OSHA Inspection: ARBOUR HOSPITAL/UHS OF DELAWARE, INC.

Issued

Jun 7, 2018

Abate by

Jul 27, 2018

Penalty

Initial $6,097 · Current $0 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(ii): The Exposure Control Plan did not contain at least the following elements (a) the exposure determination, (b) the schedule and method of implementation and (c) the procedure for the evaluation of circumstances surrounding exposure incidents:  Facility-wide including Quincy Satellite unit: The employer's Exposure Control Plan did not contain an exposure determination, methods of compliance, Hepatitis B Vaccination and post-exposure evaluation and follow-up, communication of hazard to employees and Recordkeeping.  Direct care staff, including but not limited to nurses, are exposed to sharps injuries when administering medication to patients.

Issued

Jun 7, 2018

Abate by

Jul 27, 2018

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(c)(2)(i): Each employer who has an employee(s) with occupational exposure as defined by paragraph (b) of this section did not prepare an exposure determination:  Facility-wide including Quincy Satellite unit: Employer did not prepare or document an exposure determination.  Direct care staff, including but not limited to nurses, are exposed to sharps injuries when administering medication to patients.

Issued

Jun 7, 2018

Abate by

Oct 23, 2018

Penalty

Initial $71,137 · Current $0 Reduced

General-duty citation text

OSH ACT of 1970 Section (5)(a)(1): The employer did not furnish employment and a place of employment which was free from recognized hazards that were causing or likely to cause death or serious physical harm to employees in that employees were exposed to acts of workplace violence caused by patient aggression.  Nurses, social workers, and Mental Health Associates (MHAs) at Arbour Hospital /UHS of Delaware Inc., (Arbour) have suffered serious workplace violence related injuries such as concussions, fractures, strains, sprains, lacerations, eye injuries, and contusions, while performing their job duties. The employer has not developed and implemented adequate measures to protect employees from this recurring serious hazard.  Facility-wide including Quincy satellite unit: On or about December 11, 2017, employees, including nurses, social workers and MHAs were exposed to physical attacks from patients who exhibited aggressive behavior.  Injuries have resulted from direct attacks involving, but not limited to, punches to the face and the back of the head, slaps, kicks, scratches, as well as attacks from objects thrown such as furniture and desk phones.  Employees were attacked, and also injured during restraint holds, trying to break up fights between patients, while running to avoid an assault, and during the admission process.     UHS of Westwood Pembroke, Inc. (dba Lowell Treatment Center) was previously cited for a violation of Section 5(a)(1) of the OSH Act, which was contained in OSHA inspection number 1009746, citation number 1, item number 1, and was affirmed as a final order on May 27, 2016, with respect to a workplace located at 391 Varnum Avenue, Lowell, MA 01584.

Issued

Jun 7, 2018

Abate by

Jul 27, 2018

Penalty

Initial $2,033 · Current $0 Reduced

General-duty citation text

29 CFR 1904.29(b)(1): The log of occupational injuries and illnesses, (OSHA Form No. 300), was not completed in the detail provided in the form and the instructions contained therein:  Facility-wide including Quincy Satellite location: The following cases on the 2018 OSHA 300 log were not completed as required:  a. The location where a patient aggression incident occurred resulting in Case #28028 dated January 19, 2018, was not identified.  The employer entered, 'Mental Health' in Column E 'Where the event occurred'.  The corresponding OSHA 301 does not provide location information.   b. The location where a patient aggression incident occurred resulting in Case #29205 dated February 27, 2018, was not identified.  The employer entered 'Queens Unit' in Column E 'Where the event occurred'. The corresponding OSHA 301 does not provide location information. The incident occurred in the Admissions room of the Quincy Unit.

Issued

Jun 7, 2018

Abate by

Jul 27, 2018

Penalty

Initial $6,097 · Current $0 Reduced

General-duty citation text

29 CFR 1904.35(b)(1)(ii): Employer did not inform each employee how to report work-related injuries and illnesses:  Facility-wide including Quincy Satellite location: Employer did not provide adequate and clear information to managers and employees on how and when to report work-related injuries and illnesses.

Issued

Jun 7, 2018

Abate by

Jul 27, 2018

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(h)(2)(i): The employer's records for annual blood borne pathogen training did not include all of the elements required by (h)(2)(i)(A)-(D) of 29 CFR 1910.1030:  Facility-wide including Quincy Satellite location: The bloodborne pathogen training records provided by the employer did not include: the dates of the training sessions, the contents or a summary of the training sessions, the names and qualifications of persons conducting the training, and the names and job titles of all persons attending the training sessions.