(a)
- (1) There shall be a system of written communications between dietetic services and nursing services, i.e., diet order forms.
- (2) Nursing services should send a written patient diet list monthly and diet change slips as diets are changed by the physician.
- (b) Therapeutic diets shall be served only to those patients for whom there is a physician’s or dentist’s written order.
(c) Diet orders shall be reviewed by the physician:
- (1) Every one hundred twenty (120) days for intermediate and minimum care patients; and
- (2) Every sixty (60) days for skilled care patients.
- (d) A current manual approved by an affiliate of the American Dietetic Association, such as the Arkansas Diet Manual, shall be used, and a copy of the approved manual shall be available at one (1) nurses’ station and in the dietetic services.
(e) In the event that the calorie controlled menu patterns in use in the facility are other than those in the approved manual, the calculations and the patterns shall be:
- (1) In the policy and procedure manual on file in the dietary services; and
- (2) Posted in the kitchen.
(f)
(1) A copy of diets as ordered by the physicians shall:
- (A) Be posted in the kitchen;
- (B) Correspond to the diet as ordered on the medical chart; and
- (C) Be kept current.
(2) Patient diet lists shall:
- (A) Include the patient’s:
(i) Name;
(ii) Room number; and
- (iii) Diet; and
- (B) Be signed by licensed personnel.
- (g) Therapeutic diets that vary in the time specified for regular meals shall be provided for the patients as ordered by the physician.
(h) There shall be a system of patient identification for each tray served which includes the following information:
- (1) Resident’s name;
- (2) Resident’s diet;
- (3) Resident’s room number;
- (4) Resident’s beverage preference;
- (5) Any allergies the resident may have to certain foods; and
(6) Any major dislikes, for which there should be a substitution provided.
- (i) The hour of sleep feedings for the calorie-controlled diets shall be recorded in nurses’ notes as served and should include patient acceptance.