OSHA Inspection: SOUTHEAST MISSOURI HOSPITAL

Issued

Jun 30, 2014

Abate by

Aug 15, 2014

Penalty

Initial $4,250 · Current $2,975 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. Work practice controls were not used to prevent sharps, including blades, suture needles, and other needles from being unexpectedly transferred to central supply potentially exposing employees to bloodborne pathogens.  b. Work practices were unclear for the safe method of transfer of sharps instruments between surgeon and assistants during operating room procedures, potentially and actually exposing employees.  Abatement certification and abatement documentation is required for this violation.  The documentation should include written verification of abatement, applicable measurements or monitoring results, and photographs or videos which you believe will be helpful.  The abatement certification sheet is enclosed with the citation(s).

Issued

Jun 30, 2014

Abate by

Aug 15, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(F): The bloodborne pathogens training program did not contain an explanation of the use or limitations of methods that would prevent or reduce exposure including appropriate engineering controls, work practices or personal protective equipment:  a. Where work practices were unclear for the safe method of transfer of sharps instruments between surgeon and assistants during operating room procedures, not all employees potentially exposed had received the October, 2013 or May, 2014 training.  b. Where training had been provided to operating room employees on safe method of transfer of sharps during procedures, at least some employees were unclear what was hospital policy on how transfer of sharps was to be made.  c. Where operating room technicians were unfamiliar with work practices of surgeons to be assisted in surgery, there was no communication about how transfer of instruments would be made.  Abatement certification and abatement documentation is required for this violation.  The documentation should include written verification of abatement, applicable measurements or monitoring results, and photographs or videos which you believe will be helpful.  The abatement certification sheet is enclosed with the citation(s).

Issued

Jun 30, 2014

Abate by

Aug 15, 2014

Penalty

Initial $0 · Current $0

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. Examples existed of the sharps log not including all sharps incidents such as those that occurred on 2-4-14 and 3-17-14.   Abatement certification and abatement documentation is required for this violation.  The documentation should include written verification of abatement, applicable measurements or monitoring results, and photographs or videos which you believe will be helpful.  The abatement certification sheet is enclosed with the citation(s).

Issued

Jun 30, 2014

Abate by

Aug 15, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(h)(5)(i)(A): The employer did not maintain a sharps injury log that contained at a minimum the type and brand of device involved in the incident:  a. The sharps injury log did not include the type and brand of device, such as needle and IV tubing, butterfly needle, and other entries where no device was listed (5-3-14, 4-22-14, 4-4-14, 2-28-14, 2-7-14, 1-27-14, 1-17-14, 1-2-14).   Abatement certification and abatement documentation is required for this violation.  The documentation should include written verification of abatement, applicable measurements or monitoring results, and photographs or videos which you believe will be helpful.  The abatement certification sheet is enclosed with the citation(s).

Issued

Jun 30, 2014

Abate by

Aug 15, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1904.8(a): To protect the employee's privacy, the employer did not keep the employee's name from the OSHA 300 Log:  a. The names of employees experiencing a needlestick or cut from a sharp object that was contaminated with another person's blood or other potentially infectious material was not kept from the OSHA 300 log (also see 1904.29(b)(6) through (b)(9) for other information).   Abatement certification and abatement documentation is required for this violation.  The documentation should include written verification of abatement, applicable measurements or monitoring results, and photographs or videos which you believe will be helpful.  The abatement certification sheet is enclosed with the citation(s).