OSHA Inspection: MICHAEL J. MONTMINY, D.D.S.

Issued

Aug 6, 1991

Abate by

Aug 20, 1991

Penalty

Initial $600 · Current $255 Reduced

General-duty citation text

a)
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 dental assistants, dental hygienists, and
dentists working in the Dental Area, are exposed to the hazard of
being infected by the HBV and/or HIV through possible direct contact
with blood or other body fluids because a training and instruction
program had not been implemented for these employees.
One feasible and useful abatement method for reducing this hazard
is to provide training and instruction in the following:
1.  Transmittal information, risk factors for employees,
universal precaution concepts, and other related information
on contamination and protection;
2.  The proper use of personal protective equipment such as lab
jackets or smocks, and gloves.  The changing of gloves and
lab jackets when leaving the patient-care area.  Washing
the skin surface thoroughly and immediately after contact
with body fluids.  Wearing uniforms for protection, etc.;
3.  The proper handling and disposal of sharp instruments to
reduce or eliminate needle sticks or cuts.  The proper
handling of contaminated protective clothing such as lab
jackets, uniforms, etc., especially those with blood and
body fluids;
4.  The proper disposal procedure of contaminated materials,
for example placing soiled gauzes from the patient into
designated trash bags for disposal.  Instruction in disposal
procedures for janitorial service personnel must be included
and gloves provided.
Training and instruction can best be accomplished through an IC
(Infections Control) program with monitoring of such areas as:  proper
work practices, updating training procedures, documentation of
training sessions and other related methods.  Follow up procedures
on training and instruction by the IC Monitor is necessary in areas
such as employee immunization status on HBV vaccination and antibody
response adequacy, needle stick, exposure to blood and body fluids
when the employee's skin is chapped or abraded, and other related
areas.
b)
Section 5(a)(1) of the Occupational Safety and Health 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 Health Care workers such as all
dental personnel working in the dental care department that are
exposed to the hazard of being infected by the HBV and/or HIV through
possible direct contact with blood or other body fluids.  The above
employees have not been offered Hepatitis B vaccinations.
One feasible and useful abatement method for reducing this hazard
is to implement a Hepatitis B vaccination program for employees:
1.  Identify all employees at substantial risk of directly
contacting body fluids through the facility's IC (Infections
Control) policy/program.
2.  Provide employees with the Hepatitis B vaccinations in
amounts and at times prescribed by standard medical practice.
3.  Implement a follow-up procedure on training and instruction
by the IC Monitor in needed areas such as employee
immunization status on HBV vaccination and antibody response
adequacy, needle stick, exposure to blood and body fluids
when the employee's skin is chapped or abraded, etc.
Monitoring of this program can best be accomplished through the IC
program.  Included in the IC program will be proper work practices,
documentation of vaccination procedures, exposure to blood and body
fluids acquired during needle sticks, cuts, cracks in the skin, etc.

Issued

Aug 6, 1991

Abate by

Sep 6, 1991

Penalty

Initial $450 · Current $191 Reduced

Issued

Aug 6, 1991

Abate by

Sep 6, 1991

Issued

Aug 6, 1991

Abate by

Sep 6, 1991

Issued

Aug 6, 1991

Abate by

Aug 20, 1991

Issued

Aug 6, 1991

Abate by

Sep 6, 1991