Raquel B. Monroe, RD
CCS Paneled Registered Dietitian
Orangevale, CA 95662
Cell Phone: 916-***-****
Profile: Experienced in various aspects of routine and intensive nutritional assessments. Demonstrates skills in supervision, problem solving, planning and organization, communication, decision-making and interpersonal relations. Experienced in public speaking, dietetic internship precepting and nutrition education. A dedicated, responsible and versatile leader and team player. Proficient in the use of electronic medical record and Nutritionist Pro calorie count software.
Professional Work History:
Clinical Dietitian, Dietary Department
Full time position from January 2014 to present
ROSEVILLE CARE CENTER, Roseville, CA
Conducts initial screening and full assessments on all residents, which included rehabilitation, diabetic status, renal patients on dialysis, patients on tube feeding and TPN and a wide spectrum of patients with significant medical problems.
Attends interdisciplinary team conferences and interfaces effectively with other team members.
Plan menus, approves therapeutic diets and ensures patients’ needs/desires were met.
Ensures that the Nutritional Services Department met regulatory and budgetary guidelines at all times.
Provides staff training to nursing and dietary staff and participates in quality assurance activities.
Conducts sanitation inspection on a regular basis to meet State and Federal Regulatory standards
Leads weight variance meetings conducted weekly.
Develops patient care plans and updates changes as needed.
Ensures therapeutic diets are adhered to by residents and recommends diet liberalization to facility Medical director.
Acts as preceptor to Dietetic Interns
Since employment in 2014, has achieved below benchmark of 7% for weight losses in a facility with an average census of 170 residents. Average weight loss prior to being hired was 15%; upon employment, average weight loss was down to 2-5%.
Clinical Dietitian, Nutritional Services
Full time position from October 2006- December 2013
SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIFORNIA
Responsible for the development of appropriate nutritional care plans for pediatric population with spinal cord injury, orthopedic problems, burn injuries and plastic surgeries. This includes assessment, nutrition support (Enteral and parenteral) services and diet education to patient and families. Evaluates the effectiveness and measures progress towards outcomes of medical nutrition therapy interventions.
Provided timely and appropriate documentation of nutrition care plan in patients’ electronic medical records.
Active participant in clinical multidisciplinary rounds. Works effectively and collaboratively with the medical staff which includes Chief of Staff, Residents, Fellows, Nurses and other members of the team. Works cooperatively with the Nutrition Department to assure conformance of prescribed diet and restrictions.
Planned, approved and modified diets for the pediatric population.
Provided nutrition counseling in the Outpatient clinic and adapted teaching methods to meet patient needs.
Performed management duties in the interim during the period of December 2010 through December 2013. Managed daily operations for all aspects of the Nutritional Services Department.
Assisted with the development and planning of department budget for Fiscal Year 2013.
Provided leadership for 15 employees and provided in service training with staff members.
Developed policies and procedures and updating Policy and Procedure Manual.
Assisted the Nutritional Services Manager in the implementation of JCAHO and Title 22 regulations.
Developed and implemented a variety of community outreach programs and is a presenter in conferences provided by the Shriners Hospitals for Children.
Designed and develops educational materials.
Responsible for conducting tray audits and sanitation inspections of the kitchen.
Managed the diet clerks and assists the Manager with day to day operations.
Maintained registration with the Commission on Dietetic Registration and maintains 75 hours continuing education units.
Presenter in Conference for School Nurses in October 2011
Consultant Dietitian: Full time position from October 1997- October 2006
Provided nutritional services consultation to multiple freestanding skilled nursing rehabilitation facilities for the elderly in the greater Sacramento area, Auburn and Placerville through employment with RDS for Healthcare. Functions included:
Audit diet orders to ensure conformity with diagnosis, facility policy and adherence to enteral and parenteral feeding formulas.
Make recommendations to physicians and facility staff as appropriate.
Maintain clinical documentation on all nutritionally at risk and peripheral/total parenteral nutrition dependent residents.
Review Nutritional Services’ Supervisors initial assessment and screening.
Review MDS and care plan entries for accuracy, completeness and consistency.
Prepare, revise and implement policies and procedures regarding quality assurance issues in compliance with State, Federal and JCAHO requirements as needed/requested.
Conduct sanitation and safety inspections or a regular basis to ensure quality issues. Conduct monthly in services training to Dietary Managers, cooks and diet aids on issues affecting food handling, food borne illness and proper storage and thawing of foods.
Clinical Dietitian: Full time position from April 1996-September 1997
Supervised Nutritional Services Department in a predominantly private-pay,120 bed skilled nursing, rehabilitation and assisted living campus. Activities included:
Conducted initial screening and full assessments on all residents, which included rehabilitation, diabetic status, renal patients and a wide spectrum of patients with significant medical problems.
Attended interdisciplinary team conferences and interfaced effectively with other team members.
Planned menus approved therapeutic diets and ensured patients’ needs/desires were met.
Ensured that the Nutritional Services Department met regulatory and budgetary guidelines at all times.
Provided staff training to nursing and dietary staff and participated in quality assurance activities.
Corporate Clinical Dietitian: Full time position from September 1994-March 1996
COUNTRY VILLA HEALTH SERVICES
Provided consultant dietitian services to ten associated freestanding skilled nursing services.
Clinical Dietitian: Full time position from May 1994-September 1994
COUNTRY VILLA NURSING AND REHABILITATION CENTER
Provided Registered Dietitian services on a full time basis to a 180 bed skilled nursing and rehabilitation facility with multiple levels of patient complexity including post-op arthroplasty, ventilator dependent, end stage renal disease on dialysis, and enteral/parenteral feedings. After 6 months, was promoted to the position of Corporate Clinical Dietitian.
Education and Affiliation
Bachelor of Science in Nutrition and Dietetics
Registered Dietitian, State of California, 1994
Commission on Dietetic Registration, Registration #825844
CCS Paneled RD
References Available Upon Request