OSHA Inspection: MOUNT WASHINGTON CARE CENTER INC.

Issued

Jul 16, 1990

Abate by

Aug 19, 1990

Penalty

Initial $720 · Current $500 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 employees were exposed to:
a) The following conditions which increase the risk of employees
contracting bloodborne diseases:
Health care workers such as registered nurses and licensed practical
nurses 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 provision of a Hepatitis B Vaccination Program free of
charge, to all employees who are at substantial risk of directly
contacting body fluids.

Issued

Jul 16, 1990

Abate by

Sep 19, 1990

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 employees were exposed to:
a) The following conditions which increase the risk of employees
contracting bloodborne diseases:
Health care workers such as registered nurses and licensed practical
nurses were exposed to the hazard of being infected to bloodborne
pathogens such as the Hepatitis B Virus (HBV) and the Human Immuno
Deficiency Virus (HIV) 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 befollowed 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, 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 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 twelve weeks and six months after exposure).
For health 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

Jul 16, 1990

Abate by

Aug 19, 1990

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 employees were exposed to:
a) The following conditions which increase the risk of employee
contracting bloodborne diseases:
Health care workers such as registered nurses, licensed practical
nurses, and environmental services employees 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 provision of a comprehensive infection control training
program covering all of the matters listed below:
1) What procedures must be followed after employee clothing becomes
contaminated with significant quantities of resident blood;
2) What procedures must be followed after an employee experiences a
percutaneous, mucous membrane, or non-intact skin exposure to
resident blood or body fluids;
3) The proper procedures must be followed to safely containerize and
label refuse and launderable fabric items which have become
significantly contaminated with resident blood or other potentially
infectious body fluids;
4) What personal protective clothing and equipment must be worn during
the handling or residents with draining wounds, nose bleeds, skin
tears, picked scabs opr lacerations resulting from a fall;
5) The modes of transmission for HBV HIV:
6) The epidemiology of HBV and HIV:
7) Possible risks to a fetus;
8) The contents of CDC's "Update: Universal Precautions for prevention
of transmission of HIV. HBV and other blood borne pathogens in
health care settings";
9) The contents of the employer's Hepatitis B Vaccination Program; and,
10) The proper procedures for cleaning and disinfecting non-disposable
items and surfaces which become contaminated with blood or other
potentially infectious fluids.

Issued

Jul 9, 1990

Abate by

Jul 23, 1990

Penalty

Initial $630 · Current $335 Reduced

Issued

Jul 9, 1990

Abate by

Jul 18, 1990

Penalty

Initial $720 · Current $500 Reduced

Issued

Jul 9, 1990

Abate by

Jul 15, 1990

Penalty

Initial $630 · Current $300 Reduced

Issued

Jul 9, 1990

Abate by

Jul 14, 1990

Penalty

Initial $810 · Current $300 Reduced

Issued

Jul 9, 1990

Abate by

Aug 2, 1990

Penalty

Initial $720 · Current $300 Reduced

Issued

Jul 9, 1990

Abate by

Aug 12, 1990

Penalty

Initial $700 · Current $300 Reduced

Issued

Jul 9, 1990

Abate by

Jul 21, 1990

Penalty

Initial $700 · Current $300 Reduced

Issued

Jul 9, 1990

Abate by

Jul 15, 1990

Penalty

Initial $720 · Current $300 Reduced

Issued

Jul 9, 1990

Abate by

Jul 15, 1990

Issued

Jul 9, 1990

Abate by

Aug 12, 1990

Penalty

Initial $630 · Current $300 Reduced

Issued

Jul 9, 1990

Abate by

Jul 18, 1990

Penalty

Initial $90 · Current $100