OSHA Inspection: HALLMARK HEALTH - MELROSE WAKEFIELD HOSPITAL

Issued

Aug 13, 2014

Abate by

Sep 30, 2014

Penalty

Initial $7,000 · Current $5,000 Reduced

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)  Location - Hospital-wide  On or about 4/15/14, the employer did not document annual consideration of appropriate commercially available and effective safer medical devices.

Issued

Aug 13, 2014

Abate by

Sep 30, 2014

Penalty

Initial $0 · Current $0

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)  Location - Hospital-wide  The employer 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.

Issued

Aug 13, 2014

Abate by

Sep 30, 2014

Penalty

Initial $7,000 · Current $6,000 Reduced

General-duty citation text

29 CFR 1910.1030(d)(2)(i): Engineering and work practice controls were not used to eliminate or minimize employees exposure:    (a)  Location - Surgery and Central Sterile Processing  On or about 4/15/14, the employer failed to use engineering or work practices that would eliminate or minimize exposures including, but not limited to, surgical employees did not always disassemble and wipe down used surgical instruments and also utilize enzymatic detergent and/or foaming alternative prior to transporting in open or loosely covered basins to Central Sterile Processing (CSP).      (b)  Location - Surgery and Central Sterile Processing  On or about 4/15/14, contaminated instruments in open or loosely covered basins have become jostled and exposed CSP employees to sharps and other bloodborne pathogen exposures as the utility cart is opened and instruments fall out.

Issued

Aug 13, 2014

Abate by

Sep 30, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(d)(2)(ii): Engineering controls were not examined or maintained, and replaced on a regular schedule to ensure their effectiveness:  (a)  Location - Hospital-wide On or about 4/15/14, the employer did not examine on a regular schedule the engineering controls including, but not limited to, open or loosely covered basins, utility carts, and sharps to ensure their effectiveness.

Issued

Aug 13, 2014

Abate by

Sep 30, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(d)(4)(iii)(A)(1): Contaminated sharps were not discarded immediately or as soon as feasible in containers that are described in sections (i) through (iv) of this section:  (a)  Location - Surgical Service On or about 4/15/14, Central Sterile Processing (CSP) employees are exposed to sharps injuries when contaminated disposable blades are included with contaminated reusable surgical instruments to be cleaned and sterilized.

Issued

Aug 13, 2014

Abate by

Sep 30, 2014

Penalty

Initial $7,000 · Current $6,000 Reduced

General-duty citation text

29 CFR 1910.1030(d)(4)(iii)(B)(1)(ii): Regulated waste was placed in containers which were not constructed to contain all contents or prevent leakage of liquids during handling, storage, transport or shipping:    (a) Location - Surgery and Central Sterile Processing (CSP)  On or about 4/15/14, surgical employees placed surgical waste (excess blood, tissue, bone, feces, fat, etc.) into the same basins with used surgical instruments that were transported to Central Sterile Processing (CSP).  The basins were either loosely covered or had no cover.

Issued

Aug 13, 2014

Abate by

Sep 30, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(d)(4)(iii)(B)(2)(ii): When outside contamination of the regulated waste container occurred, it was not placed in a second container constructed to contain all contents and prevent leakage of fluids during handling, storage, transport or shipping:  (a) Location - Surgery and Central Sterile Processing On or about 4/15/14, surgical employees placed open or loosely covered basins containing hazardous medical waste (excess blood, tissue, bone, feces, fat, etc.) and contaminated instruments into utility carts that leaked these contaminated fluids during handling, storage, or transport to Central Sterile Processing.

Issued

Aug 13, 2014

Abate by

Sep 30, 2014

Penalty

Initial $7,000 · Current $5,000 Reduced

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(N): The bloodborne pathogens training program did not contain an opportunity for interactive questions or answers with the person conducting the training session:    (a) Location - Hospital-wide  On or about 4/15/14, the bloodborne pathogens training was conducted online, including evenings and weekends, with no opportunity for interactive questions or answers at the time the training is being performed.