OSHA Inspection: ST. JOHN'S HEALTHCARE CORPORATION

Issued

2025-03-14 00:00:00

Abate by

2025-04-16 00:00:00

Penalty

Initial $9457.00 · Current $5700.00 Reduced

General-duty citation text

29 CFR  1910.1030(c)(1)(ii)(A):The employer's Exposure Control Plan did not include the exposure determination required by 1910.1030(c)(2).  a) Facility - On or about 11/19/24, the employer's written Exposure Control Plan did not include an exposure determination as required by the standard for employees having occupational exposure to blood and/or other potentially infectious materials while administering medications, handling regulated waste, and performing patient care involving exposure to blood.  ABATEMENT CERTIFICATION REQUIRED

Issued

2025-03-14 00:00:00

Abate by

2025-04-16 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR  1910.1030(c)(2)(i): The employer having employees with occupational exposure did not prepare an exposure determination:  a) Facility - On or about 11/19/24, the employer's Exposure Control Plan did not include an exposure determination for employees having occupational exposure to blood and/or other potentially infectious materials while administering medications, handling regulated waste, and performing patient care involving exposure to blood which included all of the following elements.       This exposure determination shall contain the following:        -  A list of all job classifications in which all employees in those job classifications have occupational exposure;         - A list of job classifications in which some employees have occupational exposure, and         -  A list of all tasks and procedures or groups of closely related task and procedures in which occupational exposure occurs and that are performed by employees in job             classifications listed in accordance with the provisions of paragraph (c)(2)(i)(B) of this standard.  ABATEMENT CERTIFICATION REQUIRED

Issued

2025-03-14 00:00:00

Abate by

2025-04-16 00:00:00

Penalty

Initial $9457.00 · Current $5700.00 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/or methods of implementation for 29 CFR 1910.1030(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) Throughout facility - On or about 11/19/24,  where employees have exposure to blood while administering medications, handling regulated waste, and performing patient care involving exposure to blood such as performing bandage changes or performing wound care, the employer's Exposure Control Plan did not include the schedule and/or methods of implementation for 29 CFR 1910.1030(d) methods of compliance, (g) Communication of Hazards to Employees, and (h) Recordkeeping, of this standard.    ABATEMENT CERTIFICATION REQUIRED

Issued

2025-03-14 00:00:00

Abate by

2025-04-16 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR  1910.1030(c)(1)(iii): The employer did not ensure that a copy of the Exposure Control Plan was accessible to employees, in accordance with 29 CFR 1910.1020(e):  a) Throughout facility - On or about 11/19/24,  where employees have exposure to blood while administering medications, handling regulated waste, and performing patient care involving exposure to blood such as performing bandage changes or performing wound care, a copy of the employer's Exposure Control Plan was not accessible in the workplace.  ABATEMENT CERTIFICATION REQUIRED

Issued

2025-03-14 00:00:00

Abate by

2025-07-07 00:00:00

Penalty

Initial $9457.00 · Current $5700.00 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) Throughout facility - On or about 11/19/24, the employer's Exposure Control Plan did not document consideration and implementation of appropriate commercially available and effective safer medical devices such as, but not limited to, hypodermic needles.  The facility has documented needlestick injuries.  ABATEMENT CERTIFICATION REQUIRED

Issued

2025-03-14 00:00:00

Abate by

2025-07-07 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, 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) Throughout Facility - On or about 11/19/24, 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. Employees use sharps such as, but not limited to, hypodermic needles.  ABATEMENT CERTIFICATION REQUIRED

Issued

2025-03-14 00:00:00

Abate by

2025-03-31 00:00:00

Penalty

Initial $9457.00 · Current $5700.00 Reduced

General-duty citation text

29 CFR  1910.1030(f)(1)(i):The employer did not make available the hepatitis B vaccine and vaccination series to all employees who have occupational exposure.  a) Throughout facility - On or about 11/19/24, employees were not offered the hepatitis B vaccination after receiving the required training and within 10 days of assignment.  Employees have occupational exposure to blood and/or other potentially infectious materials while administering medications, handling regulated waste, and performing patient care involving exposure to blood.   ABATEMENT CERTIFICATION REQUIRED

Issued

2025-03-14 00:00:00

Abate by

2025-10-07 00:00:00

Penalty

Initial $9457.00 · Current $5700.00 Reduced

General-duty citation text

29 CFR  1910.1030(g)(2)(vii):The employer's training program did not contain each of the minimum elements required by 29 CFR 1910.1030(g)(2)(vii)(A) through (g)(2)(vii)(N):  a)	Throughout facility - On or about 11/19/24, the employer's training program did not include (A) an accessible copy of the regulatory text of this standard and an explanation of its contents for employees who have exposure to blood while administering medications, handling regulated waste, and performing patient care involving exposure to blood such as performing bandage changes or performing wound care. b)	Throughout facility - On or about 11/19/24, the employer's training program did not include (B) a general explanation of the epidemiology and symptoms of bloodborne diseases for employees who have exposure to blood while administering medications, handling regulated waste, and performing patient care involving exposure to blood such as performing bandage changes or performing wound care. c)	Throughout facility - On or about 11/19/24, the employer's training program did not include (D) an explanation of the employer's exposure control plan and the means by which the employee can obtain a copy of the written plan for employees who have exposure to blood while administering medications, handling regulated waste, and performing patient care involving exposure to blood such as performing bandage changes or performing wound care. d)	Throughout facility - On or about 11/19/24, the employer's training program did not include (G) information on the types, proper use, location, removal, handling, decontamination and disposal of personal protective equipment for employees who have exposure to blood while administering medications, handling regulated waste, and performing patient care involving exposure to blood such as performing bandage changes or performing wound care. e)	Throughout facility - On or about 11/19/24, the employer's training program did not include (I) information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, and that the vaccine and vaccination will be offered free of charge for employees who have exposure to blood while administering medications, handling regulated waste, and performing patient care involving exposure to blood such as performing bandage changes or performing wound care. f)	Throughout facility - On or about 11/19/24, the employer's training program did not include (K) an explanation of the procedure to follow if an exposure incident occurs, including the method of reporting the incident and the medical follow-up that will be made available for employees who have exposure to blood while administering medications, handling regulated waste, and performing patient care involving exposure to blood such as performing bandage changes or performing wound care. g)	Throughout facility - On or about 11/19/24, the employer's training program did not include (L) information on the post-exposure evaluation and follow-up that the employer is required to provide for the employee following an exposure incident for employees who have exposure to blood while administering medications, handling regulated waste, and performing patient care involving exposure to blood such as performing bandage changes or performing wound care. h)	Throughout facility - On or about 11/19/24, the employer's training program did not include (M) an explanation of the signs and labels and/or color coding required by paragraph (g)(1) for employees who have exposure to blood while administering medications, handling regulated waste, and performing patient care involving exposure to blood such as performing bandage changes or performing wound care.  ABATEMENT CERTIFICATION REQUIRED