Checklist — Nutrition Screening and Assessment Maintain all entries and records in your binder. Please have your preceptor sign below that satisfactory performance has been shown in the following areas. Enclose all pertinent material. The intern has: v __ -completed assigned documentation on nutrition related problems or conditions _ - coordinated his/her caseload based on priority of need for patients residents assessed and ensure that appropriate follow up is achieved. (gee yar rat ve) A = completed documentation utilizing the Nutrition Care Process (NCP), including the development of the PES statements. -completed a minimum of 5 cases/documentation using electronic data retrieval and storage, 7 LZ -conducted monitoring activities (Follow-up, Supplement order, Diet change) referred patients residents to other professional as case required. \Z_ - observed a swallowing evaluation. A - participated in the development of the nutritional care plan for the multidisciplinary care meetings. (LTC Module 1 _- has submitted acceptable encounter forms for 1S uncomplicated cases has submitted acceptable encounter forms for 5 complicated cases /_ - completed documentation as per institutions Policy and Procedures, V/_- reviewed coding and billing procedures. Kindle (hove £0, LOM CwSe = Preceptor signature / date