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Run: Resident Diet Order and Tray Card Audit

Audit resident tray cards and meal tickets against current diet orders, allergies, textures, and special instructions before meals leave the kitchen. Use it ...

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Audit Details and Scope

Confirm the source used for comparison, such as the electronic health record, diet office report, or current meal ticket list.

Diet Order Match

Diet type on the tray card matches the active diet order exactly, including regular, diabetic, renal, cardiac, puree, mechanical soft, or other ordered diet.
Any ordered restrictions such as sodium, carbohydrate, fluid, potassium, or protein limits are shown on the tray card or meal ticket.
Verify new orders, discontinued orders, or temporary diet changes are reflected on the tray card before service.
Residents who are NPO, on hold, or otherwise restricted from receiving a tray are clearly flagged and excluded from service.
Enter the number of trays reviewed that did not match the current diet order.

Allergy and Safety Alerts

All active food allergies are visible on the tray card or meal ticket and match the resident record.
Major allergens are highlighted in a way that is readily visible to foodservice staff at point of service.
The allergy list on the tray card matches the current chart or diet order without omissions or outdated entries.
If the resident requires allergen precautions, the tray card or meal ticket indicates the need for special handling or separate preparation.

Texture, Consistency, and Preferences

Texture level on the tray card matches the current order, such as regular, chopped, ground, minced, puree, or other facility-approved texture.
Any ordered liquid thickness, such as thin, nectar, honey, or pudding, is shown correctly on the tray card or meal ticket.
Documented preferences that affect service, such as no pork, no fish, no milk, or preferred beverage substitutions, are reflected when approved by policy.
Instructions such as cut-up food, separate condiments, no straws, or adaptive dining notes are visible to the tray line or delivery staff.

Tray Card Accuracy, Delivery, and Corrective Actions

The printed or electronic tray card is readable, current, and not obscured, torn, or outdated.
If a mismatch was found, confirm the tray was held and corrected before reaching the resident.
Record the cause, immediate correction, and follow-up action for each tray card discrepancy found during the audit.

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