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Re: Nutrition Assessments

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We do not accept " outside " education or nutrition assessments. We are a

COE, and require that patients see our RD for an assessment AND attend

our pre-surgery education series. We have found that, despite the

claims of many patients changing centers, they tend not to be educated

nearly to the extent that we expect. Once patients get going in our

program, they seem much more accepting that they didn't know as much as

they thought they did.

ValleyCare Health System

>>> Amy.Long@... 06/20/08 9:59 AM >>>

Has anyone been in a situation where the nutrition assessment was

cancelled because the pt had had some " education " elsewhere? I'm not

sure if COE demands this or not but it seems that every pt should be

screened/assessed by the RD for approval prior to surgery for many

good

reasons. Please advise/comment.

Thanks!

Amy Long Carrera MS, RD

Clinical Dietitian

Northridge Hospital Medical Center &

Center for Weight Loss Surgery

Northridge, CA

Amy.Long@...

818-885-8500 x4034

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Thank you for your response. I agree with you whole-heartedly. Unfortunately, the resistence comes more from the administrators of the center, not the pts!

Amy Long Carrera MS, RD Clinical Dietitian Northridge Hospital Medical Center & Center for Weight Loss Surgery Northridge, CA Amy.Long@... 818-885-8500 x4034

From: [mailto: ] On Behalf Of PeriouSent: Friday, June 20, 2008 11:25 AM Subject: RE: Nutrition Assessments

Amy: Even if a patient has seen a bariatric dietitian through another program, it is mandatory for them to meet with me prior to surgery at our facility. I tell these patients that our visit will be a refresher course on the diet/vitamin protocol and also to give them additional information that our program offers. They usually have no objections. I find that in some cases the patients are well-prepared from the other program and ready to go, however, most patients admit after our visit that they are glad they met with me because they really didn't remember everything from the other program. PNew Orleans, LA

From: Amy.LongCHW (DOT) eduDate: Fri, 20 Jun 2008 09:59:41 -0700Subject: Nutrition Assessments

Has anyone been in a situation where the nutrition assessment was cancelled because the pt had had some "education" elsewhere? I'm not sure if COE demands this or not but it seems that every pt should be screened/assessed by the RD for approval prior to surgery for many good reasons. Please advise/comment.Thanks! Amy Long Carrera MS, RD Clinical Dietitian Northridge Hospital Medical Center & Center for Weight Loss Surgery Northridge, CA Amy.LongCHW (DOT) edu 818-885-8500 x4034

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Each program has its own informed consent protocols. I would not

accept another program's assessment because I don't know whether it

meets our protocols. Failing to do my own assessment places us at

risk for lawsuits. That should be reason enough for your program.

Connie , MS, RD, LD

>

> Has anyone been in a situation where the nutrition assessment was

> cancelled because the pt had had some " education " elsewhere? I'm not

> sure if COE demands this or not but it seems that every pt should be

> screened/assessed by the RD for approval prior to surgery for many

good

> reasons. Please advise/comment.

> Thanks!

>

> Amy Long Carrera MS, RD

> Clinical Dietitian

> Northridge Hospital Medical Center &

> Center for Weight Loss Surgery

> Northridge, CA

> Amy.Long@...

> 818-885-8500 x4034

>

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