DTR information source - Dietetic Technician Registered Updated: 2024
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Exam Code: DTR Dietetic Technician Registered information source January 2024 by Killexams.com team
DTR Dietetic Technician Registered
The Dietetic Technician Registered (DTR) exam, also known as the DTR exam, is a certification exam administered by the Commission on Dietetic Registration (CDR). It is designed to assess the knowledge and competencies of individuals aspiring to become Registered Dietetic Technicians. The exam evaluates the candidates' understanding of nutrition and dietetics principles, food service operations, and patient care. This description provides an overview of the DTR exam.
The course for the DTR exam covers a comprehensive range of subjects related to nutrition, dietetics, and patient care. The course outline may include the following:
1. Basic Sciences:
- Anatomy and physiology
- Biochemistry and metabolism
- Microbiology and food safety
- Nutrient digestion, absorption, and metabolism
2. Nutrition Assessment and Planning:
- Dietary assessment and analysis
- Nutrition assessment techniques
- Medical terminology related to nutrition
- Nutritional needs across the lifespan
3. Medical Nutrition Therapy:
- Medical conditions and nutrition implications
- Nutritional interventions for chronic diseases
- Nutrition support and enteral feeding
- Diet modifications for specific health conditions
4. Food Service Operations:
- Food safety and sanitation
- Menu planning and recipe modification
- Food production and quality control
- Foodservice management and operations
5. Counseling and Education:
- Communication and counseling techniques
- Behavior change theories and strategies
- Health promotion and education
- Cultural and social considerations in nutrition counseling
The DTR exam objectives cover the following areas:
1. Nutrition Care for Individuals and Groups
2. Foodservice Systems
3. Management of Food and Nutrition Programs and Services
4. Principles of Education and Training
5. Research and Quality Improvement
The DTR exam syllabus includes specific subjects within each of the exam objectives mentioned above. It may cover areas such as:
- Nutrition assessment and screening
- Menu planning and modification for dietary needs
- Medical nutrition therapy for various health conditions
- Food safety and sanitation practices
- Foodservice operations and management
- Counseling techniques and patient education
- Research methods and evaluation of nutrition interventions
- Quality improvement processes in healthcare settings
|Dietetic Technician Registered
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Dietetic Technician Registered
A hospital coffee shop has monthly sales of $26,892. The coffee shops monthly
expenses are as follows: Cost of sales = $10,825 Salaries = $8,597 FICA = $2,150
Supplies = $1,975 Utilities = $2,345 What is the coffee shops profit margin for
The coffee shops profit margin for the month is 4%, as calculated below: Net
profit = monthly sales - (cost of sales + salaries + FICA + supplies + utilities) Net
profit = $26,892 - ($10,825 + $8,597 + $2,150 + $1,975 + $2,345) Net profit =
$1,000 Profit margin = net profit / sales Profit margin = $1,000 / $26,892 Profit
margin = 0.037 0.04 = 4%
The requirement for dietary sodium:
A. Has been well-established through use of dose-response trials
B. Is higher among pregnant women than non-pregnant women
C. May vary with physical exertion and health status
D. All of the above
The requirement for dietary sodium may vary with physical exertion and health
status, increasing with exercise and some metabolic disorders such as cystic
fibrosis. Sodium needs in the general population are not well understood, and
there is insufficient evidence to suggest that they are higher among pregnant
versus non-pregnant women.
Dietary zinc may promote wound healing by which of the following mechanisms?
A. Promotes epithelial cell differentiation
B. Reduces the inflammatory response
C. Prevents oxidation of lipids in cell membranes
D. Increases collagen synthesis
Dietary zinc may promote wound healing by increasing collagen synthesis at the
site of the wound. Collagen synthesis is essential for tissue repair.
Low-salt syndrome may be caused by:
A. Extreme sodium restriction due to congestive heart failure
B. Decreased glomerular filtration rate
C. Adrenal gland insufficiency
D. All of the above
Low-salt syndrome is occasionally seen in individuals with congestive heart
failure who are being treated with severe sodium restriction. It may also be caused
by decreased glomerular filtration rate in renal disease, and by adrenal gland
insufficiency, both of which affect the bodys ability to retain sodium.
Problems encountered in delivering nutrition services to migrant populations
A. Lack of portable medical records
B. Limited access to referral systems
C. Absence of continuity of care
D. All of the above
Problems encountered in delivering nutrition services to migrant populations
include lack of portable medical records, limited access to referral systems, and
absence of continuity of care. Because migrant populations move often to
different geographical locations, it is difficult to track and contact them using
Which of the following is true for reactive hypoglycemia?
A. It is defined as a plasma glucose level less than 70 mg/dl.
B. It is treated with a diet high in complex carbohydrates.
C. It is diagnosed by measuring blood glucose levels one hour after eating.
D. Peak insulin activity occurs 90-180 minutes after food is eaten.
In reactive hypoglycemia peak insulin activity occurs 90-180 minutes after food is
eaten, vs. the normal insulin response which occurs 30-60 minutes after eating.
Reactive hypoglycemia is defined as a plasma glucose level than 50 mg/dl, is
treated with a moderate carbohydrate (40 to 55%) diet, and is diagnosed by
measuring blood glucose levels immediately after eating.
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A paramedic has a level of knowledge, skill, and treatment capabilities that are significantly beyond those of an Emergency Medical Technician (EMT) and which can dramatically Improve a patientâs outcome at the hospital. In response to the need for these uniquely trained emergency medical care professionals, the University of New Haven developed its paramedicine program. This program will prepare you to become a new breed of first responder â one who holds dual certification as both a firefighter and as a paramedic.
Hands-on learning will be a major part of your education. Youâll ride along with ambulance services and take patientsâ vitals. Youâll practice doing chest compressions and starting IV lines on high-fidelity mannequins. Youâll become part of teams who care for patients in whatever medical emergency unfolds. The goal of the paramedicine program is to make your education as real-world as it gets.
Through this program, offered in partnership with Hartford Healthcare, you will also:
Please be aware, during the clinical rotations students will be working within a healthcare environment, which has the potential for exposure to airborne and bloodborne pathogens. Each student is responsible for maintaining healthcare insurance which can cover treatment and follow-up care in the event of an exposure. In addition to the vaccination and medical requirements, facial hair is not permitted in clinical nor field settings, as it will interfere with proper fitting of respiratory protection.
Academic tuition and fees are based on enrollment status and number of credit hours. Lab fees are used to support courses requiring specialized materials and/or a specialized learning environment.
In addition to tuition and fees, students are responsible for the cost of uniforms, supplies (stethoscope), and books. Additionally, students are responsible for transportation to/from clinical and internship sties as well as any cost associated with meeting health/vaccination requirements for clinical and internship experiences. Students are also responsible for the costs associated with state and national testing and maintenance of associated licenses and certifications.
The government is developing a scheme of service for technicians providing emergency medical services.
The personnel known as Emergency Medical Technicians (EMTs) are critical because they are the first to respond in case of an incident.
They are trained medical technicians unlike First Aiders, who do pre-hospital care, establishing the health status of a patient or arranging for referral in case of lack of facilities or enough capacity to do that.
Health Cabinet Secretary Mutagi Kagwe said the government is aware of the efforts by some counties to employ these technicians.
ââWe are engaging stakeholders to develop a scheme of service for this cadre. Successful development of this important document will go a long way in facilitating the absorption of emergency medical technicians into the public service,ââ said Kagwe.
Kagwe said the ministry had appointed a National Emergency Medical Care Steering Committee for three years. It will coordinate emergency service provision.
In a speech read on his behalf by Dr Simon Kibias, Head of Health Standards and Quality Assurance at Ministry ofÂ Health during the graduation of 32 technicians from St John Ambulances at South C, Nairobi, the CS said the committee will provide oversight.Â
President Uhuru Kenyatta is the patron of St John Ambulance Kenya, which started working in Kenya in 1923. It now has two centres in Nairobi and Mombasa.
Developing a national guideline for emergency medical care, harmonising training curriculum for paramedics and EMTs will be another role, Kagwe added.
Other roles will be developing a framework for the utilisation of emergency treatment fund and planning and advising the ministry on emergency medical care service provision and strategies.Â The CS saidÂ the ministry has made strides in the development of requisite frameworks to strengthen emergency care.Â
A Medford nurse's diversion of drugs is believed to have led to numerous deaths over the course of 12 months; questions are swirling as police investigate and a lawyer prepares to sue.
This article has been updated to incorporate additional reporting.
Reports that a nurse at Asante Rogue Regional Medical Center may have sparked fatal infections of patients by replacing fentanyl with tap water in their IV bags have sparked national attention.
For patients, the victimsâ relatives, and others in Oregon health care, the reports are sparking questions as well. It now appears that the deaths linked to the Medford hospital occurred over a span of at least 12 months, The Lund Report has learned. Given the reports that as many as ten patients may have died in this manner, how did this happen? And where does it end?
Diane Rogers, a 71-year-old resident of Klamath Falls, said in an interview that Asante officials reached out to her in November to tell her that the death of her husband, Barry Samsten, was caused by a bacterial infection after his fentanyl was replaced with non-sterile tap water. But she said she hasnât heard back since.Â
âThe whole time he couldnât talk,â she said. âAnd if he wasn't on pain medicine what was he on? It was awful. I kept asking, âIs he in pain? Is he cold? Could you deliver him a blanket?ââ
Officials are not saying much about the incident. But interviews by The Lund Report suggest how hospital drug diversion â a common occurrence â may have sparked an uncommon and tragic result. They also point to where this could end up: in court.
David deVilleneuve, a trial lawyer based in Medford, told The Lund Report that he has been investigating the issue on behalf of victims of the Asante situation. Heâs interviewed several of them, including family members of people who died from infections, as well as victims injured by a non-fatal infection of pseudomonas, the bacteria thatâs also been linked to the deaths.
His impression from talking to them and other informed people is that the first known death of an Asante hospital patient due to the drug diversion may have occurred as early as December 2022 âa full year before the situation became public.
As the presumed beginning of the alleged pattern of deaths keeps getting pushed back, it makes him think âthere may be more peopleÂ that we don't know of at this time that were affected by this,â deVilleneuve said.
Whatâs known so far
On Dec. 29, NBC5 News broke the news that police were investigating at least one patient death at Asante with unnamed sources saying up to 10 patients possibly died as a result of a nurse replacing medication with tap water.Â
Family members of two alleged victims told the Rogue Valley Times the hospital notified them that their loved ones died from infections after their medications were tampered with by a hospital employee. The news outlet cited multiple unnamed hospital sources who said dozens of patients had been injured by having their medications diverted.
Hospital administrators and local law enforcement have not named the suspected employee and released few other details.Â
An Asante spokesperson sent The Lund Report a short statement saying management was âdistressed to learn of this issueâ and has referred it to law enforcement.Â
According to a statement issued Wednesday by Medford police spokesman Lt. Geoff Kirkpatrick. officials from Asante contacted the Medford Police Department in early December 2023 regarding an employee suspected of stealing âcontrolled substancesâ that harmed patients.
Police donât know how many patients have been harmed, according to the statement, but have receivedÂ ânumerous calls from individuals asking if they or a family member have been impacted by the suspected actions of the former Asante employee.âÂ
According to the statement, Asante has been notifying involved patients or their families:Â âWe would like to acknowledge the communityâs concern with this case and ask for patience and understanding as this investigation is complex and ongoing.â
Drug diversion common, but fatalities notÂ
Theft of drugs from health care facilities, known as âdiversion,â is common.Â
Health care analytics company Protenus estimated in a 2023 study that at least 1% of medical workers have diverted drugs. HealthcareDiversion.org puts it at roughly 10%. A 2019Â study in the Journal of Hospital Medicine concluded that âdrug losses and theft from the healthcare system are accelerating.â
âIt happens more than youâd like to believe,â Lisa McElhaney, who spent 25 years as a south Florida sheriffâs deputy specializing in drug diversion and now works as chief operating officer for the National Association of Drug Diversion Investigators, told The Lund Report.Â
Studies from the Centers for Disease Control and Prevention and the Mayo Clinic both found that patients are put at risk of infections from medical equipment left contaminated by health care workers stealing drugs
While diversion of drugs including fentanyl is common, this number of reported fatalities in a single cluster is not.Â
One possible explanation cited by observers? The tap water at Rogue Medical Center.
Tap water contributed?
In April, Asante addressed âwater quality rumorsâ in a postÂ on its website. The post states that the hospital saw infections in its intensive care unit the previous year that âprompted extra measures,â but management regularly monitors the hospitalâs water supply and there was no known water contamination.Â
âBacteria can be common in any water supply and may be harmful when used for patient care of our vulnerable patients,â reads the post. âThatâs one reason why we check our water source regularly and have precautions in place to prevent waterborne infections.â
According to deVilleneuve, his research indicates that âPretty much any tap water poses a severe threat if itâs put directly into your veins because it's full of bacteria, even tap water that's considered clean and ... water that you and I drink out of the faucet at home.âÂ
Among the many questions deVilleneuve is exploring is how did it take so long to notice what was happening.
Health care-acquired infections are not uncommon, and theyÂ got worse in OregonÂ during the pandemic, as some nurses expected would result from staffing shortages.
At Asante, they were a particular problem.
InÂ a March 2023 postÂ on its website, Asante reported a âwinter spikeâ in central line infections at the hospital the previous year. The post stated that there were 10 infections and the hospital was reviewing its processes, stressing that keeping tap water away from patients was the best way to protect against waterborne organisms.Â
Meanwhile, federal data from 2022 puts Asante at âworse than the national benchmarkâ for central line associated bloodstream infections. They occur when bacteria or viruses enter the bloodstream from a tube doctors place into a patient's neck, chest or groin to administer medication or fluids.Â Â
Itâs unclear how or when the hospital linked its employeeâs suspected drug diversion to the deaths.
Potential for prosecution
Josh Marquis, former Clatsop County District Attorney, told The Lund Report that Oregon laws include a felony charge for tampering with drug records that is often also used for drug diversion cases.Â
He said it can be applied to situations where someone alters a doctor's prescription, adding a zero to increase the number of doses. But he said that in Oregon, itâs unusual for anybody convicted of it to do hard time.Â
Bringing more serious charges, such as manslaughter, against a nurse who replaced a patientâs medication with tap water would require showing there is a high-level of recklessness and extreme indifference to the value of human life.Â
âAnd that's harder than it sounds to prosecute,â he said.Â
He also said that a prosecutor could face difficulty proving that the tap water caused a patientâs death. A defense attorney could argue that a patient has a complex medical history and other factors could have contributed to their death.Â
According to deVilleneuve, the nurses heâs spoken with told him that âPretty much any nurse would know that putting tap water is going to pose a substantial threat to someone's health.â
No indictments have been filed publicly in the case.
Jackson County District Attorney Beth Heckert told The Lund Report in an email that the âcase is still under investigation by the police and has not been submitted to my office yet.â
âI donât have any information to release at this time,â she wrote.Â
Similar cases elsewhere
Studies from theÂ Centers for Disease Control and Prevention and theÂ Mayo Clinic both found that patients are put at risk of infections from medical equipment left contaminated by health care workers stealing drugs
David Kwiatkowski, a traveling health care technician carrying Hepatitis C, in 2013Â admitted to diverting fentanyl from patients to feed his narcotics addiction. Pleading guilty to federal drug charges, Kwiatkowski told a court that he would inject himself with syringes of fentanyl prepared for patients, refilling them with syringes with saline, causing them to be infected with Hepatitis C. Kwiatkowski was linked to outbreaks in eight states.Â
Two nurses in Colorado were sentenced to prison for stealing painkiller medications and replacing them with tap water, according to HealthcareDiversion.org.Â
McElhaney said she couldnât speak to the circumstances at Asante but said hospitals, home health care agencies and hospice providers should be reviewing their safeguards.Â
âThe facilities with more stringent protocols will have less occurrences,â she said.Â
Health care facilities in exact years have turned to data and analytics to prevent the theft of medications, she said. This approach involves tracking how much medication is given to a patient and how much is left over and needs to be disposed of, she explained. If an employee is disposing of a large amount of medication, it could be a sign of diversion, she said.Â
Hospitals should closely monitor sought-after drugs, like fentanyl, restricting staff access to it and keeping it on special carts, she said. They should also watch to make sure a seal on a drug hasnât been tampered with and it hasnât been diluted, she said.Â Â
Some facilities, she said, wonât take action until they face a large fine from theÂ U.S. Drug Enforcement Administration.Â
âIf youâre not going to look for it, youâre not going to see it,â she said.Â
(Nick Budnick contributed reporting for this article)
You can reach Jake Thomas atÂ [emailÂ protected] or via twitter.comÂ @jakethomas2009.
Source The Honolulu Star-Advertiser
An attempted-murder suspect was killed in a shootout with Honolulu police officers, two of whom were shot, ending an hourslong, islandwide manhunt and chase on New Year's Day.
An attempted-murder suspect was killed in a shootout withÂ HonoluluÂ police officers, two of whom were shot, ending an hours-long, islandwide manhunt and chase onÂ New Year's Day.
HonoluluÂ police ChiefÂ Arthur "Joe " LoganÂ confirmed Monday night that suspect Sydney Tafokitau was killed and two officersâa Crime Reduction Unit officer with five years' experience on the force, and a patrol officer with two years'âwere in a hospital undergoing surgery.
A fourth man was wounded "by a police vehicle " and whether he was involved in the crime is part of the ongoing investigation, Logan said.
All the injured were taken toÂ The Queen's Medical CenterÂ and police did not release their conditions. Sources told theÂ Honolulu Star-AdvertiserÂ that the CRU officer's head was grazed by a bullet and the patrol officer was shot in the stomach.
Speaking at a news conference Monday night at HPD headquarters, Logan described a complicated chase stretching from Kapahulu to the North Shore and back to the University area for several hours Monday afternoon.
Logan said Tafokitau was not pulling over or stopping, and "he would make frequent U-turns and shoot at officers."
The chase included an armed carjacking on the Windward side, and multiple shots fired by the suspect at the pursuing officers at various times.
Tafokitau, 44, was shot nearÂ University AvenueÂ andÂ Dole StreetÂ afterÂ 4 p.m., and taken to the hospital where he died, Logan said. The chief did not share any details about the fourth man injured by the police vehicle.
Robert Cavaco, president of theÂ State of Hawaii Organization of Police Officers, said in a statement, "This afternoon, twoÂ Honolulu Police DepartmentÂ officers were shot while attempting to apprehend a dangerous attempted murder suspect. We are praying for the full and swift recovery of our injured brothers who risked their lives and sacrificed their safety today to protect the lives and safety of the public. Out of respect for the officers and their families, we will not be disclosing any additional information at this time."
HonoluluÂ police closed a large swath ofÂ University AvenueÂ from Metcalf to King streets, includingÂ Dole Street, for several hours during and after the shootout.
Logan defended the department's decision to release little information to the public during the day as the situation unfolded, saying it was a complicated, fluid case, and that "our goal was to apprehend the suspect."
"Is anybody from the public trying to interject themselves into the investigation ? Trying to take video or possibly trying to see if this is the individual (wanted by HPD ) and get close. We don't know what the individual's intent is at that point. To keep the public safe, the investigation unfolded the way it did, " said Logan.
"I'm not sure what I could tell you that would make you understand what we're doing and what we're getting involved in is fluid."
Details of the day's events were not clear hours after the shooting.
CrimeStoppersÂ put out a news release afterÂ 2 p.m., several hours after the day's first reported shooting.
"Tafokitau is considered armed and dangerous. Call 911 and do not approach, "Â CrimeStoppersÂ said.
Tafokitau allegedly shot a 39-year-old woman Monday morning onÂ Moanalua Freeway.
Honolulu Emergency Medical ServicesÂ technicians responded afterÂ 7 a.m.Â and treated the woman "with advanced life support who suffered multiple apparent gunshot wounds and continued treatment en route to an emergency room."
HonoluluÂ police responded at 7 :17 a.m. to a report of an aggravated assault on the eastbound airport exit from the freeway. Police closed the exit as they investigated.
CrimeStoppersÂ asked for the public's help finding Tafokitau, who was already wanted for first-degree attempted murder and first-degree robbery.
OnÂ Dec. 16, at about 12 :45 a.m., Tafokitau allegedly argued with a group of males onÂ Rose StreetÂ inÂ Kalihi.
He allegedly shot at the group, hitting one man, and stabbed another man in the shoulder, police said.
OnÂ Dec. 21, "multiple no-bail warrants were issued for his arrest " according to HPD.
At 11 :35 a.m. Monday, plainclothes HPD officers tried to arrest Tafokitau in a stolen vehicle inÂ KalihiÂ when he allegedly "fired multiple times at their unmarked vehicle."
Tafokitau fled onÂ Likelike Highway. Shortly after, he allegedly stole another vehicle at gunpoint.
(c)2024 The Honolulu Star-Advertiser
Visit The Honolulu Star-Advertiser at www.staradvertiser.com
Distributed byÂ Tribune Content Agency, LLC.
MIAMI â New details were released Thursday after Miami Seaquarium announced the death of one of its beloved dolphins, Sundance.
âWe are deeply saddened by the passing of Sundance today after precursors of illness yesterday,â the aquarium said in a post on X Wednesday night. âOur hearts are with the trainers and medical staff who unconditionally cared for him for more than 30 years.â
Sources tell Local 10 News that Sundance was one of two dolphins forced to perform all their Christmas shows after one of the other dolphinsâ performers had to be moved to another habitat.
Sundance had reportedly stopped eating and sources say he died in the arms of his trainer just two days later.
Sundance was a descendant of one of the dolphins who played âFlipperâ -- and was one of the oldest dolphins at the park.
Miami Seaquarium did not release any further information on Sundanceâs death.
In April of 2022, during a performance of the Flipper Dolphin Show, cellphone video captured a trainer struggling to stay afloat as Sundance dragged her underwater and then pushed her forward.
The Seaquarium later said that the trainer had accidentally scratched Sundance with her hand which caused her to break routine.
Back in November, the USDA wrote in a report that the Miami Seaquarium is ill-equipped to care for its animals, detailing a number of violations that prompted Miami-Dade County to deliver the Seaquarium 45 days to get things in order.
In that report, USDA inspectors in November found that the Miami Seaquarium âstill lacks a sufficient number of adequately trained employees.â
The USDA-focused inspection that was conducted on Nov. 2 states that âthe resignation of the only veterinary technician has left two veterinarians responsible for the care of 46 marine mammals, hundreds of birds, fish, sharks, and rays housed at the facility.â
Local 10 News reported last week that Miami-Dade County officials issued a second Notice of Default to the Seaquarium due to late payments and infrastructure violations.
According to that report, the Seaquarium owes the county more than $87,000 in past-due rent.
The Seaquarium was given 45 days to remedy all of it, but the county does retain the right to terminate the lease.
USDA officials said the inspection was conducted about a month before the beloved killer whale Lolita died at the Seaquarium after a sudden illness.
Dr. Jenna Wallace, a former veterinarian at Miami Seaquarium who once treated Sundance, is now calling on USDA to do more for the animalsâ wellbeing.
âThe USDA has federal oversight over these animals,â said Wallace. âThey should confiscate these animals immediately and the county and city of Miami should be working with USDA to make that happen before the park loses more and more animals.â
Miami Seaquarium has not responded to Local 10 Newsâ request for comment.
Copyright 2023 by WPLG Local10.com - All rights reserved.
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