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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