Diet TrainingUH/CVC Room Service Call Center

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

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

ObjectivesOExplanation of special dietsOType of patients on these dietsOThings to watch for while taking

meal selections

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

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

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

General DietAbbreviation - GenONo restrictionsOAll condiments are allowedOAll beverages are allowed

High Calorie/Protein Diet

Abbreviation-Cal/ProOPatients that need extra calories and

protein for nutrient malabsorption OExample: burn patients,

malnourished patientsONo entrée restrictions

Consistent Carbohydrate Diet

Abbreviation- 1800Cal 60g, 2000Cal 75g 2400Cal 90g, 2800Cal 105g 3200Cal 120g

ODiabetic patients, high blood sugarsOAvoid- high sugar foodsONutrient Restriction

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

2 Gram Sodium Restriction

Abbreviation- NA2gOCardiac patients and patients

with fluid retentionONo salt packet is allowedOSpecial Menu available for these

patientsONutrient Restriction

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

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

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

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

Low Fiber/GI Soft DietAbbreviation- LoFib/GIOVery individualized diet, varies from

patient to patientOFoods that are bland and have less

fiberOFollow compliancy prompts

Clear liquidAbbreviation-CLOClear liquid

O Broth, clear juices, jello, popsicle, lemon ice, coffee, tea, soda

OFollow compliancy prompts

Full LiquidAbbreviation-FLOFull liquid

O Juice, cream soups, thinned whip potatoes, ice cream, sherbet, pudding, milk, coffee, tea, soda

OFollow compliancy prompts

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

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

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

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

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

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

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

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

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

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) 

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)

Questions?Thank You!