Tuesday, March 30, 2010

Body parts found at Kansas medical waste company


KANSAS CITY, Kan. — A Kansas coroner is trying to identify body parts found inside a truck at a medical waste company.

Seven heads, a torso and several limbs were found last week in a truck at Stericycle Co.

Kansas City, Kan.-based Stericycle handles medical waste such as operating room debris and syringes. But it generally doesn’t dispose of major body parts.

A Stericycle spokeswoman said Tuesday that the company won’t comment.

Wyandotte County Coroner Alan Hancock says the parts were found in a shipment from New Mexico company Bio Care. That company says it didn’t ship the parts found in the truck.

Bio Care’s Web site says it’s a nonprofit that handles donations of human bodies to science. The company also provides cremation services at no cost.

Friday, March 12, 2010

Trauma Cleaning: Without Standards, The Pain Can Keep Coming

by Kent Berg
National Institute Decontamination Specialist

As an instructor in crime and trauma-scene recovery and a board member of the American Bio-Recovery Association, I am often approached by attorneys, the public and insurance adjusters to evaluate the service they or their clients received from other crime-scene cleanup companies.

For the most part, these are just routine questions from people who want to make sure that the service they received was within the normal parameters of good practice. But a few times each month I receive calls that just cause my stomach to knot up and my blood to boil.

With the bio-recovery industry in its 14th year, it is mind-boggling to find individuals who still decide that they are going to start-up a new company and declare themselves “experts” in crime and trauma scene cleanup without any research or training.

It is even more outrageous to find that, although they know almost nothing about the science, chemistry, biology or laws of our industry, they are charging fees that are often four or five times the industry average.

The majority of those operating in the industry today are honest, ethical professionals. It’s the few bad apples in the bio-recovery barrel, so to speak, that amplify the problems tainting our industry.

Example 1: The Hit-and-Run Guys
A husband argues with his wife in their kitchen. As she prepares supper, he grabs a shotgun and, standing in the doorway between the kitchen and dining room, blows his head off.

It is still daylight when the police arrive. In order to see better, they open the brain-splattered dining room drapes. Splatter is on the dining room and kitchen walls, but since the body fell onto the vinyl tile floor of the kitchen, the largest amount of blood pooled there.

The family asks the police about scene cleanup, and is directed to a local company. The company tells the family that payment will have to be made in cash prior to starting the job, and that the family will not be allowed inside of the house while the cleaning process takes place.

The family agrees and stays with relatives until they get the call that the job is complete and they can return. The company is long gone, and upon cursory inspection, the rooms look contaminant-free.

It is now night and, in an effort to keep neighbors from seeing into the dining room, the wife pulls the drapes closed. To the horror of the family, the drapes had apparently never been checked and still have blood and brain matter clinging to the material.

The kitchen floor appears to be clean but, when the wife walks across the floor, bright red blood spurts up between the tiles, making little puddles and polka-dotting her shoes.

If this isn’t enough to re-traumatize the family, the wife goes to remove the now-cold pot of chili from the stove and promptly throws up when she sees a 3-inch piece of her husband’s skull nestled neatly atop the pot.

The family contacted the attorney general for their state, who then called me to review the family’s statements prior to a decision on prosecution.

Example 2: The Little-Extra-on-the-Side Guys
A man who lived alone died in his bed of natural causes, but wasn’t found for several weeks. When the authorities were finally called, the decomposition could be smelled from the street.

When a crime-scene-cleanup company was called in, the man’s relatives were told that the odor had permeated everything in the house with disease. Their recommendation was that everything in the house should be removed and destroyed.

The family, already nauseated from the smell, relied on the “professional opinion” of the technicians and agreed to let them remove everything from the good silver and china to the appliances.

In short, every piece of furniture, appliance, electronic component and fixture was removed because they were declared “not salvageable.”

The relatives were then presented with a bill for approximately $40,000! If this wasn’t obscene enough, a few weeks later the family found many of the home’s contents that were supposedly “not salvageable” being sold at a local flea market.

Example 3: The Cutting-Down-on-Overhead Guys
It is standard practice for crime and trauma-scene cleanup companies to dispose of human-blood-contaminated items that can’t be salvaged. They do this by red-bagging and boxing these items and sending them to a medical waste processing facility. This includes dismantling recliners, mattresses, and other large items to fit in these containers.

In this case, a company responded to a gunshot suicide in an apartment. The victim had sat in his favorite recliner and put a pistol in his mouth. The subsequent wound bled profusely until there was no more blood for the heart to pump. This resulted in the complete saturation of the recliner.

In an apparent effort to save on labor and disposal fees, the crew decided that they would dispose of the recliner by wrapping it in plastic, putting it in the back of their truck and then dumping it in the woods of a neighboring county.

All seemed to go well until a few days later, when hunters found the chair and called police. Thinking that they had stumbled upon evidence of a homicide, the police launched a full-scale investigation that lasted for weeks and logged many detective hours before they were actually able to review the crime scene photos of every police department in the surrounding counties.

When the mystery was finally attributed to this particular crime-scene-cleanup company, not only were they slapped with fines for littering, they were saddled with reimbursing the cost of the investigation. Every law enforcement agency that heard about this dropped the company like a hot potato, and the subsequent media attention tarnished the reputation of crime-scene-cleanup companies everywhere.

I would like to emphasize the fact that these complaints are not clients disappointed with a poorly painted wall or an out-of-true vanity top. These are abuses by unscrupulous companies that are subjecting their clients to financial greed, improper disinfection, and re-traumatizing that no one should have to endure.

Could training and certification eliminate these types of abuse? Perhaps a good portion of them, but in the end, it is the honesty and character of the companies themselves that should be monitored. I believe the way to do that is to pursue standards, as well as meeting with our state legislators to create specific regulations for our industry.

Saturday, February 13, 2010

They step in when crime scene investigators step out


By Ann Marie Bush

Topekan DP Reed doesn't think of cleaning up blood, bodily fluids and disposing of bio-hazardous waste as repugnant. He views it as a way to help a deceased person's family members heal.

Reed, along with his wife, Jennifer, own and operate Jen's House and Commercial Cleaning, 1520 S.W. 41st, which along with house cleaning services offers crime scene cleanup.

"It's not for everybody," DP Reed said. "I like to see it as a transition. It's a start to the healing process."

Jen's House Cleaning was established by Jennifer Reed, a Topeka native, in 1999. In 2002, she partnered with DP, who had experience in the environmental field, and they formed Jen's House and Commercial Cleaning. DP had worked in oil fields and for a company in Florida that dealt with asbestos and lead abatement.

"We were looking at ways to diversify our business," he said about the decision to begin a crime scene cleanup business.

DP received crime and trauma scene bio-recovery training at the National Institute of Decontamination Specialists in South Carolina.

Hollywood has used crime scene cleanup as the basis for several movies, including Samuel L. Jackson's 2007 "Cleaner," and the 2008 "Sunshine Cleaning."

But life as a crime scene cleanup technician is different than the movies.

"We don't deal with dead bodies," DP Reed said. "A lot of it is about interaction with the family. I don't think people understand. A lot of it is about responsibility. We're talking about what is left of somebody's life. Our main focus is the end result."

He has seen his share of horrific scenes, such as an unattended death in Topeka where the body wasn't discovered for two weeks.

"The smell hits you," he said of dealing with death scenes. "Once you smell it, you never forget it. You set up a staging area and begin working your way in. We use a medical enzyme cleaner. It's amazing how hard blood can get."

DP also has dealt with suicides and murder scenes. Depending on the scope of the scene, cleanup can take between three and four hours, Reed said.

Jen's often will place a sticker on the home of someone who have been affected by a violent crime or the death of a loved one. The small card states: "We understand all too well the healing process. Please allow us to help relieve some of the emotional pain by discreetly providing the cleanup process for you and properly disposing of any potentially bio-hazardous waste." The card lists Jen's address, Web site and phone number.

Besides DP, one other employee of Jen's House and Commercial Cleaning is trained to do bio-hazard, crime scene, trauma and death scene cleanup.

After employees at Jen's House and Commercial Cleaning finish a scene, they have to arrange for transport and disposal of the bio-hazardous waste. That is where ENSERV Midwest comes into play. The Kansas City, Kan.,-based company picks up the bio-hazardous waste for Jen's.

Jen's House and Commercial Cleaning is American Bio-Recovery Association certified. ABRA is a nationwide nonprofit association of crime and trauma scene recovery professionals. It was formed in 1996, and members are made up of law enforcement officers, medical professionals, fire departments, coroners, funeral directors and restoration contractors.

According to the ABRA Web site, regular janitorial services can be used for bio-hazard, crime scene, trauma and death scene cleanup only if it is fully compliant with OSHA requirements. Federal regulation states that no employee can be placed in a position to be exposed to blood spills without first:

— Receiving blood-borne pathogen training.

— Having a written BBP exposure control plan.

— Having been provided personal protective equipment.

— Having been offered Hepatitis B vaccine and exposure evaluation and follow-up.

— Being provided with a method to remove and properly store the bio-hazardous waste in properly marked containers for disposal at an approved site.

Only after these five steps have been met can an employee be required by his or her employer to clean a bio-hazardous/crime scene, according to americanbiorecovery.com.

Crime scene cleanup isn't inexpensive, and the property owner is responsible for the cost of the service. In more than 90 percent of Jen's House and Commercial Cleaning's cases, property insurance has paid for the services. If a crime victim has no insurance, sometimes the Crime Victims Board can help pay for bio-recovery services.

In April 2007, Kansas became the 34th state to provide compensation for crime scene cleanup when then Gov. Kathleen Sebelius signed House Bill 2318 into law. The bill allows up to $1,000 for crime scene cleanup and provides a definition of crime scene cleanup as the removal of blood, stains, odors or other debris caused by the crime or the processing of a crime scene. The assistance is provided through the Attorney General's Crime Victims' Compensation Board.