Run Therapeutic Diet Order Verification Audit — Free

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 critical (required)

Verify the diet order on file is current and matches the attending provider's active order.

Yes No N/A

Diet order includes all ordered therapeutic restrictions critical (required)

Confirm ordered restrictions such as sodium, carbohydrate, renal, fluid, texture, or other therapeutic parameters are fully reflected.

Yes No N/A

Diet order is current and not expired or discontinued critical (required)

Confirm there is no conflicting discontinued order, temporary order, or outdated diet instruction being used for meal service.

Yes No N/A

Diet order changes communicated to foodservice

Verify recent diet changes were communicated through the facility's approved process before meal service.

Yes No N/A

Diet Card Accuracy

Diet card matches active diet order critical (required)

Verify the diet card reflects the same therapeutic diet, texture, and restrictions as the current order on file.

Yes No N/A

Allergy and intolerance alerts match the record critical (required)

Confirm any documented food allergies or intolerances shown on the diet card match the current record and are clearly visible.

Yes No N/A

Texture, consistency, and liquid modifications are correct critical (required)

Verify the card accurately shows ordered texture, consistency, and liquid modifications such as pureed, minced, thickened liquids, or other approved terms.

Yes No N/A

Diet card is legible and current

Confirm the card is readable, not damaged, and appears to be the current version in use.

Yes No N/A

Meal Service and Tray Match

Tray or meal ticket matches the verified diet card critical (required)

Confirm the meal ticket, tray label, or service ticket matches the diet card and current order.

Yes No N/A

Meal components align with ordered diet

Verify the planned or served meal components are appropriate for the ordered diet and restrictions.

Yes No N/A

Special instructions communicated to serving staff

Confirm any special instructions, substitutions, or precautions were communicated to staff responsible for plating or delivery.

Yes No N/A

Exceptions and Corrective Actions

Any discrepancy identified critical (required)

Indicate whether any mismatch, missing information, or non-conformance was found during verification.

Yes No N/A

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.

Yes No N/A

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Run: Therapeutic Diet Order Verification Audit

Audit Details and Scope

Current Diet Order Verification

Diet Card Accuracy

Meal Service and Tray Match

Exceptions and Corrective Actions

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