CORRESPONDENCE_1975-2020 - Laserfiche WebLink

Home Browse Search

0 0 St. Joseph's Medical Center A member of CHW The placement of a rigid container in a patient room would not impact this process, as the housekeeping/nursing staff would still remove the bag and take it to the soiled utility room to store/transport. It is our hope that the county health department would excuse this violation based upon the aforementioned clarification of our process. The medical center currently has not relocated the containers, as we would prefer to discuss in greater detail. # 12 — A treatment record is missing for the week of March 2 through the 91h for 2011 Treatment records must be kept onsite and available for inspection for a minimum of 3 years. • Submit to the EA the missing treatment record within 30 days. We are unable to locate/produce the treatment record for the week of March 2nd — March 9", 2011. #16 — Spore testing performed in July 2011 came back positive indicating inadequate sterilization. A spore test performed on July 1St came positive for the bacteria on the 2nd of July. A second spore test performed on July 7 came back positive for the bacteria on the 11th of July. Spore tests performed on July 5th and the 13th came back negative for the bacteria on the 12th and the 201h of July. An invoice given to me by this facility shows service was performed on the autoclave on the 18t of July. This facility could not ensure that medical waste treated onsite was adequately sterilized until the 20th or at the every least the 12th of July. All medical waste generated and required to be disposed between the dates of July 2"d and the 1 lth should have been hauled offsite by a medical waste hauler to a permitted medical waste treatment facility. Documents obtained from forward landfill show this facility had medical waste hauled offsite by a solid waste hauler to a solid waste disposal facility. The dates the medical waste was hauled off are on July 4th, 13th, and the 18th. Prior to disposal, this Large Quantity Generator must ensure medical waste is treated in accordance with Chapter 8 Section 118215 (a) (2) • Provide to this Enforcement Agency a corrective action detailing the measures that will be put in place to show this facility's response to inadequate sterilization. Provide the corrective action letter for review within 30 days. While attempting to explain/walk through this issue with the inspector, it became apparent that our explanation was disregarded, thus leading to frustration from the inspector as well as the medical center. We then asked that the conversation/inspection end and that the inspector document his finding/concerns/perceptions and forward to us for an official response.