AORN Journal
Volume 87, Issue 2 , Pages 347-360 , February 2008

Improving Compliance With Occupational Safety and Health Administration Standards

  • Richard G. Cuming, RN, MSN, CNOR, CNAA

      Affiliations

    • Richard G. Cuming, RN, MSN, CNOR, CNAA, is the director of perioperative services at Jackson Memorial Hospital, Miami, FL. Mr Cuming has no declared affiliation that could be perceived as a potential conflict of interest in publishing this article.
    • ,
  • Tonette S. Rocco, PhD

      Affiliations

    • Tonette S. Rocco, PhD, is an associate professor and program leader of adult education and human resource development at the College of Education, Florida International University, Miami. Dr Rocco has no declared affiliation that could be perceived as a potential conflict of interest in publishing this article.
    • ,
  • Adriana G. McEachern, PhD

      Affiliations

    • Adriana G. McEachern, PhD, is an associate dean for academic affairs and an associate professor at the College of Education, Florida International University, Miami. Dr McEachern has no declared affiliation that could be perceived as a potential conflict of interest in publishing this article.

References 

  1. OSHA's 30th anniversary. OSHA at 30: three decades of progress in occupational safety and health. Occupational Safety and Health Administration . http://www.osha.gov/as/opa/osha-at-30.html Accessed December 6, 2007.
  2. Pipeline industry and fires and explosions in all industries: injuries, illnesses, and fatalities fact sheet. US Department of Labor, Bureau of Labor Statistics . http://www.bls.gov/iif Accessed December 6, 2007.
  3. Occupational Safety and Health Act, 29 USC 15 §651 et seq (1970) . http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=OSHACTp_id=2743 Accessed December 12, 2007.
  4. Frequently asked questions: August 2007. US Department of Labor Occupational Safety and Health Administration . http://www.osha.gov/as/opa/osha-faq.html Accessed December 6, 2007.
  5. Pepper TG . Understanding OSHA: a look at the agency's complex legal and political environment . Prof Saf . February 2001;14–16
  6. Pertinent legal authority. US Department of Labor Occupational Safety and Health Administration . http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=PREAMBLES&p_id=948 Accessed December 6, 2007.
  7. OSHA inspections . US Department of Labor Occupational Safety and Health Administration . http://www.osha.gov/Publications/osha2098.html Accessed December 6, 2007.
  8. Safety and health topics: healthcare facilities. US Department of Labor Occupational Safety and Health Administration . http://www.osha.gov/SLTC/health carefacilities/standards.html Accessed December 6, 2007.
  9. Personal protective equipment. US Department of Labor Occupational Safety and Health Administration . http://www.osha.gov/Publications/osha3151.pdf Accessed December 6, 2007.
  10. Occupational safety and health standards: bloodborne pathogens. 56(235) Fed Regist. (December 6, 1991) 64004 (codified at 29 CFR §1910.1030).
  11. Centers for Disease Control and Prevention  . Public Health Service guidelines for the management of health care worker exposures to HIV and recommendations for postexposure prophylaxis . MMWR . 1998;47(RR-7):1–33
  12. Preventing occupational HIV transmission to healthcare personnel. Centers for Disease Control and Prevention . http://www.cdc.gov/hiv/resources/factsheets/PDF/hcwprev.pdf Accessed December 6, 2007.
  13. Universal precautions for prevention of transmission of HIV and other bloodborne infections. Centers for Disease Control and Prevention . http://www.cdc.gov/ncidod/dhqp/bp_universal_precautions.html Accessed December 6, 2007.
  14. Taylor DL . Bloodborne pathogen exposure in the OR—what research has taught us and where we need to go . AORN J . 2006;83(4):834–846
  15. Akduman D , Kim LE , Parks RL , et al.   Use of personal protective equipment and operating room behaviors in four surgical subspecialties: personal protective equipment and behaviors in surgery . Infect Control Hosp Epidemiol . 1991;20(2):110–114
  16. Cutter J , Jordan S . Uptake of guidelines to avoid and report exposure to blood and body fluids . J Ad Nurs . 2004;46(4):441–452
  17. Gershon RR , Vlahov D , Felknor SA , et al.   Compliance with universal precautions among health care workers at three regional hospitals . Am J Infect Control . 1995;23(4):225–236
  18. Nelsing S , Nielsen TL , Nielsen JO . Noncompliance with universal precautions and the associated risk of mucocutaneous blood exposure among Danish physicians . Infect Control Hosp Epidemiol . 1997;18(10):692–698
  19. Gile TJ . The OSHA lowdown on occupational exposure to bloodborne pathogens. Medical Laboratory Observer . http://www.mlo-online.com/ce/pdfs/june01.pdf Accessed December 6, 2007.
  20. Ryan v Clonch Industries, Inc, 3069316 SE2d WL (WVa 2006).
  21. Workers' Compensation Law, FL Stat, ch 31, § 440 et seq (2001).
  22. McKenzie Tank Lines, Inc v McCauley, 418 So2d 1177 (Fl Ct App 1982).
  23. Ross CS . The evolving medical, social, and legal issues of occupational exposure to bloodborne pathogens . Clin Occup Env Med . 2002;2(3):575–592
  24. Doe v City of Stamford et al, 241 A2d52 692, 699 (Conn 1997).
  25. McLarney v Community Health Plan, 81958 3d (NY App Div 1998).
  26. Castro v New York Life Insurance Co, 588 NYS2d 880 (NY Sup Ct 1996).
  27. Makary MA , Al-Attar A , Holzmueller CG , et al.   Needlestick injuries among surgeons in training . N Engl J Med . 2007;356(26):2693–2699
  28. Gagne RM , Medsker KL . The Conditions of Learning: Training Applications . Belmont, CA: Wadsworth Group; 1995;

  indicates that continuing education contact hours are available for this activity. Earn the contact hours by reading this article and taking the examination on pages 357–358 and then completing the answer sheet and learner evaluation on pages 359–360.You also may access these articles online at http://www.aornjournal.org.The behavioral objectives and examination for this program were prepared by Rebecca Holm, RN, MSN, CNOR, clinical editor, with consultation from Susan Bakewell, RN, MS, BC, director, Center for Perioperative Education. Ms Holm and Ms Bakewell have no declared affiliations that could be perceived as potential conflicts of interest in publishing this article.This program meets criteria for CNOR and CRNFA recertification, as well as other continuing education requirements.AORN is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.AORN is provider-approved by the California Board of Registered Nursing, Provider Number CEP 13019. Check with your state board of nursing for acceptance of this activity for relicensure.

PII: S0001-2092(07)00570-4

doi: 10.1016/j.aorn.2007.09.011

AORN Journal
Volume 87, Issue 2 , Pages 347-360 , February 2008

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