Thursday, July 28, 2022

US Nitrogen Worker Seriously Injured

By Walter F. Roche Jr.

An unidentified employee of US Nitrogen LLC was seriously injured in late June when a tankful of a volatile and highly reactive chemical slipped off a forklift striking him on the chest and leg and temporarily trapping him.
The accident at the ammonium nitrate plant in Midway Greene County was investigated by the Tennessee Occupational Safety and Health Administration, which has apparently closed its inquiry.
The accident was at least the second at the plant resulting in serious injury to an employee. In a 2016 incident an employee was seriously burned and had to be hospitalized.
In the June 20 incident a crew was attempting to move a tank of sodium hypochlorite with a forklift when the tank slid off the forklift striking the employee.
The employee suffered multiple fractures of the right arm and right leg. He was taken to the Johnson City Medical Center.
In a response to the state agency US Nitrogen said it had revised procedures to avert a recurrence. The company also told state officials it had revised training procedures and established protocols to avoid the overloading of forklifts.
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Tuesday, July 26, 2022

US NitrogenTest Results OK'd

By Walter F. Roche Jr.

Tennessee environmental officials have given quick approval to emission test results submitted by US Nitrogen LLC, a Greene County chemical manufacturer.
In a letter to Dylan Charles, US Nitrogen's plant manager, Bryan Parker, a division manager at the Tennessee Department of Environment and Conservation, said the test results were acceptable to show the company's compliance with provisions of the company's permits to operate the Midway Facility.
The tests were performed by Southern Air Solutions to verify that US Nitrogen's emission monitoring equipment for nitrogen oxides and other emissions from a nitric acid plant and a steam generating boiler were properly recording company emissions. The actual report was prepared by AMP Cherokee.
Stating that TDEC had reviewed the US Nitrogen data, Parker wrote, "Based on this review, the division considers the report technically correct and acceptable for a determination of compliance."
US Nitrogen's permits require the periodic submission of such test data.
The company submitted over 150 pages of data detailing the tests that were conducted in mid-June. The submission noted that the actual results were edited by US Nitrogen and EnSafe, the company's environmental consultant.
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Monday, July 25, 2022

Hospital Patients Cut Off from Oxygen

By Walter F. Roche Jr.

Staff at a Danville hospital failed to ensure oxygen was connected for two dependent patients resulting in the death of one of them within hours of the incident, according to a 34-page report from the state Health Department.
The two oxygen incidents occurred at the 554-bed Geisinger Medical Center when the patients were transferred to the X-Ray department for MRIs.(Magnetic Resonance Imaging).
The first patient, identified only as MR1, was brought for the MRI at 7:45 a.m. on May 21. At that time the physician ordered oxygen was properly connected.
An employee told the state surveyors that staff "didn't feel that the patient was unstable at that time."
At 10:07 a.m. that patient was in cardiac arrest. The patient was revived at 10:22 a.m. but expired at 3:15 p.m.
"It is unknown the exact circumstances of when/howthe oxygen became removed," the report states.
The report cites "the seriousness of the noncompliance and the effect on patient outcome" as reasons for the state citation.` The second patient also had physician ordered oxygen but after, or during transfer to the X-Ray department the nasal cannula became disconnected.
The report states that there was miscommunication between the two nurses handling the patient who was scheduled to be discharged to a mursing home. According to the report the staff also failed to follow hospital policy and check on the status of the patients at 30 minute intervals."
In a plan of correction filed by the hospital, officials said staff would be retrained on the need for patient assessment every 30 minutes and on the process for transferring patients from one department to another.
Officials of Geisinger did not respond to rquestions or requests for comment.
The hospital also was cited for failure to comply with advance directive requirements.
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Monday, July 18, 2022

Adolescent Patient Abused at WellSpan Facility

By Walter F. Roche Jr.

A suicidal adolescent patient at a Pennsylvania hospital was improperly touched by a hospital employee who inexplicably was later allowed to return to caring for the same patient, according to a report from the state Health Department.
An 18-page report on the WellSpring Ephrata Community Hospital, states that officials at the 133-bed hospital "failed to remove an employee from patient care who was being investigated for abuse."
The hospital, the report continues, "allowed the employee to continue to work with the patient with whom the alleged abuse took place."
The unnamed patient was brought to the hospital on April 6 after "self harm was witnessed" in the home. The patient was involuntarily committed and placed on high risk observation, according to health department surveyors. That triggered the appointment of a sitter to watch the patient at all times.
When another employee looked into the video monitor he observed the sitter "sitting on the side of the bed leaning over the patient, who was lying on the bed.
"The employee (sitter)was stroking the patient's arms, face and torso," the report states, adding that another employee who observed the video concluded that the behavior was "not appropriate."
The sitter was then told to leave the patient's room.
"The patient just wanted the employee to leave the room," the report states.
Subsequent attempts to report the incident to a supervisor failed and the employee checked out at the end of the shift, but later called a supervisor at home "because this event could not wait to be reported.
In the mean time the sitter who was never asked to leave, returned to the victim's room until the end of the shift. And, records show, the sitter was assigned to watch the same patient three days later.
The sitter was first placed on administrative leave and terminated on April 18.
In a final finding the report notes the hospital failed to report the suspected abuse to a sister state agency on a timely basis.
The hospital filed a plan of correction in which it promised to institute a training program to educate staffers on the proper procedures to follow in cases of suspected abuse, including initiating actions against the suspected abuser.
In respone to a series of questions to the facility spokesman, Ryan Coyle, said, "We are committed to providing safe, high-quality care for our patients. Following this incident, WellSpan Health worked closely with the Pennsylvania Department of Health to submit an abatement plan that was quickly accepted.
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Saturday, July 16, 2022

US Nitrogen Test Data

Accuracy Test Results
https://dataviewers.tdec.tn.gov/d https:/ataviewers/BGAPC.GET_DOCUMENTS?p_file=55477008693701043
----------------- Bioassessment Results
/dataviewers.tdec.tn.gov/dataviewers/BGWPC.GET_WPC_DOCUMENTS?p_file=184014927837994184

Friday, July 15, 2022

Chin's 10.5- Year Sentence Upheld

By Walter F. Roche Jr.

A federal appeals court has upheld the 10.5 year sentence imposed on a former pharmacist for his role in a deadly 2012 fungal meningitis outbreak that ultimately took the lives of more than 100 patients.
In a 29-page ruling issued today, a three judge panel rejected Glenn Chin's contention that two so-called sentence enhancements did not apply to him.
The panel noted that in setting the 10.5 year sentence a year ago U.S. District Judge Richard G. Stearns was folllowing the findings previously laid out by the same appeals court in a prior ruling in the same case.
"The record here supportably shows that Chin knew in 2012 that NECC's (New England Compounding Center) clean room was grossly contaminated," the ruling, written by Judge David J. Barron, states.
Key in the case was whether Chin's action in overseeing the NECC clean room were in fact reckless and whether the victims, those sickened by the NECC drugs, were vulnerable victims.
The appeals panel found that Chin had been found reckless and the victims, many old and in serious pain, were indeed vulnerable.
Chin had argued that the victims were not vulnerable and his actions were not reckless.
Chin was found guilty of racketeering, conspiracy and multiple counts of mail fraud.
Codefendant Barry Cadden is serving a 14 year sentence on parallel charges. Both Cadden and Chin have also been charged with 11 counts of second degree murder in Livingston County Michigan. Those charges have not yet been presented to a jury.
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Cadden, Chin Motion Hearing Set

By Walter F. Roche Jr.

In a move to save time on long delayed cases, the Michigan Attorney General is asking a Livingston County judge to combine the trials of two former pharmacists each charged with 11 counts of second degree murder.
In a status conference held today the Attorney General asked for the cases of Barry Cadden and Glen Chin to be combined. Judge Michael Hatty set a Sept. 22 date to hear arguments on that request.
The two cases have been on hold for months while Chin and Cadden argued before the state Supreme Court to effectively dismiss the charges. Both appeals were denied.
The two were charged following an investigation into the 2012 fungal meningitis outbreak which took the lives of 12 Livingston County residents.
Cadden was president and part owner of the drug compounding company blamed for the outbreak. Chin was the supervising pharmacist in the clean room where the drugs containing deadly fungi were produced.
Both already have been convicted on racketeering and conspiracy charges in federal court. Two separate federal juries, however declined to convict them on second degree murder charges.
Hatty also scheduled another status conference for Sept. 23.
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