U.S. Department of Labor Cites Medical Center for Inadequate Workplace Violence Safeguards for Employees

U.S. Department of Labor Cites Medical Center for Inadequate Workplace Violence Safeguards for Employees

Registered nurses, certified nursing assistants, patient care technicians and security officers provide essential services in healthcare settings. Their work also exposes them to various on-the-job hazards, including assault and other forms of workplace violence. When hazards like this exist, employers must develop and maintain an effective workplace violence prevention program. An OSHA inspection prompted by employee complaints, determined that Montefiore Medical Center in the Bronx lacked adequate safeguards for employees in the pediatric emergency department of the Children's Hospital at Montefiore.

According to a press release, OSHA found that employees, including nurses, assistants, technicians and security personnel, were exposed to workplace violence. In some cases, physical assaults from violent patients occurred during one-on-one patient observations, while restraining patients during assaults and attempted escapes, and while performing holds on or restraining patients. The violent incidents resulted in worker injuries, including broken bones, bites, and neck, back and shoulder injuries. The injuries caused some employees to take time off of work. The agency determined that Montefiore's workplace violence prevention program was inadequate and lacked effective engineering and administrative controls and employee training to protect workers against the recurring hazard of workplace violence.

OSHA cited Montefiore for one serious violation under the general duty clause, with a proposed penalty of $13,653, for not providing a workplace free from recognized hazards likely to cause death or serious physical harm to employees. The agency also cited the facility for two other-than-serious violations, with $3,902 in proposed penalties, for incomplete, inaccurate and untimely injury and illness incident reports.

“This employer ignored repeated episodes of physical assault that put their employees at risk,” said OSHA Area Director Robert T. Garvey in Tarrytown, New York. “Employers can and must reduce workplace violence hazards by implementing and maintaining an effective workplace violence prevention program, which is an essential safeguard for these essential workers.”

Montefiore Medical Center is an academic medical center and the primary teaching hospital of the Albert Einstein College of Medicine in the Bronx. The Montefiore Health System consists of 15 hospitals and a primary and specialty care network of more than 180 locations across Westchester County. The employer has 15 business days from receipt of its citations and penalties to comply, request an informal conference with OSHA's area director or contest the findings before the independent OSHRC. View information on Worker Safety in Hospitals and Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers.

About the Author

Shereen Hashem is the Associate Content Editor for Occupational Health & Safety magazine.

Product Showcase

  • Magellan X Pte Ltd

    Hesitate No More with SOL-X Connected Worker Health & Safety Solution

    According to the National Safety Council, work-related medically consulted injuries total 4.26 million in 2021 in USA alone. SOL-X solution prevents “human factors” safety issues by anticipating incidents and improving compliance workflows. Leverages digital technologies (IIoT, AI and analytics) to predict patterns from occurring and make informed decisions. Control Of Work - gets rid of tedious paperwork and experience digital workflows. Crew Protect - maximises safety and situational awareness with health trackers and situational indicators. Award-winning Intrinsically Safe SmartWatch – innovative features that enable near real-time visibility and connected well-being. Works well with major connectivity protocols like Wi-Fi, Bluetooth, and Long-Range Bluetooth! 3

  • Make selection & use of SRLs simpler with the new V-SHOCK line

    Make selection & use of SRLs simpler with the new V-SHOCK line

    The new MSA V-SHOCK EDGE Cable SRLs and Web PFLs for Leading Edge use are designed for simplicity and hassle-free safety. V-SHOCK EDGE solutions help make PPE selection on the jobsite quick and easy with color-coded housings, clear icons on labels, and clearance charts in the label pack. 3

  • The MGC Simple Plus

    The MGC Simple Plus

    The MGC Simple Plus is a simple-to-use, portable multi-gas detector that runs continuously for three years without needing to be recharged or routinely calibrated after its initial charge and calibration during manufacturing. The detector reliably tests a worksite’s atmosphere for hydrogen sulfide, carbon monoxide, oxygen and combustible gases (LEL). Additionally, it is durable enough to withstand the harshest treatment and environments, which is why it has an IP 68 rating. The MGC Simple Plus is also compatible with a variety of accessories, such as Gas Clip Technologies’ new GCT External Pump. Visit gascliptech.com for more information. 3

Featured