clear and full.pdf

This is a diet order form from the Nutrition Management Department at US Naval Hospital Guam. The document serves as a template for medical dietary prescriptions and lists approved food and beverage items for two specific diet types: Clear Liquid Diet and Full Liquid Diet.

The Clear Liquid Diet includes six approved items: apple juice, Crystal Light lemonade, chicken or vegetable broth, Jell-O or sugar-free Jell-O, hot or iced tea, and sugar or Equal sweetener. The Full Liquid Diet expands the options to include oatmeal or grits, orange juice or apple juice, chicken or vegetable broth, pudding or sugar-free pudding, yogurt, ice cream, milk or soymilk, iced or hot tea, regular or decaf coffee, and creamer with sugar or Equal. The form includes blank fields for patient name and ward assignment, allowing medical staff to specify dietary orders for individual patients based on their clinical needs.