Meal Rounds Report Form

Name: Angela Misko Dates: 10/23/13 Meals: Lunch

Room Patient Name Diet Comments Action Taken
802
Cardiac Does not eat food. No
complaint w/ service

805
Cardiac Empty room
806
Renal Food good, service
good

809
Low Na Food good, service
good.

810
Reg Food okay, service
great

812
Clear Liq No complaint food
service not good.

813
Puree Food good, service
good

814
ADA Food good, service
good

815
2gm Food alright, service
fine.

817
Cardiac Food okay
818
Clear Liq Food good, service
good

821
Cardiac Food good, very
efficient

820
Reg Service good
822
Clear Liq Food good, excellent
service
Wants bagel, no meat,
banana, fruit, cereal
842
ADA Did not like food,
service is okay
Speak to Marline
supervisor and chef, f/u
with patient
841
Renal/AD
A
Food not good, no
appetite, service good
*received tomato sauce->
speak with line checker
839
Renal Food okay, service
fabulous, nice people
Cannot have canned
foods -> add in PC


Room Patient Name Diet Comments Action Taken
903

Reg Somewhat
dissatisfied, missing
items on tray.food is
okay, service okay
Report to supervior
Marline, speak with line
checker and trayline staff.
f/u with patient.
904
Cardiac Food okay, service
okay

905
Reg Meals good, service
good

906
ADA Asleep, has nausea
per wife

907
ADA Great food great
service

908
ADA Loss of appetite non
food related

909
Cardiac/
Koser
Everything is fine