Oregon Administrative Rules
Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION
Division 520 - HOSPITAL SERVICES
Section 333-520-0020 - Dietary Services
Universal Citation: OR Admin Rules 333-520-0020
Current through Register Vol. 63, No. 12, December 1, 2024
(1) All hospitals, regardless of classification, shall comply with this rule.
(2) A hospital shall:
(a) Have an organized dietary department,
directed by qualified personnel, that conforms to the requirements in OAR
333-150-0000, the Food
Sanitation Rules.
(b) Employ
supportive personnel competent to carry out the functions of the dietary
service, including a full-time director with overall supervisory responsibility
for the dietary service and who is:
(A) A
qualified dietitian who is registered by the Commission on Dietetic
Registration of the Academy of Nutrition and Dietetics;
(B) A person who has received a baccalaureate
or higher degree with major studies in food, nutrition, diet therapy or food
service management and has at least one year of supervisory experience in a
health care dietetic service, and participates in continuing education related
to the dietetic profession;
(C) A
graduate of a dietetic technician or dietetic assistant training program,
corresponding or classroom, approved by the Academy of Nutrition and
Dietetics;
(D) A graduate of a
state approved course that provides 90 or more hours of classroom instruction
in food service supervision and has one year's experience as a supervisor in a
health care institution; or
(E) Has
training and experience in food service supervision and management in a
military service equivalent in content to one of the above criteria for
qualifying.
(c) Contract
with a dietician with the qualifications listed in paragraph (2)(b)(A) of this
rule, if the Director is not a qualified dietitian under paragraph (2)(b)(A) of
this rule, and:
(A) Consult at least
quarterly with the contractor;
(B)
Have on file a contract signed by the consultant and the hospital administrator
stating the relationship of the consultant to the hospital, services to be
provided, length of contract, terms and hours; and
(C) Require the contractor to submit
quarterly reports to the hospital administrator and the committee, council or
other reviewing body designated by the hospital as having responsibility for
dietary services that include:
(i) The
date(s) of visit(s) and length of time spent on premises;
(ii) Staff members seen;
(iii) Services performed;
(iv) Action taken on previous reports;
(v) Problems identified; and
(vi) Recommended action and
distribution of the report.
(d) Require the on-site visits of the
Consulting Dietitian to be of sufficient duration and frequency to review
dietetic systems and assure quality food to the patient.
(e) Provide dietetic services to patients in
accordance with a written order by the responsible physician, or other health
care practitioner authorized within the scope of his or her professional
license, and record appropriate dietetic information in the patient's medical
record including the following:
(A) Timely
and periodic assessments of the patient's nutrient intake and tolerance to the
prescribed diet modification, including the effect of the patient's appetite
and food habits on food intake;
(B)
A description of the diet instructions given to the patient or family and
assessment of their diet knowledge;
(C) A description or copy of the diet
information forwarded to another institution upon patient discharge; and
(D) Nutritional care follow-up
with the patient's health care practitioner or a health care agency.
(f) Regularly review and evaluate
the quality and appropriateness of nutritional care provided by the dietetic
service including the nutritional adequacy of all menus.
(g) Ensure that the Dietetic Service is
represented on hospital committees concerned with nutritional care.
(h) Serve food that has an appetizing
appearance, is palatable, is served at proper temperature and is cooked and
served in such a way as to retain the nutrient value of food.
(i) Restrict admittance to the kitchen area
to those who must enter to perform assigned duties.
(j) Develop written procedures for cleaning
equipment and work areas and enforce those procedures.
Stat. Auth.: ORS 441.02
Stats. Implemented: ORS 441.025
Disclaimer: These regulations may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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