Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-529 - Dietetic Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Where
				  applicable, there shall be an organized dietary department directed by
				  qualified personnel and integrated with other departments of the center.
				  Services shall be provided for the general dietary needs of the center,
				  including the preparation of modified special diets.
B. There shall be one or more full-time
				  registered dietitians or a part-time or consultant dietitian with therapeutic
				  training giving a minimum of eight hours per month in each facility which shall
				  be sufficient to provide a food service meeting Division of Licensing and
				  Certification section standards. A written contract between the facility and
				  the consultant dietitian, and written records of each dietary consultation
				  shall be on file in the administrator's office. In the absence of a full-time
				  dietitian, there shall be a full-time qualified person responsible for
				  directing the department's activities and integrating with other departments in
				  the facility.
C. There shall be a
				  systematic record of diets to be correlated with the medical records.
D. The dietary department shall have a
				  dietary procedures manual containing objectives of the department,
				  responsibilities of the department and its personnel, personnel policies, menu
				  planning, food purchasing, food storage, care of equipment policies, and job
				  descriptions.
E. All dietary
				  personnel must obtain pre-employment and regular annual physical examinations
				  to include serology, throat culture, and chest x-ray.
F. The dietary supervisor shall attend all
				  routine department head meetings, help develop department policies and
				  participate in the selection of dietary employees.
G. A dietitian or dietary consultant shall
				  conduct dietary in-service training programs of the facility.
H. There shall be staff personnel on duty no
				  less than 12 hours a day where applicable.
I. Facilities which contract with food
				  management companies must comply with all dietary department rules and
				  regulations of the Division of Licensing and Certification, Department of
				  Health and Human Resources.
J. The
				  facility shall provide sufficient desk space for proper planning. In addition,
				  space must be available for the dietitian to provide private counseling or
				  instruction as needed.
K.
				  Acceptable isolation procedures for tray service in isolation areas shall be in
				  writing and observed.
L.
				  Dishwashing procedures shall be in writing and posted in the dishwashing
				  area.
M. Written health inspections
				  of the dietary department shall be on file within the facility.
N. Notation of compliance shall be given by
				  the dietary supervisor to the facility administrator as to recommendations of
				  the health inspector.
O. Sanitation
				  and storage shall comply with state regulations governing sanitation for food
				  establishments.
P. Diets
1. Menus shall be in writing, planned one
				  week in advance, dated, posted, and corrected to read as served. They shall be
				  filed as served for a period of six months and there shall not be more than 14
				  hours between the evening meal and breakfast.
2. Therapeutic diets shall be ordered, in
				  writing, by the physician on the patient's chart. Nursing service shall order
				  the diet, in writing, from the dietary department.
3. Trays shall be labeled with the patient's
				  name and diet order.
4. A diet
				  manual, approved by the state nutrition consultant, shall be available to
				  dietary personnel at all times for reference.
5. If a full-time dietitian is not employed
				  by the facility, the dietary consultant shall train the dietary supervisor in
				  the use of the diet manual.