OSHA Inspection: CARDIGAN NURSING HOME, INCORPORATED

Issued

Jul 27, 1990

Abate by

Aug 20, 1990

Penalty

Initial $350 · Current $350

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, health care workers such
as nurses at the Cardigan Nursing Home were exposed to the hazard of
being infected by HBV and/or HIV through possible direct contact with
blood or other body fluids.
Feasible and useful abatement methods for reducing this hazard, among
others, are:
1) If a health care worker has a percutaneous (needlestick or cut) or
mucous membrane (splash to eye, nasal mucosa, or mouth) exposure to
body fluids or has a cutaneous exposure to blood when the worker's
skin is chapped, abraded, or otherwise nonintact, the source patient
shall be informed of the incient and tested for HIV and HBV infection
-after consent is obtained.
2) If patient consent is refused or if the source patient tests positive
the health care worker shall 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 12
weeks after exposure. HIV seronegative workers shall be retested 6
weeks pot-exposure and on a periodic basis thereafter (12 weeks and
6 months after exposure).
3) Follow up procedures shall be taken for health care workers exposed
or potentially exposed to HBV. The types 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 regarding HBV post
exposure prophylaxis in table format in June 7, 1985 Morbidity and
Mortality weekly report.

Issued

Jul 27, 1990

Abate by

Aug 6, 1990

Penalty

Initial $300 · Current $300

Issued

Jul 27, 1990

Abate by

Aug 20, 1990

Penalty

Initial $250 · Current $250

Issued

Jul 27, 1990

Abate by

Aug 20, 1990

Penalty

Initial $250 · Current $250

Issued

Jul 27, 1990

Abate by

Sep 3, 1990

Penalty

Initial $200 · Current $200

Issued

Jul 27, 1990

Abate by

Aug 6, 1990

Penalty

Initial $150 · Current $150

Issued

Jul 27, 1990

Abate by

Sep 3, 1990

Penalty

Initial $200 · Current $200

Issued

Jul 27, 1990

Abate by

Sep 3, 1990

Penalty

Initial $200 · Current $200

Issued

Jul 27, 1990

Abate by

Aug 13, 1990

Penalty

Initial $100 · Current $100