Section 390.1860 Infant and Therapeutic Diets

Section 390

Section 390.1860 Infant and

Therapeutic Diets

a)         An infant diet is a diet whether therapeutic or general for

residents under the age of 12 months.

b)         A therapeutic diet is a diet that varies from the recommended

nutritional requirements as specified in Section 390.1850.

c)         All diets shall be ordered by a physician and recorded in the

resident's medical record and served as ordered. The resident shall be observed

to determine acceptance of the diet and these observations shall be recorded in

his record. (B)

d)         All diet orders (see Section 390. 1840(a) and (b)) transmitted

to the Food Service Department shall include, but are not limited to, the

following information: name of resident, room and bed number, type of diet,

date diet order is sent to dietary, name of physician ordering the diet, and

the signature of the person transmitting the order to the food service

department.

e)         All diets or dietary restrictions shall be planned or approved

by a dietitian. (B)

f)         The kinds and variations of these prescribed therapeutic diets

shall be available in the kitchen. If separate menus are not planned for each

specific diet, diet information for each specific type shall be posted in the

kitchen.

g)         All infant and therapeutic diets, with the exception of liquid

and medical soft, shall be reviewed at least every month. Liquid therapeutic

diets shall be reviewed every 48 hours. Medical soft diets shall be reviewed

every three weeks. This review shall be done by licensed nursing personnel or a

qualified dietitian with recommendations to the attending physician. (B)

h)         The facility shall have available and in use, two or more

copies of a current diet manual recommended by the Department. One copy shall

be located in the kitchen for use by dietary personnel; others shall be located

at each nurses' station for available use by the physician when prescribing

diets.