OSHA Inspection: SPRINGFIELD GENERAL OSTEOPATHIC HOSPITAL

Issued

Jan 23, 1990

Abate by

Feb 23, 1990

Penalty

Initial $720 · Current $720

General-duty citation text

Section 5(a)(1) of the Occupational Safety and Health Act of 1970: The
employer did not furnish employment and a place of employment which were
free from recognized hazards that were causing or likely to cause death
or serious physical harm to employees in that:
a) Appropriate medical follow-up procedures were not implemented for
health care workers in job categories I & II located throughout the
hospital who were exposed to the hazard of being potentially infected
by HBV and/or HIV through direct contact with blood or other body
fluids.
Feasible and useful abatement methods for reducing this hazard, among
others are: implementation of follow-up procedures after possible
exposure to HIV/HBV.
1) If a health care worker has a percutaneous (needlestick or cut) or
mucous membrane (splash to eye, nasal mucosa, or mouth) exposure to
body fluids or has cutaneous exposure to blood when the worker'sskin
is chapped, abraded, or othersie non-intact, the source patient shall
be informed of the incident and tested for HIV and HBV infections,
after consent is obtained.
2) If patient consent is refused or if the source patient test positive,
the health care worker shall be evaluated clinically and by HIV
antibody testing as soon as possible and advised to report and seek
medical evaluation of any acute febrile illness that occurs within
12 weeks after exposure. HIV seronegative workers shall be retested
6 weeks post-exposure and on a periodic basis thereafter (12 weeks
and 6 months after exposure).
3) No further follow-up of a health care worker exposed to infection as
described above is necessary if the source patient is seronegative
unless the source patient is at high risk of HIV infection. In the
latter case, a subsequent speciman (e.g. 12 weeks following
exposure) may be obtained from the health care worker for antibody
testing.
4) Follow-up procedures shall be taken for health care workers exposed
or potentially exposed to HBV. The types of procedures depends on the
immunization status of the worker (i.e., whether HBV vaccination has
been received and antibody response is adequate) and the HBV
serologic status of the sources.
The CDC Immunization Practices Advisory Committee has published its
recommendations regarding HBV post-exposure prophylaxis in table
format in the June 7, 1985, Morbidity and Mortality Weekly Report.

Issued

Jan 23, 1990

Abate by

Jan 26, 1990

Penalty

Initial $720 · Current $360 Reduced

Issued

Jan 23, 1990

Abate by

Feb 23, 1990

Penalty

Initial $720 · Current $720

Issued

Jan 23, 1990

Abate by

Feb 1, 1990

Penalty

Initial $720 · Current $360 Reduced

Issued

Jan 23, 1990

Abate by

Feb 1, 1990

Penalty

Initial $720 · Current $720

Issued

Jan 23, 1990

Abate by

Feb 23, 1990

Penalty

Initial $450 · Current $450

Issued

Jan 23, 1990

Abate by

Feb 23, 1990

Issued

Jan 23, 1990

Abate by

Feb 23, 1990

Issued

Jan 23, 1990

Abate by

Feb 1, 1990

Issued

Jan 23, 1990

Abate by

Feb 1, 1990