OSHA Inspection: LAKESIDE BEIKIRCH CARE CENTER

Issued

2014-05-14 00:00:00

Abate by

2014-06-18 00:00:00

Penalty

Initial $4500.00 · Current $2250.00 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(ii)(B): The employer's Exposure Control Plan did not include the schedule and methods of implementation for 29 CFR 1910.1030(d) methods of compliance:(a)(LOCATION)(IDENTIFY SPECIFIC OPERATIONS AND/OR CONDITIONS)    a) Facility - On or about 3/5/14, employees have exposure to blood and other potntially infectious materials (OPIM) on a daily basis, resulting from patient care; administration of medications via syringe; clean-up of blood and OPIM form environmental surfaces.  The employer's Exposure Control Plan did not include methods of compliance pertaining to required use and examination of engineering controls, including sharps.                  ABATEMENT CERTIFICATION REQUIRED

Issued

2014-05-14 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(d)(2)(ii): Engineering controls were not examined or maintained, and replace on a regular schedule to ensure their effectiveness:  a) Lakeside Beikirch Nursing Floors - On or about 3/18/14, LPNs and RNs use non-engineered insulin syringes to administer insulin to patients.  The employer did not examine, maintain or replace on a regular schedule, engineering controls (Engineered sharps/safety needles) on a regular schedule to ensure their effectiveness or availalbility.  NO ABATEMENT CERTIFICATION REQUIRED

Issued

2014-05-14 00:00:00

Abate by

2014-06-18 00:00:00

Penalty

Initial $4500.00 · Current $2250.00 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(iv): The Exposure Control Plan was not reviewed and updated at least annually:    a) Facility - On or about 3/5/14, the facility did not review and update its BBP/Exposure Control Plan.      The review and update of such plans shall also: Reflect changes in technology that eliminate or reduce exposure to bloodborne pathogens; and   Document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure.  ABATEMENT CERTIFICATION REQUIRED

Issued

2014-05-14 00:00:00

Abate by

2014-06-18 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(c)(1)(v): The employer, who is required to establish an Exposure Control Plan, did not solicit input from non-managerial employees responsible for direct patient care who are 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.) Facility - On or about 3/5/14, The employer did not solicit input from non-managerial employees regarding the evaluation and selection of effective engineering and work practice controls; nor did they document any efforts where employees have exposure to blood and other potentially infectious material as a result of performing tasks including using sharps to administer medications and drawing blood samples.    ABATEMENT CERTIFICATION REQUIRED

Issued

2014-05-14 00:00:00

Abate by

2014-06-18 00:00:00

Penalty

Initial $4500.00 · Current $2250.00 Reduced

General-duty citation text

29 CFR 1910.1030(h)(5)(i): The employer did not record and maintain the ifnromation required to be maintained on the sharps log.  Information regarding the type and brand of the device involved in the incident; the department or work area where the exposure occured; and, an explanation of how the incident occurred.    a)  Facility - On or about 11/03/2013, an exposure incident involving a needlestick was not recorded on a sharps log.    b)  Facility - On or about 01/30/2012, an exposure incident involving a needlestick was not recorded on a sharps log.    c)  Facility - On or about 04/12/2012, an exposure incident involving a needlestick was not recorded on a sharps log.    d)  Facility - On or about 07/11/2012, an exposure incident involving a needlestick was not recorded on a sharps log.    e)  Facility - On or about 09/11/2011, an exposure incident involving a needlestick was not recorded on a sharps log.    f)  Facility - On or about 10/03/2011, an exposure incident involving a needlestick was not recorded on a sharps log.      ABATEMENT CERTIFICATION REQUIRED

Issued

2014-05-14 00:00:00

Abate by

2014-06-18 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.132(d)(2): The employer did not verify that the required workplace hazard assessment has been performed through a written certification that identifies the workplace evaluated, the person certifying that the evaluation has been performed, the date(s) of the hazard assessment, and, which identifies the document as a certification of hazard assessment:  a.) Facility - On or about 3/5/14, employees perform a variety of tasks, including descaling of dishcleaning equipment with Lime Away (a corrosive); change foleys; clean up blood and OPIM; launder contaminated laundry; work with power tools; etc.  The employer provides a variety of personal protective equipment such as masks, gowns, goggles, gloves, but does not have a certified workplace hazard assessment that identifies the workplace evlauated, the person certifying that the evaluation has been performed and, the dates of the hazard assessement.  ABATEMENT CERTIFICATION REQUIRED