September 19, 2005
August 27, 2015
Meal Delivery System for
Patients and Guests
To provide guidelines and procedures used by Culinary Services staff for delivery of meals to
patients and guests.
Culinary Services provides freshly prepared, nutritionally appropriate meals to patients during
their stay in the hospital for patients and their guests using a room service system.
Room Service Training Manuals
Condition of Participation. Department of Health and Human Services. Centers for Medicare and
A. Meals can be ordered through the room service call center from 6:30 a.m. to 8:00 p.m.,
seven days a week.
B. Food delivery between 8:00 p.m. and 6:30 a.m. is provided through Central Services.
C. Upon admission the patient’s diet is ordered and the patient is classified using a room
service code of RS1, RS2, or RS3.
1. RS 1 means the patient is able to order their own meal through the room service
2. RS2 means the patient needs some assistance to order their meal through the
room service system.
3. RS 3 means the patient is not able to order their own meal through the room
service system and the patient will receive a predetermined meal at a
D. Culinary Services staff will deliver patient meals to the patient bedside or the nursing
station depending on the patient’s needs.
E. Delivery time is within 45 minutes of initiation of the order.
F. Meal trays for patients on Psych., and Rehab will be delivered according to the agreed
G. Culinary Services staff can track the status of a meal tray using the Tray Monitor system.
H. Patient meal trays that are not delivered to patients because the patients are not available
(absent from room) will be returned to the kitchen by Room Service Assistants. Reason
for returned tray will be documented by Room Service Assistant on tray ticket form. Meal
ticket will also be returned. Room Service Assistant will also leave a printed note at the
patient's bedside from the dept. with the message that "We will be glad to serve you
I. Requests for non-menu food items will be accommodated based on availability and
compatibility with the patient’s diet. These items may need approval from the clinical
nutritionist before they are sent to the patient.
J. If a patient does not receive his meal tray, another meal will be prepared and sent as a
"priority" tray as soon as possible.
K. Guest trays can be ordered using the patient meal delivery system for significant
others/families of patients with the following parameters:
1. The order is placed to the room service call center during designated service times.
2. The meal tray may include an entrée, two side orders, a dessert and a beverage.
3. The tray will be assembled and delivered by room service staff within forty five
minutes of the request. Delivery staff will collect payment from the guest at this
4. Guests can pay with cash or credit card.
L. Culinary Services’ staff members are not responsible for moving patients. If a patient
requests being moved, the Culinary Services staff will push the call light or verbally
communicate the patient’s request to the nurse.
Director, Culinary and Clinical Nutrition Services