SUPPLEMENTAL MATERIAL CHAPTER 1 QUESTION
1. A facility uses a traditional trayline where trays are plated in the kitchen and transported to the clients. What steps should a foodservice manager take to ensure that the trays are plated correctly and the temperature is maintained?
ANSWER
1) A foodservice manager should follow the flow of steps for a traditional trayline, as illustrated in Figure 1.1. This would start with preparing the meal tickets or tray identification cards for each client. These are grouped together by unit or dining room location. This streamlines the process so that the trays needing to go to a particular area are grouped together. It also helps maintain temperature because the staff are not bringing one cart to many different locations, risking the temperature and quality of the food.
2) The meal tickets or tray identification cards are sent down the trayline for assembly. Food items and supplies are organized by stations on the trayline. Hot foods are grouped together and cold foods are grouped together. The temperature of these foods are monitored.
Staff will select the proper items that fit the menu, client’s diet, and preference requests, and place those onto the tray. Hot foods are typically placed in one section of the tray and cold foods are typically placed in another section. The tray will continue to move down the trayline and each staff member will do their part in placing appropriate items on it until the tray is complete.
3) Trays are then placed on a cart. There are different types of carts used in different facilities. The goal of the cart is to keep the temperature correct during transportation to clients. Once the cart reaches the proper location, nursing or foodservice staff delivers the tray to the client.
2. Using Table 1.4 in the Supplemental Material as an example, develop a non-selective menu for one day for a hospital patient meal service. Explain the choices for each meal in ensuring its nutritional adequacy.
Each future CDM, CFPP completing this question will likely create a unique menu. When examining the select menu created, consider if it meets these criteria:
• There is no repetition in meal items over the course of the day. For example, the menu should not include the same entrée for lunch and dinner.
• The meal includes a protein, grain, vegetable, fruit, and beverage option.
• The meals generally look balanced as far as food selection and method of preparation.
• There are a variety of colors and textures in the meal. • There are alternative menu choices available that can be selected.
3. List three steps a foodservice manager would take to focus on culture change in long-term care (i.e., a shift to more client-directed care).
Steps to create a culture change could include any of the following:
• Question clients to determine what they want for dining services, or what they feel needs changing. This can include the style of service or menu.
• Analyze whether a proposed change is feasible with budget, staff, equipment, and scheduling requirements.
• Choose appropriate resources for changing dining and/or menu options to reflect clients’ food and dining preferences.
• Survey other facilities or talk to colleagues to determine how they have begun to implement a culture change in their dining services.
• Work with all departments in the facility through communication and training to successfully implement a culture change.
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Foodservice Management—By Design
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