All mid-meal food packaging is intact and has been stored separately Yes / No to containing allergens and labelling requirements are followed including labelling with ingredients, allergen statements, use by dates All mid-meal are labelled correctly with diet type, patient name, Yes / No ward and bed number [or insert relevant Hospital procedure] Additions and/or substitutions are not added to any meal or Yes / No items after the meal tray has left the kitchen Cleaning schedule for trolleys and trays are completed and signed Yes / No No inaccuracy incident noted in [insert Hospital clinical incident Yes / No reporting system], or if noted, appropriate corrective action taken, recorded and signed No cross contamination incidents noted or if noted, appropriate Yes / No corrective action taken, recorded and signed [Include relevant Hospital procedure for meal delivery] Yes / No Include relevant members who deliver main and mid-meals Include the correct Hospital procedure when providing an allergy patient with a meal and mid-meals Include the correct Hospital procedure when an allergy patient is not in their bed, for example, no meals are left at the bedside A final check of the meal is performed at the bedside to ensure the items on the tray match what is on the meal ticket 7. After hours meals Patients identified food allergy is documented in [insert Hospital Yes / No meal ordering system name] [Insert relevant after hours information, for example, phone calls Yes / No are noted in communication log to kitchen requesting allergy meals] [Insert other relevant after hours information] Yes / No 8. Vending machines [Include correct Hospital procedure] Yes / No
All mid-meal food packaging is intact and has been stored separately to containing allergens and labelling requirements are followed including labelling with ingredients, allergen statements, use by dates Yes / No All mid-meal are labelled correctly with diet type, patient name, ward and bed number [or insert relevant Hospital procedure] Yes / No Additions and/or substitutions are not added to any meal or items after the meal tray has left the kitchen Yes / No Cleaning schedule for trolleys and trays are completed and signed Yes / No No inaccuracy incident noted in [insert Hospital clinical incident reporting system], or if noted, appropriate corrective action taken, recorded and signed Yes / No No cross contamination incidents noted or if noted, appropriate corrective action taken, recorded and signed Yes / No [Include relevant Hospital procedure for meal delivery] Include relevant members who deliver main and mid-meals Include the correct Hospital procedure when providing an allergy patient with a meal and mid-meals Include the correct Hospital procedure when an allergy patient is not in their bed, for example, no meals are left at the bedside A final check of the meal is performed at the bedside to ensure the items on the tray match what is on the meal ticket Yes / No 7. After hours meals Patients identified food allergy is documented in [insert Hospital meal ordering system name] Yes / No [Insert relevant after hours information, for example, phone calls are noted in communication log to kitchen requesting allergy meals] Yes / No [Insert other relevant after hours information] Yes / No 8. Vending machines [Include correct Hospital procedure] Yes / No
NAS_FA_Audit_tool_template_AUGUST_2018.docx