OSHA Inspection: CHARLES THE FIRST NURSING HOME

Issued

Oct 5, 1990

Abate by

Nov 23, 1990

Penalty

Initial $240 · Current $130 Reduced

General-duty citation text

THE ALLEGED VIOLATIONS BELOW HAVE BEEN GROUPED BECAUSE THEY INVOLVE
SIMILAR OR RELATED HAZARDS THAT MAY INCREASE THE POTENTIAL FOR ILLNESS.
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 HAZARS THAT WERE CAUSING OR LIKELY TO CAUSE DEATH
OR SERIOUS PHYSICAL HARM TO EMPLOYEES IN THAT EMPLOYEES WERE EXPOSED TO
THE HAZARD OF BEING INFECTED BY HBV THROUGH DIRECT CONTACT WITH BLOOD OR
OTHER BODY FLUIDS AND HBV VACCINATIONS WERE NOT OFFERED TO HEALTH CARE
WORKERS IN JOB CATEGORIES OF NURSING SERVICE, LAUNDRY AND HOUSEKEEPING
LOCATED THROUGHOUT THE FACILITY.
FEASIBLE AND USEFUL ABATEMENT METHODS FOR REDUCING THE HAZARD. AMONG
OTHERS ARE: OFFER HBV VACCINATIONS TO ALL EMPLOYEES WHERE POTENTIAL
EXPOSURE TO BLOOD AND BODY FLUIDS IS A SUBSTANTIAL RISK.

Issued

Oct 5, 1990

Abate by

Nov 23, 1990

General-duty citation text

SECTION 5(A)(1) OF TEH 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
THE HAZARD OF BEING INFECTED BY HIV AND/OR HBV THROUGH DIRECT CONTACT
WITH BLOOD OR OTHER BODY FLUIDS AND APPROPRIATE MEDICAL FOLLOW-UP
PROCEDURES WERE NOT ESTABLISHED FOR HEALTH CARE WORKERS IN JOB
CATERGORIES OF NURSING SERVICE, HOUSEKEEPING AND LAUNDRY LOCATED
THROUGHOUT THE FACILITY.
FEASIBLE AND USEFUL ABATEMENT METHODS FOR REDUCING THE HAZARD, AMONG
OTHERS ARE,
1) IMPLEMENTATION OF FOLLOW-UP PROCEDURES AFTER POSSIBLE EXPOSURE TO
HIV AND/OR HBV.
IF A HEALTH CARE WORKER HAS A PERCUTANEOUS (NEEDLESTICK OR CUT) OF A
MUCOSA MEMBRANE (SPLASH TO EYE, NASAL MUCOSA, OR MOUTH) EXPOSURE TO
BODY FLUIDS, OR HAS A CUTANUEOUS EXPOSURE TO BLOOD WHEN THE WORKER'S
SKIN IS CHAPPED, ABRADED, OR OTHERWISE NON-INTACT, THE SOURCE PATIENT
SHALL BE INFORMED OF THE INCIDENT AND TESTED FOR HIV AND HBV INFECTIONS
AFTER CONSENT IS OBTAINED.
IF PATIENT CONSENT IS REFUSED OR IF THE SOURCE PATIENT TESTS POSITIVE,
THE HEALTH CARE WORKER SHALL BE EVALUATED CLINICALLY AND BY HIV ANTI
BODY 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).
FOLLOW UP PROCEDURES SHALL BE TAKEN FOR HEALTH CARE WORKERS, EXPOSED
OR POTENTIALLY EXPOSED TO HBV. THE TYPE OF PROCEDURE 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 REGARDING HBV POST EXPOSURE
PROPHYLAXIS IN TABLE FORMAT IN THE JUNE 17, 1985 MORBIDITY AND
MORTALITY WEEKLY REPORT.

Issued

Oct 5, 1990

Abate by

Nov 23, 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
THE HAZARD OF BEING INFECTED BY HIV AND/OR HBV THROUGH NEEDLESTICKS FROM
NEEDLES CONTAMINATED WITH BLOOD OR OTHER BODY FLUIDS, AND ADEQUATE
TRAINING FOR HANDLING CONTAMINATED NEEDLES WAS NOT IMPLEMENTED FOR
HEALTH CARE WORKERS IN THE JOB CATEGORY OF NURSING SERVICE, LOCATED
THROUGHOUT THE FACILITY.
FEASIBLE AND USEFUL ABATEMENT METHODS FOR REDUCING THE HAZARDS, AMONG
OTHERS, ARE:
1) PROVIDE AND IMPLEMENT ADEQUATE TRAINING TO ENSURE NEEDLES ARE NOT
RECAPPED, OR CARRIED DOWN THE HALL UNCAPPED, TO BE DISPOSED OF IN A
PUNCTURE-RESISTANT CONTAINER.
2) PROVIDE APPROPRIATE EQUIPMENT AT THE LOCATION OF THE PROCEDURE
INVOLVING SHARPS TO ENSURE RECAPPING IS NOT NECESSARY.

Issued

Oct 5, 1990

Abate by

Nov 23, 1990

Penalty

Initial $240 · Current $130 Reduced

Issued

Oct 5, 1990

Abate by

Nov 23, 1990

Penalty

Initial $240 · Current $130 Reduced

Issued

Oct 5, 1990

Abate by

Nov 1, 1990

Penalty

Initial $240 · Current $130 Reduced

Issued

Oct 5, 1990

Abate by

Nov 23, 1990

Penalty

Initial $240 · Current $130 Reduced

Issued

Oct 5, 1990

Abate by

Oct 8, 1990

Penalty

Initial $40 · Current $40

Issued

Oct 5, 1990

Abate by

Nov 23, 1990

Penalty

Initial $40 · Current $40

Issued

Oct 5, 1990

Abate by

Oct 12, 1990

Issued

Oct 5, 1990

Abate by

Nov 23, 1990

Issued

Oct 5, 1990

Abate by

Nov 23, 1990

Issued

Oct 5, 1990

Abate by

Nov 1, 1990

Issued

Oct 5, 1990

Abate by

Nov 23, 1990