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Do you have a question about long term care or the role of a dietitian in your facility? Have a question about how our company can assist your team in providing the best care for your residents? Please e-mail us your questions and we will personally respond to you. 

FAQ for a Dietitian

Is it required that our facility have a Certified Dietary Manager on staff?
Current Medicare regulations for long term care do not address the qualifications of the full time Director of Dietary Services.  It is the facility’s choice to require the Director of Food Service to be a Certified Dietary Manager (CDM)

It is the position of the Dietary Managers Association (DMA) that in order to protect the daily health and nutrition of long-term residents, it is necessary to clearly define the qualifications of the individual who supervises the Dietetic Service Department.  A Certified Dietary Manager’s education, training and experience assist in promoting a safe and healthy department.

What is the process for becoming a Certified Dietary Manager?  Who is eligible to take the course?
In order to become a Certified Dietary Manager (CDM), an individual must have a high school diploma or GED, must have completed one hundred twenty hours (120) of approved, course study and at least one hundred fifty (150) hours of field work.  Upon successful completion, the individual needs to pass a nationally recognized credentialing examination offered by the Certifying Board of Dietary Managers.

Once these requirements have been met, forty-five (45) hours of continuing education credits per three-year period are required to maintain certification, at least five of which must be in sanitation and safety.  Annual dues are also required to maintain certification. 

Universities, self-study courses, or on-line course work options are available.  For more information on credentialing, please contact the Dietary Managers Association at 1-800-323-1908.

What are the responsibilities of the Consultant Dietitian within the Food Service Department?
According to the Ohio Administrative Code 3701-17-18 K(2), Food and Nutrition: the Dietitian oversees the development and implementation of the policies and procedures which assure that all meals are prepared and served as ordered and that the food service personnel maintain sanitary conditions in procurement, storage, preparation, distribution, and serving food.

This can be accomplished by conducting routine sanitation audits, tray audits, meal-time observations including meal rounds and resident and staff interviews, etc.  It is the responsibility of the Dietitian to identify strengths and weaknesses of the department, communicate areas in need of improvement, assist in the development of plan for improvement and oversee progress, revise plan as needed to achieve goals. 

Dietary Solutions Inc. has developed audit tools to assist in meeting these requirements.  Contact Us for more information.

Where can I locate the Ohio Revised Uniform Food Safety Code?
This information can be found at: http://www.ohioagriculture.gov/pubs/divs/food/curr/regulations/food-3717-ohiouniformfoodsafetycode.pdf

Why are there changes to the number of servings of calcium sources on our menus?  What are the new, calcium requirements for the older American?
The new Dietary Reference Intakes (DRIs) for calcium represents a shift in emphasis.  Previous Recommended Dietary Allowances (RDAs) recommended the minimum levels of nutrients needed to prevent deficiencies.  The new DRIs attempt to define the optimal amount of nutrients needed to promote health and reduce the risk of chronic diseases, such as osteoporosis.

The National Academy of Sciences now recommends that those who are 51 and older should consume 1,200 milligrams of calcium per day.  The previous recommendation was 800 milligrams each day.

This recommendation change has triggered changes in menu planning.  Some facilities have adjusted their menus to include three, 8oz serving of milk each day to assist in meeting the requirement for calcium consumption.  Three, 8oz glasses of milk offers 900mg calcium each day.  In order to meet the goal of 1,200 milligrams each day, an additional 300mg calcium needs to be provided from other food sources within the menu each day.  Other sources of calcium include, but are not limited to: cheese, cottage cheese, yogurt, dark green leafy vegetables, legumes, soy beverages, etc.