MANAGEMENT PRACTI CUM ANNA I PSEN Serving Hot Beverages Purpose Provide guidelines related to consumption of hot liquids to residents. To ensure the status and safety of residents eating or drinking hot liquids. To balance providing a home like environment and a residents quality of life. To ensure fluid level of hot beverages is not above 2/3 full. To ensure staff provide hot beverages from approved prefilled, pre-temped beverage dispensers. Can Hot Beverages and Food Cause Burns? Temperature of Liquid (Fahrenheit) Time Required for a Third-Degree Burn to Occur 155 degrees 1 second 148 degrees 2 seconds 140 degrees 5 seconds 133 degrees 15 seconds 127 degrees 1 minutes 124 degrees 3 minutes 120 degrees 5 minutes 100 degrees Safe temperature Why is this important? Residents have conditions that put them at increased risk for burns caused by scalding. The Eddy Heritage House provides hot liquids for consumption that contribute to an individuals perception of life.
***Staff must pay attention to temperature of liquids prior to serving*** What Common Hot Liquids Are Served? Coffee Tea Hot Chocolate Water Soups
At What Temperature Should Hot Liquids Be Served? The temperature at which hot beverages should be served is not clearly defined. Palatability - having a pleasant or agreeable taste. temperature affects palatability, and varies from person to person based on personal preference. For example, to some coffee at 120 degrees Fahrenheit may taste hot, while others may prefer coffee at 160 degree Fahrenheit or above.
General Guidelines Do not leave pots or urns of hot coffee or other hot beverages unattended. Use toggle covers on urns to reduce risk of accidental dispensing. Limit access of residents to locations where hot beverages may be prepared or re-heated such as the employee break room, kitchen and nourishment kitchen. Discourage residents from carrying cups of hot beverages without a lid while they are walking or moving in a wheelchair. Discourage visitors from re-heating hot beverages in the microwave.
Serving Hot Liquids Identify residents who may be at greater risk of spilling hot beverages on themselves, which may include but are not limited to: Resident with tremors. Resident with poor hand control from CVA, arthritis, weakness, etc. Resident that is not seated and is walking with the hot beverage, even a few feet. Resident in a wheelchair that will be traveling with the hot beverage, even a few feet.
Serving Hot Liquids Dont overfill drinking cups (2/3 full). Place beverage away from the edge of the table and near residents dominant hand. Explain to the resident that a hot liquid is being served and place in the residents field of vision. Transfer hot beverage from original container to container which may cause the temperature to drop, such as a ceramic mug. Hot beverages cool faster when uncovered. Add ice to got liquid before serving, if resident approves.
When Spills Occur Cool the area as quickly as possible by flushing with cold water. If possible, remove clothing in contact with substance carefully and quickly, while maintaining privacy. Observe the area, cover with dry sterile dressing. Provide treatment ordered by physician. Follow facility procedure of incident.
Policy Changes Staff will fill the beverage cup 2/3 full of hot beverages to minimize the opportunity for spillage. Dining services will audit test trays, including beverages, for temperature and proper hot beverage levels daily for one week; five times a week for three weeks, and at least twice weekly thereafter or depending on the recommendations of the QA committee. Resources
Accidental Hot Liquid Spills, The Consultant Dietitian