R9-10-231. Dietary Services

An administrator shall ensure that: 1. Dietary services are provided according to 9 A.A.C. 8, Article 1; 2. A copy of the hospital’s food establishment license or permit under 9 A.A.C. 8, Article 1, is maintained; 3. For a hospital that contracts with a food establishment, as established in 9 A.A.C. 8, Article 1, to prepare and deliver food to the hospital, a copy of the contracted food establishment’s license or permit under 9 A.A.C. 8, Article 1, is maintained; 4. If a hospital contracts with a food establishment to prepare and deliver food to the hospital, the hospital is able to store, refrigerate, and reheat food to meet the dietary needs of a patient; 5. Dietary services are provided under the direction of an individual qualified to direct the provision of dietary services according to policies and procedures; 6. There are personnel members on duty to meet the dietary needs of patients; 7. Personnel members providing dietary services are qualified to provide dietary services according to policies and procedures; 8. A nutrition assessment of a patient is: a. Performed according to policies and procedures, and b. Communicated to the medical practitioner coordinating the patient’s medical services if the nutrition assessment reveals a specific dietary need; 9. A medical staff member documents an order for a diet for each patient in the patient’s medical record; 10. A current diet manual approved by a registered dietitian is available to personnel members and medical staff members; and 11. A patient’s dietary needs are met 24 hours a day.