HAND HYGIENE — WHO 5 MOMENTS:
1. Before touching a patient / food preparation
2. Before a clean / aseptic procedure
3. After body fluid exposure risk
4. After touching a patient / food
5. After touching patient surroundings
CORRECT HANDWASHING TECHNIQUE (20+ seconds):
1. Wet hands with clean running water
2. Apply soap — any type (bar, liquid, foam)
3. Lather: palms, back of hands, between fingers, under nails, thumbs
4. Scrub for at least 20 seconds (hum "Happy Birthday" twice)
5. Rinse thoroughly under running water
6. Dry with clean towel or air dry
Hand sanitiser (60–95% alcohol): effective when hands are not visibly dirty
NOT effective against: norovirus, C. difficile spores (soap and water required)
FOOD SAFETY AND TEMPERATURE:
Danger Zone: 5°C–60°C (bacteria multiply rapidly)
Safe cooking temperatures:
Chicken/poultry: 75°C internal
Ground meat: 70°C
Whole cuts: 63°C
Eggs: yolk and white firm
Safe storage:
Refrigerator: <5°C | Freezer: <-18°C
Raw meat: bottom shelf (prevent drip contamination)
Cooked food: covered, above raw food
2-hour rule: cooked food left at room temperature >2 hours → discard
FOOD CONTAMINATION TYPES:
Biological: bacteria (Salmonella, E. coli, Listeria), viruses, parasites
Chemical: pesticides, cleaning products, heavy metals
Physical: hair, glass, metal fragments, bones
Allergen: cross-contamination with nuts, milk, gluten
PERSONAL HYGIENE:
Daily: shower/bathe, clean clothes, oral hygiene
Oral: brush twice daily (2 min), floss daily, replace brush every 3 months
Hand washing: before eating, after toilet, after handling waste
Respiratory: cover mouth and nose when coughing/sneezing (CATCH IT–BIN IT–KILL IT)
ENVIRONMENTAL HYGIENE:
Cleaning vs Disinfecting vs Sterilising:
Cleaning: remove dirt and organic matter (soap + water)
Disinfecting: kill most pathogens (disinfectant — 70% alcohol, bleach 0.1%)
Sterilising: kill ALL microorganisms including spores (autoclave, UV)
Effective disinfection requires CLEANING FIRST
Contact time: disinfectant must remain wet on surface for specified time
HANDWASHING: 20+ seconds | all surfaces | rinse well | dry | WHO 5 moments
HAND SANITISER: 60-95% alcohol | NOT for norovirus or C. diff spores
FOOD DANGER ZONE: 5°C–60°C (bacteria multiply rapidly — avoid this range)
COOKING TEMPS: chicken 75°C | ground meat 70°C | whole cuts 63°C
2-HOUR RULE: cooked food at room temp >2hr → discard
CLEAN→DISINFECT: cleaning removes dirt FIRST, then disinfectant works properly