Scope of Practice
Table of Contents:
A Nutrition Manager (NM) is a multi-skilled, technically competent practitioner who is eligible for membership in The Canadian Society of Nutrition Management. NM’s hold a wide range of job positions that may include a combination of any of the following titles*:
- nutrition manager
- food service manager
- support services manager
*The term “Nutrition Manager” applies to any of these titles, assuming the person holding the title also meets the admission criteria for CSNM.
As part of the nutrition management team, a NM is involved with the day-to-day operation of the food and nutrition/dietary department, providing the much-needed link between administrative and food-service personnel.
The NM works with Registered Dietitians to provide nutrition care to patients/clients and is responsible for patients at low to moderate nutrition risk. The Nutrition Manager is a liaison between foodservice and clinical nutrition.
The areas of practice for a Nutrition Manager include:
- health care facilities - acute, chronic, rehabilitation, and long term care
- commercial catering services
- government agencies
- schools, colleges, and universities
- hospitality industry
- consulting services
- private practice
- food service sales
Nutrition Managers regularly perform the following tasks:
- Manage and/or supervise food preparation and service operations.
- Co-ordinate and plan food service operations by setting department goals, policies and procedures
- Monitor, maintain and improve quality standards through audits, surveys, checks and inspections; meeting with clients to assist in enhancing operational requirements
- Implement, maintain and evaluate food safety and sanitation standards
- Establish, monitor and evaluate customer service plans
- Procure food, equipment and supplies based on established specifications and ensure proper receiving and storage
- Develop and implement budgets and cost controls
- Develop and/or participate in food services marketing strategies
- Hire, train, monitor, schedule, discipline and direct the work of food service personnel
- Maintain records of customer, patient and employee information
- Implement, monitor and maintain staff occupational health and safety standards and legislative requirements
- Plan menus according to established criteria, nutrition standards, menu-planning principles and client food preferences
- Complete nutritional screening, dietary profiles. Develop, monitor and suggest revisions to the established care plans according to facility policies and provincial standards.
- Adapt client menus for special nutrient needs or restrictions in accordance with facility-approved diet manuals and established menu-planning guidelines.
- Mentor and provide training for student placements
- Liaise with other departments and participate on multidisciplinary teams/committees
- Members of CSNM have received training in many areas including:
- Staffing, scheduling, hiring, disciplining
- Accounting and budgeting/payroll
- Purchasing and costing
- Computer operation
- Personnel management, job descriptions, orientation
- Work methods
- Menu planning
- Diet therapy/nutrition competence
- Quantity food production, recipe testing
- Portion quantity, portion control
- Sanitation and safety
- In-service education/communication
- Quality assurance/customer service
The following eight competencies (statements of knowledge, skills, and behaviours) which are required by a nutrition manager to be eligible for membership in CSNM, are comprised in The Competency Profile.
2.0 Quality Management
3.0 Nutrition and Healthy Living
4.0 Clinical Nutrition
5.0 Food Service Systems Management
6.0 Human Resources Management
7.0 Financial/Business Management
8.0 Marketing and Promotion
Client refers to all consumers using the services of the facility including patients, residents, their families or associates, and customers.
Competence is the quality of being able to perform the role of a specified position with requisite knowledge, ability, skill, judgement, attitudes and values.
Competencies are statements of knowledge, skills, and behaviours. The competency profile comprises the competencies required by a nutrition manager to be eligible for membership in CSNM.
Coordinate is to exchange information with others, generally of equal rank, to relate and adjust systems or programs.
Demonstrate is to give evidence of, display, explain, illustrate, show with the intent of proving.
Describe is to tell or write about, give a detailed account of.
Diet history is the tool and a process by which data describing a client's past and/or current food intake and behaviours are collected. The tool may include food records, diet recalls, food frequency questionnaires, etc. to estimate the usual patterns of food and nutrient intake, variations in patterns, and the factors affecting them.
Entry-level describes a position which requires the minimum level of competence required to practice as a nutrition manager. This level of competence is expected of all graduates from an approved or accredited nutrition manager education program. With additional experience and continuing education, additional responsibilities can be assumed, requiring higher levels of competence.
Nutrition Manager is a multi skilled person who is eligible for membership in The Canadian Society of Nutrition Management (CSNM). The nutrition manager, as described by this definition, may use several titles. Other job or position titles may include a combination of the following terms: nutrition manager/ food service/ dietary/ dietetic/ dietetique and supervisor/ technologist/ technician. For these standards, the term nutrition manager applies to any of these titles.
Food service systems management is the process of coordinating and integrating the resources within the subsystems and the total system to accomplish the food service objectives.
Health care team is a group of health professionals with a variety of skills, knowledge, values, and attitudes who work together to solve health problems.
Identify is to establish the identity of; distinguish, discriminate, recognize.
Implement is to accomplish, fulfil, complete, carry out, and put into effect.
Nutritional care is the application of the science and art of human nutrition in helping people to nourish their bodies during all aspects of the life cycle through the provision of nutrition counselling and the provision of food.
Nutritional care plan is a program of strategies and actions, based on individual assessment, to assist the client in meeting nutritional needs.
Nutritional screening refers to procedures used to identify clients who are at increased risk for malnutrition. For these clients more detailed assessment is required to define the extent of nutritional problems and plan and implement appropriate nutritional support.
Participate means to take part in an activity, either in response to direction or by initiating the action. The degree of involvement or responsibility will depend on the employment situation.
Performance indicators are statements which describe skills and behavioural objectives which contribute to the competency standards. These are examples of criteria for assessing the standards which suggest the level and scope of performance appropriate for the standard.
Policy is a general rule of action to define the boundaries within which decisions are made; to provide guidance towards the accomplishment of goals.
Procedure is a specific guide to action relating the manner in which activities are to be performed to attain an objective.
Quality assurance refers to all measures undertaken to establish and maintain a reasonable level of food service and nutritional care.
Risk management is a process for identifying and minimizing the actual and potential sources of loss to the person or property of anyone involved with the program, service, or operation.
Supervise is to give direct orders and instructions followed up by personal observation of activities of subordinates; carry our assignments through subordinates.
Utilization review is a dynamic ongoing process to maintain and improve the quality of care or service through review of the appropriateness of care or service and the efficient utilization of resources to provide that care/service.
Low risk - Patients/clients at low nutritional risk are stable and have predictable outcomes. Nutrition intervention will result in maintenance of nutritional status or health promotion. Nutrition Manager works independently with patients/clients at low nutritional risk.
Moderate risk - Nutrition intervention for patients/clients at moderate nutrition risk results in improved nutritional status or decreased progression/stabilization of the condition. Nutrition Manager works collaboratively with Registered Dietitian for patients at moderate nutritional risk. The Nutrition Manager levels of involvement will be determined by patient complexity and Nutrition Manager experience.
High risk - Nutrition intervention for patients at high nutritional risk is a central treatment and will influence recovery and survival. Nutrition Managers complete delegated tasks supervised by the Registered Dietitian.