Section R432-100-33 - Dietary Service(1) The licensee shall ensure that there is an organized dietary department under the supervision of a certified dietitian or a qualified individual who, by education or specialized training and experience, is knowledgeable in food service management. If the latter is head of the department, they shall retain a registered dietitian on a full-time, regular part-time, or consulting basis. (a) A person whose qualifications, authority, responsibilities, and duties are approved by the administrator shall provide direction of the dietary service. The director shall have the administrative responsibility for the dietary service.(b) If the services of a certified dietitian are used on less than a full-time basis, the time commitment shall permit performance of any necessary functions to meet the dietary needs of the patients.(c) The licensee shall ensure there are food service personnel to perform any necessary functions.(2) If dietetic services are provided by an outside provider, the outside provider shall comply with the standards of this section.(3) The dietary department personnel shall provide a current diet manual, approved by the dietary department and the medical staff, to be available to dietary, medical, and nursing personnel. (a) The dietary department personnel shall meet the food and nutritional needs of patients, including therapeutic diets, in accordance with the orders of the physician responsible for the care of the patient, or if delegated by the physician, the orders of a qualified registered dietitian in consultation with the physician, as authorized by the medical staff and in accordance with facility policy.(b) Dietary department personnel shall write regular menus and modifications for basic therapeutic diets at least one week in advance and posted in the kitchen.(c) The menus shall provide for a variety of foods served in adequate amounts at each meal.(d) The dietary department shall serve at least three meals daily with not more than a 14-hour span between the evening meal and breakfast. If a substantial evening snack is offered, a 16-hour time span is permitted.(e) The dietary department shall provide a source of non-neutral exchanged water for use in preparation of no sodium meals, snacks, and beverages.(4) The dietary department personnel shall comply with the Utah Department of Health and Human Services Food Service Sanitation Rule R392-100.(a) The licensee shall ensure that the dietary facilities and equipment are in compliance with federal, state, and local sanitation and safety laws and rules.(b) The licensee shall control traffic of unauthorized individuals through food preparation areas.(5) The licensee shall maintain written reports of inspections by state or local health departments on file at the hospital and available for department review.(6) The dietitian or authorized designee is responsible for documenting nutritional information in the patient's medical record.(7) The licensee shall ensure that any dietary orders are transmitted in writing to the dietary department.Utah Admin. Code R432-100-33
Amended by Utah State Bulletin Number 2016-5, effective 2/10/2016Amended by Utah State Bulletin Number 2023-14, effective 7/6/2023