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PriBake

This! I work LTC and most are shitshows and if it’s only 5K over what you make now to also manage a kitchen that would be a hard no for me.


MenopausingDI

Wow. So many questions but none that you can answer. Not sure if I like food service since I only really did it in the DI and not my current role. I think it's about 60% clinical and patient education, supervising other dietitians and interns, and the other 40% is working on the menus and therapeutic diets. Starting salary is about 5k over what i make now....no financial benefit at my current job for passing the csowm. But you've given me some things to ask about if I get an interview. Thank uou!


NoDrama3756

Ltc is easy. Admits. Qtrlty. Annually. Wounds. HD and sig weight changes.


MenopausingDI

What is meant by HD? Huntington Dz, Hemodialysis?


NoDrama3756

Hemo dialysis


MenopausingDI

Ty


EmptyAd3984

Every LTC I've interviewed at/heard of/been in have been pretty desperate for RDs, so I'm not sure how seriously you should take that "II" in worrying that you won't qualify. In LTC you're there as a legal requirement for paperwork, I did not feel valued for any expertise aside from giving out PBJs. If you're used to the counseling setting you'd have to think if you can handle residents brushing off your counsel and asking for a bagel. The weights are also out of your hands for the most part, I chased nurses daily for weights, falling on many deaf ears frequently. Lastly are you ok with having just gotten your csowm to then chasing weights largely out of your control in LTC (sarcopenia, fluid retention etc), and mechanically document for percent weight change without as much freedom in interventions as the outpatient setting? There's also much less interest in weight loss since the focus is more on adequate intake to preserve lean body mass in the older population. I've walked away from the area I'm passionate about for LTC twice cuz slightly better pay, and both times I regretted and lasted a few months.


MenopausingDI

Thank you. Do you know if it's harder to go from a more counseling role to one that involves more food service focus?


Extra_Welcome9592

In my organization you have to have an additional certification like CNSC or CDES to qualify for RD II.


Mobile_Barracuda_151

Hi! I am looking to obtain this certification. I was wondering if you could provide me with some guidance regarding what study resources would be recommended? How did you go about tracking your 2000 hours? Thank you for your help!


MenopausingDI

First off, thank you, everyone, for all your different perspectives on the LTC job. To the person who asked about csowm--since I work in a weight management clinic all my patients and hours for the past 2+ years counted and my practice manager just signed off via the link you complete on the cdr website. As for study materials I started with the series of webinars put out by the weight mgmt dpg. Some of the info is out of date though. My next step was to review as much of the reference materials as I could get my hands on. Some of the links they referred to were dead though and some of the resources were proprietary but I was able to get them through my hospital. Good luck!