OSHA Inspection: THE HORTENSE AND LOUIS RUBIN DIALYSIS CENTER INC

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $3060.00 · Current $2295.00 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(v): The employer, who was required to establish an Exposure Control Plan, did not solicit input from non-managerial employees responsible for direct patient care who were potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control plan:  (a) On or about June 25, 2013, in the facility, for employees involved with providing care to patients undergoing dialysis treatment.  The employer's Exposure Control Plan stated that input for the selection, identification and evaluation of effective engineering and work practice controls would be obtained and documented through the Infection Control Committee. No evidence could be provided by the employer that this had been accomplished.

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $3060.00 · Current $2295.00 Reduced

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(A): The bloodborne pathogens training program did not contain an accessible copy of the regulatory text of this standard and an explanation of its contents:    (a) On or about August 6, 2013, in the facility, for a newly hired Patient Care Technician responsible for assisting the nursing staff with patient care, programming and connecting lines for the dialysis machines and disinfecting stations and equipment between patients.   (b) On or about August 6, 2013, in the facility, for a newly hired Clinical Support Technician responsible for disinfecting dialysis machines and work surfaces and assisting the nursing staff in the dialysis center.

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(B): The bloodborne pathogens training program did not contain a general explanation of the epidemiology and symptoms of bloodborne diseases:    (a) On or about August 6, 2013, in the facility, for a newly hired Patient Care Technician responsible for assisting the nursing staff with patient care, programming and connecting lines for the dialysis machines and disinfecting stations and equipment between patients.   (b) On or about August 6, 2013, in the facility, for a newly hired Clinical Support Technician responsible for disinfecting dialysis machines and work surfaces and assisting the nursing staff in the dialysis center.

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(C): The bloodborne pathogens training program did not contain an explanation of the modes of transmission of bloodborne pathogens:  (a) On or about August 6, 2013, in the facility, for a newly hired Patient Care Technician responsible for assisting the nursing staff with patient care, programming and connecting lines for the dialysis machines and disinfecting stations and equipment between patients.   (b) On or about August 6, 2013, in the facility, for a newly hired Clinical Support Technician responsible for disinfecting dialysis machines and work surfaces and assisting the nursing staff in the dialysis center.

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(D): The bloodborne pathogens training program did not contain an explanation of the employer's exposure control plan and the means by which the employee could obtain a copy of the written plan:   (a) On or about August 6, 2013, in the facility, for a newly hired Patient Care Technician responsible for assisting the nursing staff with patient care, programming and connecting lines for the dialysis machines and disinfecting stations and equipment between patients.   (b) On or about August 6, 2013, in the facility, for a newly hired Clinical Support Technician responsible for disinfecting dialysis machines and work surfaces and assisting the nursing staff in the dialysis center.

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(I): The bloodborne pathogens training program did not contain information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, or the fact that the vaccination will be offered free of charge:    (a) On or about August 6, 2013, in the facility, for a newly hired Patient Care Technician responsible for assisting the nursing staff with patient care, programming and connecting lines for the dialysis machines and disinfecting stations and equipment between patients.   (b) On or about August 6, 2013, in the facility, for a newly hired Clinical Support Technician responsible for disinfecting dialysis machines and work surfaces and assisting the nursing staff in the dialysis center.

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(J): The bloodborne pathogens training program did not contain information on the appropriate actions to take or persons to contact in an emergency involving blood or other potentially infectious materials:    (a) On or about August 6, 2013, in the facility, for a newly hired Patient Care Technician responsible for assisting the nursing staff with patient care, programming and connecting lines for the dialysis machines and disinfecting stations and equipment between patients.   (b) On or about August 6, 2013, in the facility, for a newly hired Clinical Support Technician responsible for disinfecting dialysis machines and work surfaces and assisting the nursing staff in the dialysis center.

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(K): The bloodborne pathogens training program did not contain an explanation of the procedure to follow if an exposure incident occurred, including the method of reporting the incident or the medical follow-up that would be made available:  (a) On or about August 6, 2013, in the facility, for a newly hired Patient CareTechnician responsible for assisting the nursing staff with patient care, programming and connecting lines for the dialysis machines and disinfecting stations and equipment between patients.   (b) On or about August 6, 2013, in the facility, for a newly hired Clinical Service Technician responsible for disinfecting dialysis machines and work surfaces and assisting the nursing staff in the dialysis center.

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(L): The bloodborne pathogens training program did not contain information on the post exposure evaluation or follow-up that the employer was required to provide for the employee following an exposure incident:  (a) On or about August 6, 2013, in the facility, for a newly hired Patient Care Technician responsible for assisting the nursing staff with patient care, programming and connecting lines for the dialysis machines and disinfecting stations and equipment between patients.   (b) On or about August 6, 2013, in the facility, for a newly hired Clinical Support Technician responsible for disinfecting dialysis machines and work surfaces and assisting the nursing staff in the dialysis center.

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1200(h)(2)(i): The employer did not provide information to the employees on the requirements of the Hazard Communication Standard 29 CFR 1910.1200:   (a) On or about August 6, 2013, for the newly hired Patient Care Technican using Lysol IC containing didecyl dimethyl ammonium chloride to disinfect surfaces at the dialysis stations.   (b) On or about August 6, 2013, for the newly hired Clinical Support Technician using products such as Peracidin, Lysol IC, Citric Acid, and Formula 409 containing lauramine oxide in the disinfecting of dialysis machines and surfaces in the dialysis center.

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1200(h)(2)(iii): The employer did not provide information to the employees as to the location and availability of the written hazard communication program, and material safety data sheets required by 29 CFR 1910.1200:   (a) On or about August 6, 2013, for the newly hired Patient Care Technican using Lysol IC containing didecyl dimethyl ammonium chloride to disinfect surfaces at the dialysis stations.   (b) On or about August 6, 2013, for the newly hired Clinical Support Technician using products such as Peracidin, Lysol IC, Citric Acid, and Formula 409 containing lauramine oxide in the disinfecting of dialysis machines and surfaces in the dialysis center.

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1200(h)(3)(ii): Employee training did not include the physical and health hazards of the chemicals in the work area:  (a) On or about August 6, 2013, for the newly hired Patient Care Technican using Lysol IC containing didecyl dimethyl ammonium chloride to disinfect surfaces at the dialysis stations.   (b) On or about August 6, 2013, for the newly hired Clinical Support Technician using products such as Peracidin, Lysol IC, Citric Acid, and Formula 409 containing lauramine oxide in the disinfecting of dialysis machines and surfaces in the dialysis center.

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1200(h)(3)(iii): Employee training did not include the measures employees can take to protect themselves from chemical hazards, including specific procedures the employer had implemented to protect employees from exposure to hazardous chemicals, such as appropriate work practices, emergency procedures and personal protective equipment to be used:   (a) On or about August 6, 2013, for the newly hired Patient Care Technican using Lysol IC containing didecyl dimethyl ammonium chloride to disinfect surfaces at the dialysis stations.   (b) On or about August 6, 2013, for the newly hired Clinical Support Technician using products such as Peracidin, Lysol IC, Citric Acid, and Formula 409 containing lauramine oxide in the disinfecting of dialysis machines and surfaces in the dialysis center.

Issued

2013-09-25 00:00:00

Abate by

2013-10-30 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1200(h)(3)(iv): Employee training did not include the details of the hazard communication program developed by the employer, including an explanation of the labeling system and the material safety data sheet, and how employees can obtain and use the appropriate hazard information:   (a) On or about August 6, 2013, for the newly hired Patient Care Technican using Lysol IC containing didecyl dimethyl ammonium chloride to disinfect surfaces at the dialysis stations.   (b) On or about August 6, 2013, for the newly hired Clinical Support Technician using products such as Peracidin, Lysol IC, Citric Acid, and Formula 409 containing lauramine oxide in the disinfecting of dialysis machines and surfaces in the dialysis center.