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Food-Service-Manual-for-Health-Care-Institutions

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<strong>Food</strong> <strong>Service</strong> <strong>Manual</strong> <strong>for</strong> <strong>Health</strong> <strong>Care</strong> <strong>Institutions</strong><br />

108<br />

Department Policies and Procedures <strong>Manual</strong><br />

Writing a policies and procedures manual is the final phase in a long process of planning<br />

departmental activities. A well-written manual depends on input from a number of sources:<br />

• Managers and professionals in the department<br />

• The department’s records<br />

• Relevant standard-setting organizations and regulatory agencies<br />

• <strong>Manual</strong>s written <strong>for</strong> other departments<br />

• The food service director’s own experience<br />

The policy and procedures manual should be written <strong>for</strong> the unique operation of the department.<br />

Other materials may be useful as guidelines and references. All policies and procedures<br />

in the manual must be consistent with the organization’s policies and accrediting agents.<br />

Although each department’s manual is based on input from many sources and can be written<br />

by different individuals, the food service director completes the final editing and approval<br />

of each policy and procedure. Having only one editor will ensure that the writing style and <strong>for</strong>mat<br />

are consistent throughout the manual. Exhibit 5.1 illustrates the basic <strong>for</strong>mat <strong>for</strong> a policy<br />

and procedure statement. Exhibit 5.2 shows an example of a food service policy. Only policies<br />

that are actually used by the department should be included in the manual.<br />

Once policies have been established, procedures can be developed <strong>for</strong> carrying them out.<br />

Like policies, procedures should be written <strong>for</strong> every area of the food service department’s<br />

activities—purchasing, production, service, clinical care, sanitation, and personal hygiene,<br />

among others.<br />

Procedures are usually specific, step-by-step descriptions of a particular technique and<br />

often include illustrations that enhance the description. Each procedure should be described in<br />

a separate entry in the manual.<br />

In addition to a written policies and procedures manual, the accrediting agents also require<br />

the food service department to review and update the manual annually. The department director<br />

is responsible <strong>for</strong> this process but may enlist the help of the food service staff. Policies and<br />

procedures no longer relevant or now obsolete must be revised. Once revisions have been<br />

approved by appropriate administrative and medical staff in accordance with the organization’s<br />

policy, their signatures must appear on the relevant pages of the manual or on a cover<br />

page. Such changes include, <strong>for</strong> example, price increases in the cafeteria, changes in nutrition<br />

care policies, and changes in the services offered that would affect staffing levels and budgets.<br />

When policies and procedures involve another department, the two departments should meet<br />

and jointly agree on them. Copies of the joint policies and procedures should be signed by both<br />

department heads and placed in each department’s manual. An example of a joint policy would<br />

be between engineering and food service <strong>for</strong> the maintenance of the food service equipment.<br />

Finally, the director must communicate changes to department employees to ensure that everyone<br />

involved in implementing the changes knows how they are to be carried out. Copies of the<br />

revised or deleted materials should be destroyed.<br />

The manual is a tool <strong>for</strong> routine decision making, new employee training, and veteran<br />

employee retraining. Regular updating of the policies and procedures manual also is important<br />

to ensuring smooth departmental operations. Finally, the manual serves as documentation of<br />

the standards against which employees’ per<strong>for</strong>mance will be evaluated.<br />

Periodic Operational Planning<br />

Periodic operational planning is conducted <strong>for</strong> specific purposes and within designated time<br />

frames. Examples of this type of planning include development of the department budgets<br />

(including operating budget, capital budget, and cash budget, <strong>for</strong> example) and the annual

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