropriate strategies for nutritional support.

. Ordering and maintaining PAR levels of all nutritional supplements

and enteral products.

. Conducts kitchen staff training and in-services on various diet

therapies. Training and informational dissemination to Hospital

staff, visitors, and Senior Advantage through monthly nutrition

board, staff meetings, speaking engagements, vent rounds, and weekly

rehabilitation team conferences.

. Adheres to policies and procedures, and responds to all Dietitian

consults from physicians and nursing within a timely manner per

policy & procedures.

. Ability to effectively communicate in a multi-disciplinary setting.

. Ability to prioritize and self manage time.

. Proficient with Microsoft Office, Explorer, obtaining online

articles and research and clinical electronic charting.

Registered Dietitian, Fresenius Medical Care Albuquerque Kidney Center:

February 2007-June 2007

. Worked as a renal dietitian ascertaining diet history (examining

patient's normal pattern of food intake), reviewing blood results to

determine if change in diet was necessary, and then building an

appropriate diet. Looking for changes which may indicate the need

for dialysis and supplemental beverages or food.

Related Work Experience

Dietetic Internship, University of New Mexico: August 2004-May 2005

. Community Rotation (August 2004-October 2004): Center's for Disease

Prevention & Health Promotion. Worked with the Healthy Path's

research project educating Navajo Elders regarding healthy nutrition

and physical activity within the Navajo Nation.

. Clinical Rotation (November 2004-January 2005): Heart Hospital of

New Mexico. Instructed patients and their families and/or caretakers

on heart-healthy nutrition. Instruction included: reducing sodium

and coordinating nutritional intervention for patients.

. Food Service Rotation (January 2005-April 2005): La Vida Llena

Retirement Center. Worked with a culturally diverse group of people

utilizing and improving my management and food operation skills.

. Enrichment Rotation (April 2005-May 2005): ARCA. Assessed

individuals with developmental disabilities including those with

Prader Willi's Syndrome. Responsibilities included: instructing

staff to provide nutritional meals to the residents. Developed a

dysphasia clinic handout.

Minority International Research Training, University of New Mexico: June

2003- August 2003

. International research training in Jos, Nigeria. Program: Nutrition

in Fulani Village Children (ages 0 - 12). Purpose: Cooperative

program to provide undergraduate students an opportunity to work

with Nigerian patients and villagers.

. Responsibilities included: gathering and recording data on the

anthropometric and dietary consumption of the Fulani village

children. Traveling and interacting with the people of the Fulani

Village.

. Responsible for assessing data through Esha's The Food Processor

software.

Education

. University of New Mexico: 1995-2005

. New Mexico Technical Institute: 1999-2001

. Bachelors of Science in Nutrition/Dietetics: May 2004

. Dietetic Internship: May 2005

. Applied credits towards a Master of Science

Certifications

. Registered Dietitian (RD) #91723: February 2007

. ServSafe Food Protection Manager Certification: April 2009

Membership

. American Dietetic Association: May 2005

. Kappa Omicron Nu Honor Society: September 2001

Honors

. New Mexico Tech Transfer Scholarship: 1999

. University of New Mexico Nutrition/Dietetics Departmental

Scholarship: 2004

. References Available Upon Request

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