Clinical Dietitians: Do You Have Order Writing Privileges in Your Hospital?
In 2014, Centers for Medicare and Medicaid Services (CMS) ruled that physicians can delegate the responsibility of writing therapeutic diet orders to a qualified RDNs. Now this doesn’t mean that every dietitian automatically can order patient diets. First, the privileging of RDNs must also meet state law and fall within scope of practice defined by the state in which the RDN is practicing. State legislature often reflects the regulations imposed by CMS, so legislation may have to change before certain state are able to implement the new changes CMS has declared. Second, the RDN must request the privileges from the hospital or facility they are practicing at. The hospital has the abuthority to assess the practitioner and determine if they are qualified and competent to obtain order writing privileges. What does it mean to have order writing privileges? RDNs who have order writing privileges can order or change therapeutic diets for patients either on their own or with a co-sig...