OSHA Inspection: SIGNATURE MEDICAL GROUP, INC.

Issued

2014-04-22 00:00:00

Abate by

2014-05-25 00:00:00

Penalty

Initial $5000.00 · Current $2500.00 Reduced

General-duty citation text

29 CFR 1910.1030(d)(2)(vi): Employers did not ensure that employees washed hands and any other skin with soap and water, or flush mucous membranes with water immediately or as soon as feasible following contact of such body areas with blood or other potentially infectious materials:       a) Signature Medical Group, Inc., DBA: Mid County Orthopaedic Surgery & Sports Medicine @ 845 N. New Ballas Rd., Suite 200, St. Louis, MO 63141: On and before March 25, 2014, the employer did not ensure that employees washed hands following exposure to blood or other potentially infection materials as related to providing injections, aspirations, and/or debridement.

Issued

2014-04-22 00:00:00

Abate by

2014-05-25 00:00:00

Penalty

Initial $5000.00 · Current $2500.00 Reduced

General-duty citation text

29 CFR 1910.1030(d)(2)(viii): Immediately or as soon as possible after use, contaminated sharps were not placed in appropriate containers:                  a) Signature Medical Group, Inc., DBA: Mid County Orthopaedic Surgery & Sports Medicine @ 845 N. New Ballas Rd., Suite 200, St. Louis, MO 63141: On and before March 25, 2014, the employer did not ensure that contaminated sharps were placed inside appropriate containers as soon as possible after use in that employees report having found contaminated needles on the counter or inside the sink in empty exam rooms.

Issued

2014-04-22 00:00:00

Abate by

2014-05-25 00:00:00

Penalty

Initial $5000.00 · Current $2500.00 Reduced

General-duty citation text

29 CFR 1910.1030(d)(2)(xi): All procedures involving blood or other potentially infectious materials were not performed in such a manner as to minimize splashing, spraying, spattering, and generation of droplets of these substances:       a) Signature Medical Group, Inc., DBA: Mid County Orthopaedic Surgery & Sports Medicine @ 845 N. New Ballas Rd., Suite 200, St. Louis, MO 63141: On and before March 25, 2014, the employer did not ensure that procedures regarding aspirations would not generate spraying of blood or other potentially infectious materials in that an employee engaged in plunging a 5cc syringe full of aspirate into a trash can and/or sink. This practice would be repeated until the joint was aspirated, which may require withdrawing as much as 30-60cc of blood and/or other potentially infectious materials.

Issued

2014-04-22 00:00:00

Abate by

2014-05-25 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(d)(2)(xiii): Specimens of blood or other potentially infectious materials were not placed in a container which prevents leakage during collection, handling, processing, storage, transport, or shipping:     a) Signature Medical Group, Inc., DBA: Mid County Orthopaedic Surgery & Sports Medicine @ 845 N. New Ballas Rd., Suite 200, St. Louis, MO 63141: On and before March 25, 2014, the employer did not ensure that blood or other potentially infectious material from aspirations were properly disposed to prevent employee exposure during transport. An employee engaged in plunging a 5cc syringe full of aspirate into a trash can. This practice would be repeated until the joint was aspirated, which may require withdrawing as much as 30-60cc of blood and/or other potentially infectious materials.

Issued

2014-04-22 00:00:00

Abate by

2014-05-25 00:00:00

Penalty

Initial $5000.00 · Current $2500.00 Reduced

General-duty citation text

29 CFR 1910.1030(d)(3)(ix): The employer did not ensure that gloves were worn when it was reasonably anticipated that employees may have hand contact with blood, other potentially infectious materials, mucous membranes, and non-intact skin; when performing vascular access procedures:      a) Signature Medical Group, Inc., DBA: Mid County Orthopaedic Surgery & Sports Medicine @ 845 N. New Ballas Rd., Suite 200, St. Louis, MO 63141: On and before March 25, 2014, the employer did not ensure that employees wore hand protection when performing injections, aspirations, and/or debridement.

Issued

2014-04-22 00:00:00

Abate by

2014-05-25 00:00:00

Penalty

Initial $5000.00 · Current $2500.00 Reduced

General-duty citation text

29 CFR 1910.1030(d)(4)(ii)(A): The employer did not ensure that contaminated work surfaces were decontaminated with an appropriate disinfectant after completion of procedures; immediately or as soon as feasible when surfaces are overtly contaminated or after any spill of blood or other potentially infectious materials; and at the end of the work shift if the surface may have become contaminated since the last cleaning:       a) Signature Medical Group, Inc., DBA: Mid County Orthopaedic Surgery & Sports Medicine @ 845 N. New Ballas Rd., Suite 200, St. Louis, MO 63141: On and before March 25, 2014, the employer did not ensure that employees decontaminated work surfaces. Employees failed to follow manufacturer instructions for the Certol International ProSpray surface disinfectant cleaner. Employees spray and wipe the disinfectant off the surface before the 10 minute contact time, as is necessary to disinfect the surface.

Issued

2014-04-22 00:00:00

Abate by

2014-05-25 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(c)(1)(iv): The Exposure Control Plan was not reviewed and updated at least annually and/or whenever necessary to reflect new or modified tasks and procedures which affect occupational exposure and to reflect new or revised employee positions with occupational exposure:     a)      Signature Medical Group, Inc., DBA: Mid County Orthopaedic Surgery & Sports Medicine @ 845 N. New Ballas Rd., Suite 200, St. Louis, MO 63141: On and before March 25, 2014, the employer did not conduct an annual review of their Exposure Control Plan (ECP). The employer was not able to produce documentation to support that a review of the ECP was conducted since July 2007.

Issued

2014-04-22 00:00:00

Abate by

2014-05-25 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(g)(2)(i): The employer did not train each employee with occupational exposure in accordance with the requirements of this section. Such training shall be provided at no cost to the employee and during working hours. The employer shall institute a training program and ensure employee participation in the program:     a) Signature Medical Group, Inc., DBA: Mid County Orthopaedic Surgery & Sports Medicine @ 845 N. New Ballas Rd., Suite 200, St. Louis, MO 63141: On and before March 25, 2014, the employer did not provide training in accordance with elements [A] through [N] of this section for employees who were exposed to bloodborne pathogens. The ECP provided by the employer lists personnel with occupational exposure to bloodborne pathogens to include: physicians, physician assistants, nurse practitioners, nurses, and medical assistants.

Issued

2014-04-22 00:00:00

Abate by

2014-05-25 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(h)(5)(i): The employer did not establish and maintain a sharps injury log for the recording of percutaneous injuries from contaminated sharps.     a) Signature Medical Group, Inc., DBA: Mid County Orthopaedic Surgery & Sports Medicine @ 845 N. New Ballas Rd., Suite 200, St. Louis, MO 63141: On and before March 25, 2014, the employer did not maintain a sharps injury log. The employer reported three percutaneous injuries from contaminated sharps in 2013.