Diet Training UH/CVC Room Service Call Center. Who We Serve O UH Hosptial O 4 th, 5 th, 6 th, 7 th...
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Transcript of Diet Training UH/CVC Room Service Call Center. Who We Serve O UH Hosptial O 4 th, 5 th, 6 th, 7 th...
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Diet TrainingUH/CVC Room Service Call Center
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Who We ServeO UH Hosptial
O 4th, 5th, 6th, 7th and 8th Floors
O Speical UnitsO AMOU, OBS, Burn
Unit, ER, 9C
O Cardiovascular CenterO Neuroscience Hospital
O “Old MCHC”- 6CAP
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Why is this important?1. Doctor’s prescribe a diet order that will
help with the patient’s condition as they heal
2. Ensure patient’s safety
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ObjectivesOExplanation of special dietsOType of patients on these dietsOThings to watch for while taking
meal selections
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Patient Meal Selection Guidelines
OThree canned beverages per meal periodOTwo entrees per meal order
OThree total in a meal periodOUnless patient is a high calorie high
protein dietOStay within meal and daily goalsOFollow compliancy prompts for certain
diets
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Following CompliancyNutrient Restriction Texture Restriction
O Diets that allow patients to consume a daily allotment of certain nutrients
O See if item can fit within goal limits at each meal
O Diets that allow patients to consume foods with certain textures
O Follow compliancy prompts
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Special CodesLocation/Diet Codes to Use
9C SPP DOUB
6CAP SPP DOUB
SPP SPP DOUB
Guard Tray SPP DOUB
Psych ER SPP DOUB BARR PLAS
ER BARR PLAS
Kosher BARR PLAS
Bariatric NOST DOUB
Wired Jaw NOSIL
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General DietAbbreviation - GenONo restrictionsOAll condiments are allowedOAll beverages are allowed
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High Calorie/Protein Diet
Abbreviation-Cal/ProOPatients that need extra calories and
protein for nutrient malabsorption OExample: burn patients,
malnourished patientsONo entrée restrictions
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Consistent Carbohydrate Diet
Abbreviation- 1800Cal 60g, 2000Cal 75g 2400Cal 90g, 2800Cal 105g 3200Cal 120g
ODiabetic patients, high blood sugarsOAvoid- high sugar foodsONutrient Restriction
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CardiacLow Fat/Low CholNAS
Abbreviations- CM, LoFat/Chol, NASOMainly for heart patientsOAvoid-high fat/salt foods
O sausage, ham, rich desserts etc.ONo salt packet allowedONutrient Restriction
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2 Gram Sodium Restriction
Abbreviation- NA2gOCardiac patients and patients
with fluid retentionONo salt packet is allowedOSpecial Menu available for these
patientsONutrient Restriction
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Fluid Restrictions
Abbreviation-KFR(Kitchen FR), FROPatients retaining extra fluid-
O Cardiac/Renal patients
OIf patient asking over allotment and is persistentO ask to speak with nurseO page nurse to call 61447
ONutrient Restriction
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Renal Diet
Abbreviation-RenalOPatients with kidney or liver problemsONo salt packet allowedOAvoid food high in Potassium-orange,
bananas, potatoes, tomatoes, prune juice
OAvoid foods high in Phosphorus-milk products, wheat products, baked itemsO Half portion of milk available for these patients
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Meal Goals for Renal Diet
OFollow Nutrient and Compliancy PromptsO Phosphorus is not measureable with
different foodsO Potassium amounts differ per whole
food item i.e. tomatoes
ONo more than one none compliant item per meal and only one non-compliant entrée per day
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BMT DIETAbbreviation-BMTOPatients with a compromised
immune system.ONo fresh vegetable, no
garnish, no pepper, no Mrs Dash, No sandwiches
OMinimal handling of foods OFollow compliancy prompts
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Low Fiber/GI Soft DietAbbreviation- LoFib/GIOVery individualized diet, varies from
patient to patientOFoods that are bland and have less
fiberOFollow compliancy prompts
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Clear liquidAbbreviation-CLOClear liquid
O Broth, clear juices, jello, popsicle, lemon ice, coffee, tea, soda
OFollow compliancy prompts
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Full LiquidAbbreviation-FLOFull liquid
O Juice, cream soups, thinned whip potatoes, ice cream, sherbet, pudding, milk, coffee, tea, soda
OFollow compliancy prompts
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Wired Jaw Diet
Abbreviation-WjawOClear or Full liquid wired jawOPatients with broken jaw, dental surgery, reconstruction surgeryOA syringe is usedOAll foods are served in a cup, no jell-oONo strawsOFollow compliancy prompts
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Bariatric DietO Bariatric Clear Liquid- BarCLO Bariatric Full Liquid- BarFLO Bariatric Pureed- BarPureeO Bariatric Mechanical Soft- BarMechSO No concentrated sweets, low-fat, no
caffeine, not carbonated beverages, and NO STRAWS
O Follow compliancy prompts
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Anti Dumping DietAbbreviation-AntiDumpO Patients with gastrointestinal problemsO Ask patient if they are familiar with the
Anti-Dumping DietO If not, explain it is important to eat 6
small meals and to consume liquids 30 minutes after eating the solid food.
O Follow compliancy prompts
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Dysphagia DietsO Patients with swallowing problems-
often due to a strokeO Three levels of this diet: 1, 2, and 3 O Abbreviation: DYSO Four liquid consistencies: No liquids,
Honey thick, Nectar Thick, ThinO Follow compliancy prompts
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Dysphagia 2 No Carbonated Beverage
Abbreviation-Dys2, NoCarbBevOEsophagus surgery (4th floor)OAvoid-breads, carbonated
beverages, regular meats, fresh fruits except bananas
OFollow compliancy prompts for texture restrictions
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Kosher TrayO Special dietary guidelines to followO Depending on the patient these
would be sent as a disposable tray using the BARR code
O Follow compliancy prompts
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Food Allergies and Diet Preferences
OGluten-Free, Vegan/Vegetarian and Halal
OThese traits can be added to the patient’s card file to aid them with different choices
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Vegetarians and Vegans
O If patients following these diets are having a hard time with our menu, offer them the Vegetarian Entrées Chart
O This could be taken to the patient by the person doing RSA for that floor
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MenusO GeneralO Consistent CarbohydrateO 2 Gram Sodium O Gluten FreeO Texture ModifiedO GVHD 1 and 2O 9C
O Gluten FreeO 6CAP
O Gluten Free and Special Portion
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Guest Breakfast Guidelines
OBreakfast Entrée (1) with Two Sides (meat/hash browns)
OHot or Cold Cereal w/ Milk
OBreakfast Pastry or Fruit or Yogurt
OHot or Cold Beverage (2)
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Guest Lunch/Dinner Guidelines
OSoup or Salad (1 of either)OEntrée (1 only) with Two Sides
(starch/vegetable)-or-OTwo Deli Sandwich (1 only)
with Two SidesOHot or Cold Beverage (2 total)ODessert (1)
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Questions?Thank You!