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The purpose of this position is to prepare infant feedings in
the Neonatal Intensive Care Milk Room using specialized formula,
fortifiers, donor and maternal human milk. This position serves as
an extension to the NCCC nurses in the health care to neonates at
UNC Hospitals critical care nursery. The expertise in this position
is the translation of physician feeding orders to recipes to the
preparation of final feeding product. It is also critical to the
quality of care for the utmost precision in calculation, accuracy
and sanitation in the handling and distribution of formula/ human
milk to neonates. This position serves the pediatric and infant
population, which are the most vulnerable and high risk. The
Nutrition Room operates 24 hour per day (12 hour shifts).
Flexibility a must.
Translates physician feeding orders in EPIC to established
recipes. Troubleshoots and clarifies unclear orders.
Fortifies infant formula and human milk with precision using
sanitation and established procedures to prevent body fluid or
pathogen contamination across maternal/donor human milk
Uses mathematical calculation to adjust ordered recipe volumes
and fortification ingredients.
Scan feedings and inventory.
Maintains accurate inventory of frozen and thawed maternal human
milk and donor milk with detailed labeled bottles and milk bins.
Reviews inventory daily for misfiled bottles or feeding
Monitors milk storage, refrigerator and freezers for temperature
Maintains patient orders and recipe records
Reports errors and participates in root cause analysis
Participates in continuing efforts to improve the efficiency,
safety and quality of work in the NCCC Milk Room. These efforts
consist of identifying problems and making recommendations for
improving daily operations.
Works with nursing staff in the admission, discharge and
transfer of infants feeding products
Works with Lactation Services in inventorying and procuring
donor breast milk from the human milk bank
Works with Genetics Service in the development of metabolic
formulas for Children's Hospital
Works with NCCC dietitians in recipe development and feeding
Assists in hiring, training, and performance management of
Helps design workflow and reliable work methods
Assists in development of policies and procedures and emergency
Assists in managing technology and software systems
Collaborates with ISD and nursing
Responsible for scheduling
Assists in conducting performance improvement and addressing
quality assurance issues
Initiates and monitors follow-through for maintenance or repair
Manages product inventory and ordering
Responds to product recalls
Ensures all policy and regulatory standards are met including
health regulations and TJC standards.
Demonstrates flexibility and professionalism at all times.
Within 90 days of employment, the successful candidate must pass
a Nutrition Room Competency Exam and a Nutrition Room Orientation
Checklist that includes basic clinical care functions and the
ability to demonstrate and understand job duties.
High School diploma or GED
Preferred Associate's degree in Nutrition or related field
A license or certification is not required for this
Professional Experience Requirements:
If High School diploma or GED, six years' experience in related
work such as diet office or food service experience in a clinical
If Associate's degree in Nutrition or related field, no prior
Knowledge/Skills/and Abilities Requirements:
Abilty to handle multiple and often rapidly shifting
Attention to detail is critical in this position. Errors in
feeding order translation, preparation, mixing, distribution or
failure to properly maintain sanitation may result in a sentinel
event such as wrong milk to wrong baby resulting in transmission of
HIV, Hepatitis, or other deleterious organisms/substances that
travel in body fluid. Renal failure, dehydration and NEC
(necrotizing enterocolitis) can also result from erroneously
Ability to accurately weigh on a gram scale, calculate, measure
and mix human milk and infant formula with fortifiers is
This position requires extensive standing and use of fingers,
hands and arms to mix and syringe product.
Ability to handle stressful situations; The criticality of
preparation of feeding times with frequent interruptions may result
in stress to the employee.
Ability to handle multiple priorities is important in this
position. Nutrition Room Technicians handle numerous infant feeding
orders, communicate with medical personnel, and maintain par levels
of supplies and other duties on a daily basis.
Some Knowledge of basic medical terminology
Knowledge of caloric ratios per volume, concepts of ingredient
weight and volume and be able to calculate ingredient ratios from a
feeding order and standardized recipe.
Strong technical skills
Critical thinking skills
Basic math skills
Ability to work independently
Ability to organize and prioritize work with multiple requests
at the same time
Ability to communicate politely and effectively over the phone
and in person
Ability to make decisions consist with the department and
Legal Employer: STATE
Entity: UNC Medical Center
Organization Unit: Nutrition Room
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No