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4CLA-REMONT NURSINGAREHAB
Resident Snack/Nourishment Checklist by Unit • GeriMenu REPORT:SNACKCK
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2:00PM Fruit, Assorted rit
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ttestoent Snack/Nourishment Checklist by Unit- -
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GeriMe8u'REPORT:SIVACK0c ' CLAREMOMINURSINalatERAB
10:00AM
Banana IF Available
2:00PM • Brownies
H.S. Banana IF Available
Resident Snack/Nourishment Checklist by Unit GerlMehil-PelsORT:SNACKCK
10:00AM Pudding, Assorted
2:00PM Peaches or Pears
H.S. Banana IF Available H.S. Soda, Diet Cola H.S. Spread Sandwich
Is
GetiMentrFtEPORT:SNACKCK
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10:00AM Juice Any Kind, UT1
2:00PM Flavored Water, UT1
H.S. Orange, Peeled & Sliced H.S. Lemonade, UTI
• ' Resident Snack/Notilighment Checklist by Unit,
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Resident Snack/Nourishment Checklist by Unit GeriMenu REPORT:SNACKCK
CLAREMONT NURSINGAREHA13
2:00PM Apple, Whole 2:00PM Mandarin Orange
H.S. Ice Cream, Assort H.S. Grahm Crackers H.S. Milk, Skim 8 Oz
Ism Pull 1s),Isnin. AcKiligati
GerirsAtiri&REPPRrSNACKCK • Resident Snack/Nourishment Checklist by Unit
CLAREMONT NURSING 4 REHAB
. ;Week tit 4310311
4v..Etkti,
10:00AM Cheese Slice 10:00AM Pickle Slices
2:00PM Pudding, Assorted 2:00PM Peaches or Pears
H.S. Brownies H.S. Sherbet
meniuetn.anactUNtAurtshment Cheolilintty Unit • %‘'GeriMeritcREPORT:SNACKCK.:::'
10:00AM Peanut butter Crax 10:00AM Ice Tea 10:00AM Juice Any Kind, UTI
2:00PM
2:00PM Spread Sandwich
Flavored Water, UTI
H.S. Nutritional Pudding 11.5. Fruit, Assorted 11.5. Gingerale Diet H.S. Lemonade, UTI
1/2 gallon 1 1/2 gallon 1
ea. 0
1/2 gallon 0 1/2 gallon 1 1/2 gallon 1
1/2 gal 7 1/2 gal 1 1/2 gal 2
1/2 gal 1
1/2 Gal 1 M-W-F
18 ea.
CLAREMONT NURSING AND REHAB CENTER PAR STOCKS REFRIGERATORS: CHECK FOR NAME, NO DATES AND OUTDATED ITEMS (DISCARD THESE ITEMS)
DISCARD FOOD ITEM AND LIST ON THE BACK OF THIS SHEET FLOOR: A-Wing NOURISHMENT PERSON: DAY: REFRIGERATION TEMP: FREEZER TEMP: DATE:
ITEM HONEY
WATER JUICE, CRAN JUICE, APPLE Thick it Packets
NECTAR WATER JUICE, OJ JUICE, APPLE Thick it Packets
UNIT PAR STOCK ON HAND DEL. COST RETURNS COMMENTS
1/2 gallon
ea. 1 Apple Juice Cranberry Juice Orange Juice Cola Reg/Diet Gingerale Reg/Diet Diet Fruit Punch Ice Tea, Flavored Lemonade Water, Flavored
8oz. 8rMd 8oz. 6r/4d
1/2 Gal 1
1/2 Gal 3
1
Applesauce snack pack
Jello snack pack
Pudding snack pack
4oz.
4oz.
ea. 16 10 08.
Seandecaf ea. ea. 100
0 jar
Container
pica
Bread —Jelly Cookies. Soft if available rispie Kreams
Peanut Butter Saltines
1 M
8
Keg Coffee & Filters plastic spoons
4oz.
2% milk Skim milk Choc. Milk Health Shakes )let Health Shakes *Ice cream ce Cream Milan Ice tflagic cup lherbet Josey cups handled sippy cup
iippy Cup No Handles imoty Coffee Cups 1lUcerna 4. Supplement
hitritional/Enlive Juice btritional Pudding
1/2 gallon 1 M-W-F 1/2 gallon 1 M-W-F
Soz. 2 ea. 8v/55/5c ea. 6v/3c 9oz 24 4oz. 10v/8c 4oz. 4 4oz. 10v/3any 4oz. 2 ea. 2 ea. 18
6oz. 8 8oz. 4V/4S 8oz. 10v/4s/6c 6oz. 4a/2b 4oz. 4
4
CLAREMONT NURSING AND REHAB CENTER PAR STOCKS REFRIGERATORS: CHECK FOR NAME, NO DATES AND OUTDATED ITEMS (DISCARD THESE ITEMS)
DISCARD FOOD ITEM AND LIST ON THE BACK OF THIS SHEET FLOOR: C-Wing NOURISHMENT PERSON: DAY: REFRIGERATION TEMP:
VA I C: ITEM UNIT PAR STOCK ON HAND DEL. COST RETURNS COMMENTS
HONEY WATER 1/2 gallon JUICE 1/2 gallon 1 Thick it Packets ea. 0
NECTAR WATER 1/2 gallon 1 APPLE JUICE 1/2 gallon 1 M-TH ICE TEA 4oz 4 Thick it Packets ea. 8 Cranberry Juice 1/2 gallon 1 M-W-F Orange Juice 4oz 1 Prune Juice 4oz 1 Cola Reg/Diet Boz. Bea Gingerale Reg/Diet Boz. -10ea Fruit Drink 1/2 gallon 1 T-TH-SAT Lemonade 1/2 gallon 1 M-TH Root Beer Boz. 2 .. Assorted Snacks bag 1 T-T-S-S Cheese curls bag 1141W-F Cbokies ea. 6 M-W-F Gram Crackers Pks 6 Peanut Butter Packets pks 12 Peanut Butter Crax aka 10 Saltines pks 3 Rea Coffee & Filters ea. 26ea/2decaf Ms Bags ea. 2 Plastic Forks ea. 10 in bag Plaitic Spoons ea. 100 Applesauce snack pack 4oz. 1 Jillo snack pack 4oz. 1 Pudding snack pack 4oz. 1c/1v 2% milk 1/2 gallon 1 M-W-F Skim milk 1/2 gallon 1 M-W-F Choc. Milk 8oz. 3 Health Shakes 4oz. 10V/10C/108 Diet Health shake 4oz. 8v/6c :Rated Yogurt 4oz. 1 "Ice Cream 3oz 12 4 titan, 4oz. 8v/8c/8s Ragic cup ea 3 Therbet, Orange WI. 5 I handled sippy cup ea 2 Empty Coffee Cups 6oz. 10 ilucerna 8oz. 2v/3c/2s .4. Supplement 8oz. 2v/4c/25 hpro Butter Pecan 8oz. 2 lutritional/Enlive Juice 8oz. 8 Intritional 1)1111,11nm tin 'tosource Pks 4oz. 0
1 M-W-F 1/2 gallon Lemonade
1 bag Cheese Curls 16 ea.
20 ea.
10 16
10
ea. ea.
pks
Goldfish Gram Crackers PB Crax/Kr. Kremes Saltines
08.
10 ea.
100 ea.
26ea/2decaf seperate bag
Rea Coffee & Filters Mastic Forks Plastic Spoons
1/2gal. 1 M-W-F
4oz. 1 4oz 4oz. 1
Applesauce snack pack iello snack pack Padding snack pack
Cookie, Sugar (If available)
Skim milk 4eafth Shakes 71;14 Health shake :Tufted Yogurt "Ice Cream ce Cream talian Ice Aagic cup ;herbet ;ippy cups no handles Unpty Coffee Cups Aimema q. Supplement
lipro lutritional Juice/berry lutritional Pudding
1/2gal. 1 M-W-F 4oz 6v/7c/3s 4oz. 4v/4c 4oz. 1 M-TH 3oz 4 4oz 10v/5c/4s ea. 8 ea. 6 ea. 4
ea. 8oz.
ea. 1 5
1v/2c/4s 8oz. 8v/8s/12c 8oz. 0 8oz. 2 4oz 1v/1c
...n..nilL111111011 I istinoirecs AMU tictilAtS ULN I ER PA
REFRIGERATORS: CHECK FOR NAME, NO DATES AND OUTDATED ITEMS (DISCARD THESE ITEMS) FLOOR: 1ST NOURISHMENT FREEZER TEMP: DATE: REFRIGERATION TEMP:
ii trn UNIT PAR STOCK ON HAND DEL. COST COMMENTS HONEY RETURNS
WATER 1/2 gallon 1 JUICE I hiCk it Packets
1/2 gallon 1 ea. 0
NECTAR WATER 1/2 gallon 2 JUICE,CRAN 1/2 gallon 0 Tbiok it Packets ea. 0 Nursing must get Apple Juice 1/2 gal 1 M-TH
beverages Cran Juice 4oz 2 from refrigerator (1-2) Orange Juice 1/2 gal 1 M-W-F
Prune Juice 4oz 1 Cola Reg/Diet 8oz. 18r/16d Gingerale Reg/Diet 8oz. 12d16d Root Beer 8oz. 3 Fruit Drink 1/2 gallon 1 M-W-F Ice Tea to nniinn It, Ill 0 val
• CLAREMONT NURSING AND REHAB CENTER PAR STOCKS REFRIGERATORS: CHECK FOR NAME, NO DATES AND OUTDATED ITEMS (DISCARD THESE ITEMS)
DISCARD FOOD ITEM AND LIST ON THE BACK OF THIS SHEET FLOOR: 2ND NOURISHMENT FREEZER TEMP: DATE: REFRIGERATION TEMP.
ITEM UNIT PAR STOCK ON HAND DEL. COST RETURNS COMMENTS HONEY
WATER 1/2 gallon 1 M Thick it Packets ea. 2 Juice 1/2 gallon 1
NECTAR WATER 1/2 gallon 1 Ice Tea 4oz 2 Juice 1/2 gallon 1 Thick It Packets ea. 0
Cran Juice 1/2 gallon 1 Orange Juice 1/2 gallon 1 Cola Reg/Diet ea. 12ea Gingerale Reg/Diet 8oz Sea Fruit Drink 1/2 gallon 1 Lemonade 1/2 gallon 1 M-TH Assorted Snacks bag 1 T-T-S-S Cheese Curls Bag 1 Cookies ea. 16 M-W-F Grim Crackers ea. 8 /Crisp Kreem ea. 10 Saltines Pim 3 Reg Coffee & Filters ea. 20ea/2decaf Hot Choc ea. 1 Tea Bags ea. 2 Plastic Forks ea. 10 Plastic Spoons ea. 100 Applesauce snack pack 4oz. 1 Fruit Cups 4oz. 1 Jello snack pack 4oz. 1 Pudding snack pack 4oz. 1v/1c
;$ Milk 1/2 gallon 1 M-W-F Skim milk 1/2 gallon 1 M-W-F Choc. Milk 8oz. 6 1-118alth Shakes ea. 8v/8c/8s Diet Health shake 4oz. 4v/2c 'nice Cream 3oz 3 ce Cream 4oz. 6v/3c Nagic cup ea 4 Sherbet ea. 1 <IDS CUPS EA 3 ! hOhdled sIppy cup ea 6 Finpty Coffee Cups Got 10 ;lucerne 8oz. 3v/5e .iii. Supplement 8oz. 1v/28/3c lutritional/Enlive Juice 8oz. 3a IUTRMONAL PUDDING 4oz. 1 Prosource pks ea 0
c REFRIGERATORS: CHECK FOR NAME, NO DATES AND OUTDATED ITEMS (DISCARD THESE ITEMS)
REFRIGERATION TEMP:
DISCARD FOOD ITEM AND LIST ON THE BACK OF THIS SHEET FLOOR: 3RD NOURISHMENT P FREEZER TEMP: DATE:
CLAREMONT NURSING AND REHAB CENTER PAR STOCKS
ITEM UNIT PAR STOCK ON HAND DEL. COST RETURNS COMMENTS HONEY
WATER 1/2 gallon 0 Ante, No Apple 1/2 gallon 0 Thick it Packets ea. o
NECTAR WATER 1/2 gallon 1 Juice, Cran 1/2 gallon I Juice, Apple 1/2 gallon 2 Nursing must get Apple Juice 1/2 gallon 1 M-TH from refrigerator Cranberry Juice 1/2 gallon 1 M-W-F Orange Juice 1/2 gallon 1 M-W-F Prune Juice 4oz. 1 Cola Reg/Diet 8oz. 10r/106 Gingerale Reg/Diet 8oz. 7rad Root Beer 8oz. 2 Fruit Drink 1/2 gallon 1 M-W-F Ice.Tea 112 gallon 0 Lemonade 1/2 gallon 0 Assorted goldfish Bag 6 Assorted Snacks Bag 1 Cookies ea. 9 Gram Crackers ea. 3 Pignut Butter packs ea. 4 Saltines pks 4
C keg Coffee & Filters ea. 16ea/2decaf Tee Bags ea. 1 Plastic Forks ea. 10 Plastic Spoons ea. 120 Applesauce snack pack 4oz. 1 Jell° snack pack 4oz. 1 Pudding snack pack 4oz. 1V/10 2% milk 1/2 gallon 1 M-W-F Skim milk 1/2 gallon 1 M-W-F 4ealth Shakes 4oz. 8v/8c/3s Mel Health shake 40Z. Sc ioriey Milk 8oz. 2 "Ice Cream 3oz 8 ce Cream 4oz. 2v13c/32 Aagic cup ea. 15 :ruited yogurt ea. 1 Wty Coffee Cups Soz. 30 ;lucerne 8oz. 3v/3c/3s Jci. Supplement 8oz. 8v/7c/7s lePrO 8oz. 0 letritional/Enlive Juice 8oz. 2a+10any lutritional Pudding 4oz. 0
pks. ea.
8 15
pks 10
4oz. 6v/5c
4oz. 3v/3c/3s
ea. 2 4 ea.
10 Soz.
6c/2s 8oz. 8oz. 8oz. 8oz.
6v/6s 4a/4b
0
4oz 2v/2c
3oz 4
ea. 4 pks. 4 ea. Sea/2 decaf ea. 2 ea. 100 ea. 2
4oz. 4 4oz. 1
4oz. 1 1 1
1/2 gallon 1/2 gallon
8oz. 3 4oz. 4v/2c/2s
0
4 as.
4b/2any as. 4 ea.
• CLAREMONT REFRIGERATORS: CHECK
FLOOR: Rehab
FOR
NOURISHMEAT
NURSING AND REHAB NAME, NO DATES AND
FREEZER
CENTER PAR STOCKS OUTDATED ITEMS (DISCARD THESE ITEMS) TEMP: DATE: REFRIGERATION TEMP:
ITEM UNIT PAR STOCK ON HAND DEL. COST RETURNS COMMENTS HONEY
WATER 1/2 gallon 0 JUICE,CFtAN 1/2 gallon o Thick it Packets ea. o •.. NECTAR WATER JUICE
1/2 gallon 1 1/2 gallon 0
Thick it Packets ea. 2 Apple Juice 1/2 gallon 1 Cranberry Juice 1/2 gallon 1
Nursing must Orange Juice 112 gallon 1 get beverages Tomato/Apricot Juice 4oz. 3ea
Prune Juice 4oz. 1 from refrigerator Cola Reg/Diet 8oz. 4118d
Gingerale Reg/Diet Root
8oz. 10ea Beer Reg/Diet 8oz. 4ea
Fruit Drink 1/2 gallon 1 Lemonade 1/2 gallon 1 Satorade bottle 1 :heese Curls 90/Pretzel Fish
bag 1 n--
Sugar Wafer/Cookies Gram Crackers Peanut Butter Peanut Butter Crax Saltines •Fig Newtons Lorna Dunes Reg Coffee & Filters Tea Bags Plastic Forks/Spoons Chlx Noodle Soup/Bowl Fruit Cups Applesauce snack pack Jelio snack pack Pudding snack pack 2% milk Skim• milk :Moe. Milk lealth Shakes Diet Health shake "Ice Cream ce Cream talian ice ilagic cup iherbet ,iruited Yogurt "'Handled Sippy Cup Empty Coffee Cups
ucerna lepro, Wild Berry lo. Supplement lutritional/Enlive Juice attritional Pudding
ea. 10 ea. 10
Snacks (Between Meal and Bedtime), Serving This procedure may involve potential and/or direct exposure to blood, body fluids, infectious diseases, air contaminants, and hazardous chemicals.
Protective Barriers
Hand washing Gloves (as indicated) Gown (as indicated) Designated Waste Disposal (as indicated) Mask (as indicated) Goggles (as indicated) Face Shield (as indicated)
Purpose
The purpose of this procedure is to provide the resident with adequate nutrition.
Equipment and Supplies
The following equipment and supplies will be necessary when performing this procedure:
1. Snack tray;
2. Silverware;
3. Napkin;
4. Special feeding devices (as indicated);
5. Condiments (as permitted by the diet);
6. Flexible straw;
7. Wash cloth and towel; and
8. Personal protective equipment.
Steps in the Procedure
1. Wash your hands thoroughly before beginning the procedure.
2. Check the snack tray before serving to assure the resident's snack is appropriate as per the physician's order; use either individual labeled dietary snacks or the Resident's Diet List provided by dietary weekly. The nursing unit will update the Resident Diet List with new diet orders. Trained nursing staff will thickened liquids as ordered on the nursing units. Also, check that everything is on the tray. Correct anything that is wrong before giving the snack to the resident.
3. Knock before entering the room.
4. Identify yourself to the resident.
5. Ask the resident if he/she wishes to have a snack. Place the snack on the overbed table or serving area. Be sure it is adjusted to a comfortable position and height for the resident.
6. Arrange the snack so that it can be easily reached by the resident.
7. Place beverages within easy reach. Open cartons as necessary.
8. Assist resident as necessary. However, encourage the resident to feed himself/herself as much as possible.
9. If the resident desires privacy during his/her snack times, pull the cubicle curtain around the bed.
10. If the resident wishes to eat his/her snack later, or cannot eat now, check with the staff/charge nurse about serving the resident at a later time.
FOODPG09
Steps in the Procedure (continued)
11 Place the call light within easy reach of the resident.
12. Once you are certain that you have given the resident adequate assistance, leave the room and allow the
resident to eat his/her snack.
13. Remove the snack trash and dishes once the resident has fmished his/her snack. (Note: Allow the resident plenty of time to eat his/her snacks.)
14. Wash the resident's face and hands after the snack as necessary.
15. If the resident is up in a chair and wishes to return to bed, assist him/her back to bed. However, if permitted, encourage the resident to stay up 30 min. after eating.
16. Reposition the covers and make the resident comfortable.
17. Unless otherwise instructed, lower the bedside rails.
18. Place the call light within easy reach of the resident.
20. Return the cubicle curtain to an open position.
21. If visitors are waiting, tell them they may now enter the room.
22. Wash your hands.
Reporting and Documentation
The following information should be reported to the staffcharge nurse and should be documented in the resident's medical record:
1. The date, the amount of snack the resident consumed (i.e. 50%, 75%, etc.), and the initials of the individual who performed the procedure will be documented on the ADL Flow Record.
2. Any problems the resident had with chewing or swallowing his/her food will be reported to the Charge Nurse Immediately.
3. Any changes in the resident's ability to participate in the procedure, any problems or complaints will be reported to the Charge Nurse for further assessment.
4. If the resident refused the snack.
5. The signature and title (initials) of the person recording the data.
Thumma, Linda
From: Soto, Raymond Sent: Friday, March 04, 2016 10:46 AM To: Thumma, Linda Subject: RFP Answers and Attachments for Healthcare Services Group Attachments: RFP Benefit Info Request.xls; RFP Hourly Wage Info Request.xls; HCSG-Current Usage
List for Adaptive Equipment.pdf; Scope of Services & compensation for Dietary, Hosekeeping & Laundry-for HCSG.pdf; Floor Plan for CNRC.pdf; UNIFORM DOC-for HCSG.doc; Attachment #1 and Attachment #2 for HCSG.pdf; Doctor Ordered Snacks Amount Attachment for HCSG.pdf; Doctor Ordered Snacks List Attachment for HCSG.pdf; Snack Schedule for HCSG.pdf; Snacks (Between Meal and Bedtime) Serving Protocol for HCSG.doc; RFP Additional Questions for HCSG- Revised 3-2-16.docx
Hi Linda,
Here you go!!! Please scroll all the way down for everything.
Ty, cfit. "'mod 80to, efecHrthreciq Nursing Home Administrator Claremont Nursing and Rehabilitation Center 1000 Claremont Road Carlisle, PA 17013 Direct Line: 717-240-1909 Cell Phone: 732-503-2913 E-mail: [email protected]
CLAREMONT Nurgnp& ftehetRetZon Center
"A Service Agency for Cumberland County"
The information in this message may be privileged and confidential and protected from disclosure. If the reader of this message is neither the intended recipient, nor an employee or agent responsible for delivering this message to the intended recipient, then you are hereby notified that any dissemination, distribution, unauthorized use, or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to this message and deleting it from your computer. Thank you, Cumberland County, PA. --
To: Soto, Raymond Subject: FW: Questions from Healthcare Services Group- 3-2-16
Good morning Raymond:
See attached. Once the questions are answered I will need to place on the county website under the invitation to bid.
Thanks Linda
From: Shane Foresman [mailto:[email protected]] Sent: Wednesday, March 02, 2016 10:46 AM To: Thumma, Linda Subject: Questions from Healthcare Services Group- 3-2-16
Hi Linda,
Please see the attached questions from HCSG.
Thank you-
Shane Foresman Regional Director Healthcare Services Group C- 908-510-7007 www.HCSGCORP corn
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