OSHA Inspection: THE LUTHERAN HOME AT KANE

Issued

2014-09-03 00:00:00

Abate by

2014-10-21 00:00:00

Penalty

Initial $2295.00 · Current $1400.00 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 method of implementation for paragraphs (d) Methods of Compliance, (f) Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-up, (g) Communication of Hazards to Employees, and (h) Recordkeeping, of this standard.          a) The Lutheran Home at Kane,-On or about April 9th, 2014, and times prior thereto, Company employees had potential exposure to bloodborne pathogens intermittently throughout each day, when for instance, giving injections, obtaining blood glucose levels, or cleaning blood or other potentially infectious material (OPIM) spills.   The employers written Bloodborne Pathogen Exposure Control Plan was not site specific in that, the written plan did not identify the following:                                           1.) Procedures for the annual evaluation of safety engineered devices.  The method of implementation was not described, nor was a start date identified;  the selection and use of all devices with engineered controls;      2.) The healthcare professional that will conduct the confidential post exposure evaluation and follow up in the event of an exposure incident;       3.) The person(s) responsible for items including but not limited to, implementation and maintenance of the Exposure Control Plan, person responsible for personal protective equipment, person responsible for ensuring follow-up medical evaluations are conducted following an exposure incident, person responsible for maintaining employee medical records, person responsible for ensuring proper labeling of waste bags/containers, person responsible for managing hepatitis b vaccines, person to contact in the event of an exposure incident, person responsible for providing necessary documentation to the treating physician during a post exposure evaluation;       4) The location of the sharps containers at the facility and the person responsible for emptying/disposing of sharps containers and the disposal schedule;           5) Procedures for solicitation of 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;      6) The types of personal protective equipment (PPE) available to employees, the location of the PPE, and the disposal methods for PPE;       7)Procedures to ensure the confidentiality of employees medical records;      8) The exposure determination did not include the tasks conducted by employees which involved potential exposure to blood and OPIM;        9)Proper disinfectant to be used for biohazard bag receptacles/trash cans;       10)A comprehensive list of employees with potential exposure to blood or OPIM who are to be provided the antibody testing; (i.e. list of employees from exposure determination did not match the list of employees eligible for antibody testing.)         11) A description of how Bloodborne pathogen training will be conducted, and who is responsible for conducting the training.

Issued

2014-09-03 00:00:00

Abate by

2014-10-21 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(c)(1)(iv)(B): The review and update of the exposure control plan did not document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure:    a) The Lutheran Home at Kane - On or about April 9th, 2014, and times prior thereto,  Company employees had potential exposure to bloodborne pathogens intermittently throughout each day, when for instance, giving injections, obtaining blood glucose levels, or cleaning blood or other potentially infectious material (OPIM) spills.  The employer had not documented annual consideration of safer medical devices in the Exposure Control Plan.

Issued

2014-09-03 00:00:00

Abate by

2014-10-21 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, solicited input from non-managerial employees responsible for dierct 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) The Lutheran Home at Kane,-On or about April 9th, 2014, and times prior thereto,  Company employees had potential exposure to bloodborne pathogens intermittently throughout each day, when for instance, giving injections, obtaining blood glucose levels, or cleaning blood or other potentially infectious material (OPIM) spills.  The employer had not documented, in the Exposure Control Plan, the solicitation of input from non-managerial employees in the identification, evaluation, and selection of effective engineering and work practice controls.

Issued

2014-09-03 00:00:00

Abate by

2014-10-21 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 record and maintain the information on the sharps injury log in such a manner as to protect the confidentiality of the injured employee:           a) The Lutheran Home at Kane - On or about April 9th, 2014, and times prior thereto, Company employees had potential exposure to bloodborne pathogens intermittently throughout each day, when for instance, giving injections, obtaining blood glucose levels, or cleaning blood or other potentially infectious material (OPIM) spills.  The employer's  sharps injury log did not protect the confidentiality of the injured employees, in that the injured employee signatures were located on the log utilized by the facility.

Issued

2014-09-03 00:00:00

Abate by

2014-10-21 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1904.29(b)(1): A log of all recordable work-related injuries and illness (OSHA Form 300 or equivalent) was not completed in the detail required by the regulation:       a.)    The Lutheran Home at Kane, 100 High Point Drive, Kane, PA 16735, on or about April 9, 2014, and times prior thereto-The OSHA Form 300 for calendar year 2014 did not provide specific detail, about the object/substance that directly injured or made the employee ill, in Column F.  Case number 2 did not provide specific detail about the object/substance that directly injured or made the employee ill.