Utah Admin. Code R432-100-33 - Dietary Service
(1)
(a) The licensee shall ensure that there is
an organized dietary department under the supervision of a certified dietitian
or a qualified individual who, by education or specialized training and
experience, is knowledgeable in food service management. If the latter is head
of the department, they shall retain a registered dietitian on a full-time,
regular part-time, or consulting basis.
(b) A person whose qualifications, authority,
responsibilities, and duties are approved by the administrator shall provide
direction of the dietary service. The director shall have the administrative
responsibility for the dietary service.
(c) If the services of a certified dietitian
are used on less than a full-time basis, the time commitment shall permit
performance of necessary functions to meet the dietary needs of the
patients.
(d) The licensee shall
ensure there are food service personnel to perform any necessary
functions.
(2) If
dietetic services are provided by an outside provider, the outside provider
shall comply with the standards of this section.
(3)
(a) The
dietary department personnel shall provide a current diet manual, approved by
the dietary department and the medical staff, to be available to dietary,
medical, and nursing personnel.
(b)
The dietary department personnel shall meet the food and nutritional needs of
patients, including therapeutic diets, in accordance with the orders of the
physician responsible for the care of the patient, or if delegated by the
physician, the orders of a qualified registered dietitian in consultation with
the physician, as authorized by the medical staff and in accordance with
facility policy.
(c) Dietary
department personnel shall write regular menus and modifications for basic
therapeutic diets at least one week in advance and posted in the
kitchen.
(d) The menus shall
provide for a variety of foods served in adequate amounts at each
meal.
(e) The dietary department
shall serve at least three meals daily with not more than a 14-hour span
between the evening meal and breakfast. If a substantial evening snack is
offered, a 16-hour time span is permitted.
(f) The dietary department shall provide a
source of non-neutral exchanged water for use in preparation of no sodium
meals, snacks, and beverages.
(4)
(a) The
dietary department personnel shall comply with Rule R392-100.
(b) The licensee shall ensure that the
dietary facilities and equipment are in compliance with federal, state, and
local sanitation and safety laws and rules.
(c) The licensee shall control traffic of
unauthorized individuals through food preparation areas.
(5) The licensee shall maintain written
reports of inspections by state or local health departments on file at the
hospital and available for department review.
(6) The dietitian or authorized designee is
responsible for documenting nutritional information in the patient's medical
record.
(7) The licensee shall
ensure that any dietary orders are transmitted in writing to the dietary
department.
Notes
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