Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LXIX - Registered Dietitians/Nutritionists › Chapter 1 - Dietitians/Nutritionists › Section LXIX-101 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. As used in this Chapter, the following terms and phrases,
				  which have not already been defined in the Practice Act, and
				  R.S.
				  37:3081-3094 are defined as following.
Academy
-Academy of Nutrition and Dietetics
				  (AND), formerly the American Dietetic Association (ADA).
Accreditation Council for Education in Nutrition and
				  Dietetics (ACEND)
-the accrediting agency for educational programs
				  preparing students for careers as dietetic or nutrition practitioners. It is
				  recognized by the board as the approved credentialing evaluation agency for
				  licensed dietitians/ nutritionists.
Act
-Louisiana Dietetic/Nutrition Practice
				  Act of 1987.
Applicant
-any person who has applied to the
				  board for a regular license or provisional license to use the title dietitian
				  or nutritionist to engage in the practice of dietetics/nutrition in the state
				  of Louisiana.
Application
-any person who has applied to
				  the board for a license or permit to engage in the practice of
				  dietetics/nutrition in the state of Louisiana.
Application
-a request directed to and
				  received by the board, upon forms supplied by the board, for a regular license
				  or provisional license to practice dietetics/nutrition in the state of
				  Louisiana, together with all information, certificates, documents, and other
				  materials required by the board.
Board
-Louisiana Board of Examiners in
				  Dietetics and Nutrition (LBEDN). The entity created by the legislature of
				  Louisiana in 1987 to protect the health, safety, and welfare of the public by
				  providing for the licensure and regulation of persons practicing the profession
				  of dietetics and nutrition.
Commission on Dietetic Registration (CDR)
-a
				  commission that authors the licensure exam that the board accepts.
Consent Agreement and Order
-an agreement
				  between the board and applicant or licensee to resolve disciplinary action.
				  This document may be public and reportable to the National Practitioner Data
				  Bank (NPDB).
Degree
-a degree of baccalaureate or higher
				  received from a college or university granted by a U.S. regionally accredited
				  college or university, or foreign equivalent with a major course of study in
				  human nutrition, food and nutrition, dietetics, or food systems
				  management.
Diet Instruction
-deleted.
Dietetic Nutrition Practice and Medical Nutrition
				  Therapy
-deleted.
Dietetic Practice, Nutrition Counseling, and Medical
				  Nutrition Therapy
-deleted.
Dietetic/Nutrition
				  Practitioner
-dietitian/nutritionist licensee practicing dietetics and
				  nutrition according to
				  R.S.
				  37:3081 to
				  R.S.
				  37:3094, of the Louisiana Dietetic/Nutrition
				  Practice Act.
Direct Supervision
-supervision provided by a
				  Louisiana licensed dietitian/nutritionist, who is available for real-time
				  consultation in order to guide and direct a provisionally licensed
				  dietitian/nutritionist.
Examination for Licensure
-the examination
				  administered by CDR. The board recognizes the passing score set by CDR.
Incidental to the Practice of their
				  Profession
-deleted.
Licensed Dietitian/Nutritionist
-a person
				  licensed under
				  R.S.
				  37:3081-3094. The terms "dietitian",
				  "dietician", and "nutritionist" may be used interchangeably.
Louisiana Academy of Nutrition and Dietetics
				  (LAND)-
formerly known as Louisiana Dietetic Association (LDA), an
				  affiliate of the Academy of Nutrition and Dietetics (AND).
Medical Nutrition Therapy
-nutritional
				  diagnostic, therapy, and counseling services for the purpose of disease
				  management which are furnished by a licensed and registered dietitian.
Nutrition Care Process
-a systemic approach
				  to providing high-quality nutrition care through assessment, nutrition
				  diagnosis, intervention/plan of care, and monitoring and evaluation.
Nutrition Counseling
-a therapeutic approach
				  to treating medical conditions and their associated symptoms via the use of a
				  specifically tailored diet devised and monitored by a licensed and/or
				  registered dietitian/nutritionist. Nutrition counseling provides individualized
				  guidance on appropriate food and nutrient intake for those with special
				  metabolic needs, taking into consideration health, cultural, socioeconomic,
				  functional and psychological facts from the nutrition assessment. Nutrition
				  counseling may include advice to increase or decrease nutrients in the diet; to
				  change the timing, size or composition of meals; to modify food textures; and
				  in extreme instances, to change the route of administration.
Nutrition Education
-deleted.
Nutritional Assessment
-the evaluation of the
				  nutritional needs of individuals and groups based upon appropriate biochemical,
				  anthropometric, physical and dietary data to determine nutrient needs including
				  enteral and parenteral nutrition regardless of setting, including but not
				  limited to ambulatory settings, hospitals, nursing homes and other extended
				  care facilities. Assessment also includes establishing priorities, goals and
				  objectives that meet nutritional needs.
Provisionally Licensed
				  Dietitian/Nutritionist
-a person provisionally licensed under the
				  Louisiana Dietetic/ Nutrition Practice Act, who must be supervised by a
				  licensed dietitian/nutritionist.
Registered Dietitian/Nutritionist
-a person
				  registered by the CDR.
Scope of Dietetic/Nutrition Practice
-the
				  integration and application of principles derived from the sciences of
				  nutrition, biochemistry, food, physiology, management, behavioral, and social
				  sciences to achieve and maintain client health through the provision of
				  nutrition care services, which shall include:
a. nutritional assessment;
b. nutrition counseling;
c. developing, implementing, and managing nutrition care
				  systems; and
d. evaluating, making changes in, and maintaining standards
				  of quality in food and nutrition care services.
e. Within a healthcare facility licensed by the Department of
				  Health, ordering appropriate nutritional intake, including enteral and
				  parenteral nutrition, and ordering appropriate laboratory tests to monitor the
				  effectiveness of the dietary plan, subject to the approval of and authorization
				  by the licensed healthcare facility's medical staff or bylaws.
Telenutrition
-as authorized by and
				  consistent with,
				  R.S.
				  40:1223.4 ("Telehealth"), is the interactive
				  use, by a licensed dietitian/ nutritionist of electronic information and
				  telecommunication technologies to implement the practice of dietetics/nutrition
				  with patients or clients at a location within Louisiana. The practice of
				  telenutrition takes place where the patient or client is located at the time of
				  the dietetic practitioner-patient encounter. Real-time communication, the
				  primary method of telenutrition, consists of a dietetic/nutrition practitioner
				  and the patient present at the same time, but in different locations. The
				  practice of telenutrition is subject to applicable provisions of the Louisiana
				  Dietetic/Nutrition Practice Act and within the same standards of care as if the
				  dietetic/nutrition services were provided in person. The practice of
				  telenutrition requires the application of board rules and regulations
				  §117, Code of Ethics for Professional Conduct, including but not limited
				  to patient's or client's consent for telenutrition services and protection of
				  patient or client confidential information. The practice of telenutrition does
				  not include the consultation of a Louisiana licensed dietitian/nutritionist
				  with an out-of-state dietitian/nutritionist.
Terminology
-interchangeable terms related to
				  scope of practice may include, but not be limited to: dietetic nutrition
				  practice, dietetic practice, nutrition counseling, nutrition practice,
				  nutrition therapy, and medical nutrition therapy (MNT).
Title
-any use of the titles "dietitian",
				  "dietician", or "nutritionist", or any abbreviation, cannot be used unless the
				  person is licensed in accordance with the provisions of the Louisiana
				  Dietetic/Nutrition Practice Act.
Unprofessional conduct
-for purposes of
				  R.S.
				  37:3090 A(2) includes, but it not limited to
				  any act or omission which is contrary to honesty, justice, good morals, patient
				  safety, or the best interest of the patient, whether committed in the course of
				  the practitioner's practice or otherwise and specifically includes the
				  departure from, or the failure to conform to the standards of acceptable and
				  prevailing professional practice of the Code of Ethics for Professional Conduct
				  as specified in
				  §117 of these
				  rules, whether the act or omission occurred within or without this
				  state.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  37:3081-3093 and
				  R.S.
				  36:259(Q).