OSHA Inspection: FAMILY DENTAL CARE ASSOCIATES

Issued

Mar 13, 1990

Abate by

Apr 16, 1990

Penalty

Initial $640 · Current $400 Reduced

General-duty citation text

Section 5(a)(1) of the Occuplational 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 employees were exposed to:
a) The following conditons which increase the risk of employees
contracting bloodborne diseases:
Dental care workers such as dental assistants and dentist were exposed
to the hazard of being infected by bloodborne pathogens such asthe
Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV) through
possible direct contact with blood or other body fluids.
Feasible and useful abatement methods for reducing this hazard, among
others are the provisions of training concerning the matters listed
below:
1) The modes of transmission of the HIV (Human Immunodeficiency Virus)
and the HBV (Hepatitis B Virus).
2) The universal precautions concept.
3) The proper procedures which must be followed to safely containerize
and label refuse and launderable fabric items which have become
contaminated with patient blood or other potentially infectious body
fluids.
4) The epidemiology of HBV and HIV.
5) Possible risks to a fetus.
6) The proper procedures which must be followed in regard to the wearing
and care of personal protective clothing and equipment.
7) The contents of CDC's "Update: Universal precautions for Prevention
of Transmission of HIV, HBV and Other Bloodborne Pathogens in Health
Care Settings".
b) The following conditions which increase the risk of employees
contracting bloodborne diseases:
Dental care workers such as Dental Assistants and Dentists were exposed
to the hazard of being infected by bloodborne pathogens such as Human
Immunodeficiency Virus (HIV) and the Hepatitis B Virus (HBV)through
possible direct contact with blood or other body fluids.
Feasible and useful abatement methods for reducing this hazard, among
others, are the development and implementation of an Infection Control
Program which specifies what procedures must be followed after an
employee experiences a percutaneous, mucous membrane, or non-intact skin
exposure to patient blood or body fluids. The source patient must be
informed of the employee exposure incident and tested for HIV and HBV
infections unless the patient refuses to consent to such testing. If the
source patient tests positive or refuses to be tested no adverse action
can be taken against the employee since these medical procedures were
designed for the benefit of the exposed employee. The employee must be
evaluated clinically and by HIV antibody testing assoon as possible,
and advised to report and seek medical evaluation of any acute febrile
illness that occurs within twelve weeks after exposure. HIV seronegative
workers must be retested six weeks post-exposure and on a periodic basis
thereafter (normally twleve weeks and six months after exposure).
For dental care workers exposed or potentially exposed to HBV, the
recommendations of "The CDC Immunization Practices Advisory Committee"
regarding HBV post exposure prophylaxis (published in the June 7, 1985
Morbidity and Mortality Weekly Report) must be followed.
If an employee refuses to submit to a medical test or procedure
described above, no adverse action can be taken against the employee
since these medical procedures were designed for the benefit of the
exposed employee.
b) The following conditions which increase the risk of employees
contracting bloodborne dieases:
Dental care workers such as Dental Assistants and Dentists were exposed
to the hazard of being infected by bloodborne pathogens such as the
Human Immunodeficiency Virus (HIV) and the Hepatitis B Virus (HBV)
through possible direct contact with blood or other body fluids.
Feasible and useful abatement methods for reducing this hazard, among
others, are the development and implementation of an Infection Control
Program which specifies what procedures must be followed after an
employee experiences a percutaneous, mucous membrane, or non-intact skin
exposure to patient blood or body fluids. This source patient must be
informed of the employee exposure incident and tested for HIV and HBV
infections unless the patient refuses to consent to such testing. If the
source patient tests positive or refuses to be tested, the employee must
be evaluated clinically and by HIV antibody testing as soon as possible,
and advised to report and seek medical evaluation of any acute febril
illness that occurs within twelve weeks after exposure. HIV sero
negative workers must be treated six weeks post-exposure and on a
periodic basis thereafter (normally twelve weeks and six months after
exposure).
For dental care workers exposed or potentially exposed to HBV, the
recommendations of the CDC Immunization Practices Advisory Committee:
regarding HBV post exposure prophylaxis (published in the June 7, 1985
Morbidity and Mortality Weekly Report) must be followed.
If an employee refused to submit to a medical test or procedure
described above, no adverse action can be taken against the employee
since these medical procedures were designed for the benefit of the
exposed employee.

Issued

Feb 26, 1990

Abate by

Mar 17, 1990

Penalty

Initial $640 · Current $350 Reduced

Issued

Feb 26, 1990

Abate by

Mar 29, 1990

Issued

Feb 26, 1990

Abate by

Mar 29, 1990

Penalty

Initial $420 · Current $200 Reduced

Issued

Feb 26, 1990

Abate by

Mar 5, 1990

Penalty

Initial $420 · Current $200 Reduced

Issued

Feb 26, 1990

Abate by

Apr 6, 1990

Penalty

Initial $420 · Current $200 Reduced

Issued

Feb 26, 1990

Abate by

Apr 6, 1990

Issued

Feb 26, 1990

Abate by

Apr 6, 1990

Penalty

Initial $420 · Current $200 Reduced

Issued

Feb 26, 1990

Abate by

Apr 6, 1990

Issued

Feb 26, 1990

Abate by

Mar 29, 1990

Penalty

Initial $420 · Current $420

Issued

Feb 26, 1990

Abate by

Mar 29, 1990

Penalty

Initial $640 · Current $100 Reduced

Issued

Feb 26, 1990

Abate by

Mar 12, 1990

Issued

Feb 26, 1990

Abate by

Mar 12, 1990