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Patient Menus
Policy Number:
3364-104-320
Department:
Approving Officer:
Responsible Agent:
Scope:
TOLEDO
Ul72
Effective Date:
1/112013
8/2002
(C) Procedure
1. The Chief Clinical Dietitian or designee plans and approves all patient menus. Clinical Dietitians advise in
the menu preparation.
2.
Room Service menu is offered to all patients with selections modified for the following restrictions.
Regular
Pediatric (3-17 years)
Mechanically Altered; Ground meats; Chopped meats
Soft
Thickened liquids (nectar and honey)
Low Sodium
Cardiac NAS, Low fat,
Calorie/ Carbohydrate Controlled; No concentrated sweets
Renal; Low phosphorus; Low potassium
Calcium restricted
Carbonated beverage restricted
Fluid restricted: dry tray, 240mlltray
High calorie/High protein
High fiber; Fiber/residue restricted
Kosher
Vegetarian (all levels)
Vitamin K restricted
Allergies: milk, egg, nut, peanut, fish, shellfish, soy, wheat/gluten
Tyramine restricted
No red foods
Post gastrectomy
Protein restricted
Policy 3364-104-320
Patient Menus
Page 2
3.
Non Selective Menus will be used for test diets and for selected shoti-term diet orders:
Puree
Extubation Diet
4. Diet Office employees monitor the duration of shoti-term diet orders according to guidelines and refer
orders which exceed norm to the clinical staff.
5.
Patient allergies are entered into the computer and food items in conflict with the allergy(s) will be removed
from menu selections.
Approved by:
Review/Revision Date:
6/2005
6/2/2008
7/1/2011
11/1/2012
12/13/2012
/2-:2-1-12
Norma Tomlinson RN, MSN, NE-BC,
FACHE
Date