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How to find out where the abnormality occurs after water drops appear on the tableware in the ward

When the tableware is taken out from the processing equipment, there will be water beads on it. You cannot judge the disinfection failure based on the appearance alone, nor can you wipe it dry and use it directly for meal preparation. The abnormal batch should be separated from the available tableware first, and the loading and transfer information at the time of discovery should be retained, and then the completeness of the procedure, the location of the water accumulation, and the contact process after release should be checked. What is discussed here is the investigation of abnormalities in hospital tableware. It is not a sterilization method for medical devices, nor does it replace hospital food safety and infection prevention and control requirements.

FengzhidaOctober 17, 202613 min read

When the tableware is taken out from the processing equipment, there will be water beads on it. You cannot judge the disinfection failure based on the appearance alone, nor can you wipe it dry and use it directly for meal preparation. The abnormal batch should be separated from the available tableware first, and the loading and transfer information at the time of discovery should be retained, and then the completeness of the procedure, the location of the water accumulation, and the contact process after release should be checked. What is discussed here is the investigation of abnormalities in hospital tableware. It is not a sterilization method for medical devices, nor does it replace hospital food safety and infection prevention and control requirements.

Cambro's ward tray service article talks about the appearance of tableware and the coordination of the complete set of catering supplies, but does not provide a troubleshooting procedure for disinfection cabinets. [1] Whether the tableware looks neat and dry and whether a processed batch meets the conditions for use are different issues. What the on-duty personnel need to preserve is traceable phenomena, rather than immediately drawing conclusions about the equipment.

Which clues should be retained first when discovered?

Suspend access to affected utensils and label the batch, time of discovery and storage location without causing additional contamination. When moving abnormal tableware into the specified isolation area, its original layer, front and back sides, and adjacent utensil information should be retained; if it must be moved, the location should be noted before moving. Necessary disposal should not be delayed for the sake of taking pictures, nor should observers be allowed to enter the normal clean operation route.

It’s worth noting the difference between whether the water droplets are concentrated at the bottom of a deep bowl, where two dinner plates overlap, or spread over the entire surface. Whether the tableware is ceramic, stainless steel or composite with a sandwich should also be specified. Tableware that is cracked, damaged or suspected of having water in its interlayer will be listed as abnormal and will not be mixed with intact utensils for statistics. Appearance can only help formulate hypotheses and cannot provide conclusions about microbial testing.

Isolating tableware does not mean completing the inspection and retaining samples on your own. If the institution requires sampling, the corresponding personnel should take samples, preserve them, and submit them for inspection according to established methods. Ordinary operators should not wipe the samples at will, pour out the accumulated water, and then claim that the samples represent the original state. When spare tableware is needed for serving meals, it should be prepared from independent batches that have met the usage requirements. Waiting for testing cannot be used as a reason to continue using it.

Restore a processing process to a timeline

You can fill in the work record in sequence: cleaning end time, loading completion time, selected program, start time, end prompt, actual door opening time, transfer arrival time, and the time when water beads were first discovered. Next to each time, indicate whether it comes from equipment records, personnel records on the spot, or subsequent memories. The cells without evidence are written as unrecorded, and estimates are not used to piece together the process into a seemingly complete line.

First check whether cleaning and disinfection are mistaken for the same thing. Removing residue and cleaning the surface are the prerequisites for subsequent processing; the drying function cannot replace the disinfection process. Chapter 10 of the "Code for Food Safety Operations in Catering Services" respectively stipulates the cleaning, disinfection and cleaning of tableware, proposes regular inspections of the operating status of disinfection equipment, and puts forward hygienic standard requirements for disinfected tableware. [2] On-site judgment also needs to go back to the applicable procedures for this equipment and the verification requirements of the organization.

When you see the end light on, you should verify whether it means the end of the entire program or the end of a certain stage; when you see the temperature on the operation screen, you should also confirm which measuring point it represents. Do not overwrite a display value so that every piece of tableware reaches the same state. If there is a fault alarm, power outage, program switching or early access during the shift, the event should be recorded as it is, and the person in charge will judge the processing status of the batch, instead of just retaining the last normal display.

Narrow down from load distribution

Marking the location of the vessel where water droplets appear on the diagram is often more useful than saying "dry it or not". If the accumulated water is mainly located on the concave surface or close contact with the bottom of the bowl, you can first propose the hypothesis that drainage is blocked or improperly placed; if similar utensils are abnormal in different locations, you need to continue to check the processing procedures and the status of the utensils. No matter which distribution is used, it is not enough to prove that a certain part has failed.

The loading quantity, rack spacing, and container direction should be carried out according to the instructions of the machine. When there are no loading regulations, do not determine the placement method based on photos of adjacent models, and do not equate normal operation of empty cabinets with normal actual loading. Especially for products with covers, interlayers or porous materials, you should first confirm the processing method allowed by the manufacturer, and the method of ordinary metal plates cannot be applied uniformly.

This step does not require repeatedly changing the parameters during the meal to try out the answer. Tests that may affect the treatment effect should be conducted by authorized technical personnel in accordance with the instructions and agency-approved protocols, and test supplies should be separated from serving utensils. Operators should not intentionally interrupt power, bypass gate controls, or change gears during operation to reproduce abnormalities. If there is leakage, burnt smell or other signs of equipment danger, the machine should be deactivated and reported for repair according to the safety procedures of the machine, and no more testing should be carried out around water droplets.

The source of water that appears after coming out should also be distinguished

If there is no observation record when the door is opened, it cannot be concluded that water is generated in the cleaning cabinet. Possible explanations include the later accumulation of original residual water, dripping water from adjacent objects, contact with wet surfaces during transportation, or condensation caused by changes in temperature and humidity conditions. These are different reasons that need to be verified. They cannot be combined into tableware regaining moisture, nor can it be determined that ceramics or metals have absorbed environmental moisture like water-absorbent materials.

Record whether there is residual water in the transfer container, whether the container is still warm, when it was capped, when the storage cabinet was cleaned, and whether there is any steam or cold surfaces nearby. Temperature and humidity readings should indicate the time and location of the measurement. Only general descriptions such as high temperature and high humidity cannot restore the conditions for the formation of water droplets. If there are no measurement tools, keep the visible phenomena and avoid writing unmeasured dew point relationships into established conclusions.

The following is a hypothetical record to illustrate how to retain doubts, and is not an actual fault case: a batch of dinner plates was not observed one by one when the equipment was taken out at noon, and a small amount of water was found at the bottom of the transfer box fifteen minutes later. The available information can only identify the location of discovery and cannot differentiate between residual water, dripping and condensation. The next step should be to check the clean and dry status of the box and the remaining containers in the same batch, rather than directly replacing the heating components of the equipment. Even if technicians find that the bottom of the box is wet, they still need to rule out the possibility that the water comes from the dinner plate.

Repair information and re-use conditions are processed separately

When submitting equipment diagnosis, provide the nameplate model, manual version, program name, abnormal photos, loading method and number of occurrences. Explain what has changed this time compared to previous times, such as new plates, increased load capacity, or different storage containers. Don’t just say it gets wet every day, and don’t omit non-recurring batches to simplify the description. Intermittent problems also need to be recorded, but one normal operation does not prove that the fault has completely disappeared.

Take Fengzhida LZ-ZQ2 as an example. The public page for the same model lists steam and hot air functions, dual chambers and deep basket structure, but the page also states that the specifications are still being compiled. [3] This information can help maintenance personnel accurately describe the equipment, but does not give complete program stages, loading intervals and alarm handling steps. Therefore, it cannot be inferred what disinfection results a certain batch of tableware will necessarily achieve, nor should the machine be adjusted according to the time or temperature of other models.

If records show that two cavities behave differently, the two sides should be numbered separately to indicate whether the same procedure, the same utensils, and similar loadings were used, rather than covering up the differences with the average of the entire cabinet. Even if the structure is the same, do not assume that the control or heating components are independent of each other. The questions that need to be answered by the manufacturer should be clear about this phenomenon, such as which records can confirm the completion of the program, which parts are allowed for routine cleaning, and what inspections need to be done before returning to use.

In the end, two decisions should be made: how to deal with abnormal equipment and how to deal with abnormal tableware. The completion of the repair does not automatically make the original batch of tableware available again; whether to release it after reprocessing must also be based on the institutional system and applicable health requirements, and the processing method, inspection results and decision-maker must be recorded. If the status of the process, contamination exposure, or dishware integrity remains unclear, the status remains pending. The sign of the end of the investigation is that each batch has a clear destination, not that no water droplets can be seen in a photo.

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