Inservice Manual 2010
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Dietetics In Health Care Communities (DHCC ) Inservice Manual 2010 Inservice Manual © DHCC 2010 1 The authors and editors of the DHCC Inservice Manual cannot accept responsibility for errors or omissions or for any consequences from applications of the information in this book and make no warranty, expressed or implied, with respect to the contents of this book. ©2010, by Dietetics in Health Care Communities, a dietetic practice group of the American Dietetic Association, all rights reserved. Forms may be reproduced for personal use only. No part of this publication may be reproduced for sale in any tangible or electronic form or translated into any spoken computer language without the prior written consent of DHCC. Printed in the United States of America. The views expressed in this publication are those of the authors and do not necessarily reflect policies and/or official positions of the American Dietetic Association. Mention of product names in this publication does not constitute endorsement by the authors or the American Dietetic Association. The American Dietetic Association disclaims responsibility for the application of the information contained herein. Inservice Manual © DHCC 2010 2 PREFACE Dietetics in Health Care Communities (DHCC), a dietetic practice group of the American Dietetic Association recognizes the importance of quality in-service education for all staff of long term care facilities, sub-acute units, home health care associations, hospice agencies, correction facilities and other food service settings. Our Inservice Manual was designed to be comprehensive and user-friendly and consequently has been a well- received teaching tool by dietetic practitioners working in these areas. Inservice education is an ongoing process, in part due to staff turnover as well as the need to review information to obtain improved understanding of the topic. The target audiences for these inservices are food service workers, nursing assistants, all facility staff and licensed nursing staff. Many contributors and reviewers have worked on this publication, now in its 3rd revision to ensure its contents will meet the educational needs of food service, nursing and staff personnel in the facilities we serve. We wish to thank the authors and reviewers for their dedication and countless hours writing and reviewing this material. A special thanks Kathy Weigand, RD, LD/N, and Cindy Thomas, RD, CD, for their work as project managers and editors. Brenda E. Richardson, MA, RD, LD, CD Chair, 2010-2011 Dietetics in Health Care Communities Inservice Manual © DHCC 2010 3 Contributors for 2010 Katheryn Adams, RD, CSG, LD La Grange TX Cheryl L. Carson, MS, RD, LD Kansas City MO Digna Cassens, MHA, RD La Habra Heights CA Virginia M. Davidson, RD, CD Bellingham WA Lisa Garay, RD, LD/N Coral Springs FL Edith C. Graybill, RD Winchester KY Diane Hall, RD, LD, NHA Malabar FL Janet M. Hubbard, RD Long Beach CA Sharon Leppert, RD, LD Plano TX Cynthia Piland, MS, RD, CSG, LD La Grange TX Amanda Riffle, RD, CD Auburn WA Kathryn Smith, MBA, RD, LD/N Haines City FL Renee Stasko, RD, LD Pittsburgh PA Inservice Manual © DHCC 2010 4 Contents SANITATION AND INFECTION CONTROL ........................................... 8 F-Tags ..........................................................................................................................................................9 Standard Precautions ..................................................................................................................................11 Handwashing Importance and Technique ..................................................................................................16 Handwashing..............................................................................................................................................20 Personal Hygiene .......................................................................................................................................27 Improved Kitchen Sanitation with Food Service Worker Involvement in Surveillance .....................................................................................................35 Infection Control, Meal & Snack Service Training Program ....................................................................39 Cleaning .....................................................................................................................................................47 General Cleaning and Sanitation ...............................................................................................................60 Warewashing ..............................................................................................................................................66 Technical Requirements for Warewashing ................................................................................................75 Damp Mopping ..........................................................................................................................................80 References ..................................................................................................................................................82 Abbreviations .............................................................................................................................................83 HACCP .......................................................................................................... 84 HACCP ......................................................................................................................................................85 Proper Storage of Leftovers .....................................................................................................................117 Producing Proper Food Quantities and Leftovers ....................................................................................122 Food Labeling and Dating .......................................................................................................................128 Safe Food Handling – Food Temperatures ..............................................................................................130 Cooking Temperatures .............................................................................................................................142 Accurate Thermometer Use .....................................................................................................................145 Foodborne Illness .....................................................................................................................................156 Purchasing – Receiving – Storage ...........................................................................................................162 MSDS .......................................................................................................................................................169 Pest Control ..............................................................................................................................................178 Serving Food Safely .................................................................................................................................184 References ................................................................................................................................................187 Inservice Manual © DHCC 2010 5 STAFF EDUCATION ................................................................................. 188 Introduction to Adult Learning ................................................................................................................189 Department Orientation ...........................................................................................................................194 Resident Rights ........................................................................................................................................200 Workplace Violence .................................................................................................................................209 Slips, Trips and Falls................................................................................................................................211 Ergonomics ..............................................................................................................................................217 Fire Safety ................................................................................................................................................227 Hazardous Materials ................................................................................................................................232 Emergency Preparedness .........................................................................................................................238 Trayline Accuracy/Menu Compliance .....................................................................................................242 Wheelchair Safety ....................................................................................................................................247 Changes as We Age .................................................................................................................................249 HIPAA .....................................................................................................................................................256 What is HIPAA ........................................................................................................................................258