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Food-Service-Manual-for-Health-Care-Institutions

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<strong>Food</strong> <strong>Service</strong> <strong>Manual</strong> <strong>for</strong> <strong>Health</strong> <strong>Care</strong> <strong>Institutions</strong><br />

392<br />

Physical Contamination<br />

Physical contamination is when objects such as stones, thorns, small animal bones, wood,<br />

clothes, insects, insulation, plastic, bullets or BB shots, needles, human and animal hair, dirt,<br />

glass, metal, fingernails, bandages, toothpicks, and jewelry are found in food. Finding these<br />

objects in food may cause a psychological trauma or a physical illness or injury to the person.<br />

Poor ventilation, poorly maintained facilities, and the use of broken or worn-out utensils and<br />

equipment can also contribute to physical contamination. Improperly cleaned vents can blow<br />

debris onto food. Leaking overhead pipes can drop moisture, metal, paint, or dirt into food.<br />

Unguarded light fixtures can break, and glass can fall into the food. Artificial nails and nail polish<br />

can come off in food. Gems from bracelets, earrings, and rings can fall into food. Foreign<br />

material contamination resulting from employee sabotage is difficult to monitor. Unscrupulous<br />

employees have placed a wide variety of <strong>for</strong>eign objects in containers in the past. Because of<br />

terrorist threats and quality control, food service personnel, from the farm to the table, must<br />

be diligent in their monitoring.<br />

Physical materials in food may cause cuts, bleeding, infection, choking, broken teeth,<br />

trauma (especially psychological), and in some instances surgery to remove the object. Much<br />

of the physical material may come from broken dishes, machinery, packaging, improper processing,<br />

nonsharp can openers, pallets, and employee carelessness.<br />

According to the FDA, of all the thousands of complaints of <strong>for</strong>eign objects in food, 25<br />

percent were related to <strong>for</strong>eign materials; about 6 percent resulted in illness or injury, with<br />

glass, metal, and plastic being the most common <strong>for</strong>eign objects found.<br />

<strong>Food</strong> handlers at all steps of food-handling processes must be trained. The equipment and<br />

environment should always be clean. There should be strict policies and procedures concerning<br />

the use of hair restraints and wearing of jewelry, artificial nails, and nail polish. Ongoing<br />

monitoring is essential; immediate corrective action must be taken. (Check <strong>Food</strong> Code 2001,<br />

U.S. Public <strong>Health</strong> <strong>Service</strong>, and FDA <strong>for</strong> a more detailed list.)<br />

Sick Employees<br />

Sick employees are also a concern in food-borne illness. Table 13.4 presents guidelines that<br />

should be used in deciding whether to allow sick personnel to work in direct contact with food<br />

(preparation or service.)<br />

Thermometers<br />

There are many different types of and uses <strong>for</strong> thermometers. In the production area, thermometers<br />

are used in ovens, combination steamers, cook–chill equipment, deep-fat fryers, and<br />

broilers. Thermometers are also necessary in refrigerators, freezers, dry storage areas, and the<br />

general work and service areas.<br />

A number of different types of thermometers can be used to measure temperature on<br />

equipment: recording thermometers, bulb thermometers, and remote-reading thermometers.<br />

Recording thermometers are mounted on the outside of refrigerators and freezers and continuously<br />

record the internal temperature. Recording thermometers are also used with cook–chill<br />

equipment. Bulb thermometers are the most common type to use when there is no built-in thermometer<br />

in the door of the refrigerator or freezer. A bulb thermometer should be placed in the<br />

warmest area of the unit. (Check the local public health rules and regulations.) Remote-reading<br />

thermometers are placed outside of refrigerators and freezers and may be monitored in a central<br />

control engineering area. These show the temperature within the refrigerator or freezer.<br />

When manual thermometers are used, the temperature of refrigerators and freezers should<br />

be recorded at least twice daily. It should be checked in the morning and in the evening.<br />

A number of other thermometers can be used to test the temperature of food. The most<br />

common is called a bimetal probe or dial-instant read with a dial that can be used to measure

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