Disaster Daily Meal Computation Form. Total Patient Meals per Day = 0. Patient Meals. Non-Patient Meals

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1 Licensed Beds Occupied + Additional Patient Bed / Cots Occupied + Patients not yet admitted ( ER, outpatient, walking wounded) + Disaster Daily Meal Computation Form Patient Admitted Patients = 0 3 day X 3 Admitted patient s = 0 Patient Day = 0 Employees in Facility + Medical Staff + Emergency & Contract Personnel + Family Members Staying in Facility + Community Members Staying in Facility + Reserve Staff in Facility + Non-Patient

2 Non-Patient s in Facility = 0 3 day X 3 Figure 3-4 s day ( 4 if working extended shifts) Non-Patient 0 To Be Served Daily = 0 Additional Food Required Patient Floor Stock Patient Snacks / Nourishments Non Patient Snacks Water Coffee Other Considerations All disposable plates, cups, utensils Secure Storage Areas Garbage Disposal Area Centralized Feeding Areas for Non Patient

3 SUNDAY (DAY 1) BREAKFAST Units Patient Vistor Portions Cases s HOSPTL 4/35Z COLD CEREAL 1 oz ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl. oz PACKER 12/46Z CANNED JUICE 4 fl. oz NABISC 10# GRAHAM CRACKERS BULK # 2 each SSPRNG 200/.5Z PEANUT BUTTER PORTION CUP 1 each UNIPRO 200/.5Z JELLY-ASSORTED # 1 each SUNDAY (DAY 1) LUNCH Units Units In- Patient Vistor Cases UNIPRO 6/#10 BEEF-CUBED IN BROTH 4 oz NUGGET 6/#10 POTATOES-WHOLE APX 100CT# 4 oz NUGGET 6/#10 CANNED VEGETABLES 3.5 oz IMPORT 6/#10 CANNED FRUIT 3.5 oz NUGGET 6/#10 PUDDING-RTS 4 oz GTRADE 48/12Z SPORT DRINK (as in Gatorade) 1 each SUNDAY (DAY 1) DINNER Units Units In- Patient Vistor Cases PAREX 6/36Z RICE - SPANISH BLEND 4 oz ROSA* 6/#10 BEANS-REFRIED 3.5 oz PACE 4/1GAL SALSA-THICK & CHUNKY 0.25 cup NUGGET 6/#10 CANNED VEGETABLE 3.5 oz PACKER 6/#10 CANNED FRUIT 3.5 oz B.O.F. 15/1# CORN CHIPS 1.75 oz

4 ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl oz

5 MONDAY (DAY 2) BREAKFAST Units Units In- Patient Vistor Cases RALSTN 12/13.5Z COLD CEREAL 1 oz ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl. oz PACKER 12/46Z CANNED JUICE 4 fl. oz NABISC 10# GRAHAM CRACKERS BULK # 2 each SSPRNG 200/.5Z PEANUT BUTTER PORTION CUP 1 each UNIPRO 200/.5Z JELLY-ASSORTED # 1 each MONDAY (DAY 2) LUNCH Units Units In- Patient Vistor Cases UNIPRO 6/52Z SLOPPY JOE ENTREE CANNED 3 oz VISTA 12/1# SALTINES-BULK 8 ea NUGGET 6/#10 CANNED VEGETABLE 3.5 oz IMPORT 6/#10 CANNED FRUIT 3.5 oz NUGGET 6/#10 PUDDING-RTS 4 oz GTRADE 48/12Z GATORADE ALL-STAR BERRY 12 fl oz MONDAY (DAY 2) DINNER Units Units In- Patient Vistor Cases UNIPRO 6/#10 BEEF STEW 8 oz NUGGET 6/#10 POTATOES-WHOLE APX 100CT 4 oz NUGGET 6/#10 CANNED VEGETABLES 3.5 oz PACKER 6/#10 CANNED FRUIT 3.5 oz VORTMN 10# 2 COOKIES 2.66 oz ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl oz

6

7 TUESDAY (DAY 3) BREAKFAST Units Units In- Patient Vistor Cases HOSPTL 4/35Z COLD CEREAL 1 oz ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl. oz PACKER 12/46Z CANNED JUICE 4 fl. oz NABISC 10# GRAHAM CRACKERS BULK 2 each SSPRNG 200/.5Z PEANUT BUTTER PORTION CUP 1 each UNIPRO 200/.5Z JELLY-ASSORTED 1 each TUESDAY (DAY 3) LUNCH Units Units In- Patient Vistor Cases BUSH2 4/96Z CHILI W/BEANS ORG HOMSTYL 8 oz VISTA 12/1# SALTINES-BULK 8 ea NUGGET 6/#10 CANNED VEGETABLES 3.5 oz IMPORT 6/#10 CANNED FRUIT 3.5 oz NUGGET 6/#10 PUDDING-RTS VANILLA # 4 oz GTRADE 48/12Z GATORADE STRAWBRY ALLSTAR 12 fl oz TUESDAY (DAY 3) DINNER Units Units In- Patient Vistor Cases UNIPRO 6/52Z SLOPPY JOE ENTREE CANNED 3 oz VISTA 12/1# SALTINES-BULK 8 ea NUGGET 6/#10 CANNED VEGETABLES 3.5 oz PACKER 6/#10 CANNED FRUIT 3.5 oz VORTMN 10# 2 COOKIES 2.66 oz

8 ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl oz

9 WEDNESDAY (DAY 4) BREAKFAST Units Units In- Patient Vistor Cases HOSPTL 4/35Z COLD CEREAL 1 oz ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl. oz NTRGLD 12/46Z CANNED JUICE 4 fl. oz NABISC 10# GRAHAM CRACKERS BULK # 2 each SSPRNG 200/.5Z PEANUT BUTTER PORTION CUP 1 each UNIPRO 200/.5Z JELLY-ASSORTED # 1 each WEDNESDAY (DAY 4) LUNCH Units Units In- Patient Vistor Cases IMPORT 6/66.5Z TUNA CHUNK LIGHT/WATER 2 oz VISTA 12/1# SALTINES-BULK 8 each PACKER 200/12GM MAYONAISSE PACKET 12G 1 each HEINZ 200CT RELISH-SWEET PACKETS $ 1 each BUSH* 6/#10 CANNED VEGETABLES 3.5 oz PACKER 6/#10 CANNED FRUIT 3.5 oz PACKER 6/#10 PUDDING- RTS 4 oz GTRADE 48/12Z GATORADE ALL-STAR BERRY 12 fl oz WEDNESDAY (DAY 4) DINNER Units Units In- Patient Vistor Cases UNIPRO 6/#10 BEEF STEW 8 oz NUGGET 6/#10 CANNED VEGETABLES 3.5 oz IMPORT 6/#10 CANNED FRUIT 3.5 oz NUGGET 500/2C BREAD STICKS-ASSORTED 1 pkt ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl oz

10 THURSDAY (DAY 5) BREAKFAST Units Units In- Patient Vistor Cases HOSPTL 4/35Z COLD CEREAL 1 oz ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl. oz PACKER 12/46Z CANNED JUICE 4 fl. oz NABISC 10# GRAHAM CRACKERS BULK # 2 each SSPRNG 200/.5Z PEANUT BUTTER PORTION CUP 1 each UNIPRO 200/.5Z JELLY-ASSORTED # 1 each THURSDAY (DAY 5) LUNCH Units Units In- Patient Vistor Cases UNIPRO 6/#10 BEEF STEW 8 oz NUGGET 6/#10 CANNED VEGETABLE 3.5 oz IMPORT 6/#10 CANNED FRUIT 3.5 oz PACKER 6/#10 PUDDING-BUTTERSCOTCH RTS 4 oz GTRADE 48/12Z GATORADE STRAWBRY ALLSTAR 12 fl oz THURSDAY (DAY 5) DINNER Units Units In- Patient Vistor Cases BUSH2 4/96Z CHILI W/BEANS ORG HOMSTYL 8 oz VISTA 12/1# SALTINES-BULK 8 each NUGGET 6/#10 CANNED VEGETABLE 3.5 oz IMPORT 6/#10 CANNED FRUIT 3.5 oz

11 VORTMN 10# 2 COOKIES 2.66 oz ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl oz FRIDAY (DAY 6) BREAKFAST Units Units In- Patient Vistor Cases HOSPTL 4/35Z COLD CEREAL 1 oz ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl. oz PACKER 12/46Z CANNED JUICE 4 fl. oz NABISC 10# GRAHAM CRACKERS BULK # 2 each SSPRNG 200/.5Z PEANUT BUTTER PORTION CUP 1 each UNIPRO 200/.5Z JELLY-ASSORTED # 1 each FRIDAY (DAY 6) LUNCH Units Units In- Patient Vistor Cases CHFMAT 6/ #10 CORNED BEEF HASH 8 oz HEINZ 1000CT KETCHUP PACKETS 1/3Z 9GR# 1 each NUGGET 6/#10 CANNED VEGETABLES 3.5 oz PACKER 6/#10 CANNED FRUIT 3.5 oz NUGGET 6/#10 PUDDING-RTS 4 oz GTRADE 48/12Z GATORADE STRAWBRY ALLSTAR 12 fl oz FRIDAY (DAY 6) DINNER Units Units In- Patient Vistor Cases CBOYRD 6/#10 RAVIOLI-BEEF/TOMTO MEAT S 8 oz NUGGET 6/#10 CANNED VEGETABLE 3.5 oz PACKER 6/#10 CANNED FRUIT 3.5 oz

12 NUGGET 500/2C BREAD STICKS-ASSORTED 1 each ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl oz SATURDAY (DAY 7) BREAKFAST Units Units In- Patient Vistor Cases HOSPTL 4/35Z COLD CEREAL 1 oz ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl. oz NTRGLD 12/46Z CANNED JUICE 4 fl. oz NABISC 10# GRAHAM CRACKERS BULK # 2 each SSPRNG 200/.5Z PEANUT BUTTER PORTION CUP 1 each UNIPRO 200/.5Z JELLY-ASSORTED # 1 each SATURDAY (DAY 7) LUNCH Units Units In- Patient Vistor Cases PAREX 6/36Z RICE - SPANISH BLEND 4 oz ROSA* 6/#10 BEANS-REFRIED 3.5 oz PACE 4/1GAL SALSA-THICK & CHUNKY 0.25 cup NUGGET 6/#10 CANNED VEGETABLES 3.5 oz IMPORT 6/#10 CANNED FRUIT 3.5 oz B.O.F. 15/1# CORN CHIPS - BARREL O FUN 2 oz NUGGET 6/#10 PUDDING-RTS CHOCOLATE # 4 oz GTRADE 48/12Z GATORADE ALL-STAR BERRY 12 fl oz SATURDAY (DAY 7) DINNER Units Units In- Patient Vistor Cases UNIPRO 6/#10 BEEF-CUBED IN BROTH 8 oz

13 NUGGET 6/#10 POTATOES-WHOLE APX 100CT# 4 oz HUNTS 6/#10 CANNED VEGETABLE 3.5 oz PACKER 6/#10 CANNED FRUIT 3.5 oz VORTMN 10# 2 COOKIES 2.66 oz ROSS L 24/8Z ENSURE VANILLA RTU # 8 fl oz

14 Days 1-4 Cases Days 5-7 Cases All Days Cases COLD CEREAL 0 0 COLD CEREAL 0 0 COLD CEREAL 0 0 CANNED JUICE 0 0 CANNED JUICE 0 0 CANNED JUICE 0 0 GRAHAM CRACKERS BULK 0 0 GRAHAM CRACKERS BULK 0 0 GRAHAM CRACKERS BULK 0 0 SALTINES-BULK 0 0 SALTINES-BULK 0 0 SALTINES-BULK 0 0 CORN CHIPS 0 0 CORN CHIPS 0 0 CORN CHIPS 0 0 PEANUT BUTTER PORTION CUP 0 0 PEANUT BUTTER PORTION CUP 0 0 PEANUT BUTTER PORTION CUP 0 0 JELLY-ASSORTED 0 0 JELLY-ASSORTED 0 0 JELLY-ASSORTED 0 0 KETCHUP PACKET 0 0 KETCHUP PACKET 0 0 BEEF-CUBED IN BROTH 0 0 BREADSTICKS - ASSORTED 0 0 BREADSTICKS - ASSORTED 0 0 SLOPPY JOE ENTREE CANNED 0 0 BEEF STEW 0 0 BEEF-CUBED IN BROTH 0 0 BEEF-CUBED IN BROTH 0 0 CHILI W/BEANS 0 0 BEEF STEW 0 0 BEEF STEW 0 0 TUNA 0 0 CORNED BEEF HASH 0 0 CORNED BEEF HASH 0 0 CHILI W/BEANS 0 0 CHILI W/BEANS 0 0 POTATOES-WHOLE APX 100CT 0 0 RAVIOLI-BEEF 0 0 RAVIOLI-BEEF 0 0 CANNED VEGETABLES 0 0 SLOPPY JOE ENTREE CANNED 0 0 CANNED FRUIT 0 0 POTATOES-WHOLE APX 100CT# 0 0 TUNA 0 0 PUDDING-RTS 0 0 CANNED VEGETABLES 0 0 SPORT DRINK (as in Gatorade) 0 0 CANNED FRUIT 0 0 POTATOES-WHOLE APX 100CT# 0 0 PUDDING-RTS 0 0 CANNED VEGETABLES 0 0 RICE - SPANISH BLEND 0 0 SPORT DRINK (as in Gatorade) 0 0 CANNED FRUIT 0 0 BEANS-REFRIED 0 0 PUDDING-RTS 0 0 SALSA-THICK & CHUNKY 0 0 RICE - SPANISH BLEND 0 0 SPORT DRINK (as in Gatorade) 0 0 BEANS-REFRIED COOKIES 0 0 SALSA-THICK & CHUNKY 0 0 RICE - SPANISH BLEND 0 0 BEANS-REFRIED 0 0 ENSURE VANILLA RTU COOKIES 0 0 SALSA-THICK & CHUNKY 0 0 ENSURE VANILLA RTU COOKIES 0 0

15 ENSURE VANILLA RTU 0 0

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