OSHA Inspection: RIVERDALE FAMILY MEDICAL PRACTICE, P.C.

Issued

Jul 22, 2016

Abate by

Aug 26, 2016

Penalty

Initial $3,500 · Current $2,200 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) Entire Facility:  Nurse practioners and physicians gave injections to patients (e.g., B-12, DPT, Polio, Pneumovax, Hepatitis B, etc.) using needles without engineering controls and the exposure control plan was not reviewed and updated annually to reflect changes in technology that elimnate or reduce exposure to bloodborne pathogens such as needles with engineered sharps injury protection (sesips); on or about 5/26/16.

Issued

Jul 22, 2016

Abate by

Aug 26, 2016

Penalty

Initial $0 · Current $0

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)  Examination Rooms:   Nurse Practitioners administered B-12 injections using needles without engineering controls; on or about 5/26/16.  b) Examination Rooms:  Physicians administered various vaccinations (e.g., DPT, Polio, Pneumovax, Hepatitis B, etc.) using needles without engineering controls; on or about 5/26/16.

Issued

Jul 22, 2016

Abate by

Aug 6, 2016

Penalty

Initial $3,500 · Current $2,200 Reduced

General-duty citation text

29 CFR 1910.1030(f)(2)(i): Hepatitis B vaccination was not made available within 10 working days of initial assignment to all employee(s) with occupational exposure:    a) Examination Rooms:  A medical assistant who drew blood from patients was not provided with the third dose of Hepatitis B vaccine; on or about 5/24/16.

Issued

Jul 22, 2016

Abate by

Aug 26, 2016

Penalty

Initial $3,500 · Current $2,200 Reduced

General-duty citation text

29 CFR 1910.1030(g)(2)(ii)(B): The employer did not ensure that the training was provided to employees with occupational exposure at least annually:    a) Examination Rooms and Blood Specimen Handling/Processing Areas:   Medical Assistants were not provided bloodborne pathogen training at least annually; on or about 5/26/16.

Issued

Jul 22, 2016

Abate by

Aug 26, 2016

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(D): The bloodborne pathogens training program did not contain an explanation of the employer's exposure control plan and the means by which the employee could obtain a copy of the written plan:  a) Examination Rooms and Blood Specimen Handling/Processing Areas:   Medical Assistants were not provided bloodborne pathogen training that contained an explanation of the employer's exposure control plan and the means by which employees could obtain a copy of the written plan; on or about 5/26/16.

Issued

Jul 22, 2016

Abate by

Aug 26, 2016

Penalty

Initial $700 · Current $400 Reduced

General-duty citation text

29 CFR 1910.1030(h)(1)(ii)(B): The medical record for an employee with occupational exposure did not include a copy of the employee's hepatitis B vaccination status, including the dates of all the hepatitis B vaccinations or any medical records relative to the employee's ability to receive vacination as required by 29 CFR 1910.1030(f)(2)    a) Examination Rooms:  A medical assistant who drew blood from patients, handled blood specimen tubes, and processed blood specimens in centrifuges and other equipment did not have a complete medical record indicating that she had the third dose of Hepatitis B vaccine and the date it was provided; on or about 5/24/16.    b) Examination Rooms:   Two medical assistants who drew blood from patients, handled blood specimen tubes and processed blood specimens in centrifuges and other equipment did not have a complete medical record indicating that they had the second and third doses of Hepatitis B vaccine, the dates that they were provided and/or supporting information that they were immune to Hepatitis B; or about 5/24/16.