Food Safety/Sanitation and Assessment Training Evaluation Tool for Certified Dietary Manager
NAME: ________________________________________________
Date: _______________________
QUALIFICATION: _______________________________________
SKILL
TRAINING STATUS
In Progress Completed
COMMENTS
DATE
REVIEWER
REGISTRATION
Has current Certification
SERV Safe Certified
Maintains current knowledge of standards of
care through continuing education credits
FOOD SAFETY
Demonstrates knowledge of HACCP
Demonstrates knowledge of, and ability to,
follow Federal and State regulations and Food
and Nutrition Services Policies and Procedures
Demonstrates ability to prepare and utilize
cleaning schedules
Demonstrates ability to assess the need for
equipment maintenance
INVENTORY AND BUDGET CONTROL
Demonstrates how to calculate PPD and
understands cost control
Demonstrates understanding of inventory,
ordering and food storage procedures
Demonstrates ability to complete schedule and
calculate labor costs (FTE)
MENU MANAGEMENT
Demonstrates understanding of therapeutic
and mechanically altered diets and how to use
menu extensions, including portion sizes
Demonstrates understanding of recipe yields
Demonstrates ability to use substitution log
Demonstrates ability to use production
checklists and how to conduct pre-production
and production meetings
Demonstrates ability to calculate disaster
supply needs and to maintain those items.
Nutrition Screening Tool
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CUSTOMER SERVICE SKILLS
Demonstrates ability to interview and obtain
food preferences and input into tray card
system
Demonstrates ability to conduct meal service
observations and test for meal quality
Demonstrates ability to communicate with
dietary staff, Administrator, DON and
members of the interdisciplinary team
Demonstrates ability to carry out disciplinary
actions as needed.
CLINICAL NEEDS
Demonstrates ability to complete data
collection for completion of comprehensive
assessment of nutritional status by RD/DTR.
Demonstrates ability to identify the need for
changes in diet, supplements or present
nutrition interventions and develop interim
plan of care.
DOCUMENTATION
Demonstrates ability to complete Section K of
the MDS, the Nutrition, Hydration and Tube
Feeding CAA and update Care Plans
Demonstrates ability to complete Progress and
Quarterly notes correctly and timely
Demonstrates ability to communicate nutrition
recommendations to nursing
TRAINING NEEDS:
COMMENTS:
____________________
REVIEW OF EVALUATION:
__________________________________________________________
Employee Signature
Date
Nutrition Screening Tool
_____________________________________________________________________________
Reviewer Signature
Date
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