Certified Dietary Manager

Competency-based
ONET: 29-2051.00

2

Years

269

Skills

158h

Related instructions
Classroom instruction topics
  • Nutrition 1
  • Nutrition 2
  • Food Service
  • Personnel and Communication
  • Sanitation and Safety
  • Business Operations
On-the-job training
  • Document Nutrition Information in the Medical Records
    • Explain the uses of common documents, including a diet manual, health record, and an MDS form
    • Chart in medical records using appropriate forms and formats
    • Translate commonly used abbreviations into medical terms
    • Enter and retrieve data using a computer
    • Describe the impact of HIPAA regulations on medical documentation
    • Use nutrition information
    • Complete client forms (e.g. Medical Dietary Screening [MDS])
    • Document relevant nutrition-related information (e.g. laboratory values, Body Mass Index (BMI), etc.)
  • Interview for Nutrition Related Information
    • Identify different types of clients
    • Plan and ask appropriate questions of clients
    • Gather information from the client and/or family member(s)
    • Identify significant information and problems
    • Recognize nonverbal responses and communication cues
    • Record information gathered
    • Utilize ethical and confidentiality principles and practices
    • Gather client information from relevant sources (multi-disciplinary team members)
    • Address food customs and nutritional needs/preferences of various racial, cultural, and religious groups
    • Use ethical and confidentiality principles and practices
  • Obtain Routine Nutrition Screening Data
    • Identify the goals of nutrition screening
    • Explain the difference between nutrition screening and nutrition assessment
    • Use established guidelines to distinguish between routine and at-risk clients
    • Identify appropriate data to be gathered
    • Explain the term body mass index
    • Differentiate between ideal body weight (IBW), usual body weight (UBW), current body weight
    • Utilize appropriate data-gathering format/approach for specific client types
    • Complete client forms efficiently
    • Review examples of common food-drug interactions
    • Calculate Basal Energy Expenditure (BEE) and total energy needs
    • Identify federal regulations related to evaluating patient status and care
    • Collect client information from medical record
    • Gather client data from relevant sources (e.g. medical record, referrals)
    • Complete client forms (e.g. Minimum Data Sets (MDS))
    • Comply with federal regulations related to evaluating client status and care
    • Calculate nutrient intake
    • Document relevant nutrition-related information (e.g. laboratory values, BMI)
  • Identify Nutrition Problems and Client Rights
    • Explain the role of the Certified Dietary Manager in identifying nutrition problems and client rights
    • Classify the types of information that are relevant to nutrition care
    • Verify information to ensure accuracy
    • Explain the rationale for reviewing medications
    • Compare nutrient intake to nutrient standards
    • Review documentation for nutrition care follow up
    • Honor client rights while providing nutrition care
    • Identify significant nutrition-related laboratory values
  • Modify Diet Plans
    • Develop menus
    • Implement nutrition plan into meals/foods to be served
    • Identify menu planning needs for infants, children, and older adults
    • Modify menus to meet fiber needs, texture, or feeding needs
    • Identify the food components and their contribution to calorie intake
    • Calculate percent of calories from carbohydrate, protein, and fat
    • Calculate fluid intake
    • Identify sources of nutrition information for determining nutrient intake
    • Explain the uses of nutritional analysis software
    • Use a Nutrition Facts label to identify nutrient intake
    • Modify menus to control for calories, carbohydrates, proteins, fats, vitamins, and minerals
    • Modify menus to suit various racial, cultural, and religious differences; and to accommodate medical or other personal condition(s)
    • Respect client preferences, needs, and food habits
  • Implement the Written Diet Orders
    • Recognize medical and nutrition terminology
    • Demonstrate sensitivity to patient needs and food habits
    • Provide needed diets from the Foodservice Department
    • Determine availability of foods from the kitchen
    • Exhibit competency in suggesting the correct diet orders for clients
    • Include patient input on diet prescribed by physician
    • Recognize appropriateness of diet order for diagnosis
    • Explain the importance of adhering to the physician’s diet orders
  • Apply Standard Nutrition Care
    • Review the client’s nutrition needs based on guidelines provided
    • Assess and apply the nutrient content of foods to the foods delivered and consumed by the client
    • Explain the purpose of the care plan
    • List the steps involved in developing a nutrition care plan
    • Identify sources to consult to assist in implementing nutrition care plans
  • Review the Effectiveness of the Nutrition Care Plan
    • Describe interdisciplinary relationships
    • Communicate client information to the interdisciplinary team members
    • Prepare and participate in client care conferences
    • Identify effectiveness of the nutrition care plan
    • Identify what client information needs to be communicated
    • Evaluate care plans for individual needs
    • Implement goals and approaches with appropriate follow-up
    • Identify the need for client referrals
    • Implement consultant recommendations as appropriate
    • Honor clients’ rights and confidentiality
    • Work with the interdisciplinary team to develop solutions
  • Manage Special Nourishments and Supplemental Feedings According to the Written Diet Order
    • Review dietary requirements of client
    • Determine client’s knowledge and needs
    • Evaluate client’s food preferences
    • Suggest acceptable food substitutes, based on client’s preferences
    • Verify substitutes in terms of availability and facility practices
    • Define the culture change in feeding practices in long-term care
    • Define the concept of “real food first”
    • Identify clients who need nourishments/supplemental feedings
    • Identify appropriate supplemental products
    • Monitor the delivery of nourishments and supplements
    • Audit the acceptance of nourishments and supplements
  • Assist Clients with Food Selection Based on Written Diet Order
    • Develop a plan for nutrition education
    • Select educational materials and resources
    • Use resource materials and equipment for teaching
    • Evaluate client readiness and ability to learn
    • Ascertain background and knowledge of clients
    • Implement a teaching plan
    • Suggest appropriate/available social resources
    • Evaluate effectiveness of the teaching
  • Use Nutrition Education Materials
    • Describe interdisciplinary relationships
    • Communicate client information to the interdisciplinary team members
    • Prepare and participate in client care conferences
    • Identify effectiveness of the nutrition care plan
    • Identify what client information needs to be communicated
    • Evaluate care plans for individual needs
    • Implement goals and approaches with appropriate follow-up
    • Identify the need for client referrals
    • Implement consultant recommendations as appropriate
    • Honor clients’ rights and confidentiality
    • Work with the interdisciplinary team to develop solutions
    • Conduct effective department meetings
    • Participate in meetings outside the department
    • Participate in regulatory agency surveys
    • Manage changes in the organization and assist employees in embracing the change
    • Manage time and stress efficiently
  • Ensure Effectiveness of Standardized Recipes
    • Identify the different elements of a standardized recipe
    • Explain the importance of a standardized recipe as a management tool
    • Compute proper portions using appropriate food charts/references
    • List the steps in developing a standardized recipe
    • Understand product yields to effectively cost recipes and meals
    • Elaborate on the use of standardized recipes in requisitions, portion control, and food allergies
    • Evaluate client acceptance of new recipes
  • Specify Standards and Procedures for Preparing Food
    • Write specifications for purchasing food
    • Understand food grades and quality standards when buying food products
    • List food preparation standards for different foods
    • Provide appropriate menu substitutions
    • Develop procedures for monitoring food waste control
  • Supervise the Production and Distribution of Food
    • Identify the type of food production system used by a foodservice operation
    • Use production planning tools effectively and write out a production schedule for a menu
    • Provide a forecast for a menu item
    • Train staff on food quality control and ingredient control
    • Understand types of nutrition support and their role in patient care
    • Identify protocol in the implementation of special nourishments and supplemental feedings
    • Monitor the cost of supplements and the audit to ensure quality compliance
    • Understand F-tags and legal implications
    • Know your client and their expectations
    • Identify factors that influence client dietary needs and satisfaction
    • Develop and conduct food acceptance surveys
  • Monitor Meal Service
    • Identify types of food service
    • Discuss some trends in food service and their impact on the food service industry
    • Describe the different styles of meal service and menus
    • Understand the role of the Certified Dietary Manager in food service operations
  • Implement Continuous Quality Improvement Procedures for Foodservice Department (e.g., QAPI)
    • Know your client and their expectations
    • Identify factors that influence client dietary needs and satisfaction
    • Develop and conduct food acceptance surveys
    • Define the Quality Management Process
    • Identify specific quality indicators for Dining Services
    • Develop audits to monitor procedures and effectiveness of quality indicators
    • Evaluate the data collected and recommend changes
    • Identify the key certification agencies
    • Describe the role of the Dining Services Manager in the certification process of the facility
  • Modify Standardized Menus
    • Identify factors affecting menu planning
    • List resources available for menu planning and development
    • Identify how cultures can impact the menu
    • Describe how management decisions affect the menu
    • Evaluate the quality and accuracy of each meal service
  • Define Personnel Needs and Job Functions
    • Assess the staffing needs of a department
    • Calculate Full Time Employees and employee turnover rates
    • Develop job analysis, Gantt Charts, and job descriptions
    • Prepare an organization chart for the department
    • Understand hierarchy chain of command, and delegation in an organization
  • Interview, Select, and Orient Employees
    • Identify laws impacting human resource management
    • Understand discrimination and lawful questions in the pre-employment inquiry
    • Successfully recruit applicants for an open position
    • Plan and prepare for the interview process
    • Design an orientation checklist for new employees
  • Provide Ongoing Education
    • Orient new employees to facility procedures
    • Develop and implement training programs
    • Identify training resources and needs
    • Conduct/arrange in-service and on-the-job training with a focus on food and dining services activities, such as; Safe food preparation practices; Sanitation; Health Insurance Portability and Accountability Act (HIPAA) guidelines; Hospitality and customer service; Physical and workplace safety
    • Document completion of training and orientation
  • Develop and Maintain Employee Time Schedules and Assignments
    • Prepare a time schedule
    • Maintain time schedule chart/records
    • Control overtime with effective scheduling
  • Manage Goals and Priorities for Department
    • Develop and implement performance standards
    • Conduct a performance review and appraisal
    • Follow disciplinary procedures to correct problems (e.g., coaching, performance improvement plan)
    • Conduct exit interviews and work on employee satisfaction
    • Show value for diversity in the workplace
  • Manage Department Personnel
    • Participate in developing policies and procedures
    • Develop Specific, Measurable, Achievable, Realistic and anchored within a Time Frame (S.M.A.R.T.) goals and objectives for the department
    • Identify practices to motivate and empower employees
    • Compare department goals against key performance indicators (KPIs)
  • Manage Professional Communications
    • Conduct effective department meetings
    • Participate in meetings outside the department
    • Participate in regulatory agency surveys
    • Manage changes in the organization and assist employees in embracing the change
    • Manage time and stress efficiently
    • Understand the importance of continued competence for professional development
    • Discover resources for lifelong learning
    • Learn the importance of professional ethics for a Certified Dietary Manager®, Certified Food Protection Professional(R) (CDM(R), CFPP(R))
  • Implement Departmental Changes
    • Conduct effective department meetings
    • Participate in meetings outside the department
    • Participate in regulatory agency surveys
    • Manage changes in the organization and assist employees in embracing the change
    • Manage time and stress efficiently
  • Manage Personnel to Ensure Compliance with Safety and Safety Regulations
    • Instruct employees in safety and sanitation
    • Enforce employee compliance with safety and sanitation regulations
    • Understand the Food Code and federal safety laws/regulations
    • Write cleaning procedures for utensils, equipment, and work areas
    • Evaluate equipment in terms of maintenance needs and costs
    • Interpret safety data sheets
    • Inspect all areas of department for sanitary conditions
  • Manage Purchasing, Receiving, Storage, and Distribution of Food and Supplies Following Established Sanitation and Quality Standard
    • Identify appropriate grades and inspections for food
    • Procure food and water from approved sources
    • Verify the quality and quantity of food supplies and equipment received
    • Check supplier invoices against facility purchasing order
    • Recognize the hazards associated with types of food packaging
    • Recognize the signs of contamination upon receipt and in storage
    • Process rejections for unacceptable products
    • Label, date, and monitor food to ensure rotation
    • Prevent environmental contamination of food
    • Establish and maintain security procedures
  • Protect Food in All Phases of Preparation Using HACCP Guidelines
    • Identify potentially hazardous foods and susceptible populations
    • Recognize the causes, symptoms, and types of foodborne illnesses
    • Monitor the time and temperature to limit growth of or destroy microorganisms
    • Prevent cross-contamination of food
    • Identify appropriate techniques for temperature retention
    • Ensure the safe cooling of food
    • Understand Hazard Analysis Critical Control Point (HACCP) and develop procedures to identify and monitor the critical control points (CCP)
    • Devise effective recordkeeping systems that document HACCP
    • Anticipate emergency preparedness procedures necessary to assure a safe food supply
    • Develop a crisis management plan to address an outbreak of foodborne illness
  • Manage Physical Facilities to Ensure Compliance with Safety and Sanitation Guidelines
    • Identify the federal safety laws/regulations for a facility
    • Prepare a safety inspection checklist and correct problems as needed
    • Develop an emergency plan for disaster preparedness
    • Identify materials and consideration for the physical facilities and purchase of small equipment
    • Ensure the cleaning and sanitation of equipment and utensils
    • Follow an Integrated Pest Management (IPM) system
    • Organize the equipment workflow for use, placement and access to supplies, hand sinks, and lavatory facilities
  • Manage a Budget
    • Explain financial terminology
    • Analyze and prepare a department budget
    • Understand the difference between an operating budget and a capital budget
    • Calculate food cost and meal equivalents
    • Understand labor costs
    • Calculate meals per labor hour
    • Compare actual costs to budget costs
    • Examine factors affecting labor costs
  • Prepare Specifications for Capital Purchases
    • Review capital equipment needs and requirements
    • Evaluate existing capital equipment condition and life expectancy
    • Evaluate options for replacement of capital equipment
    • Write budget justification for new capital equipment
    • Recommend specifications for new capital equipment
  • Plan and Budget for Improvements in the Department Design and Layout
    • Identify factors influencing the layout and design of a foodservice facility
    • Evaluate purchase of essential equipment relative to designs
    • Develop equipment specifications
    • Train staff on preventive maintenance of equipment, cleaning schedules, and using repair logs
  • Assist in Purchasing Process
    • Identify considerations when purchasing products
    • Understand purchasing specifications
    • Use the ordering and bidding process
    • Evaluate facility needs, budget restrictions, and products available
    • Gather and evaluate product information
    • Be familiar with computer applications and create a purchase order
    • Check inventory and identify purchase needs
    • Complete purchase order requisition forms
    • Maintain inventory records
    • Recognize inventory management practices (first in, first out (FIFO), par stock, physical, perpetual)
  • Manage Revenue Generating Services
    • Research and analyze revenue-generating opportunities
    • Supervise cash activities and reports
    • Calculate cost and set prices for catered events
    • Plan food service and menus for catered events
    • Estimate price-per-unit serving for catered events
    • Use cost-control techniques to balance revenue budget
    • Prepare business plan and justification for new revenue-generating programs
    • Promote existing and new revenue-generating programs
  • Implement Cost Effective Procedures
    • Determine accounting periods and prepare an operating report
    • Develop a variance report addressing actual costs versus budget
    • Use food cost, sales reports, and census counts in financial management
    • Identify techniques to control costs
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