OSHA Inspection: MEDICS AMBULANCE SERVICE INC.

Issued

Jun 8, 1990

Abate by

Jul 12, 1990

Penalty

Initial $720 · Current $720

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) On or about April 17, 1990, paramedics and EMT personnel were exposed
evaluation:  and follow-up procedures were not established and
direct contact with blood or other potentially infectious materials:
HBV and/or HIV through direct contact with blood or other potentially
1) Establishment of a Hepatitis B vaccination policy and program which
membrane exposure or cutaneous exposures of chapped,  abraded or
identifies all employees at substantial risk of directly contacting
Feasible abatement methods for reducing this hazard include:
employees Hepatitis B, vaccinations in amounts and at times
1) Documentation of the HBV and HIV infection status of the source
Reference:  Center for Disease Control Immunization Practices
2) Follow-up of the exposed employee including antigen and/or antibody
Hepatitis.  MMWR1985; 35: 313-24, 329-35.
effective post-exposure phrophylaxis as indicated according to
above) which includes:
Reference:  Centers for Disease Control.  Recommendations for
of HIV/HBV,
(Suppl.2S).
and other associated infectious agents;
Advisory Committee, Recommendations for Protection Against Viral
concerning "Universal Precautions" as it applies to their
Note:  It is recommended that the facility develop policies for
cleaning and disinfecting of vehicles: use of personal protective
procedures (Re:  HBV/HIV) which address or specify requirements for:
1) Documentation of source patient identification and circumstances
followed and provided if they are exposed to a needle stick or other
2) Testing (HIV) of source patients in situations in which consent
References: Centers for Disease Control, Recommendationsfor
3) Documentation of seronegative source patients "risk-factors"
36 (suppl. 2S).
4) Development of a chronological tracking system to assure timely
administration of vaccines and procedures (e.g.  HB vaccine, serial
HIV testing)  and notification to exposed employees of results of
tests and evaluations,  and dates of future vaccinations/innoculation
and tests or procedures that may be required.

Issued

Jun 8, 1990

Abate by

Jul 12, 1990

Penalty

Initial $720 · Current $720

Issued

Jun 8, 1990

Abate by

Jun 14, 1990

Penalty

Initial $720 · Current $720

Issued

Jun 8, 1990

Abate by

Jun 14, 1990

Penalty

Initial $720 · Current $720