OSHA Inspection: NORTH SHORE UNIVERSITY HOSPITAL AT GLEN COVE

Issued

Dec 27, 1990

Abate by

Jan 4, 1991

Penalty

Initial $100 · Current $100

Issued

Dec 27, 1990

Abate by

Apr 8, 1991

Penalty

Initial $600 · Current $600

Issued

Dec 27, 1990

Abate by

Apr 8, 1991

Penalty

Initial $200 · Current $200

Issued

Dec 27, 1990

Abate by

Jan 30, 1991

Penalty

Initial $500 · Current $500

Issued

Dec 27, 1990

Abate by

Jan 4, 1991

Penalty

Initial $300 · Current $300

Issued

Dec 27, 1990

Abate by

Jan 30, 1991

Penalty

Initial $200 · Current $200

Issued

Dec 27, 1990

Abate by

Jan 30, 1991

Penalty

Initial $250 · Current $250

Issued

Dec 27, 1990

Abate by

Jan 30, 1991

Issued

Dec 27, 1990

Abate by

Jan 30, 1991

Penalty

Initial $250 · Current $250

Issued

Dec 27, 1990

Abate by

Jan 30, 1991

Penalty

Initial $300 · Current $300

Issued

Dec 27, 1990

Abate by

Jan 4, 1991

Penalty

Initial $400 · Current $400

Issued

Dec 26, 1990

Abate by

May 1, 1991

Penalty

Initial $900 · Current $600 Reduced

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 employee(s) were exposed
to blood and body fluids potentially infected with Hepatitis B Virus
(HBV) and/or Human Immunodeficiency Virus (HIV).
a) Throughout the Hospital; On or about 6/28/90; All employees exposed
to blood and body fluids did not participate in a training and
education program. The employer's Infection Control Program requires
that only equipment from Isolation room be decontaminated rather than
all equipment contaminated with blood and body fluids. In addition,
impervious bags are not used for linen soiled with blood and body
fluids. Employee(s) exposed include Physicians, Nurses, Nursing
Assistants, Phlebotomists, Medical Technologist, Technicians,
Housekeeping and Maintenance Personnel.
The hazards of such exposure include, but are not limited to, the
onset of clinical symptoms of acute Hepatitis B, anorexia, abdominal
pain, jaundice and the potential for becoming chronic carrier of the
Hepatitis B and/or Human Immunodeficiency Virus.
ABATEMENT NOTE:
Feasible abatement methods for reducing this hazard, include, but are
not limited to:
TRAINING AND EDUCATION
Training and Education of employee(s) exposed to blood and body fluid
such as, but not limited to, PHYSICIANS, PATHOLOGISTS, DENTISTS,
X-RAY TECHNICIANS, PHLEBOTOMISTS, EMERGENCY ROOM, OPERATING NURSES
AND TECHNICIANS, HOUSEKEEPING PERSONNEL, LAUNDRY WORKERS, ORDERLIES
AND RESEARCH LABORATORY WORKERS.
Such training and education shall be at the time of initial
employment and at least annually thereafter. The training materials
used shall be appropriate in content and vocabulary to educational
level, literacy, and language background of the employees being
trained.
The Training and Education Program shall contain, as a minimum, the
following elements:
i) A general explanation of the modes of transmission of bloodborne
pathogens;
ii) An explanation of the employer's Infection Control Program;
iii) An explanation of the appropriate methods for recognizing tasks
and other activities that may involve exposure to blood or body
fluids and other potentially infectious materials;
iv) An explanation of the use and limitations of work practices that
will prevent or reduce employee exposure, including appropriate
engineering controls, work practices, and personal protective
equipment;
v) An explanation of the basis for selection of personal protective
equipment;
vi) Information on the Hepatitis B vaccination, including information
on its efficacy, safety and the benefits of being vaccinated;
vii) Information on the appropriate actions to be taken and the person
to contact in an emergency;
viii) An explanation of the procedure to follow if an exposure incident
occurs, including the method of reporting the incident and the
medical follow-up that will be made available;
ix) An explanation of the signs and labels and/or color coding used in
the workplace;
x) A copy of the Center for Disease Control (CDC) Guidelines.
WRITTEN INFECTION CONTROL PROGRAM
The employer's written Infection Control Program shall be designed
and implemented to minimize or eliminate employee exposure. This
Infection Control Program shall be reviewed and updated as necessary
to reflect significant changes in tasks or procedures. This program
shall contain, as a minimum, the following:
i) A determination of the exposure potential of all employees;
ii) The written Infection Control Program shall contain and address
address at a minimum all ten topic areas covered under the
training and Education Program;
iii) The schedule and method of implementation of the Infection Control
Program.
The written Infection Control Program shall be made available to all
employees during the training program.
HEPATITIS B VACCINATION
The facility's infection control policy regarding Hepatitis B
vaccinations shall address all circumstances warranting such
vaccinations and shall identify employees of substantial risk of
directly contacting body fluids.
All such employees shall be offered Hepatitis B vaccinations in
amounts and at times prescribed by standard medical practice.
FOLLOW-UP PROCEDURES AFTER POSSIBLE EXPOSURE TO HIV/HBV:
i) If a health care worker has percutaneous (needle-stick or cut)
mucous membrane (splash to eye, nasal mucosa, or mouth) exposure
to blood or body fluids or has a cutaneous exposure to blood or
body fluids when the worker's skin is chapped, abraded or
otherwise nonintact, the source patient shall be informed of the
incident and tested for HIV and HBV infections, after consent is
obtained.
ii) If patient consent is refused or if the source patient tests
positive, the health care worker shall be evaluated clinically
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).
iii) Follow-up procedures shall be taken for health care workers
exposed or potentially exposed to HBV. The type 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 source patient.
The CDC Immunization Practices Advisory Committee has published
its recommendations recording HBV post-exposure prophylaxis in
table format in the June 5, 1985, Morbidity and Mortality Weekly
Report.
vi) If an employee refuses to submit to the procedures in (b) or (c)
above, when such procedures are medically indicated, no adverse
action can be taken on that ground alone since the procedures are
designed for the benefit of the exposed employee.
HANDLING OF LINEN
The Infection Control Program shall have identified all laundry
operations involving substantial risk of direct exposure to blood or
body fluids. Linen soiled with blood or body fluids shall be
handled as little as possible and with minimum agitation to prevent
contamination of the person handling the linen.
All soiled linen shall be bagged at the location where it was used;
it shall not be sorted or rinsed in patient-care areas. Soiled
linen shall be placed and transported in bags that prevent leakage.

Issued

Dec 26, 1990

Abate by

Jan 4, 1991

Penalty

Initial $900 · Current $600 Reduced

Issued

Dec 26, 1990

Abate by

Jan 14, 1991

Penalty

Initial $900 · Current $600 Reduced

Issued

Dec 26, 1990

Abate by

Apr 8, 1991

Penalty

Initial $500 · Current $500

Issued

Dec 26, 1990

Abate by

Dec 29, 1990

Penalty

Initial $700

Issued

Dec 26, 1990

Abate by

Jan 4, 1991

Penalty

Initial $200 · Current $200

Issued

Dec 26, 1990

Abate by

Jan 14, 1991

Penalty

Initial $300 · Current $400

Issued

Dec 26, 1990

Abate by

Jan 30, 1991

Penalty

Initial $500

Issued

Dec 26, 1990

Abate by

Apr 8, 1991

Penalty

Initial $900

Issued

Dec 26, 1990

Abate by

Jan 14, 1991

Penalty

Initial $300 · Current $300

Issued

Dec 26, 1990

Abate by

Jan 4, 1991

Penalty

Initial $300 · Current $300

Issued

Dec 26, 1990

Abate by

Jan 30, 1991

Penalty

Initial $700 · Current $700

Issued

Dec 26, 1990

Abate by

Jan 30, 1991

Penalty

Initial $700 · Current $700

Issued

Dec 26, 1990

Abate by

Jan 4, 1991

Penalty

Initial $500 · Current $400 Reduced

Issued

Dec 26, 1990

Abate by

Jan 4, 1991

Penalty

Initial $700 · Current $700

Issued

Dec 26, 1990

Abate by

Jan 30, 1991

Penalty

Initial $900 · Current $600 Reduced

Issued

Dec 26, 1990

Abate by

Dec 29, 1990

Penalty

Initial $100

Issued

Dec 26, 1990

Abate by

Jan 14, 1991

Penalty

Initial $300 · Current $300

Issued

Dec 26, 1990

Abate by

Jan 30, 1991

Issued

Dec 26, 1990

Abate by

Jan 30, 1991

Issued

Dec 26, 1990

Abate by

Jan 4, 1991

Issued

Dec 26, 1990

Abate by

Jan 30, 1991

Issued

Dec 25, 1990

Abate by

Jan 4, 1991