Docs dinged for dirty practices

By: March 18th, 2011 Email This Post Print This Post

Patient exposures from contaminated devices and sub-standard work practices, especially in ambulatory settings, is a nation-wide concern among infection control and patient safety advocates, and for two doctors, noncompliance has caught up with them.

Plattsburgh, NY, nephrologist Dr. Ronald G. Malseptic—is it just me or is does his last name lend a touch of irony to this report?—has been placed on probation by the New York State Board of Professional Medical Conduct for infection-control violations and can only practice when monitored by a licensed physician who is board certified in nephrology, according to a March 10 Plattsburgh Press Republican report.

A state Health Department investigation found several instances in which Malseptic, who works at the H. K. Freedman Renal Center, neglected to wear gloves and gowns when treating patients, including those in the Center’s isolation room, according to the newspaper’s report.

Investigators also found patient recordkeeping irregularities that contributed to the three-year license probation and $5,000 fine, according to the report.

Reuse of devices during prostate biopsies has led to the license suspension of Dr. Michael Kaplan, reports the Las Vegas Review-Journal, March 15.

An investigation by the Nevada Board of Medical Examiners and the Food and Drug Administration’s Office of Criminal Investigation alleges that Kaplan’s reuse of single-use devices, such as endocavity needle guides, potentially exposes patients to bloodborne diseases such as hepatitis B and C and HIV, reports the Review-Journal.

Doug Cooper, executive director of the Nevada Board of Medical Examiners, told the Journal that the summary license suspension was because “the health, safety and welfare of the public is at imminent risk of harm.”

Investigators could not say how long Kaplan was reusing the single-use devices nor how many patients were involved, according to the report.

The Journal reports that Kaplan’s website lists his primary office as Henderson with practices in Las Vegas and Boulder City.

Are you surprised about these two reports, or are you surprised that there are not many more? Let us know in the comment section below.


Articles of interest.

Can you reuse a needle guide if it has been sterilized in an Anprolene Gas sterilizer?

By How Kue Bien on March 20th, 2011 at 8:36 pm

Doctors are known to be non-compliant especially in hand hygiene

Glad to see that doctors are finally being made accountable for actions. I hope that all facility CEos & medical staff presidents are getting informaiton about these instances. It will tell them they need to do a better job of policing physicians who violate IP practices- including hand hygiene.
Oh- to answer your question, no, I am not surprised about the reports. Too often physicians, esp. if not on staff, are not treated as staff would be because administration does not want them to take their practices elsewhere if they are generatting good income at the ambulatory center or for the hospita. So, IC is overlooked until something atrocious happens.
At the place I left in Sept, the chief attending of our urology group had a temper tantrum in the OR because a piece of equipment was dropped and needed flash sterilization. About 2 min into the process, he goaded the tech and RN circulatr with his temper to abort the flash cycle and remove the device. At this point he satureated it with betadine and used it. I reported him to both medical staff and our OF director. As far as I know nothing was done. In his clinic we found short cuts in HLD of scopes by his staff- he was supposedly outraged but I think he and his temper were part of the problem because of the fast turn around of patients that was expected.

By Bruce Cunha on March 22nd, 2011 at 10:36 am

Here is hoping that Malseptic also has Malpractice insurance. If I were his patient, he would need it.


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