Job-Specific Competency
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1.Assists patients with menu selection as needed, concentrating on special needs, such as evidenced by notes on “Patient Profile”, write-in food items on menus, initiation of snacks and supplements. Incorporates religious and cultural beliefs into menu selection. Obtains menus for new admissions as soon as possible. At end of shift, filled menus are to be in for all inpatients, including those with a diet order of clear and full liquids for breakfast the next day.
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2.Demonstrates ongoing updating of computerized diet census sheets with neat, legible, accurate and current patient information.
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3.Demonstrates handwriting on menus is legible and menu items are circled neatly. This includes accurate room number, accurate patient name, accurate diet order and any write-in menu items.
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4.Demonstrates that entire diet order (as it appears on the computerized diet census sheet) is written legibly and accurately on each of the breakfast, lunch and dinner menus. Correct menu color is utilized according to diet order. Food allergies are written in red at the top of each of the breakfast, lunch and dinner menus (allergic to …). Correct menu for the day of the week is utilized.
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5.Demonstrates that the mandatory fields on the “Patient Profile” (kardex) sheet are filled out for each patient and that the information is current. The mandatory fields include patient’s name, room number, age, date of admission, dates/diet orders, menu selection – whether patient is able to circle own menu, food allergies (to be written in red), snacks/PO supplements and any pertinent information included in the “nutritional information” section of the sheet. Handwriting is legible. Information is current and accurate.
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6.Demonstrates the review/update of menus prior to each meal and organizes “hold trays” and menus of “NPO” patients for retrieval when a patient’s diet order status and PO intake resumes. Uses the most recent available diet orders, room transfer, and admission and discharge information.
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7.Demonstrates that all snacks/PO supplements ordered have been entered into the Meditech computerized system. Deletes snacks in Meditech when a patient’s diet order has been changed to NPO. Re-enters snacks in Meditech when a patient’s diet order is resumed after being NPO.
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8.Completes grill sheet, cold specials sheet and add-on sheet prior to each meal and completes daily meal census. Counts are accurate based on the most recent available information and are neat and legible.
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9.Corrects and modifies inpatient menus to comply with diet order prescribed by the physician and utilizes established guidelines. Scores on inpatient menu audits are consistently above 90%.
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10.Implements phone/computer orders for all new admissions, discharges, diet order changes or room changes. Follows-through with the new information with regard to diet census sheets, menus, patient profile and snacks/PO supplements in Meditech.
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11.Participates in and completes customer service surveys.
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12.Participates in Quality Improvement by tracking/monitoring an NPO indicator. Documentation daily on the designated form of inpatients whose diet orders should have been NPO will be completed.
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13.Knowledge and application of JCAHO standards and Connecticut State Department of Health regulations.
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14.Participates in clinical monthly inservices.
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15.Attends monthly department meetings.
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