OSHA Inspection: ADVOCATE GOOD SAMARITAN HOSPITAL

Issued

Feb 10, 1994

Abate by

Feb 15, 1994

Penalty

Initial $7,000 · Current $4,000 Reduced

General-duty citation text

Section 5(a)(1) of the Occupational Safety and Health Act of 1970:  The
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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 employees
such as, but not limited to, nurses, patient care technicians,
respiratory therapists, and laboratory
personnel were exposed to the hazard of being infected with tuberculosis
through contact with
patients who were or may be infected with tuberculosis in that:  Mantoux
skin testing was not
provided in accordance with the most current recommendations of the
Centers for Disease
Control (CDC).
The hospital did not ensure that the frequency of Mantoux skin testing
was every six
months for employees with frequent exposure to individuals with TB or who
are involved
with high hazard procedures.
The hospital did not ensure that employees who were exposed to
potentially infectious
tuberculosis patients for whom the infection control procedures outlined
by the CDC
were not taken, were offered the Mantoux skin test as soon as possible
after exposure.
Feasible and useful abatement methods for reducing this hazard, as
recommended by the
Centers for Disease Control, among others are:  Medical surveillance (at
no cost to
employees) including preplacement evaluation, administration and
interpretation of TB
Mantoux skin tests, and periodic evaluations shall be offered to
employees as follows:
an initial baseline screening at the time of employment for all employees
in the facility;
annually for all employees in the facility; retesting every six months
for workers with
exposure to patients with TB or who are involved with high hazard
procedures; and
testing of workers exposed to potentially infectious patients for whom
the infection
control procedures outlined by CDC were not taken (unless they were
tested in the last
three months).

Issued

Feb 10, 1994

Abate by

Mar 15, 1994

Penalty

Initial $7,000 · Current $4,000 Reduced

Issued

Feb 10, 1994

Abate by

Mar 15, 1994

Issued

Feb 10, 1994

Abate by

Mar 15, 1994

Penalty

Initial $7,000 · Current $4,000 Reduced

Issued

Feb 10, 1994

Abate by

Mar 15, 1994

Penalty

Initial $70,000 · Current $4,000 Reduced

Issued

Feb 10, 1994

Abate by

Feb 28, 1994

Penalty

Initial $1,000 · Current $500 Reduced