Therapeutic Diet Order Verification Audit

Inspection to confirm the current therapeutic diet order on file matches the diet card and meal service documentation at the point of service.

Audit Details and Scope

• Patient or resident identifier recorded
  Enter the non-sensitive identifier used for the audit record, such as medical record number, resident ID, or unit/room identifier per facility policy.
• Location, unit, or service line identified
  Record the unit, dining room, tray line, or meal service area where the diet card was verified.
• Date and meal period documented
  Document when the verification was completed and which meal period was reviewed.
• Current order source identified
  Select the source used to confirm the active diet order.

Current Diet Order Verification

• Active diet order matches charted order
  Verify the diet order on file is current and matches the attending provider's active order.
• Diet order includes all ordered therapeutic restrictions
  Confirm ordered restrictions such as sodium, carbohydrate, renal, fluid, texture, or other therapeutic parameters are fully reflected.
• Diet order is current and not expired or discontinued
  Confirm there is no conflicting discontinued order, temporary order, or outdated diet instruction being used for meal service.
• Diet order changes communicated to foodservice
  Verify recent diet changes were communicated through the facility's approved process before meal service.

Diet Card Accuracy

• Diet card matches active diet order
  Verify the diet card reflects the same therapeutic diet, texture, and restrictions as the current order on file.
• Allergy and intolerance alerts match the record
  Confirm any documented food allergies or intolerances shown on the diet card match the current record and are clearly visible.
• Texture, consistency, and liquid modifications are correct
  Verify the card accurately shows ordered texture, consistency, and liquid modifications such as pureed, minced, thickened liquids, or other approved terms.
• Diet card is legible and current
  Confirm the card is readable, not damaged, and appears to be the current version in use.

Meal Service and Tray Match

• Tray or meal ticket matches the verified diet card
  Confirm the meal ticket, tray label, or service ticket matches the diet card and current order.
• Meal components align with ordered diet
  Verify the planned or served meal components are appropriate for the ordered diet and restrictions.
• Special instructions communicated to serving staff
  Confirm any special instructions, substitutions, or precautions were communicated to staff responsible for plating or delivery.

Exceptions and Corrective Actions

• Any discrepancy identified
  Indicate whether any mismatch, missing information, or non-conformance was found during verification.
• Immediate corrective action documented
  Describe the corrective action taken for any discrepancy, including who was notified and how the diet card or order was corrected.
• Follow-up required before next meal service
  Indicate whether additional verification, reissue of the diet card, or provider clarification is required before the next meal period.