name of policy: diabetic meals - room service policy ... 3 3 64-104-317 diabetic meals - room...

Name of Policy: Diabetic Meals - Room Service Policy Number: 3364-104-317 Department: Food & Nutrition Approving Officer: Director of Food and Nutrition Responsible Agent: Senior Director, Food & Nutrition Food & Nutrition Scope: Clinical Nutrition New policy proposal X Minor/technic Major revision of existing policy Reaffirmation ^HEALTH THE UNIVERSITY OF TOLEDO Effective Date: 7/1/2017 Initial Effective Date: 8/2002 al revision of existing policy of existing policy (A) Policy Statement Meal service for patients on carbohydrate controlled diets is coordinated with patient care staff and insulin/medication schedules. (B) Purpose of Policy To provide a process for coordination of glucose monitoring, meals and insulin therapy in order to maximize blood glucose control. (C) Procedure 1. Nursing will discuss with patient, the days plan of care, including need for glucose monitoring and suggested time period for meals. Patients are encouraged to use their call lights when the meal is delivered to alert nursing staff. 2. Nursing staff will encourage patients on a carbohydrate controlled diet to call for their meals prior to 7:30 a.m., 11:30 a.m. and 4:30 p.m. This will assure coordination of care, consistent timing of meals and allow for administration of insulin or diabetic medications. 3. Carbohydrate counting is used for patients on diabetic calorie or "ADA" diets. Consistent amounts of carbohydrate from meal to meal are encouraged. The following table indicates the amount of carbohydrate recommended. Diet order Carbohydrate Controlled Female Carbohydrate Controlled Male BRKFST 45gm GOgms LUNCH 45gm GOgms DINNER 45gm GOgms HS SOgms SOgms 4. Meals are delivered following established procedures. 5. For patients that have missed a meal, see policy #3364-104-319 "Monitoring of Patients with Missed Meals". 6. Patients that have not ordered a meal prior to the stated times, will be contacted by Food and Nutrition. 7. An alert card will be placed on all carbohydrate controlled meal trays: "Diabetic/Carbohydrate Controlled Meal. STOP. Please call your nurse to see if your blood sugar needs checked before you eat." For patients that have missed a meal, see policy #3364-104-319 "Monitoring of Patients with Missed Meals". 8. Food items are available in floor nourishment rooms for evening snacks.

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Name of Policy: Diabetic Meals - Room Service

Policy Number: 3364-104-317

Department: Food & Nutrition

Approving Officer: Director of Food and Nutrition

Responsible Agent: Senior Director, Food & Nutrition

Food & NutritionScope:

Clinical Nutrition

New policy proposal X Minor/technicMajor revision of existing policy Reaffirmation

^HEALTHTHE UNIVERSITY OF TOLEDO

Effective Date: 7/1/2017Initial Effective Date: 8/2002

al revision of existing policyof existing policy

(A) Policy Statement

Meal service for patients on carbohydrate controlled diets is coordinated with patient care staff andinsulin/medication schedules.

(B) Purpose of Policy

To provide a process for coordination of glucose monitoring, meals and insulin therapy in order to maximizeblood glucose control.

1. Nursing will discuss with patient, the days plan of care, including need for glucose monitoring andsuggested time period for meals. Patients are encouraged to use their call lights when the meal is deliveredto alert nursing staff.

2. Nursing staff will encourage patients on a carbohydrate controlled diet to call for their meals prior to 7:30a.m., 11:30 a.m. and 4:30 p.m. This will assure coordination of care, consistent timing of meals and allowfor administration of insulin or diabetic medications.

3. Carbohydrate counting is used for patients on diabetic calorie or "ADA" diets. Consistent amounts ofcarbohydrate from meal to meal are encouraged. The following table indicates the amount of carbohydraterecommended.

Diet orderCarbohydrate

Controlled FemaleCarbohydrate

Controlled Male

BRKFST45gm

GOgms

LUNCH45gm

GOgms

DINNER45gm

GOgms

HSSOgms

SOgms

4. Meals are delivered following established procedures.

5. For patients that have missed a meal, see policy #3364-104-319 "Monitoring of Patients with MissedMeals".

6. Patients that have not ordered a meal prior to the stated times, will be contacted by Food and Nutrition.

7. An alert card wil l be placed on all carbohydrate controlled meal trays: "Diabetic/Carbohydrate ControlledMeal. STOP. Please call your nurse to see if your blood sugar needs checked before you eat." For patientsthat have missed a meal, see policy #3364-104-319 "Monitoring of Patients with Missed Meals".

8. Food items are available in floor nourishment rooms for evening snacks.