Dietary/Nutrition Screening Assessment Checklist
Comprehensive nutrition screening and assessment including malnutrition risk, diet order verification, and nutrition intervention planning.
- Industry: Healthcare
- Frequency: Admission/Ongoing
- Estimated Time: 15-30 minutes
- Role: Dietitian/Nutrition Services
- Total Items: 29
- Compliance: AND Nutrition Care Process, CMS CoP, Joint Commission Standards
Nutrition Screening
Initial screening
- Validated screening tool used?
- Recent weight change assessed?
- Appetite change assessed?
- Malnutrition risk identified?
Diet Order Verification
Diet appropriateness
- Diet order reviewed?
- Diet appropriate for diagnosis?
- Food allergies verified?
- Texture modification appropriate?
Nutrition Assessment
Detailed assessment
- Anthropometric data collected?
- Biochemical data reviewed?
- Clinical data reviewed?
- Dietary history obtained?
Nutrition Intervention
Intervention planning
- Nutrition intervention needed?
- Nutrition goals established?
- Nutrition education provided?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
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Why Use This Dietary/Nutrition Screening Assessment Checklist?
This dietary/nutrition screening assessment checklist helps healthcare teams maintain compliance and operational excellence. Designed for dietitian/nutrition services professionals, this checklist covers 29 critical inspection points across 7 sections. Recommended frequency: admission/ongoing.
Ensures compliance with AND Nutrition Care Process, CMS CoP, Joint Commission Standards. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Dietary/Nutrition Screening Assessment Checklist cover?
This checklist covers 29 inspection items across 7 sections: Nutrition Screening, Diet Order Verification, Nutrition Assessment, Nutrition Intervention, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed admission/ongoing. Each completion takes approximately 15-30 minutes.
Who should use this Dietary/Nutrition Screening Assessment Checklist?
This checklist is designed for Dietitian/Nutrition Services professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.