#US government should have sent someone from OSHA
Explore tagged Tumblr posts
Text
Finished my rewatch of the Jurassic Park films as an adult and I just got the novels as well and wow. Kid me was like oooh cool dinosaurs scary action scenes will they survive? And as an adult I’m like oh this is explicitly a critique of modern scientists working not to benefit humanity or to understand the natural world but to make money for companies (amongst other things). Also the wonder and awe and love for dinosaurs displayed by Doctors Grant, Sattler, (and Malcolm a bit) in the first movie + Dr. Harding, Eddie, Nick, (and Kelly a bit as well) in the second movie just. destroys me.
#and specifically how worrisome genetic engineering can be#sure genetic engineering to make crops more disease resistant is good#also the lawyer was a dickhead but literally a person did die and it was fucked up that the whole reason he was there was bc#the investors were worried they would y’know lose money from lawsuits if the park wasn’t safe etc.#the park WASNT safe#US government should have sent someone from OSHA#yeah yeah the islands belong to the Costa Rican government but I assume the business is registered in the US#so I think OSHA could have jurisdiction?#my point is any OSHA worker is 100 times stronger than the best lawyer representing investors#jurassic park#jurassic series
3 notes
·
View notes
Text
Random Harry Potter rants
I wish there were less "oh Dumbledore is flat out evil" and more "he thought it would happen a certain way and that backfired spectacularly." like the above post said, but I also wish there was as sense of how busy Dumbledore must be. Why doesn't anyone have him choose between his positions of power and running Hogwarts? Why doesn't someone actually have him delegate or go "hey, you said this was the couple months you set aside to check on this kids and it's coming up on that time." Like yeah there's no reason for Harry to have slipped through the cracks but half the stuff that happened in that series could have been dealt with if he were the one holding all the cards and he'd trusted his people more. Or actually said something aloud every once in a while.
I despise the "all powerful Lord of everything Harry" fics because even though they have great world building the kid is twelve. Let him be a kid!
Sometimes Hermione deserves to be called out for her actions because the narrative doesn't. But bashing in her for no reason is dumb. Also, having her be pureblood or secretly related to a pureblood family and thus elevating her to Super Rich Slytherin status defeats the entire purpose of what character she's allowed to have.
Why why why does Snape get shipped with students? Fifteen years after school ends or not, I'm not dating my teacher! Especially not one who actively hates me! No matter how much they've "changed their ways." The man needs to move on but not with a twenty year old that was in his class three years ago that he called a dunderhead a million times. What?! Side note: why can't Snape move on with his life without adopting Harry? They'd be dead in the front yard before the day is out because they're just not good for each other. Can he have character growth? It's been a decade, man, something's gotta give.
Let Sirius be a grown up 2k19. The man went to jail, that changes people. Worse, he went to soul-sucking Wizard jail. Where's his therapist? First if all he definitely should have had his assets frozen. Even in wartime there's procedures for money. Oh, and since the goblins weren't involved in that war they should have shut House Black down no question. Or given it to Narcissa. Or triggered an investigation. But those are minor details hinging on someone realizing that he never got a trial.
Lupin is supposed to be a metaphor for something. AIDS ain't it though. Try again, Rowling, the AIDS epidemic was a lot more serious and a lot less glorified than being a werewolf in Wizarding Britain. Also being a werewolf is a lot more obvious and dangerous. Them some serious implications made on both sides of that equation so oof... you dun messed up there. As for Lupin himself, unemployment is fine but he has magic. He can't shape up his clothes? Get a haircut? Wolfsbane is expensive and I get that but you just know someone figured out a knockoff.
There's "incompetent corrupt government" and then there's the Ministry oagic, which employs over half the Wizarding population but doesn't get anything done.
Oh hey can we talk about the Weasley bashing? Why are there so many stories about them doing shit for money when all the working folk had good jobs? And why does every story imply that Molly is up Dumbledore's cloak and around the corner?
Better yet, what the hell is up with love potions? It'd be one thing if it was Felix felicius marketed as love potions but actual potions that you slip to someone so they fall in love with you when they wouldn't have otherwise? How did that get past a sensitivity reader? Better yet, *how did Rowling not realize the implications of that?!*
Voldemort's backstory is the most miserable excuse of a fucked up backstory. Okay yeah sure his mother didn't want him. Do you know how often that happens?! Kids get sent to orphanages all the time. Called foster homes now in some places but still. They exist. The dumbest part is that the narrative blames Riddle Sr for leaving. Like he wasn't abused. Like she didn't use him and then expect him to stay because he'd been hooked on her. That's not how drugs work and they never have been. The high always crashes somehow! God, I hate Voldemort's backstory. If he had been raised by his mother he would have been worse. He would have been worse because she's an entitled prick who thought she deserved what she didn't. He would have turned against Muggles anyway.
Dumbledore should have never been able to keep all his positions. Run the government or the school. They're both full time jobs. He could have been good at running the school if he'd been dedicated to it.
Speaking of Dumbles, his thing with Grindlewald deserved a shout-out in later canon. Like seriously they dueled and that ended up killing his sister. Rowling's gay headcanons aside, they wee allies. They split, dueled, Ariana died. Dumbledore flipped quicker than a coin amd took him down! Why can't we get more on what they were like when they were friends? (Or lovers or whatever) Why can't we get Dumbledore struggling with the ideology later on?
And why for the love of God do none of the adults know how to listen to any of the kids? "hey there's a giant snake in the school can you fix that? People are kinda dying" "hey the teacher who's supposed to be teaching me defense moves is really creepy can y'all vet him?" "hey the guy who basically teaches chemistry is an asshole and I'm afraid he might let me get killed without batting an eye, what are his credentials? Where's the safety equipment? What spells protect me from acid eating my skin?"
Oh man I could rage about Snape and potions all day. His attitude towards Harry aside. WHERE IS THE SAFETY EQUIPMENT?! WHAT IS THE THEORY?! YOU CAN'T JUST TELL ME THAT SOMETHING IS UP ON THE BOARD AND BEGIN. IN CHEMISTRY?!?!
Why are there no fics addressing the many ways a kid could die at Hogwarts? What's the British version of OSHA? They need that at Hogwarts.
#harry potter#severus snape#the weasleys#albus dumbledore#safety relgulations#man Hogwarts should have been shut down#why did no one ask any questions?#who thought this was a good idea
12 notes
·
View notes
Text
EMP Survival 101
So I figure it's time to see if a tiny dose of Amaryl will work better than the insulin. On the other hand, the individual mandate has been repealed, so we’ll see what effect that has on the marketplace. As a result of this final rule, OSHA will now apply the same recordability criteria to both injuries and illnesses (see the discussion of this issue in the Legal Authority section of this preamble). Under the final rule, employers will be able to rely on a single list of 14 first aid treatments. However, OSHA has added fluids given by mouth for the relief of heat disorders to the list. However, these side effects have been eliminated in modern CPAPs. However, it's doubtful your dog suffered a concussion from medication. 31. Perform Medication reconciliation - The Stage 1 menu set requirement is medication reconciliation in 50% of care transitions. On January 12, the Health Information Technology Policy Committee published its proposed Stage 2 and 3 Meaningful Use recommendations for public comment. Disreputable pharmacies often do not require prescriptions and doctor contact information. People living in the United States and other countries where prescription medications are very expensive may turn to online pharmacies to save money. Also if you have a chronic health condition, or are otherwise unhealthy due to weight or some other condition, you may be asked to join their provisional program. For example, a worker may be injured on December 20th and be away from work until January 10th. The final rule directs the employer only to record this type of case once, in the year that it occurred. A problem for the employer is how to verify an employee's disability. Someone ran into the problem of getting too busy to stop for lunch and asked whether she should inject a lower dose (she's on mealtime insulin Humalog). One of them sat on the board of a private pharmaceuticals company, another was an adviser to a government agency. LA BREA lies on the Gulf of Paria in the southwest, in one of Trinidad's most unusual regions. And it is yet another “Catch 22”. Our government is willing to unleash the DEA to drive pain management doctors out of practice by the dozen. Do not wait for the government to fix what you thought could never happen. The impact of the EMP caused by the nuclear test were so massive the government experts were unable to measure them accurately because the electromagnetic pulses were so strong they surpassed the power of the gauges they possessed. In 1989, a solar flare hit Canada and caused a massive power outage that left about six million people in the dark. 600 million a year. By the way, if your order has been opened by Customs for inspection but is sent to you that is a good sign so don't worry about that unless you are buying a prohibited drug of course. He is a good person, not a bad person. Locals try to help but no success. Just plainly standing and talking can help with the weight and diabetes. This firm continued the manufacture of many clock styles, primarily weight driven wall timepieces and regulators of fine quality. This is the law in both countries. As a result, canadian online pharmacy by the mid-1950s insurance companies surpassed the Blues in premium volume and number of persons covered. Medical, dental, disability, and life risks all require large numbers of cases to determine proper premium rates. These healthy choices should last all your life. During the last few years, the Facebook world is often abuzz with the prospect of a “dislike” button becoming available. But if I told my primary care doc that, she'd go into a discussion on depression. In fact emotional healthy is just as important as physical health in diabetes control and in preventing dementia, depression and unhealthy eating. Never dealt with this before- but the first rat came in with the flood waters of Hurricane Sandy- I saw him floating on a piece of wood in my basement which had six feet of water. We liked what we saw with the medical cost sharing model instead. Numerous generally utilized rest meds, including benzodiazepines like Valium and barbiturates like Nembutal, can cause daytime sleepiness, over-sedation, and synthetic reliance. When I heard about CBD oil and how it doesn’t get you high like THC does, I gave it a try. In fact, it can raise the blood glucose temporarily but in 2 or 3 hours, that exercise can bring it right down.
4 notes
·
View notes
Text
Trinidad And Tobago
OSHA has also decided not to provide exclusions for first aid items based on their purpose or intent. The issue of whether or not immunizations and inoculations are first aid or medical treatment is irrelevant for recordkeeping purposes unless a work-related injury or illness has occurred. The first contact via phone may be automated meaning scammers can reach a huge number of targets very easily. In this case, someone posts an ad claiming that they have purchased a ticket for a trip they can no longer go on. Do I have to belong to a specific Christian denomination to become a member? Insurance companies have the additional problem of insuring risks that could result in catastrophic losses. My administration will encourage administrators to work closely with teachers in creating school and district policies that result in the best learning environment for our kids, and strongest working conditions for teachers. As Governor, I will work with school districts to make this a reality for more teachers, online pharmacies canada and will work with the legislature to incentivize districts to provide affordable childcare before and after the bell. The prescription can influence your capacity to drive as it might make you languid or bleary eyed. Interestingly, the move movie, Now although the last lot about 2 tablespoons of the sun, or wear protective clothing outdoors and use warm salt water rinse might help too. Rats are territorial and will not move home just because of a bad smell. Assuming the potential insured is in moderately good health, he or she will have several health plans with rx coverage to choose from. So unlike other countries where the government is creating its own infrastructure and dictating which systems the medical community must use, the Obama Administration’s health IT program uses federal dollars to give an adrenaline boost to the market. OSHA agrees that counseling should not be considered medical treatment and has expressly excluded it from the definition of medical treatment. When the rats eat this there last meal ever it sets in there stomach & they die within 10 minutes usually not far away from the treatment. At the federal level, there were suggestions that the entire health care system needed an overhaul. According to Paul Slaughter, Washington Properties director and general manager, the current air-conditioning system is more than 20 years old. Also, the employer may not want to pay the needed premiums. People may argue if these can be regarded as a natural way to deter rats, but we decided to include them here. This way criminals can get an increased payload for their efforts. As financial circumstances improve, premiums can be increased so that an adequate retirement fund can be accumulated. These need to be defined in much greater detail before their implications can be assessed. This means that the CBD oil can dampen your response to stress and anxiety. First, the paragraph refers to a worker becoming "unconscious," which means a complete loss of consciousness and not a sense of disorientation, "feeling woozy," or a other diminished level of awareness. When a domestic abuser with a pattern of violent threats or actions is issued a restraining order, law enforcement should be empowered to go to court to suspend the abuser’s access to firearms. Don't wait, sign up NOW and get immediate access. Things will only get worse, far worse, in the days, weeks, and months, after a power grid failure. Clinicians will be motivated to update them because the allergy list will be included in clinical summaries sent to the patient after every visit. I like to boast that I can "spot a lyin' patient at 25 yards in the dark". I do not know the best solution but I know I can not live with them. We can therefore truly say that exercise is the best medicine for diabetes and any other ailments that bother you. In addition, some managed care companies have begun to introduce new selective provider networks, which focus upon only those providers which have been shown to achieve demonstrable quality outcomes and costeffective results. But medics have so far refused to operate because 'he did it to himself'. Trend rates have again risen at double-digit rates since 2001, after many of the pricing and utilization management changes were instituted. Do not wait for things to return to normal in a few days. Hospitals would only remain open until the gas in their emergency generators ran out - which would probably take just a few days to occur. 15. Take shorter showers. We should leave no stone unturned in our effort to reduce the overall cost of health care for citizens in our state.
1 note
·
View note
Text
OSHA Let Employers Decide Whether to Report Health Care Worker Deaths. Many Didn’t.
As Walter Veal cared for residents at the Ludeman Developmental Center in suburban Chicago, he saw the potential future of his grandson, who has autism.
This story also ran on The Guardian. It can be republished for free.
So he took it on himself not just to bathe and feed the residents, which was part of the job, but also to cut their hair, run to the store to buy their favorite body wash and barbecue for them on holidays.
“They were his second family,” said his wife, Carlene Veal.
Even after COVID-19 struck in mid-March and cases began spreading through the government-run facility, which serves nearly 350 adults with developmental disabilities, Walter was determined to go to work, Carlene said.
Staff members were struggling to acquire masks and other personal protective equipment at the time, many asking family members for donations and wearing rain ponchos sent by professional baseball teams.
All Walter had was a pair of gloves, Carlene said.
By mid-May, rumors of some sick residents and staffers had turned into 274 confirmed positive COVID tests, according to the Illinois Department of Human Services COVID tracking site. On May 16, Walter, 53, died of the virus. Three of his colleagues had already passed, according to interviews with Ludeman workers, the deceased employees’ families and union officials.
State and federal laws say facilities like Ludeman are required to alert Occupational Safety and Health Administration officials about work-related employee deaths within eight hours. But facility officials did not deem the first staff death on April 13 work-related, so they did not report it. They made the same decision about the second and third deaths. And Walter’s.
It’s a pattern that’s emerged across the nation, according to a KHN review of hundreds of worker deaths detailed by family members, colleagues and local, state and federal records.
Workplace safety regulators have taken a lenient stance toward employers during the pandemic, giving them broad discretion to decide internally whether to report worker deaths. As a result, scores of deaths were not reported to occupational safety officials from the earliest days of the pandemic through late October.
KHN examined more than 240 deaths of health care workers profiled for the Lost on the Frontline project and found that employers did not report more than one-third of them to a state or federal OSHA office, many based on internal decisions that the deaths were not work-related — conclusions that were not independently reviewed.
Work-safety advocates say OSHA investigations into staff deaths can help officials pinpoint problems before they endanger other employees as well as patients or residents. Yet, throughout the pandemic, health care staff deaths have steadily climbed. Thorough reviews could have also prompted the Department of Labor, which oversees OSHA, to urge the White House to address chronic protective gear shortages or sharpen guidance to help keep workers safe.
Since no public agency releases the names of health care workers who die of COVID-19, a team of reporters building the Lost on the Frontline database has scoured local news stories, GoFundMe campaigns, and obituary and social media sites to identify nearly 1,400 possible cases. More than 260 fatalities have been vetted with families, employers and public records.
For this investigation, journalists examined worker deaths at more than 100 health care facilities where OSHA records showed no fatality investigation was underway.
At Ludeman, the circumstances surrounding the April 13 worker death might have shed light on the hazards facing Veal. But no state work safety officials showed up to inspect — because the Department of Human Services, which operates Ludeman and employs the staff, said it did not report any of the four deaths there to Illinois OSHA.
The department said “it could not determine the employees contracted COVID-19 at the workplace” — despite its being the site of one of the largest U.S. outbreaks. Since Veal’s death in May, dozens more workers have tested positive for COVID-19, according to DHS’ COVID tracking site.
OSHA inspectors monitor local news media and sometimes will open investigations even without an employer’s fatality report. Through Nov. 5, federal OSHA offices issued 63 citations to facilities for failing to report a death. And when inspectors do show up, they often force improvements — requiring more protective equipment for workers and better training on how to use it, files reviewed by KHN show.
Still, many deaths receive little or no scrutiny from work-safety authorities. In California, public health officials have documented about 200 health care worker deaths. Yet the state’s OSHA office received only 75 fatality reports at health care facilities through Oct. 26, Cal/OSHA records show.
Nursing homes, which are under strict Medicare requirements, reported more than 1,000 staff deaths through mid-October, but only about 350 deaths of long-term care facility workers appear to have been reported to OSHA, agency records show.
Workers whose deaths went unreported include some who took painstaking precautions to avoid getting sick and passing the virus to family members: One California lab technician stayed in a hotel during the workweek. An Arizona nursing home worker wore a mask for family movie nights. A Nevada nurse told his brother he didn’t have adequate PPE. Nevada OSHA confirmed to KHN that his death was not reported to the agency and that officials would investigate.
KHN asked health care employers why they chose not to report fatalities. Some cited the lack of proof that a worker was exposed on-site, even in workplaces that reported a COVID outbreak. Others cited privacy concerns and gave no explanation. Still others ignored requests for comment or simply said they had followed government policies.
“It is so disrespectful of the agencies and the employers to shunt these cases aside and not do everything possible to investigate the exposures,” said Peg Seminario, a retired union health and safety director who co-authored a study on OSHA oversight with scholars from Harvard’s T.H. Chan School of Public Health.
A Department of Labor spokesperson said in a statement that an employer must report a fatality within eight hours of knowing the employee died and after determining the cause of death was a work-related case of COVID-19.
The department said employers also are bound to report a COVID death if it comes within 30 days of a workplace incident — meaning exposure to COVID-19.
Yet pinpointing exposure to an invisible virus can be difficult, with high rates of pre-symptomatic and asymptomatic transmission and spread of the virus just as prevalent inside a hospital COVID unit as out.
Those challenges, plus May guidance from OSHA, gave employers latitude to decide behind closed doors whether to report a case. So it’s no surprise that cases are going unreported, said Eric Frumin, who has testified to Congress on worker safety and is health and safety director for Change to Win, a partnership of seven unions.
“Why would an employer report unless they feel for some reason they’re socially responsible?” Frumin said. “Nobody’s holding them to account.”
Downside of Discretion
OSHA’s guidance to employers offered pointers on how to decide whether a COVID death is work-related. It would be if a cluster of infections arose at one site where employees work closely together “and there is no alternative explanation.” If a worker had close contact with someone outside of work infected with the virus, it might not have been work-related, the guidance says.
Ultimately, the memo says, if an employer can’t determine that a worker “more likely than not” got sick on the job, “the employer does not need to record that.”
In mid-March, the union that represented Paul Odighizuwa, a food service worker at Oregon Health & Science University, raised concerns with university management about the virus possibly spreading through the Food and Nutrition Services Department.
Workers there — those taking meal orders, preparing food, picking up trays for patient rooms and washing dishes — were unable to keep their distance from one another, said Michael Stewart, vice president of the American Federation of State, County and Municipal Employees Local 328, which represents about 7,000 workers at OHSU. Stewart said the union warned administrators they were endangering people’s lives.
Soon the virus tore through the department, Stewart said. At least 11 workers in food service got the virus, the union said. Odighizuwa, 61, a pillar of the local Nigerian community, died on May 12.
OHSU did not report the death to the state’s OSHA and defended the decision, saying it “was determined not to be work-related,” according to a statement from Tamara Hargens-Bradley, OHSU’s interim senior director of strategic communications.
She said the determination was made “[b]ased on the information gathered by OHSU’s Occupational Health team,” but she declined to provide details, citing privacy issues.
Stewart blasted OHSU’s response. When there’s an outbreak in a department, he said, it should be presumed that’s where a worker caught the virus.
“We have to do better going forward,” Stewart said. “We have to learn from this.” Without an investigation from an outside regulator like OSHA, he doubts that will happen.
Stacy Daugherty heard that Oasis Pavilion Nursing and Rehabilitation Center in Casa Grande, Arizona, was taking strict precautions as COVID-19 surged in the facility and in Pinal County, almost halfway between Phoenix and Tucson.
Her father, a certified nursing assistant there, was also extra cautious: He believed that if he got the virus, “he wouldn’t make it,” Daugherty said.
Mark Daugherty, a father of five, confided in his youngest son when he fell ill in May that he believed he contracted the coronavirus at work, his daughter said in a message to KHN.
Early in June, the facility filed its first public report on COVID cases to Medicare authorities: Twenty-three residents and eight staff members had fallen ill. It was one of the largest outbreaks in the state. (Medicare requires nursing homes to report staff deaths each week in a process unrelated to OSHA.)
By then, Daugherty, 60, was fighting for his life, his absence felt by the residents who enjoyed his banjo, accordion and piano performances. But the country’s occupational safety watchdog wasn’t called in to figure out whether Daugherty, who died June 19, was exposed to the virus at work. His employer did not report his death to OSHA.
“We don’t know where Mark might have contracted COVID 19 from, since the virus was widespread throughout the community at that time. Therefore there was no need to report to OSHA or any other regulatory agencies,” Oasis Pavilion’s administrator, Kenneth Opara, wrote in an email to KHN.
Since then, 15 additional staffers have tested positive and the facility suspects a dozen more have had the virus, according to Medicare records.
Gaps in the Law
If Oasis Pavilion needed another reason not to report Daugherty’s death, it might have had one. OSHA requires notice of a death only within 30 days of a work-related incident. Daugherty, like many others, clung to life for weeks before he died.
That is one loophole — among others — in work-safety laws that experts say could use a second look in the time of COVID-19.
In addition, federal OSHA rules don’t apply to about 8 million public employees. Only government workers in states with their own state OSHA agency are covered. In other words, in about half the country if a government employee dies on the job — such as a nurse at a public hospital in Florida, or a paramedic at a fire department in Texas — there’s no requirement to report it and no one to look into it.
So there was little chance anyone from OSHA would investigate the deaths of two health workers early this year at Central State Hospital in Georgia — a state-run psychiatric facility in a state without its own worker-safety agency.
On March 24, a manager at the facility had warned staff they “must not wear articles of clothing, including Personal Protective Equipment” that violate the dress code, according to an email KHN obtained through a public records request.
Three days later, what had started as a low-grade illness for Mark DeLong, a licensed practical nurse at the facility, got serious. His cough was so severe late on March 27 that he called 911 — and handed the phone to his wife, Jan, because he could barely speak, she said.
She went to visit him in the hospital the next day, fully expecting a pleasant visit with her karaoke partner. “By the time I got there it was too late,” she said. DeLong, 53 “had passed.”
She learned after his death that he’d had COVID-19.
Back at the hospital, workers had been frustrated with the early directive that employees should not wear their own PPE.
Bruce Davis had asked his supervisors if he could wear his own mask but was told no because it wasn’t part of the approved uniform, according to his wife, Gwendolyn Davis. “He told me ‘They don’t care,’” she said.
Two days after DeLong’s death, the directive was walked back and employees and contractors were informed they could “continue and are authorized to wear Personal Protective Gear,” according to a March 30 email from administrators. But Davis, a Pentecostal pastor and nursing assistant supervisor, was already sick. Davis worked at the hospital for 27 years and saw little distinction between the love he preached at the altar and his service to the patients he bathed, fed and cared for, his wife said.
Sick with the virus, Davis died April 11.
At the time, 24 of Central State’s staffers had tested positive, according to the Georgia Department of Behavioral Health and Developmental Disabilities, which runs the facility. To date, nearly 100 staffers and 33 patients at Central State have gotten the virus, according to figures from the state agency.
“I don’t think they knew what was going on either,” Jan DeLong said. “Somebody needs to check into it.”
In response to questions from KHN, a spokesperson for the department provided a prepared statement: “There was never a ban on commercially available personal protective equipment, even if the situation did not call for its use according to guidelines issued by the Centers for Disease Control and Prevention and the Georgia Department of Public Health at the time.”
KHN reviewed more than a dozen other health worker deaths at state or local government workplaces in states like Texas, Florida and Missouri that went unreported to OSHA for the same reason — the facilities were run by government agencies in a state without its own worker safety agency.
Inside Ludeman
In mid-March, staff members at the Ludeman Developmental Center were desperate for PPE. The facility was running low on everything from gloves and gowns to hand sanitizer, according to interviews with current and former workers, families of deceased workers, and union officials.
Due to a national shortage at the time, surgical masks went only to staffers working with known positive cases, said Anne Irving, regional director for AFSCME Council 31, the union that represents Ludeman employees.
Residents in the Village of Park Forest, Illinois, where the facility is located, tried to help by sewing masks or pivoting their businesses to produce face shields and hand sanitizer, said Mayor Jonathan Vanderbilt. But providing enough supplies for more than 900 Ludeman employees proved difficult.
Michelle Abernathy, 52, a newly appointed unit director, bought her own gloves at Costco. In late March, a resident on Abernathy’s unit showed symptoms, said Torrence Jones, her fiancé who also works at the facility. Then Abernathy developed a fever.
When she died on April 13 — the first known Ludeman staff member lost to the pandemic — the Illinois Department of Human Services, which runs Ludeman, made no report to safety regulators. After seeing media reports, Illinois OSHA sent the agency questions about Abernathy’s daily duties and working conditions. Based on DHS’ responses and subsequent phone calls, state OSHA officials determined Abernathy’s death was “not work-related.”
Barbara Abernathy, Michelle’s mom, doesn’t buy it. “Michelle was basically a hermit,” she said, going only from work to home. She couldn’t have gotten the virus anywhere else, she said. In response to OSHA’s inquiry for evidence that the exposure was not related to her workplace, her employer wrote “N/A,” according to documents reviewed by KHN.
Two weeks after Abernathy’s passing, two more employees died: Cephus Lee, 59, and Jose Veloz III, 52. Both worked in support services, boxing food and delivering it to the 40 buildings on campus. Their deaths were not reported to Illinois OSHA.
Veloz was meticulous at home, having groceries delivered and wiping down each item before bringing it inside, said his son, Joseph Ricketts.
But work was another story. Maintaining social distance in the food prep area was difficult, and there was little information on who had been infected or exposed to the virus, according to his son.
“No matter what my dad did, he was screwed,” Ricketts said. Adding, he thought Ludeman did not do what it should have done to protect his dad on the job.
A March 27 complaint to Illinois OSHA said it took a week for staff to be notified about multiple employees who tested positive, according to documents obtained by the Documenting COVID-19 project at the Brown Institute for Media Innovation and shared with KHN. An early April complaint was more frank: “Lives are endangered,” it said.
That’s how Rose Banks felt when managers insisted she go to work, even though she was sick and awaiting a test result, she said. Her husband, also a Ludeman employee, had already tested positive a week earlier.
Banks said she was angry about coming in sick, worried she might infect co-workers and residents. After spending a full day at the facility, she said, she came home to a phone call saying her test was positive. She’s currently on medical leave.
With some Ludeman staff assigned to different homes each shift, the virus quickly traveled across campus. By mid-May, 76 staff and 198 residents had tested positive, according to DHS’ COVID tracking site.
Carlene Veal said her husband, Walter, was tested at the facility in late April. But by the time he got the results weeks later, she said, he was already dying.
Carlene can still picture the last time she saw Walter, her high school sweetheart and a man she called her “superhero” for 35 years of marriage and raising four kids together. He was lying on a gurney in their driveway with an oxygen mask on his face, she said. He pulled the mask down to say “I love you” one last time before the ambulance pulled away.
The Illinois Department of Human Services said that, since the beginning of the pandemic, it has implemented many new protocols to mitigate the outbreak at Ludeman, working as quickly as possible based on what was known about the virus at the time. It has created an emergency staffing plan, identified negative-airflow spaces to isolate sick individuals and made “extensive efforts” to procure more PPE, and it is testing all staffers and residents regularly.
“We were deeply saddened to lose four colleagues who worked at Ludeman Developmental Center and succumbed to the virus,” the agency said in a statement. “We are committed to complying with and following all health and safety guidelines for COVID-19.”
The number of new cases at Ludeman has remained low for several months now, according to DHS’ COVID tracking site.
But that does little to console the families of those who have died.
When a Ludeman supervisor called Barbara Abernathy in June to express condolences and ask if there was anything they could do, Abernathy didn’t know how to respond.
“There was nothing they could do for me now,” she said. “They hadn’t done what they needed to do before.”
Shoshana Dubnow, Anna Sirianni, Melissa Bailey and Hannah Foote contributed to this report.
Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.
USE OUR CONTENT
This story can be republished for free (details).
OSHA Let Employers Decide Whether to Report Health Care Worker Deaths. Many Didn’t. published first on https://nootropicspowdersupplier.tumblr.com/
0 notes
Text
OSHA Let Employers Decide Whether to Report Health Care Worker Deaths. Many Didn’t.
As Walter Veal cared for residents at the Ludeman Developmental Center in suburban Chicago, he saw the potential future of his grandson, who has autism.
This story also ran on The Guardian. It can be republished for free.
So he took it on himself not just to bathe and feed the residents, which was part of the job, but also to cut their hair, run to the store to buy their favorite body wash and barbecue for them on holidays.
“They were his second family,” said his wife, Carlene Veal.
Even after COVID-19 struck in mid-March and cases began spreading through the government-run facility, which serves nearly 350 adults with developmental disabilities, Walter was determined to go to work, Carlene said.
Staff members were struggling to acquire masks and other personal protective equipment at the time, many asking family members for donations and wearing rain ponchos sent by professional baseball teams.
All Walter had was a pair of gloves, Carlene said.
By mid-May, rumors of some sick residents and staffers had turned into 274 confirmed positive COVID tests, according to the Illinois Department of Human Services COVID tracking site. On May 16, Walter, 53, died of the virus. Three of his colleagues had already passed, according to interviews with Ludeman workers, the deceased employees’ families and union officials.
State and federal laws say facilities like Ludeman are required to alert Occupational Safety and Health Administration officials about work-related employee deaths within eight hours. But facility officials did not deem the first staff death on April 13 work-related, so they did not report it. They made the same decision about the second and third deaths. And Walter’s.
It’s a pattern that’s emerged across the nation, according to a KHN review of hundreds of worker deaths detailed by family members, colleagues and local, state and federal records.
Workplace safety regulators have taken a lenient stance toward employers during the pandemic, giving them broad discretion to decide internally whether to report worker deaths. As a result, scores of deaths were not reported to occupational safety officials from the earliest days of the pandemic through late October.
KHN examined more than 240 deaths of health care workers profiled for the Lost on the Frontline project and found that employers did not report more than one-third of them to a state or federal OSHA office, many based on internal decisions that the deaths were not work-related — conclusions that were not independently reviewed.
Work-safety advocates say OSHA investigations into staff deaths can help officials pinpoint problems before they endanger other employees as well as patients or residents. Yet, throughout the pandemic, health care staff deaths have steadily climbed. Thorough reviews could have also prompted the Department of Labor, which oversees OSHA, to urge the White House to address chronic protective gear shortages or sharpen guidance to help keep workers safe.
Since no public agency releases the names of health care workers who die of COVID-19, a team of reporters building the Lost on the Frontline database has scoured local news stories, GoFundMe campaigns, and obituary and social media sites to identify nearly 1,400 possible cases. More than 260 fatalities have been vetted with families, employers and public records.
For this investigation, journalists examined worker deaths at more than 100 health care facilities where OSHA records showed no fatality investigation was underway.
At Ludeman, the circumstances surrounding the April 13 worker death might have shed light on the hazards facing Veal. But no state work safety officials showed up to inspect — because the Department of Human Services, which operates Ludeman and employs the staff, said it did not report any of the four deaths there to Illinois OSHA.
The department said “it could not determine the employees contracted COVID-19 at the workplace” — despite its being the site of one of the largest U.S. outbreaks. Since Veal’s death in May, dozens more workers have tested positive for COVID-19, according to DHS’ COVID tracking site.
OSHA inspectors monitor local news media and sometimes will open investigations even without an employer’s fatality report. Through Nov. 5, federal OSHA offices issued 63 citations to facilities for failing to report a death. And when inspectors do show up, they often force improvements — requiring more protective equipment for workers and better training on how to use it, files reviewed by KHN show.
Still, many deaths receive little or no scrutiny from work-safety authorities. In California, public health officials have documented about 200 health care worker deaths. Yet the state’s OSHA office received only 75 fatality reports at health care facilities through Oct. 26, Cal/OSHA records show.
Nursing homes, which are under strict Medicare requirements, reported more than 1,000 staff deaths through mid-October, but only about 350 deaths of long-term care facility workers appear to have been reported to OSHA, agency records show.
Workers whose deaths went unreported include some who took painstaking precautions to avoid getting sick and passing the virus to family members: One California lab technician stayed in a hotel during the workweek. An Arizona nursing home worker wore a mask for family movie nights. A Nevada nurse told his brother he didn’t have adequate PPE. Nevada OSHA confirmed to KHN that his death was not reported to the agency and that officials would investigate.
KHN asked health care employers why they chose not to report fatalities. Some cited the lack of proof that a worker was exposed on-site, even in workplaces that reported a COVID outbreak. Others cited privacy concerns and gave no explanation. Still others ignored requests for comment or simply said they had followed government policies.
“It is so disrespectful of the agencies and the employers to shunt these cases aside and not do everything possible to investigate the exposures,” said Peg Seminario, a retired union health and safety director who co-authored a study on OSHA oversight with scholars from Harvard’s T.H. Chan School of Public Health.
A Department of Labor spokesperson said in a statement that an employer must report a fatality within eight hours of knowing the employee died and after determining the cause of death was a work-related case of COVID-19.
The department said employers also are bound to report a COVID death if it comes within 30 days of a workplace incident — meaning exposure to COVID-19.
Yet pinpointing exposure to an invisible virus can be difficult, with high rates of pre-symptomatic and asymptomatic transmission and spread of the virus just as prevalent inside a hospital COVID unit as out.
Those challenges, plus May guidance from OSHA, gave employers latitude to decide behind closed doors whether to report a case. So it’s no surprise that cases are going unreported, said Eric Frumin, who has testified to Congress on worker safety and is health and safety director for Change to Win, a partnership of seven unions.
“Why would an employer report unless they feel for some reason they’re socially responsible?” Frumin said. “Nobody’s holding them to account.”
Downside of Discretion
OSHA’s guidance to employers offered pointers on how to decide whether a COVID death is work-related. It would be if a cluster of infections arose at one site where employees work closely together “and there is no alternative explanation.” If a worker had close contact with someone outside of work infected with the virus, it might not have been work-related, the guidance says.
Ultimately, the memo says, if an employer can’t determine that a worker “more likely than not” got sick on the job, “the employer does not need to record that.”
In mid-March, the union that represented Paul Odighizuwa, a food service worker at Oregon Health & Science University, raised concerns with university management about the virus possibly spreading through the Food and Nutrition Services Department.
Workers there — those taking meal orders, preparing food, picking up trays for patient rooms and washing dishes — were unable to keep their distance from one another, said Michael Stewart, vice president of the American Federation of State, County and Municipal Employees Local 328, which represents about 7,000 workers at OHSU. Stewart said the union warned administrators they were endangering people’s lives.
Soon the virus tore through the department, Stewart said. At least 11 workers in food service got the virus, the union said. Odighizuwa, 61, a pillar of the local Nigerian community, died on May 12.
OHSU did not report the death to the state’s OSHA and defended the decision, saying it “was determined not to be work-related,” according to a statement from Tamara Hargens-Bradley, OHSU’s interim senior director of strategic communications.
She said the determination was made “[b]ased on the information gathered by OHSU’s Occupational Health team,” but she declined to provide details, citing privacy issues.
Stewart blasted OHSU’s response. When there’s an outbreak in a department, he said, it should be presumed that’s where a worker caught the virus.
“We have to do better going forward,” Stewart said. “We have to learn from this.” Without an investigation from an outside regulator like OSHA, he doubts that will happen.
Stacy Daugherty heard that Oasis Pavilion Nursing and Rehabilitation Center in Casa Grande, Arizona, was taking strict precautions as COVID-19 surged in the facility and in Pinal County, almost halfway between Phoenix and Tucson.
Her father, a certified nursing assistant there, was also extra cautious: He believed that if he got the virus, “he wouldn’t make it,” Daugherty said.
Mark Daugherty, a father of five, confided in his youngest son when he fell ill in May that he believed he contracted the coronavirus at work, his daughter said in a message to KHN.
Early in June, the facility filed its first public report on COVID cases to Medicare authorities: Twenty-three residents and eight staff members had fallen ill. It was one of the largest outbreaks in the state. (Medicare requires nursing homes to report staff deaths each week in a process unrelated to OSHA.)
By then, Daugherty, 60, was fighting for his life, his absence felt by the residents who enjoyed his banjo, accordion and piano performances. But the country’s occupational safety watchdog wasn’t called in to figure out whether Daugherty, who died June 19, was exposed to the virus at work. His employer did not report his death to OSHA.
“We don’t know where Mark might have contracted COVID 19 from, since the virus was widespread throughout the community at that time. Therefore there was no need to report to OSHA or any other regulatory agencies,” Oasis Pavilion’s administrator, Kenneth Opara, wrote in an email to KHN.
Since then, 15 additional staffers have tested positive and the facility suspects a dozen more have had the virus, according to Medicare records.
Gaps in the Law
If Oasis Pavilion needed another reason not to report Daugherty’s death, it might have had one. OSHA requires notice of a death only within 30 days of a work-related incident. Daugherty, like many others, clung to life for weeks before he died.
That is one loophole — among others — in work-safety laws that experts say could use a second look in the time of COVID-19.
In addition, federal OSHA rules don’t apply to about 8 million public employees. Only government workers in states with their own state OSHA agency are covered. In other words, in about half the country if a government employee dies on the job — such as a nurse at a public hospital in Florida, or a paramedic at a fire department in Texas — there’s no requirement to report it and no one to look into it.
So there was little chance anyone from OSHA would investigate the deaths of two health workers early this year at Central State Hospital in Georgia — a state-run psychiatric facility in a state without its own worker-safety agency.
On March 24, a manager at the facility had warned staff they “must not wear articles of clothing, including Personal Protective Equipment” that violate the dress code, according to an email KHN obtained through a public records request.
Three days later, what had started as a low-grade illness for Mark DeLong, a licensed practical nurse at the facility, got serious. His cough was so severe late on March 27 that he called 911 — and handed the phone to his wife, Jan, because he could barely speak, she said.
She went to visit him in the hospital the next day, fully expecting a pleasant visit with her karaoke partner. “By the time I got there it was too late,” she said. DeLong, 53 “had passed.”
She learned after his death that he’d had COVID-19.
Back at the hospital, workers had been frustrated with the early directive that employees should not wear their own PPE.
Bruce Davis had asked his supervisors if he could wear his own mask but was told no because it wasn’t part of the approved uniform, according to his wife, Gwendolyn Davis. “He told me ‘They don’t care,’” she said.
Two days after DeLong’s death, the directive was walked back and employees and contractors were informed they could “continue and are authorized to wear Personal Protective Gear,” according to a March 30 email from administrators. But Davis, a Pentecostal pastor and nursing assistant supervisor, was already sick. Davis worked at the hospital for 27 years and saw little distinction between the love he preached at the altar and his service to the patients he bathed, fed and cared for, his wife said.
Sick with the virus, Davis died April 11.
At the time, 24 of Central State’s staffers had tested positive, according to the Georgia Department of Behavioral Health and Developmental Disabilities, which runs the facility. To date, nearly 100 staffers and 33 patients at Central State have gotten the virus, according to figures from the state agency.
“I don’t think they knew what was going on either,” Jan DeLong said. “Somebody needs to check into it.”
In response to questions from KHN, a spokesperson for the department provided a prepared statement: “There was never a ban on commercially available personal protective equipment, even if the situation did not call for its use according to guidelines issued by the Centers for Disease Control and Prevention and the Georgia Department of Public Health at the time.”
KHN reviewed more than a dozen other health worker deaths at state or local government workplaces in states like Texas, Florida and Missouri that went unreported to OSHA for the same reason — the facilities were run by government agencies in a state without its own worker safety agency.
Inside Ludeman
In mid-March, staff members at the Ludeman Developmental Center were desperate for PPE. The facility was running low on everything from gloves and gowns to hand sanitizer, according to interviews with current and former workers, families of deceased workers, and union officials.
Due to a national shortage at the time, surgical masks went only to staffers working with known positive cases, said Anne Irving, regional director for AFSCME Council 31, the union that represents Ludeman employees.
Residents in the Village of Park Forest, Illinois, where the facility is located, tried to help by sewing masks or pivoting their businesses to produce face shields and hand sanitizer, said Mayor Jonathan Vanderbilt. But providing enough supplies for more than 900 Ludeman employees proved difficult.
Michelle Abernathy, 52, a newly appointed unit director, bought her own gloves at Costco. In late March, a resident on Abernathy’s unit showed symptoms, said Torrence Jones, her fiancé who also works at the facility. Then Abernathy developed a fever.
When she died on April 13 — the first known Ludeman staff member lost to the pandemic — the Illinois Department of Human Services, which runs Ludeman, made no report to safety regulators. After seeing media reports, Illinois OSHA sent the agency questions about Abernathy’s daily duties and working conditions. Based on DHS’ responses and subsequent phone calls, state OSHA officials determined Abernathy’s death was “not work-related.”
Barbara Abernathy, Michelle’s mom, doesn’t buy it. “Michelle was basically a hermit,” she said, going only from work to home. She couldn’t have gotten the virus anywhere else, she said. In response to OSHA’s inquiry for evidence that the exposure was not related to her workplace, her employer wrote “N/A,” according to documents reviewed by KHN.
Two weeks after Abernathy’s passing, two more employees died: Cephus Lee, 59, and Jose Veloz III, 52. Both worked in support services, boxing food and delivering it to the 40 buildings on campus. Their deaths were not reported to Illinois OSHA.
Veloz was meticulous at home, having groceries delivered and wiping down each item before bringing it inside, said his son, Joseph Ricketts.
But work was another story. Maintaining social distance in the food prep area was difficult, and there was little information on who had been infected or exposed to the virus, according to his son.
“No matter what my dad did, he was screwed,” Ricketts said. Adding, he thought Ludeman did not do what it should have done to protect his dad on the job.
A March 27 complaint to Illinois OSHA said it took a week for staff to be notified about multiple employees who tested positive, according to documents obtained by the Documenting COVID-19 project at the Brown Institute for Media Innovation and shared with KHN. An early April complaint was more frank: “Lives are endangered,” it said.
That’s how Rose Banks felt when managers insisted she go to work, even though she was sick and awaiting a test result, she said. Her husband, also a Ludeman employee, had already tested positive a week earlier.
Banks said she was angry about coming in sick, worried she might infect co-workers and residents. After spending a full day at the facility, she said, she came home to a phone call saying her test was positive. She’s currently on medical leave.
With some Ludeman staff assigned to different homes each shift, the virus quickly traveled across campus. By mid-May, 76 staff and 198 residents had tested positive, according to DHS’ COVID tracking site.
Carlene Veal said her husband, Walter, was tested at the facility in late April. But by the time he got the results weeks later, she said, he was already dying.
Carlene can still picture the last time she saw Walter, her high school sweetheart and a man she called her “superhero” for 35 years of marriage and raising four kids together. He was lying on a gurney in their driveway with an oxygen mask on his face, she said. He pulled the mask down to say “I love you” one last time before the ambulance pulled away.
The Illinois Department of Human Services said that, since the beginning of the pandemic, it has implemented many new protocols to mitigate the outbreak at Ludeman, working as quickly as possible based on what was known about the virus at the time. It has created an emergency staffing plan, identified negative-airflow spaces to isolate sick individuals and made “extensive efforts” to procure more PPE, and it is testing all staffers and residents regularly.
“We were deeply saddened to lose four colleagues who worked at Ludeman Developmental Center and succumbed to the virus,” the agency said in a statement. “We are committed to complying with and following all health and safety guidelines for COVID-19.”
The number of new cases at Ludeman has remained low for several months now, according to DHS’ COVID tracking site.
But that does little to console the families of those who have died.
When a Ludeman supervisor called Barbara Abernathy in June to express condolences and ask if there was anything they could do, Abernathy didn’t know how to respond.
“There was nothing they could do for me now,” she said. “They hadn’t done what they needed to do before.”
Shoshana Dubnow, Anna Sirianni, Melissa Bailey and Hannah Foote contributed to this report.
Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.
USE OUR CONTENT
This story can be republished for free (details).
OSHA Let Employers Decide Whether to Report Health Care Worker Deaths. Many Didn’t. published first on https://smartdrinkingweb.weebly.com/
0 notes
Text
10 Ways To Protect Workers From Coronavirus
As U.S. businesses take aggressive measures to slow the spread of COVID-19, business owners may be left wondering if they are doing everything they can to protect their workforce.
Here are 10 ways businesses can help protect workers from coronavirus.
1. Learn how COVID-19 spreads. Keep up to date on the latest COVID-19 research to understand how it spreads and take action to reduce the risk to your workforce.
According to the Centers for Disease Control and Prevention (CDC), the spread of COVID-19 from person-to-person most likely occurs among close contacts who are within about 6 feet of each other. It is commonly spread through respiratory secretions, especially when someone coughs or sneezes. For these reasons, you should remind workers to always cover their coughs or sneezes, to promptly dispose of tissues and thoroughly wash their hands, and to practice social distancing as much as possible.
COVID-19 can also live on different surfaces for hours or even days — 24 hours on cardboard and up to three days on plastic and stainless steel — according to the Virus Ecology Section of Rocky Mountain Laboratories. So, it’s important to avoid touching a surface that could have the virus on it and then touching your own mouth, nose or eyes.
2. Require sick employees to stay home. Employees who are ill or have symptoms of an acute respiratory illness (headache, fever, cough, sore throat, runny nose and breathing difficulties) should notify their supervisor and stay home until they are symptom-free and cleared by their supervisor to return. Continue to monitor news from the CDC and World Health Organization (WHO) for guidance on how long an employee with COVID-19 should remain at home to avoid spreading the disease.
3. Send sick employees home. In some states, it’s now required that workers have their temperature checked before entering a business. If an employee appears to have symptoms of COVID-19 (for example, cough or shortness of breath) upon arrival to work or during the day, they should be immediately separated from the other employees and sent home.
4. Emphasize hand hygiene. Instruct employees to clean their hands often with an alcohol-based hand sanitizer that contains at least 60% to 95% alcohol or to wash their hands with soap and water for at least 20 seconds. Soap and water should be used if hands are visibly dirty. Instruct them on techniques to use to thoroughly wash their hands.
5. Perform routine environmental cleaning. Employers should routinely clean all frequently touched surfaces in the workplace, such as workstations, countertops and doorknobs, with a cleaning and disinfecting solution. When choosing cleaning products, employers should consult the Environmental Protection Agency (EPA) list of EPA-approved disinfectants with claims against emerging viral pathogens and follow the instructions on the labels.
6. Communicate often with employees. Be sure to educate employees on the signs and symptoms of COVID-19 and the precautions they should take to minimize their risk of contracting or spreading the virus, without causing panic. Provide guidance or resources on what to do if they or someone in their household becomes ill. It’s also a good time to be supportive of each other during this difficult and stressful situation.
7. Provide a place where employees can ask questions. Appoint an individual or department as the point of contact in your organization for employee questions about COVID-19. Share frequently asked questions, as needed, to keep everyone informed.
8. Review your safety and emergency action plans. Use your organization’s safety programs and emergency action plans to guide you on infectious-disease protocols, which may be unique to your business or industry.
9. Implement travel guidelines. Ask employees to follow government guidelines on traveling, including travel advisories, and to avoid any non-essential travel.
10. Stay informed. The COVID-19 situation is rapidly evolving and changing. Employers should closely monitor the CDC and WHO websites for the latest and most accurate information on COVID-19.
References: - CDC - OSHA - OhioHealth
This article is for informational and suggestion purposes only. If you have questions about your Grange business insurance coverage, talk with your independent insurance agent .
www.katzbachinsurance.com
440-835-1770
0 notes