As used in this
Chapter, the following terms shall mean:
"Act" means Dietetics/Nutrition Practice Act in Article 25 of Chapter 90 of the
means any person who has applied to the Board for a license to lawfully do any
of the acts listed under
(3) "Application" means a written request
directed to and received by the Board, on forms supplied by the Board, for a
license to lawfully do any of the acts listed under
90-365(a), together with all
information, documents, and other materials necessary to demonstrate that the
applicant has met the requirements for licensure as specified in the
(4) "Degree" means a degree
received from a college or university that was regionally accredited at the
time the degree was conferred, or a validated foreign equivalent.
(5) "Dietitian/nutritionist" or
"nutritionist" means one engaged in dietetics or nutrition practice.
(6) "Health care practitioner" includes any
individual who is licensed under G.S. 90 and whose licensed scope of practice
includes dietetics or nutrition.
"Nutrition assessment" means:
(A) the initial and ongoing, dynamic, and
systematic process of obtaining, verifying, and interpreting biochemical,
anthropometric, physical, nutrigenomic, clinical, and dietary data to determine
nutritional needs and order therapeutic diets, including enteral and parenteral
(B) the ordering of
laboratory tests related to the practice of nutrition and dietetics;
(C) the conducting of a swallow
(D) The collection of data
does not, by itself, constitute nutrition assessment.
(8) "Nutrition counseling" means the advice
and assistance provided to individuals or groups on nutrition intake by
integrating information from the nutrition assessment with information on food
and other sources of nutrient and meal preparation consistent with therapeutic
needs and cultural background, which shall include ethnicity, race, language,
religious and spiritual beliefs, education, and socioeconomic status.
(9) "Nutrition education" means a formal
process to instruct or train a client, patient, or population group in a skill
or to impart knowledge to help clients, patients, or population groups
voluntarily manage or modify food, nutrition, and physical activity choices and
behavior to maintain or improve health.
(10) "Nutrition intervention" means planned
actions and nutrition counseling by a provider of nutrition care, intended to
improve a nutrition-related behavior, risk factor, environmental condition, or
aspect of the health status, consistent with therapeutic needs and cultural
monitoring or evaluation" means regular re-evaluation of the nutrition care
treatment and prevention plan, which may include review of clinical research
and standards of care, to compare the outcomes with the patient's previous
health status, intervention goals, or reference standards to determine the
progress made in achieving desired outcomes of nutrition care and whether
planned interventions should be continued or revised.
(12) "Nutrition services" for purposes of
90-357.5(c)(2) means the
provision of nutrition assessments, nutrition intervention, education,
counseling, or management, and nutrition monitoring or evaluation.
"Swallow screen" means a minimally
invasive evaluation procedure conducted by a licensed dietitian/nutritionist
that provides for the determination of:
the likelihood that dysphagia exists;
(B) whether the patient requires referral for
further swallowing assessment;
whether it is safe to feed the patient orally for the purposes of nutrition,
hydration, and administration of medication; and
(D) whether the patient requires referral for
nutritional or hydrational support.
(14) "Alternate supervised experiential
learning" means observational hours that do not involve direct patient or
client care or the discussion thereof. Such hours are limited to: observing
videos of client and practitioner interactions; shadowing an experienced
clinician; participating in simulation exercises or role playing; or utilizing
case studies to prepare treatment plans.
(15) "Direct supervised experiential
learning" means nutrition care services provided for the benefit of patients or
clients. Such hours are limited to: counseling individuals and groups;
researching and developing patient or client treatment plans for current
patients or clients; researching, preparing, and presenting patient or client
workshops; community education involving development and delivery of education
to a specific population; supervisor grand rounds and one-on-one meetings with
one's supervisor to discuss current patient or client care; or direct hours
approved as part of a programmatically accredited supervised practice
(16) "Therapeutic diet"
means a nutrition intervention prescribed by a physician or other authorized
non-physician practitioner that provides food, fluid, or nutrients via oral,
enteral, or parenteral routes as part of treatment of disease or clinical
conditions to modify, eliminate, decrease, or increase identified
micronutrients and macronutrients in the diet, or to provide mechanically
altered food when indicated.
"Weight control services" as used in G.S. 90 368(7) means a general program of
instruction with food, supplements, food products, or a food plan designed for
one or more healthy population groups in order to achieve or maintain a healthy
weight. A weight control program is not individualized to provide medical
nutrition therapy as defined in
90-352(3a) or nutrition care
services as defined in
90-352(4) to manage or treat
a medical condition for a specific person or group.
As used in this Chapter, the following
acronyms and initialisms shall mean:
"ACBN" means the American Clinical Board of Nutrition, whose Diplomate of the
American Clinical Board of Nutrition credential is accredited by the National
Commission for Certifying Agencies.
(2) "ACEND" means the Accreditation Council
for Education in Nutrition and Dietetics.
(3) "AND" means the Academy of Nutrition and
(4) "BCNS" means the
Board for Certification of Nutrition Specialists, whose Certified Nutrition
Specialist credential is accredited by the National Commission for Certifying
(5) "CDR" means the
Commission on Dietetic Registration, whose Registered Dietitian Nutritionist
credential is accredited by the National Commission for Certifying
(6) "LDN" means licensed
means licensed nutritionist.
"PLDN" means provisionally licensed dietitian/nutritionist.
(9) "PLN" means provisionally licensed