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Patient Tray Audit Form free printable template

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Patient Tray Audit Date Nursing unit Time kitchen temperatures taken Meal Diet Time test tray is delivered to unit/patient If min, explain Scoring criteria: Score on a scale of 1 to 10 with 10 being
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How to fill out Patient Tray Audit Form

01
Gather all necessary patient information including name, room number, and meal preferences.
02
Review the food items present on the patient tray and ensure they match the ordered meal.
03
Check for any special dietary requirements and confirm compliance with dietary restrictions.
04
Inspect the tray for proper portion sizes and presentation.
05
Verify the temperature of hot and cold items to ensure food safety.
06
Document any discrepancies or issues in the appropriate section of the form.
07
Sign and date the form once the audit is completed.

Who needs Patient Tray Audit Form?

01
Nutritional staff responsible for meal delivery and quality assurance.
02
Healthcare providers monitoring patient dietary compliance and nutrition.
03
Quality assurance teams conducting audits to improve service standards.
04
Regulatory bodies requiring documentation of patient meal accuracy.
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The Patient Tray Audit Form is a document used to assess and verify the accuracy of the food trays provided to patients in a healthcare facility.
Typically, healthcare food service staff, dietitians, or quality assurance personnel are required to file the Patient Tray Audit Form.
To fill out the Patient Tray Audit Form, record details such as patient information, food items on the tray, portion sizes, and any discrepancies noted during the audit.
The purpose of the Patient Tray Audit Form is to ensure that patients receive the correct meals as per their dietary needs and preferences, ensuring food safety and quality.
The information that must be reported includes patient ID, meal date, tray contents, any substitutions, portion sizes, and notes on compliance or non-compliance with dietary requirements.
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