OSHA Inspection: THE EPICOPAL HOME FOR THE AGEING IN THE DIOCESE OF

Issued

Sep 11, 2006

Abate by

Oct 27, 2006

Penalty

Initial $4,200 · Current $3,150 Reduced

General-duty citation text

North Carolina General Statute 95-129(1) of the Occupational Safety and
Health Act of North Carolina:  The
employer did not furnish each of his employees conditions of employment
and a place of employment free from
recognized hazards that were causing or likely to cause death or serious
physical harm to employees in that
employees were exposed to communicable biological diseases:
a)facility - where employees were providing care for patients with
methicillin-resistant
staphylococcus aureus (MRSA) and the employer did not institute
precautionary measures to
prevent the transmission of communicable diseases such as MRSA from
patients to employees.
One feasible and acceptable abatement method, among others, to correct
this hazard are but not
limited to:
a)Provide training on all routes of transmission of infections, the proper
personal
protective equipment to be used and infection control practices to be
utilized for specific
care procedures depending on the different body system infected.  Ensure
employee on
going training is updated regarding the status of any resident with
infection.
b)Stock the appropriate personal protective equipment (i.e. gowns) that is
easily accessible
for patient care.
c)Place discreet signs or colored labels on rooms for appropriate
precautionary measures
that should be taken when caring for specific patients.
d)Use administrative controls, such as limited access by non essential
personnel by closing
the door to patients room.  Use equipment dedicated to that patient, to
limit the need to
decontaminate equipment such as blood pressure cuffs or tourniquets and
even writing
implements that can be taken out of the room and possibly expose other
patients (who
have weakened immune systems).
Reference:  42 CFR 483.65 (a) Infection Control, which references the use
of Centers for
Disease Control and Prevention guidelines such as; Multidrug-Resistant
Organisms
in Non-Hospital Healthcare Settings (December 2000).ber

Issued

Sep 11, 2006

Abate by

Oct 5, 2006

Penalty

Initial $1,400 · Current $1,050 Reduced

Issued

Sep 11, 2006

Abate by

Sep 14, 2006

Issued

Sep 11, 2006

Abate by

Sep 14, 2006

Penalty

Initial $1,400

Issued

Sep 11, 2006

Abate by

Sep 14, 2006