Crime Scene Cleanup >> Starting A Crime Scene Cleanup Business In New Yor

In any discussion of the risk to employees in the blood and plasma centers it is important to note that these facilities dedicate a substantial amount of their resources to identifying these contaminated units and ensuring that they are not released for transfusion or Starting A Crime Scene Cleanup Business In New Yor for other use. 

Units of blood from donors who test positive are discarded and do not present a risk to recipients of transfusions. Starting A Crime Scene Cleanup Business In New Yor However, employees engaged in the collecting, processing, and testing of these units are at risk for exposure. Nursing Homes/Longterm Care: 

Nursing homes or other long term care facilities were cited by commenters as places of employment where employees are at risk for blood and body fluid exposure. Starting A Crime Scene Cleanup Business In New Yor For example, employees provide care for decubitus ulcers and skin tears. Employees give insulin injections and perform finger sticks which present the added risk of handling contaminated sharps. 

Information from the National Health and Nutrition Examination Survey II gave us the most recent in depth look at the prevalence of hepatitis B markers in people from age 6 months to 74 years and Starting A Crime Scene Cleanup Business In New Yor from different racial groups (Exs. 20-834, 6-340). 

In other words, it provided information that would tell what percentage of people in each age group have been infected with hepatitis B at some time in their lives. Starting A Crime Scene Cleanup Business In New Yor In the age group 65 to 74, 6.4 out of 100 white females had serological evidence of past hepatitis B infection, 7.5 out of 100 white males, 39.5 out of 100 black females, and 39.7 out of 100 black males. 

This indicates that many individuals who are of an age group that would be either residents of nursing homes or candidates for nursing homes have at some time in their lives had a hepatitis B infection. Starting A Crime Scene Cleanup Business In New Yor Most of these individuals would no longer be infected but a percentage of these individuals would be expected to have developed hepatitis B carrier status.

Would still be infected with the virus years after the initial infection. Further data from this same study indicates that in persons aged 45-74 years,  Starting A Crime Scene Cleanup Business In New Yor  approximately 3 out of 1,000 whites and 8 out of 1,000 blacks were carriers of hepatitis B surface antigen, and thus presented a risk to those who came in contact with their blood. 

This can be compared to hospital patients where one would expect approximately 10 out of 1,000 patients (1%) to be infected with hepatitis B. Starting A Crime Scene Cleanup Business In New Yor The Service Employees International Union urged OSHA not to exclude nursing homes from the standard. They stated: An exclusion of nursing homes based on their current low AIDS population is inappropriate. 

Nursing home workers are as likely as other health care workers to be exposed to HBV. They also face other infectious diseases such as TB. Starting A Crime Scene Cleanup Business In New Yor Moreover, such a policy would be dangerously short sighted. CDC estimates that more than 1.5 million individuals are today infected with the HIV virus. 

The growing numbers of AIDS patients together with soaring hospital-based health costs will spur treatment in alternative healthcare settings like nursing homes and respite homes. Starting A Crime Scene Cleanup Business In New Yor (SEIU, Ex. 11-61) The American Health Care Association, which represents more than 10,000 long term care facilities and allied health care providers, stated:  

Long term health care facilities should be included, [in the standard] but we believe that recognition should be given to the differences in both type of care and Starting A Crime Scene Cleanup Business In New Yor population served in long term care facilities as opposed to acute care facilities. (AHCA, Ex. 11-27) 

In its post hearing comment, the American Health Care Association gave a number of reasons why they feel that the nursing home industry should not be subjected to the "wholesale application of the OSHA standard." Starting A Crime Scene Cleanup Business In New Yor Some of these are listed below: (AHCA, Ex. 278) 

We believe that nursing homes comprise a discreet segment of the health care industry where, due to the nature of the resident population and the types of care provided, Starting A Crime Scene Cleanup Business In New Yor there is no reasonable expectation of employee exposure to blood or other potentially infectious body fluids in the performance of normal job tasks. 

The proposed standard utterly ignores the fact that the average patient in a nursing home is an 84-year old woman who will be given care in a stable setting for over a year.... Starting A Crime Scene Cleanup Business In New Yor Furthermore, nursing homes do not encounter their residents under the transient acute episodic.

Emergency circumstances which characterize all [emphasis in the original] of the other high risk health care categories.... Nursing homes are unique among health care providers because continuous regulatory oversight, survey, and Starting A Crime Scene Cleanup Business In New Yor compliance actions are built into the federal certification process for participation in the Medicare and Medicaid programs (AHCA, Ex. 278). 

OSHA does not agree that employees of nursing homes have no reasonable expectation of occupational exposure. Starting A Crime Scene Cleanup Business In New Yor First, based on evidence in the record, it appears that some employees in nursing homes and some other long term care facilities do have occupational exposure despite the AHCA statement to the contrary. 

However, it is reasonable to expect that some nursing home employees, for example those employed in the dietary department, Starting A Crime Scene Cleanup Business In New Yor may not have occupational exposure and would not be covered by the standard. Second, as discussed above, elderly individuals may be carriers of bloodborne pathogens, particularly HBV, as the result of an earlier infection. 

In addition, although the average patient may be an elderly woman, the population is not made up exclusively of elderly women, but includes men as well. In fact, Starting A Crime Scene Cleanup Business In New Yor the population may contain adults of all ages whose personal circumstances require more care than they are able to provide for themselves. For example, a nurse's assistant testified: 

While it may be true many nursing homes fit [a] typical resident profile. In every home I've worked in, Starting A Crime Scene Cleanup Business In New Yor I've taken care of male as well as female patients, young as well as old patients and short-term stays as well as long-term care of patients. 

There is a wide variety of patients in nursing homes, Starting A Crime Scene Cleanup Business In New Yor some of whom have history of behavior which would put them at high risk for HBV and AIDS... as well as people who have had blood transfusion in the past 10 to 15 years. (Ms. Kathy Lucas, Tr. 1/16/90, p.751) 

Third, the nursing home industry is not unique among the covered industries in that long term care, as opposed to acute, episodic care, is provided.  Starting A Crime Scene Cleanup Business In New Yor The staff of institutions for the developmentally disabled also provide long term care, and these individuals are also at risk when they have occupational exposure as discussed above.

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