me: _____________________________________________ Date: _______________________ Task: Following the steps listed in the procedure, to create an individualized nutritional plan for a patient and instruct them according to their needs. Equipment/Supplies: Access to a computer and Internet. Standard Performance Objective: Create an individualized nutritional plan for a patient and instruct them according to their needs. Conditions under which the student is expected to perform the Task: Perform this objective with a minimum score of 70%, without receiving a 0 in more one step or a 0 in a critical step. *critical step Step Skill Check #1 9 Pts. each Check #2 8 Pts. each Check #3 7..5 Pts. each 1. Introduce yourself and identify the patient. Explain the rationale for the procedure being performed and what you are going to do, using language the patient can understand. 2. Obtain the dietary order and instructions from the provider. 3. Access the federal government’s food icon at www.ChooseMyPlate.gov and other internet resources to select the appropriate plan. 4. Showing awareness of the patient’s concerns regarding a dietary change. *critical step 5. Discuss with the patient any obstacles that may prevent them from following the plan ordered by the provider. 6. Instruct the patient how to access additional tools on the MyPlate site such as menu options, recipes, and exercise suggestions. 7. Instruct the patient on the guidelines and specifics of the plan chosen by the provider. *critical step 8. Allow the patient time to ask questions. 9. Have them repeat back to you the instructions provided for clarity and acknowledgment of understanding.