Handouts


Handouts may be used in your facility for training your management staff and employees.....




The major responsibility of the Food Service Team is

to TO SERVE SAFE FOOD!

This goal is accomplished by minimizing consumer risk of illness from food.















The USED Model

U=Understanding

S=Showing

E=Experiencing

D=Doing
Element of Training Skill Acquisition Transfer to Work Place

(understood well enough to take back home and share)

Presentation 10 - 20% retention 5-10%
Demonstration 35% retention 5-10%
Practice 70% retention 5-10%
Feedback (paired with practice) 80% retention 5-10%
Coaching (after training) 90% retention 90 %

Showers, Beverly 1987 Staff Development Handbook, Columbia South Carolina: South Carolina Department of Education.





Description of the used Model

Measurable outcomes are accomplished when the information presented in staff development is actually used by personnel who participated in the training program. Change in behavior does not occur until what someone has heard or "learned" has been implemented. Thus, the training design used must be one that promotes the transfer of training to the workplace.

Joyce and Showers have identified five training elements: presenting the theory, modeling or demonstrating, providing practice, providing feedback, and coaching. Though the elements appear to have a logical order, they may be used in any order. A well designed training program will include all five elements.

4/1/1996

TNT Train the Trainer Course for Cadres of Idaho and Nevada

Information shared by Carolyn Garland, Nevada State Department of Education





Journal of the American Dietetic Association

Food Safety Review



Implications:

We reviewed CDC Surveillance Summaries from 1973 through 1987 (61-71) and found that food eaten in foodservice establishments was responsible for 44.6% of the total outbreaks of foodborne disease reported and that food eaten at home was responsible for 20.5%. Bryan(72) identified 30 factors that contributed to outbreaks of foodborne disease from 1961 to 1982. The three factors most frequently identified were improper cooling, lapse of 12 or more hours between preparing and eating food, and an infected person handling food. The most recent CDC Surveillance Summaries (71) list five factors that contribute to outbreaks of food borne disease. Of these five factors, the most commonly reported food preparation practice that contributed to foodborne outbreaks was improper holding temperature, poor personal hygiene of food handlers was the next most common practice.

Perspectives in Practice, Food Safety: "Review and Implication for

Dietitians and Dietetic Technicians, JADA, Vol. 96: No.2, Pages 163-168.



Preview of: Health Reports - Vol. 110

September/October 1995


New in Review:

Outbreak of Shigella flexneri linked to salad prepared at a central commissary in Michigan. R.A. Dunn, W.N. Hall, J.V. Altamirano, S.E. Dietrich, B. Robinson-Dunn, and D.R. Johnson 580-586.

Foodborne illness outbreak. In August 1992, the Michigan Department of Public Health was notified about a cluster of persons with Shigella flexneri infections; all had eaten at different outlets of a single restaurant chain. The chain prepared many foods at a central kitchen. Of the 46 patients identified, 21 were hospitalized. Forty-four of the 46 patients had eaten a tossed mixed salad, compared with 33 of 71 control subjects (case subjects' dining companions who had not become ill). The salad preparation area had not been inspected for several years because three agencies had jurisdiction over different food preparation procedures at the commissary and each had assumed another agency was inspecting this area. Employees handled most salad ingredients with their bare hands during preparation. Some salad preparers had been ill shortly before the outbreak but continued to work. Management must identify employees who are ill and develop incentives to encourage employees to report illness.

JADA, Vol. 96: No.2, Pages 205.

Examples of Potentially Hazardous Foods






Potentially hazardous foods (PHF) are varied. These foods have the pH levels, moisture content, and protein levels that best support organism growth. Remember, however, that foods both at the far alkaline level and the far acid levels of the pH table will support growth of some types of organisms.
















Beef, Chicken, Turkey, Pork, Lamb, Shellfish, Fish, Dairy Products and Eggs, whether raw or cooked are common sources of foodborne organisms of varying types.

Whipped Butter, Non-Dairy Agents, and Cheese can also support growth of organisms. Garlic, herbs, and peppers that have been infused into oils are a prime growth zone for anaerobic bacterial growth.







are less known sources of foodborne organisms. Some bacteria common to vegetables and seeds can still reproduce at 38 F. Examples of these vegetables, starches, and seeds are:

Soy Protein, Seed Sprouts, Beans, Rice, Pasta, Spices, Garlic and other herbs infused in oil, Grapes, Strawberries, Watermelon, Cantaloupe, Potatoes, Pastry, and Bread. Even egg white and olives can support organism growth. About the only foods that are truly not PHF are: (Any suggestions?)



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©Copyright 7/97 Stewart Enterprises - Kathy and Doug Stewart 305

Last Updated May 13, 1998 by Stewart Enterprises - Kathy and Doug Stewart
























Food Handler Work Restrictions*

Disease Work Status Duration of Work

Restriction / Comments

Abscess, boils, etc. Relieve from direct contact and food handling. Until drainage stops and lesion has healed or employee has negative culture.
AIDS (acquired immune deficiency syndrome) or ARC (AIDS-related complex May work (per CDC Guidelines).

No open lesions, upper respiratory diseases, or communicable diseases.

Employee will be counseled and educated.
Diarrhea:
A. Acute stage (etiology unknown) Relieve from direct food handling. Until symptoms resolve and infection with salmonella, shigella, or Campylobacter is ruled out.
B Campylobacter. Relieve from direct food handling. Until symptoms resolve or after appropriate antibiotic therapy for 48 hours.
C. Salmonella Relieve from direct food handling. Until stool is free of the infecting organism in two consecutive cultures, not less than 24 hours apart.
D. Shigella Relieve from direct food handling. Until stool is free of the infecting organism in two consecutive cultures, not less than 24 hours apart.
Hepatitis A Relieve from direct food handling. Until seven days after onset of jaundice. Must bring note from physician upon return.
Staphylococcus aureus Relieve from direct food handling. Until lesions have resolved and the employee has a negative culture.

*Centers for Disease Control





Recommended Refrigeration Temperatures

Fish 32 to 34 F
Meat and Poultry 32 to 36 F
Dairy Products 38 to 40 F
Eggs 38 to 40 F
Fruits and Vegetables 38 to 40 F




Shell Fish Tag - Example



Policy and Procedure

Effective Date : ______________ Number_________

Page 1 of 1

Department: Food Service Approved By: ________

Subject: Outbreak of Foodborne Illness



Policy: When a case of foodborne illness is reported in the facility, an investigation shall be made to isolate the source of the offense; preventative and corrective measures will immediately be initiated.

Procedure:

Log shall be kept of all calls reporting foodborne illness or suspicious circumstances that may be foodborne illness.

The local health agency shall be notified of the diagnosed cases and updated about the situation.

A seventy-two (72) hour food intake recall record is to be obtained from the consumer, if possible.

When possible, sample of food shall be isolated, marked, refrigerated and held for the local health agency.

Employees who were working the shift or day indicated will be located and interviewed about their health for the past week.

All employees will cooperate with any city, state, or county officers investigating the incident. All other communications will be limited to the designated communication officer.

The purveyor sources will be carefully checked, reviewed and analyzed.

Food storage, preparation, and serving procedures within the facility will be carefully checked, reviewed and analyzed.

Preventative procedures will be established and augmented.

Follow-up action, including but not limited to in-service education and closer supervision will be undertaken immediately.





HACCP Statement Formats:

Goal: No PHF is ever in the danger zone for more than 240 minutes (4 hours) of its life....
Control Point Corrective Action
Source If a product is not from an approved, inspected source, reject the product and refuse to order from that source.
Delivery If a product is not fresh or does not meet specification, refuse the product and send it back
Cooking If a product is not cooked to the recommended product temperature, pull the product from service and continue coking until proper temperature is reached.
Handling If cross-contamination occurs with a cooked product, destroy the contaminated product.

If poor personal hygiene and food handling practices are occurring, correct the problem, update training, and enforce standards. If the problem can be related to an immediate situation and product, the product should be discarded.

Holding Hold for service at 140F or higher. If a product is not held above 140F, reheat a fresh product once to 165F, increase the steam table holding temperature to maintain 140F, and return product to service. If the product is a leftover or convenience food, discard immediately.

If the product has been in the danger zone for more than 1 hour, discard the product.

Cooling Cool to 40F or lower as quickly as possible using a rapid kool wand, ice bath, or chill blast method. If product does not reach 40F in under 2 hours, discard the product.
Cold Storage Store cold foods at 40F or cooler. If a product has been in the danger zone for more than 2 hours, discard it.
Reheating Reheat product to 165F. If a product does not reach 165F in two hours or less, discard it. NEVER MIX OLD PRODUCT WITH NEW PRODUCT.
Serving If a product has not been handled properly at any of the preceding control points, do not serve the product. DISCARD.




HACCP

COOKING TIME AND TEMPERATURES

AS RECOMMENDED BY THE FDA FOOD MODEL CODE 1
MINIMUM COOKING TEMPERATURE TEMP/TIME TEMP/TIME
ALL RAW ANIMAL FOODS

EXCEPT RARE ROAST BEEF AND PASTEURIZED EGGS.........

145F 15 SEC
PORK *150F in 1 min 155F 15 SEC
GAME ANIMALS 155F 15 SEC
CHOPPED FISH, MEAT, EGGS Not immediately served... 155F 15 SEC
GROUND BEEF/MEAT 155F 15 SEC
STUFFED ANIMAL PRODUCTS 165F
ALL POULTRY PRODUCTS 165F
ALL REHEATS (or Leftovers, Convenience Foods) 165F 15 SEC
WHOLE MUSCLE ROAST BEEF (RARE) 130F in 121min
HOT HOLDING MINIMUM 140F
Microwave Method -

Add 25F and 2 minutes standing time to all guidelines.........

ALWAYS MEASURE INTERNAL TEMP IN 3 PLACES.
DISCARD ALL BATTERS AND BREADING MATERIALS.
DO NOT USE THE STEAM TABLE TO HEAT OR REHEAT FOODS
COOL COOKED FOODS rapidly TO 40F BY BLAST CHILLER, ICE BATH, RAPID KOOL WAND, SHALLOW PAN METHOD, OR BY CUTTING INTO SMALL PORTIONS.

DO NOT REFRIGERATOR COOL LARGE PORTIONS OR CONTAINERS.

1 HACCP Reference Manual, Educational Foundation, Chicago, Illinois 1994









Monitors and Written Documentation....

Monitors are valid procedures for process documentation only if they are written and used consistently.



A monitor provides an employee with the information needed to adequately perform the entire monitoring process.

Each monitor should include the following components:





Refrigerator Temperature Monitoring Schedule (HACCP)

Procedure:

Read and record temp. from this unit twice daily at 9 AM and 9 PM.

Temperature should be between 36 - 40 F. If temperature exceeded 40 F at any time, NOTIFY your supervisor. If the supervisor is not available, NOTIFY the building engineer. NEVER enter a temperature that was not read directly from the thermostat.

Date 9 AM Int. 9 PM Int. Control Action

All monitors must be written.

Monitors should be maintained for at least 90 days.

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Copyrighted material 7/97 Making Choices.... Stewart Enterprises xxx
Last UpdatedMay 13, 1998 by Stewart Enterprises - Kathy and Doug Stewart

FOOD AND NUTRITION SERVICE DEPARTMENT

SAFETY AND SANITATION INSPECTION REPORT

Criteria for Rater Inspection Rater:________________________ Date _________________
FOOD STORAGE/RECEIVING:

1. Foods are monitored for appropriate receiving conditions.

2. Food removed from original container is covered, labeled, dated and properly stored.

3. Foods handled properly to ensure proper sanitation and no cross-contamination.

4. Items in storage areas are 6" off the floor and not less than 18" from the ceiling.

DISHROOM:

23. Thermometer readings are correct for each task.

24. Temperature monitor maintained.

25. Racks off floor.

26. Machine cleaned as per cleaning schedule.

27. Dishes and silverware stored properly.

FOOD TEMPERATURES:

5. Cold foods held at 40 degrees F. or lower

6. Frozen foods held at 0 degrees F. or lower

7. Food cooked to appropriate temperatures and monitored.

8. No PHF food displayed at room temperature.

9. Holding temperatures of foods maintained at 140 degrees F or higher.

10. Potentially hazardous foods properly thawed.

GARBAGE DISPOSAL:

28. Containers cleaned daily or as needed.

29. Garbage waste area free from litter.

30. Garbage receptacle covered.

31. Containers of grease are covered and disposed of properly

FOOD EQUIPMENT AND UTENSILS:

11. Food contact surfaces of equipment and utensils are clean.

12. Non-food contact surfaces of equipment and utensils clean.

13. Equipment functioning properly, guards in place and/or maintenance notices in place.

14. Electrical cords, switches and plugs in good repair, free from exposed wire or loose ends.

15. Proper and safe operation and storage of equipment.

16. Refrigeration temperatures monitored.

17. Separate cutting boards for fruits, vegetables and meats (raw and cooked). Boards sanitized after each use.

18. Sanitation rags in sanitizer buckets.

19. No chemicals above food preparation area.

FLOORS/WALLS/CEILINGS:

32. Clean and in good repair.

33. Drains in good condition.

34. No cross-connection situations.

35. Spillage cleaned immediately.

36. Wet floors appropriately marked with signs.

LIGHTING/FIXTURES:

37. Shielded lighting used and working appropriately.

38. Chairs, tables, counters, etc. in good repair and free of sharp edges, splinters, etc.

39. Electrical appliances grounded.

PERSONNEL:

20. Employees monitored through casual observation for open skin lesions and contagious illness.

21. Hands washed and clean, good hygiene, no handwashing in food preparation sinks.

22. Clean uniforms and hair restraints.

HAZARDOUS MATERIALS:

40. Hazmat labels on all units as indicated.

41. Stored in areas away from food.

42. MSDS handbook in proper place.

43. All chemicals have MSDS sheet in handbook.













Item No. Comment on situation/error noted Corrective Action Date Initials/

Name



























Making Choices....

a division of STEWART ENTERPRISES...

1570 Carlin St. Reno, Nevada 89503

Telephone/Fax (702)74603757

88-0186415

Katherine M. Stewart, CPFM, RD - Trainer

Seminar Date _________________________

Evaluation of Training Module

1

(low)

2 3 4 5

(high)

Trainer was well versed in background materials.
Trainer presented material in concise and understandable format.
Adequate activities were provided to illustrate topics.
Trainer was available at scheduled times for assistance
Text was easily read and understandable

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Copyrighted material 7/97 Making Choices.... Stewart Enterprises xxx

Last UpdatedMay 13, 1998 by Stewart Enterprises - Kathy and Doug Stewart