Traci Anello

The Power in Food


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Cooking in Healthcare, the Double Edge Sword

Being a cook in a healthcare setting is a double edge sword for most chefs. So many of us have traded the upscale hotels and restaurants to experience a real vacation and occasional weekends off. Not to mention the benefits package which in itself feels like an amazing bonus.

There are so many benefits to cooking in a hospital setting. I think the most important is knowing that the food you are cooking actually plays a big part in the healing process. This happens in a couple of ways. The one thing a patient has to look forward to is their meal. In most cases, they get to choose what they want from an “a la carte” menu. They may not be able to choose their medication or their length of stay but they can have control over what they order (based on the diet assigned by their physician). Second, if we prepare their food correctly and with absolute care, the food can aid in the healing process. I’m talking about cooking their vegetables and legumes perfectly. We also make sure they have the best crisp lettuce and vegetables on their salad. These are things we CAN control. You have to want to though. You have to cook every meal like you’re making it for your family. If you wouldn’t eat it, neither should they. It’s all about the patient. We have to do our best to fulfill their requests and make the best meals every time. When it comes to the patient, there’s no room for error.

When I think about how we do meals now, it’s very much like a restaurant. The patient has a menu they get to order from. So they call down to the “Diet office” where trained individuals take their order. Hopefully the system is set up so that it understands the patient’s diet. Most systems are set up this way so that if a patient tries to order something they can’t have, the system will not allow the operator in the diet office to add that option. So the operator is like a waitress in a sense. They take the order and it’s sent to the cooks and room service staff through a ticket very much like a restaurant kitchen uses. The printer prints out every detail to make sure they’re are no mistakes. The cook creates the meal and sends it to an expeditor to check over the ticket and place it on the appropriate cart or truck for the hostess to deliver. The hostess brings the meals to the floors as a waitress would do to a restaurant table. They ask the patient to identify themselves by giving their name and date of birth. It’s essential to deliver the correct tray with so many different diets. Once identified, the hostess places the tray in front of the patient and lifts the lids off of the main plate. If we have all done our jobs correctly up to that point, the patients should be pleasantly surprised and look forward to their meal just like in the restaurant. It’s imperative that the hostess smile and ask the patient if there is anything else they can get them. Ofcourse that has to go through the diet office if they want anything additional but the point here is establish a positive relationship with the patient so they realize we do care about them. Like a restaurant, there’s a waitress, a cook, an expeditor and a hostess. It’s all the same concept. There’s no room for error. The meal must be cooked to perfection and followed through with the same service when delivered.

The other part of cooking in the hospital is for the staff. This is an honor in itself just like the patients. These people work hard. They have to be on their feet most of their shift and time is rarely on their side. When they come into the cafe, they want their meals quick and it’s the least we could do. It’s so important to give them the very best as quickly as possible. A great meal can sustain someone for the remainder of their shift. It can also help in the decision process. These people have to be on their toes and make split decisions at any moment. If we can provide a delicious meal, it can only make someone feel so much better. When you feel better, you make better decisions. If we don’t deliver, then these workers could feel sluggish and incomplete. At my hospital, we have the best fresh produce and local seafood to work with. The hospital provides us with the canvas and the best supplies so it’s not rocket science to create healthy delicious meals for the staff. Now, not every meal is the healthiest but it is fulfilling. We do offer fresh vegetables every meal that are steamed or roasted. I’m very happy to be able to provide homemade desserts. I’m a pastry chef by trade so that fills my soul to make homemade strawberry shortcake and my favorite linzor cookies. Every time it’s like packaging a little hug. I feel it’s an honor each and every time I cook for the staff. They give you their precious time by giving us the opportunity to serve them. The least we can do is give them the absolute best, every time. We do also provide the same meals for visitors. It’s just as important to make sure friends and families of patients have a great tasting meal. They’re providing the support to the patients and like the staff, they need to be able to make decisions at any time or just feel good about the care the patient is getting. A good meal will always aid in an important decision or impression of patient care.

Cooking in the cafe and for the cafe also gives us the opportunity to meet our co-workers. I love these people. I may not know them all by name but I do know what they like to eat. I love our interactions. It’s a nice way to show them how much we care and value what they do everyday. The kitchen is separate from the rest of the hospital so we don’t see what these people are involved with and the trauma they have to deal with. That’s why it’s an honor to have their time. I wish more people saw it this way. It’s truly team work. I’m talking about everyone from the doctors and surgeons to the nurses, admin staff and environmental services. From the maintenance crew to the security staff to our own nutritional co-workers. Every one plays an important role in patient care. The food should always reflect that.

Being a chef in a hospital setting has its benefits. Like I said, It’s a double edge sword. You also have to abide by Human Resources and their protocols which is something most restaurants don’t have. But you do get health insurance, some weekends off which is unheard of in restaurants and also vacation time. The perks definitely out weigh the lack of. Hospitals have incentive programs that are pretty lucrative. The work is year round employment as opposed to seasonal in a tourist community. Hospitals make sure you have all of your up to date shots and immunizations where most restaurants are a tetanus trap. Restaurants give you the opportunity to be very creative and make spectacular entrees. It’s such a give and take. I have to say hospitals offer security, job security. Overall, I prefer working in the hospital. I’m fortunate to be woking with a chef manager that’s an amazing cook. I’ve learned from him and we work great together. That’s a real win. That doesn’t always happen. Most times you have to deal with an ego that is not productive. Do the best you can with that. It’s not easy. I’ve been there and the stress alone with send you back to a seasonal restaurant. This time I’m very fortunate.

If you are a chef or a line cook and you have the opportunity to try a healthcare setting, you owe it to yourself. There’s a lot of give and take but the rewards are worth it. You deserve a weekend off and a paid vacation. I will admit, I do miss working at hotels on the beaches and doing the weekly lobster bakes and catering weddings. That’s a feat in itself. To balance the best of both worlds, find a way to still participate in the catering and special events. We all know someone so the best balance is to live in both worlds. There’s plenty of support out there.

I’m very happy where I am. I love cooking for the patients and the staff. I’ve learned to balance the double edge sword. You can too and I’m happy to help. Feel free to contact me with any questions, comments or critiques.


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Juggling Plantbased meals on non traditional shifts

Working a shift other than the “normal” 9 to 5 can create road blocks with meals. I work in healthcare and the days I pick up a replacement shift of 11am to 7:30pm can really throw a wrench in my meal planning. Thankfully, there are some pretty creative ways to work around that so you get the maximum nutrition on limited time.

Meal planning is your best friend. You decide a time or day of the week to do all of your prep and organization of your lunch and dinners. I pick a day off that I can dedicate 3 hours. That’s it. Three hours is all is takes. That’s less than 30 minutes an entree. I go through my trusted recipe books written by creators I know can cook. I decide what I want and make a shopping list. Here’s where a pantry of every day items comes in handy. I’ll get into that in a few minutes. I go shopping and come home and get to work.

Shopping can be inexpensive if you stick to whole foods like fresh broccoli, crisp red peppers and tender sweet carrots. The expense comes in purchasing the processed items which you don’t need. They’re good in a pinch but you’ll get way more bang for your buck with fresh produce, whole grains and legumes.

So back to the pantry. I always have canned beans, brown rice, farro, quinoa, couscous, diced tomatoes, lentils and pasta in my pantry. These are items that can stretch your dollar and create healthy meals. My herbs and spices are always abundant. I use granulated garlic and onion powder, black pepper, thyme, rosemary, cinnamon, ginger (both ground and fresh) and miso paste for salt. I also have Kombu and dulse (seaweed)flakes for a salt substitute. These are also great when you’re making chickpea “tuna” salad or cradles cakes. For flours I have oat, almond and sprouted spelt. I love the almond and oat for cookies and I make my own rolls with the spelt. A pantry is essential regardless of your lifestyle. There will be times you want to make something quick and having grains and spices on hand will make life a lot easier. Pasta can be made with sauce or toss in some of your prepped cut vegetables and make a cold salad. Lentils are great on a salad or a powerhouse in a soup. Couscous cooks in five minutes. Just sauté some vegetables and you have dinner in less than 15 minutes.

A typical day of meal preparation starts with my rolls. I mix sprouted spelt flour with silkened tofu, baking soda, sea salt or miso and my own “everything” bagel combination. That’s it. It makes the best rolls. While those are baking I prep my vegetables. I always roast sweet potatoes, cauliflower, asparagus, and purple potatoes. They’re a staple for my veggie scrambles in the morning and my brown rice bowls. I roast what ever other vegetables I’ve picked up. This is a great time to try a new vegetable either at the grocery store or from a farmers market. I then cut up fresh bell and yellow peppers, cucumbers, red onion, shredded carrots and red cabbage. Roasted red peppers are a nice addition. Those are put in containers placed in my refrigerator for me to create quick salads or another grain bowl. The whole idea is to just get these items prepped and roasted or cut up if using fresh. Once this is done, and it only takes an hour, then you can set your bowls or mason jars up for the week and start crating your meals. Now you have meals for every day you just grab and go. An example of what I make would be that I take a bowl and add a grain like brown rice or farro. I then add my colorful peppers, green onions, red cabbage, shredded carrot, chopped kale and maybe some broccoli. You just made a Buddha bowl. You can put your favorite dressing on the side or maybe mix some hummus on the side. Change it up and use different grains and make a variety of bowls. The goal here is when you work these odd shifts, your meals are ready to go. You don’t have to reach for a super sugar packed energy bar or a carby bagel to get you by. I get it. I’ve been there. Salsa and awful chips or a banana and peanut butter sandwich because you have no time. Enough of that. Pick a day and create these nutritious bowls.

Don’t forget to pack some snacks. I will roast a can of chickpeas in a try fry pan with some paprika and a little maple syrup (local, of course) and keep moving that pan around until you have crispy chickpeas. Those are also great on salads or your bowls you have prepped for you ready to go. You can cut up some carrots, cucumber or celery and have that with hummus. Fresh fruit is always recommended. Either make a fruit bowl for yourself or pack some berries, an apple or whatever your favorite fruit is.

It sounds like a lot of work but once you get used to it and it becomes a routine, you’ll be glad you made the investment of time. If you dedicate one time and one day a week, you’ll make your life a lot easier by incorporating healthy meals. This also make shopping less of a hassle because you’re using a list and doing it once a week. Now you have more “YOU” time.

Don’t stress about the shift. Make the shift work for you. Have these meals ready to go and share the information with your other second and third shift friends and before you know it, you will all be sharing tips and techniques on how you make this work for you. Plantbased is a wonderful lifestyle. The food is colorful, fresh, abundant and delicious. Share the knowledge and share a meal. The power in food is in your hands.