er~~.~s~ra~~~~r~z s. ~~o~R.

~~o
A"i"1`URi~~Y GL.;~iI~~Z.f'~L Off' ?~I~t'~' JLIZSEY
Dig=ision ~P 1_a~~12~ i-~ails~~' SlrLei
~',0. I3ox 4S0?9
:~c;~~'~irl:.:'~cw JerSeY 07101

~3}-:

~ECEIV~L~ ~,I~D FILED

WITH THE
N.J. BOAR OF E TISTRY
~~.
ON

~'avit}~ra ;~i3Yara
T~cputy AttUrnc:v Ge~ter;~I
Altc>n~e4 ZxJ: 001702012

S`!:A'1'~ O' ~E1~~ JLR~I~Y

~~EI'AR"1:'~IT~\'~' U~ I:.AW ~1~;T~ t'U~31._fiC SA~~i'~~'~'
~~~~'ISiC)'~t Oi~ GO'~SY~'~11:R AF~f~:~IRS
S"I':'1"1`I 130:'1~tD Ul~ DE's;'~'ISTR~'

oR R~voc.:~rYo:~ o~~ ~~F-~r~ i~jc;~sr o~~

:~.dn3inistrati~~e Action

~~r:,~z~~~r~~ co~~r~,:~i'~T
~icen~c Nc~. 22~~t1?2Y7~(~{)

'l"O 1'R11~;"~'~C~:: I.~1?ti"J~IS"I'RY l~r 'I'I~~~. S'~'A'~'~

41~ \'~;~~~ 1~~RSL'~'

C:l~risic~plter S. I'orritw, ,~ttorncy

C]L'I~tT2lI Uf \TC~4~

~ers~~=, by ~'a~~itlira l~n~ara, I)c~~ut~~

f'~ttorncy General, ~ith of'fic~~s located at i2~ ~-~<~Isi.}~ Street, ~~ifi1~ 1~loor, ~:cwarl:, ?~'et4~3crsey, by
way c~#' Ve~iiicci C~m~lair~t, say's:

1. Com~tain~t~it, G}~risto~l~~r S. ~'c~rrislo, ~ttor~ley General oi`~?t~~~ ,lcrsey, is cliar~i:d ~~~itll

en,torcita~ tl~e la~~~s c~f'tii~ State of~:~;L~~t JcrsGy, ~uzsu<~~~t to'~.J.S.A. X2:1711.-~~3i), i331C~ 15 C'I73~lOtiY~r~:t~

to initiate. admi~listrative disciplinary ~racecdznz~s ~~ainsi persons licensed lyy tl~e'~eti~~ Jersey State
~3o.~rd o!`I~ent.istry {I~c:rc;ixaaltcr tl~c "I3o~rd") ~Surstiant ta?~`.J.S.A. ~5:t-I=~ et sc.q.
2. "I'hc~ I3oarc# is cItar~eci ~vitll ~hc duty avid iesponsibi3ityr of re~ulalin~~ the practice of
d4ntist'in the State. af' ~e~v .~zrse~~ ri~rsuat~t to 3~.1,S.A. ~S:G-1 Ltd.a~~d ?~.J.S.A, 4~:i -14 tit si' .
3. l'tirsti~f;t to'~?..I,S.A. ~S.t-22, t}~~ ~3onrd mn}~ enter ~~n order of tcrnyxarary susp~nsiori
piilC~lil~ .I ~'3It'.11:3P)' ~1C'i1C113~ 0~1 ~n :~dnlinistrati~-e Con~ptaint upon a palpable sho~~~in~ by the r'~tton~er~

Cxtt~eral o1'a clear and iiiitninctlt dan~cr tc~ tl~e public 13calt4i, saf'c:ty rind ~ciiarc:.
4. Jt~h3~ '~rc~CC~1T0?IL, D.I~.S,

tllCi'~fI3~i~~1C'.f

"Res~~at~c~c;nt"} is an oral sur~tr~n, licens~t~ to

practice sus a dentist in the State of'~c~~~ Jcrset~, 1~l'iLj3 c3i1 1CI11'L' IECCT3Si'. I:t1I32~C:i Of'22I~Z02?1730U.
5, ~~c;1\'VCCIl ~~1? a11C~ 7U1~, ~i(iC4'Il ~)81tG131S 1I111~L'f\'~~~f)l C3T1~ Sl1C~Ct'}' j3t()CCC~UCc'.S, V+'I!}l C~C~3

p~Iic;ill TiCCt4'icl~~t li7IT<~Vf'I1ptiS anesthesia, iii Ttcsp~ndeiit~S ~i1C~C~

~..a}:C C~C~ill<tl

ol~ice afld cc~tltr~ClCd ~t

bacterial infection resul~in~ in endacarc~itis.

b. I[titials are usid in flits C'omplaiilt to ~rc~tect the idctititics tai' tl~e paiic~its refcrencecj
licrein. `I'lie ic3c;r3titics vfthe p~ill('11tS iiI'C J~31Q~'1l2 l0 t~tc: RCSp012LjC13i :lilC~ ~la~'C I)CCIl i7l3C~C }:IIO~~~Ii i{) l~]C
I3oard off' Dcntistrv.
C(3U'~`T I
7. Ctcsmplaina~3t r~~eats <and rc~ll~ges the C.'renexal :'1~l~~ations :~I~o~-~: ,as if fatty set fartl3
hercir~.
l0~'LI73bC3' I ~, 20 i ~, tl3e
Q
om. C~II '`

l:nf'orCetnenE Y:3uri.~ti ("~?F3") im~esti~afors, Dtp.lrtTi3et~t ~1'

Hc~ItI~ (,:I~{J~~"} ol'tici<+ls ~~s ~~~ell <is illy local ?vio{ir~i Clive IIcaltlt oftici.3ls peri'c~~~~id ate
i7311t1IlOLii10E;(~

ins~ectic>n oi' ~tesponcient's I3~3dd La~.c office, ~i~l~ich reti~ealeci deficier~cics in

RL'S~)O11C~t31~'S lT1ICCIlOTI Ct)I7[rC)1 ~riiCZICCS.(C'orisent Qrder, ~'il~c~ J~il~~ 7,?UIC, ~3atcs Stamp,'1tY01-09,

atta~I~.cci as F~liil~it A in tlae Ccrtilic~~tio~i of Pati~itl~ra An~a~a, ~~A.G (1icrCir~af:icr "An~a~c~ G~;rt.").

Specificall~~, 1~~C L~C~1CiCt1CiCS ~4Uri(~ tri RCS~)C3t)C~i:ill'S (?~f1C` illtillIC3CC~ il)~ 271i1Ii1~7IC 11St:5 ~f Sill~;~C USC
1'3c~~S Of~~~1'O~Ofv~, 1FS~ Of~COTI~!?7Ul1 <1~COh0~ J711i17~S, pre~llcd

syri3~~es of'iy~edications ~~'Jl3C}1 4TiC~U(.jCt~

Controlled D3n~croi~s Sul~stanc~s (::C:I)S"), c~pir~d and o~cn ~~ials of me:dicatic~n; ~zon-stcrtie
pr~paratit~t~ of i:lsrni~7yents asici poor dacu~nentation a#'~necl3cation units ziscd acid ~~~asted. (.~.~~~ara
Ccrt., E~l~ibit :1, AGE)3}.

~ZCS~Oil(~Cilt ~'tic1S IT71C~C: 3WiJ'C

~f t13c de~iciencics resulting 1ron~ this

insp~ctio~~.(Dep~rt.mc;ni of~~~~lealth 1_~:tte3, dt~iiri T~ec~anber 1,'?01~, 13%IECS St9311p :'1G56 to f'~G6G,
attactiec~ ~~s Lxl~il~it ra to "Ai3~~r~ C~t~t."}.
9. C~3~ January 13,?03 5, tl~e 1:13 ir~~~esti~~tors, U4I-i of#icials ~~r~d cxpct~s it3 Elie ii~lds ofor~l
sur~cr}~ ar1iJ inlcctious dis~~~~sL }~erfonned a second ui~annc~unced i3~sp~ction ot'Rcspc~ndent's ~3~tdd
~._akz oi`ficc:, ~vlliCh

as~:~in rCVCaICd

areas in deed of improve~il~nt ~<<itll re~arci to Rcs~oFtde:xit's

i~~fection co~~trol pt~ac.tic~s.{An~ar<z Cert., i xl~ibi~ :~, AG03-04). S~~eeifically, the additional areas oi'
imprcn'Cri1CIll Ii1CIUC~CCJ I17AI13ICfl113CC Ofdaily' 13~3'COt1fiS IONS, tin~ei~~ t~isposal ofoi~tdatLd n~c~dication,
dev~~c)}'3i71CI11 ~t~CI lillj)JC:t13~I3fiillt311 U~ 3(~d11iUt1~I \~v7111C11 ()i3jlClt^,S.iJlt~ ~1'OCZCjlI1'CS Otl 1t1tCC(30T1 COIl1TOI
and providi~~~ for,tn appropriate space for meciicatinn stor<i~c a nd prcpart~tia~~ areas.(Amara Cert.,
E113il~it A,?~C.TD~}. RCS~UIIC~c:I~l ~~"c1S i311tjC ii1~1'~ft OT'tt~c adciition~ll ~lt'CJS Of~i171~i'p'4'CIT1CiiI rCSilllf)l~
fini~i thi~ inspection. (~~~ifarcenacnt 13urca~i Report, dated .~a~~uary 1 G, 201 S, 1~3ate Stamp !~Cib7 to
r~G$>, attached as C xliibit 1~~ to ":~n~ara Cert.").
i U. C}rZ '~iarcit 12, ?O 1 ~, a DQIi appro~~ed
Fesponde~nt's oi~ice end fol~tac~ ;~ciciitfor~al ;~rei3S

131~lCIlOi1

prevention cc~nsutlant e~~alutitc;d

~OT tT31pCOVe;3T'ICri1 wl~icl~

inclilc~~d, revie~vin~ all

ciocui7~cr~tatiUn> sterilization a3id disi~~fcction procedures, obtainin~~~ copies of Ccntc:rs for Uiscas~
Co~~trc~l and I're~~~ntion("CDC"~ GUIC~CIIAIiS ~Ild iT3a~:iil~ thetY~ accessibly to cliaicat st<zf~', mor~itorin~
Land Ii~~~ienc ~~nd im}~ler~~cntiz~+; apprc~priatc rxeec~l~ safct~f I~Cllfli(~i2c`S. (l~~~w~ara C:cri., ~.xhibit A,
~'~C's0~-1~.G0~).
a

1 I. Un 3ttly~ 7, 2016, Rcspondcnt e~ltcred into an Interim Cc>nscnt Or<ier :~gr~cine to

implcn~cnt additional cl~an~~s to leis c~~ ice ii3cludi~i~~ maintunaiicc of daily narcotics lobs it}cludii~
afnounts c~i'meciicatiosl units used az~d wasted,Timely disposal ~!'outd~ted ~ncdication,dc:~~elopment
a~~d implc~z~~ntatioii cif ~vritte~i policies at~d procedures a~~ inficti~~~ control, i~~~picmentatio~Y o!'
appropriate rleedlc safety tcchr3iques, providiit~ at3 adequate space #:or cica~i medic~ttiat~ prepar~itiati
arias, minirtial issa~;e o!"natzlti-dose ~ials, in~plemc~atatio~i of s'sr~gle-rise sterile 31cc>ho1 ~3ads, use of
strict aseptic iccliniyue ti~,~l~~Ei li~ndlins~ medicatit~ns anc~ adlicrcncc ~~~ii11 CI7C recamn~e~t~cl~~lit~ns ou
water li~~e nl<~i~~t~nance, biofilm and w:iicr gnalitt~ for oral sur~~icai z~nci noii-sur~ieaf y~roccduris.
{Ai~~ara Cen., l xl~ibit :~, ACi06-07), Ites~andent also a~r~cc~ to }~rc~~~ide the I3oarci ~~~itJi a ~noiitt3ly
repc~n ineliictiF~~: u~~-tcrdate copies oral! ~ti~rittc:t~ ~olieics and prc~eedures oti i~lfeetion eoi~irol a~~d
~3sc~tic tccltnique, a currc~;~t n~oit~~l}~ narcotics lt~~ acid ~~~riiicatioti o3'all the clla~~f~c~s i~~lpleca~er~t~d in
his of'3i~e, (:~s3~ara Ccrt., Exllibil A, ACi07).
12. 4ti July 2{}, 2016, I~UI~~ released t~ tltial rcpori oi` i~~vestigation tilled: "Outl~rcak of
rnterococcus ~~a~calis~ l ndoc~rc~itis.~ssnciated ~~~ith a~3 Ural Sur~cr}~ 1'rac.tice_''(DO~~~ I~in~l Report,
dated Jitly 2Q,201 G, ~3ates Stamp ACi I U-20, <triacl~eci as FxI~il~it I3 try "~'1n~~~~3a C~;rt.").:~ecc~rdine to
t13e T.}UI~I report, tltc natian~l incide~t~ce rats of~ll e.ndoc~irtlitis c~.s~s itt tl~c United St;~ies is cSti~tlal d
tc~ be 1 S c.as~s pir l U0,000 ~7CrSUns lei' YC~r, ~vit1~ only 1.~ of tliosi: cases heir~~; t13c ~nterc~coccal
speG~cs ~s1'~ndocarditis. (,'~ty~~;zra Ccrt., IX~11E)Il ~, AGtB). l~o~cvcr, l~ascd on tl~e numhcrof'cases
ic~c:itified as ass~ciat~d with Resposzdet's practice, the incidence rate c~fcnterococc<~1 cndt~c~arditis at
leis ;~rac.ticc ~~-as 372,7 c,~sis per 100,000 p~xs~ns, ~~~hicli is ?4~ times
ii~4idence. rate. (l~ti~ara Cert., I

X~IT~lt I3, !1618).

~1'~i1ll';f I~)~It IIIC Ilational

llC?I-i concludes in al~e.ir r~~.port that s~eci~s of

1 L:ntcr4c<>cci arc ~> .m-positive ar~anisms that ty~ieall}' inhabit iltc ^astrointcstinal a~td ~enitaurin,~r}~ sysicins of
humans. Thr genus cntcroco~ct~s incic~cles rttarc than 17 ~pccics, ~~~ith E.iaccnlis and ~,f~eciunt b~it~~ tt~c tt~ost ~rev3lL'Ili
spccics cultured frtfn ltunt,Zn~. L. 4~accZlis is not a usual compaut~t ofor~l f1~ra.(:1n~~ara Ccrt., I xliibit ~3, r~,GIU),
=~

ente~oc~ccus arc nit ~~an oi'thc normal c~r31 flora and is not corx~~non9y assaciatcd ti~~ith bactere~y~ias
#ol3c~~~~ing oral siir~ery :end that this particular ei~te~~c~coccus f a~ealis ~~~~~s mast tikel~~ introduced it7to
I~14' ~iil)CillS'

bloadstreanzs through

iiC~ITlf111S1T~[t013 OI'intr<~~~cnous setiaii~n

~CC3CIti:S

oi' infecti~~l ~~rc~-e~~tic}t3 ~rac:tices cluriri~.: the

aE t1~e practice.(Ankara Ccrt., I;xl~it~ii I3, AGl8}.

13. :'ldciitio~~al~~~, D~l~l noted that isijcction

53~c;iy t>Cc',:1C~1CS i}lilt I131'C ~GCII Pt'CVIOLISII~

associated wit} outbfeaks of i~3fcctions that ~~~crc ~ziso obsen~cd 3i RCS~OIIC.I~TII's pr<3ctice inctuded,
btti ~~r;re not limitcct tc~: tl~c rise af`si~~~;ic usc. vials c3i't~~edicatior~ i'or ~t~ulti~~[e ~atie~lts, use.c~i'multipi~
usi: ~~iais c~f~mCdit;<Zti~~n its il~e c~ir~et p~tlie~~t c;~rc area, sta3a~c a~1cI use c~f'un~rappe~i s~~rin~es, ~r~tlz~~ti~~i~~g of n3eciic~lions in at~vance of floe {~rncCdt~ri;, tis~ of non-sterile ~~roducts, stori~e ot`
meciicatic~ns i3~ a locker fit tl~e staff' bathroa~7~ .~rtd poor hand hy~icni. (~~.f~s;t~rt~ Cart., S~~:hi~it T3,
AG I F).
1~#.1~riEl1 r~s;ard to injcctio;~ sa!'ct~r breacEtes, U~I~i f`ot3c~

1I3t31 i}lC

administraiior~ of

intravenous .ii~estl~ctics, sJ~zcificalty propofoi, ~~'itliaut adtierin~ to a strict aseptic tcc1~31ique, can
coast serious

~~acitri~il 111fCG11U13S. (~'~iit;ar,~

C:ert ] ~l~il~~t ~3, AG1Sj. F'~c~pai'ol is a lipid-b.~.5cd

~rodi~ct 11iat supports ~~7icrn~ial ~ro~~~tli b~~ efiaE~ling a co~3t<~min~~3i to re~licatc ~~-ithi~~ the product,
~rzsultinL in serious i~lfectia3ls ft~tiowir~g uns~ini~,ar~~ injcetio~~ practices.(;~n~ar<t Czrt., I~~f~ibit ~3,
.1G18).
1 ~. Res~oiidz:~t ~~~as madr a~~~are of the July, 20, ~U l ~
Responcicnt and his coi~nsc:I attc:ndecl a meetin{.~ ;11 i~

t'Cj~03'1 Oi] Jlt~y

2l, 20 T G, ~~~heii

DOI~~ ~~C111lY 111 ~I`i'i:ill(311, ~'e~

~~~hie4~ i)Ol~i officials re~~ic:~ed the: results of t13c I)O~~I im~r:stigs~tion

JersG}' C~IETI~I~

t111C~ ilI1C~IT1~S a21C~ ~ll'0\'i(~~t~

Rt:sn~ndc:nt ~~~itli a cnp;~ c~i~ tl~c July 20,201 G I3OI-i i`si~al re~or-t. (DQI-1 '~~Ieeii;~ !1~e~~da, dated July,
2l,?01~, I:3at~s sttan~p AGfiG to ~GS7,attacI~~:d as ~~;hibit ~~ lu `':~~~~;~ra Ccrt.").

16. 0~~ :~~~giist I9, ?OI6, the I~~3

rtl~teslis~aiors ar~c~ DOH

of~iciais pc;rfar~~~ed a tl7ir~

ttn;~nnouttcet~ inspictiott of It~spontjeni's ~3udd T..akc ofl.icc, ~~~t~ic~l a~;81T1 I'i'Vc;a3ed c~rfici4ncies in
Respond~:z~t's infcciian ca3itrol ~~raciiccs.(I~niorcement i3t3r~,~u Report,dared August 22,2~ 1 fi, hates
St~iznp :~t~21-~~, attactaed as Exhibit C to '`Aa~~a~a Cert."). Spc:cifiealIy, this inspection fUund
cic~t:iciencies including lout not li~~~ifcci to: lack of ~~rittcn in#'ec:cion control pro~rtin~!pr~tocols a~~d
~~olicies t~tic~ procetiures, lack of i~~f'zctioii <~isease

Cg115Ultiiill OT dCS3~231itCC~ C{)~p~jjri~ilOt' fUI' Ills:

;~racticz., lack of d~il}r C"DS Ions, lick of a ctearl~~ d~taned separate area ~I~crc st~l'#'processes and
~~~r~lps inSEriitncnts, failu~~e tc~ rise sterile ~i~~~ter ar sterile s11i33c durinD stir~ical proce:dtir~s, fail~ir~ to
use surface ~,irricrs on s~~itctie~s, li~tits arld cor~nectio~is to h~scs, aa~d overall im~roper iniccti0ti
cc~~~trol and needle said}~ pr~~cticcs by staf~i, inctudin~ but riot limited to: the failttrc in use titric~
~Sc.~lIIL' ICC~lIII(~UC ~~1'~]CIl })3I1C~IIIl~ 111CCj1Cili1UI3S, II71}li'O~JCC IlaT1CII111~ 1I3C~ S101iltiC O~tT111J11-dOS4 via9s,

iron-steri3e prc:~aratic~n ot~ i~~strun~cr~ts anc~ tiie improper handli3~~ ar~d dis~~osal ai' i~eedl~s ar3t#
s~jriii~~:s. ~I~.I]~1I'a Cc:rt_, l~lfiibit 13,:'~G2~-?5, 38-~4).
17.:'1dcIitian~ally, Rc.s~o~ident ~~as not provided tl~e i3aard with a 1~tantlily report ol: up-~odate copies of :tII

Li-ritten

potcics

tiI){~ ~)i'OC(:(It1fCS 0111 Illff',CiIUt] CQI11r01 and

ase~~tic techstic~ue, a

currcr~t mc~z~iJ~ly n~~rcatics ]cog ;end v~ri~c<~tion c>f all the: changes i3n~lerncnied in leis mice as
rcquirc~~ by zl~e ecnns ofl3is July 7, 20l t> lizt~rim Consccit Qrc~er.(Ans;ara Cerc., ~~xl~it~it ~1).
3 8.']~he restarts cif'th~ inspection indicate that Itesponc~cnt izas ft~ili:ti to comply t~~i1131he Jttlt~
7, COI G

GOnSCtlt Oi'C~Cf iiS ~VCII i~S C~G I13IC(:110F1 Cn11t1'OI I~3'iiCl1C~S ~nr D~11lISlT)~

gas r4gtiirid Icy

l9. '1`!~c actions ofRespt~r~deiit dcscribcc~ h~rcir3 constir~ite dross ne~lis~encc;, malpriiCtlCi' QC
~i'OSS 1ClC:Qil]~CiCIlCC: l~~Elich
F'i;J~i;aiCC~

enclat~~erzd the lii~, lte;iith, ~clf'are or safety oi' ari}~ persoF~ andlar

acts of'aae~ligcnc~, malpr:tcticc or incpmpctcnce pursuant io i~..t.S.:t. 45:1-2](c)aa~d {d).

Ci

20."~'hL actic7rts of R~spc>ncicnt dcsc,~ibed I;~r~in cotrstitl~tc: prc~f~:ssianal ur occupatir~nal

z~~isci~nc3tici pl~rst~<t~ai its ~.J.S.~1.. 45:1-21(e).
21."I~I1C ~1CtI01lS O~Ri:S}~017C~Ci1i C~s'SCi'1~)~C~ I1CI'~IT3 COTiSI11lItC ~i 1'10I~~tion c>f'~.J_A.C'. 13:30-8.5,
~3~l~iclz rc;quis~~s ]ice~nsc:es tc~ compl~~ ~z~itl7 occupational Sateiy ~~nd 1~~ealth f'~dn3inist3-:3tiotl {'`OS}-~A")
re~~~,ati<>r~s coricc~cnine occ~u~.~atinna~ e!~poscare to blood r~r oii~er pc3te~~ti~illy II1~i:C:[iOt25 iZl.ttexia]s, as

s~~c:~ll as the C.Y7C Rec;Utun~i~~ci~;.d In1'c~eti~n C'~nirol I~racticcs for I~)Cntisiry;~a~ci as such prc3~ric~~: basis
l~~r disci~~lit3i ~ut~suaait to'~.J.S.A. ~~:1-2I{1}).
?2. Ides;7o~~~`3ent's faiiuie to at>ic3e b}~ cl~~: July 7,2036 Coitsc:tlt Orticr results iit 3 ~ialatic>n af'
his duty to cac~~crate ~~~ith a B~arci tJrdcr cc~iystitt~tin~; bra#'cssion;il or occ~tpatic7nal misconduct
~tirs~aaT3t to'~.J.S.~. ~1~:1-2](c),
23. 3t~spar~dcnt'5 CQII{~13(;I i~5 :3~IC,?ed hcrci J~aly~ably CI~;t71{)f1S13'1IC5 l~'33l

115 C(3i111t]11C(~ ~)T1C11Ct'.

~S ~i L~~11tiSC in ?\C~~~ .1(:ISf'~~ ~fCSi:IlIS Z CICc~T i1;1C~ iI13iT7iT]Lilt aaf7~tP IO '{~l~ ~L1E)I1C ~ICt1~tlly Si1~C~Y. i3tlC~

K~c~1<iz~: ~~=arranti~3~ t3~e imTzi~<iiati ti~npc~rar}~ sus~cttsion ~fhis license puri~ient to'~ _J.S.~'1.45:1-2?,
Ct}C ST II
2=~. Ce~n~~~lainz~;t r~}~e~sts and reall~~ecs the Ciet~cr~il :~lIe~~~tions <~t~ci fi~c ailc~~tiotls of tlz~
~~r~:ccdixia Count <is ii' fill}~ set for~l~ I~er~iri,
2~. 0~3 ,lt~ne 3, 2013, IZc:S~Q2lC~CI3t ~JC1'f01'ri~C(I ~i31 C:4Il"~iC210i1 0~'tooili =;3~} on patient J.D. ~nc~
admitzistcred i~ltra~~enous ancstll~tic agents, inciudin~~ propof`ol. 1.D. is a 55 year ~lci ~a~e ~iil3
cardiac llistai~ti~ cif- 3~ziti~al ~~a1~=e prc~l~lpsc,
2ti.:'l fel~~ rnont~~s later, 0~1 C)cic~bcr :~0, 2{}l ~, J.l>. ~~~a~ adn~ittc:c~ to Sai~3t Claire's l~~ospital
aficr c~,~~~~laints oi' fever
4'I1t~OGc'i#'{I]El5 ~3~.ICt

Sli1C(; I11S Uf~~~

si~~~c3y ~rc~c~cl~are. J.i~, ~kas dia~~ioseci ~itli l~~ctc*ri~il

.aa~ 4cliocardio~ran~ s~~o-~d ve~et~~tion iz~ the aortic valve and l~load cultures

rcttin3ed positi~-i: for enti~rt3coccus 1`~icalis. J.D. ~~~as Tre~~teci ~~~it3~ antibiotics and dis~~iar~ed or
?~`o~+ir~lt~cr ~. 2U13.
2?. Oti'~c~~-imbcr 5,20 ~ s, J.n. vas rcadF3iitted to ~air3t Clarc's 1-Ic~spitai ~it~te;r cornpl~iints of
'1i~C1IiI1CSS ~~lC.~ L~T~(7~)1I1~ Qf' leis

ri~}~t ie~. Iaurin~ this admission, J.D.'s cnter~c~ccal aortic val~~c

c~~tioc irditis ~~~as coniinncd ~e'llll 1 iT'f'.:i1T1~lCIlE '~7~~I] Of'co~tinued antibiotics xttd ~~ossil~Ic Izcat`! surgery
to repair tl~c aortic val~~e.
2b. On '~ovcFnl~er ~i, ?O 13, J.D, 'vas transf'errecl to ~~orristo~~~3 ~lcdic~l C~ntc;r !or I~cart
surer}~ ~d uruler-~a~c:nt an aortic ~~al~~e repIacemGnt d~~c to the bactcrial endocarditis.
~~. RCSj)Ot1C~Cf3i's failure to adllerc tc~

C~aC' Infcctian Control Practices fc~r i~ccitistry, WJ31Ctl

includes ~~ractiees in inf~ctic~n cc~ritrol, ~3sc.ptic tecl~nigzie, injection safety, land li~;~ienc, ~4~at~r.
qu.ility and ~nedica(ic~n pre:~~~ration, exposed J.1~. to a risk ol~hann ot'contractiii~ ~.i ~:1CIi:fI~~I 1l1fc;CiiUI1
r~st~l.tin~; in efidocaiditis.
30. "1`l~e; iiCll(ST1S Q{ RCS~~OIt(j~Ill (~CS(:i'I~CCI ~1CCL'ltl CUI)SI1(tl1C ~fOSti J3C~Ilf,~t'.nCC, malpractice or
!
`
~.,F~.)SS II1COt11~)l'.IL'13Ce V.`~IIC}1 Gtl(~~i1f,~CI'CC~ Tlll

life, hcaltl~t <e1f'arc or safety of an}~ person and/or

Y-epe:ticd aces of nc~li~ence, m<~I~~r.iC1lL'C 03' tt3Cnitlpt'1e'T1CC ~11iSU~3fii t0'\~.J.S.A. ~~:1-21(c) acid (d}.
~1.'i~hc

iiC:ll<)TlS Of I~~:S~)piIC~CJlt (~CSCT'I~L'L~ ~3i;1'C1I1 COC1Sl.iCt3lG'

proiessi~~~a~l or t~ccupationai

r3~isco~zduct pursu;~ni to N.J.S.A. ~~:1-2](~;}.

32." tie actinns c~1'Respancicnt descried I~erein constitute a ~ri~lation ~f''~.J.A.C. 13:30-5,3,
r~~hict~ r~gitires ficensccs t<~ cc~mpl~~ ~~~iFh C?cct~~~ational Safc~iy and I~~e.tlill Adn~i~yistr~ti~t~ (:`{)SI-IA")
re~i~i~tit~tis conciri~irt~ occt~~sitioilal c;~pasur~ to blopd Ur otlicr polt~~fially infectious ~3~t~ic;rials, as
z~~ell as the C'DG I33fccti~~~ Co~itroi I'racticcs fur Dc:~~tisznr, ai3ci ~js si~cl~ ~~r+~~-icie l~lsis for t~iscipline
pursuant to N.J.S.:~. ~{$:1-21(10.

Cf)U~'T TIC
33. Can~pIainant rc:pcats and r4~tile~es tiic Gcncxal ~lllz~ations znci t}3e a~lcc~ariot3s in ~~c:.h of
the ~~rc~~ious counts as ii'!'t:Uy sct forth tiercin.
3~. UFl :AU~,'L3S1 ~ I, 2t?14, ~~L'S~]C1i1C~~Flt ~~C~OCI31('.C~ c'..l'I2'c3CElQ~$ ~f IOUIJI ~~s 2,3, 14, 1 ~ ar~d

16 ors

patient J.~3. ~tnd ad~t~itlistered intravenous ~nesthctic <~~~cnts, i~ic.ludin~ propof'ol, J.~3. is a ~ 1 yc;ar o[:i
t~lale ~i~itl~ sto prior cardiac hisic~rti~,
3~.:'~ #'eti~~ r~lantlis later, 031 N()~~ernber 6,20]~#, J.I3. ~~r,as acitnittcd to Saznt Clare's I-Ic~spitai
:iftcr com~~iaints ~i'n~iusca, van3itinL, f~ti~er and ~~~eis~lit Loss sitici: lZis or~~l sttr~;er~~ proccdtire. J.13.
~~~as dia~tioscd ~~~iEli cndac~trditis c~Ft.he ~iortic ltcart ~~al~~~ afier ~~n ~cl~acai~din~~r~in~ s~~o~ved ve~et~atio~~
in i1~c: aortic ~~a1ve. anti blUnd ctiltcrres returned }aasiti<<~ for entcrococcus faecalis.
3G, J.I.3. eras tre~tLci taitJ~ ~~~ ar~tibic~tics ar~d ~~~as discllar~ecl ~~i i~c~vc~ritac:r l 7, 201 .
;7. ~Zcspt>ndcnt's f~3.ilurc tc~ acii~erc to CI~C Infcctic~~3 Gon~rnl Practices f`or TJe~ztistry, ~v~iicl~
includes practices in iniecti~n co~~trol, aseptic t~cl3atique, iaijection safety, Band Izy~iene, t~~atc;r
yualit}~ ~at3c~ medieatian ~~repar,itioii, e~.pc~sed J.13, to ;~ risk oi'h~rn~ ofcontra tine a bacterial ini~etian
~'esultin~; itt c:ttdt~e.~rditi5.
3K. '1'~e actions nf'I2esponcic~lt described hercis~ constitute grass rie~li~itice, malpractice or

grass incoin~ctcncc ~~~l~icl~ en<iant~ir~d tl~z. life, lsealtl~, ~vel~'ar~ car safety oi' aii}~ perso~i ar3dlor
repeated acts of'ncs~li~c;nee, m:~I}~ractiee ar incon~pete~nee pursuaF~t to ?~'.J.S.~1. ~~:1-21(e) a~~d (d},
3~. 'I'l~c:. nctians of IZcspandeni described l~crein c~nstitut~ proi~ssi~nal or c3ccuplti~nai
~i~iscc>ndticc ptir~i~ant to'~.J.S.A. ~a:l-2l{e).
=~U, 'I'!7c actiocis of R~spc~rident described lierei~i constitute: a ~ialatit~n ofN.J.A.C. 13:34-b.5,
~~`I31i:I1 CCC~UIi'CS ItC4'Tl$L'4S IQ CQI]lJ3IY

wit12 C3SF~i~ iC,~U~i311OI}y ~:px1CCi'11)n~ ~CiU})~t10IlAI ~:~posurc io

~i

b10od or o11~cr potentiafly ir~feCiious n~aierials, ati ~e~ell ;~s the CUC ltifectian Control Prticticcs for
Dci~tistry, aria <~s such prop=icle ~~.isis fordisci~linc pLyrstiant to'~'.3.S.A. ~~:1-21(h).
CO~~?~''1' IV
~ 1, Complainant repeats t~nci r~a]le~es t~~c Cier~er.~t Aile~;ations 3nc~ tl~e ;ille~ations in ~.acl~ of
t13c~ ~>rc:vious counts as it' full~~ Sci !Drib hircin.
~?. Ori Sc~t~mbc:.r 25, 201 i, Responde~3t p~t4'c~rnlc.d 1 tissue t~iops~~ os~ ~atierit '~'l.C. ~~~~d
aci~l~inistLrcd intizc~enous anesthetic a~e.s~ts, iylcliiciin~ propofol. ~~#.C. is c~ 6fi yeas old icmal~ with a
cardiac hisiar~~ ~f n~itrll ~c-al~~e }~rol~~~st.
~i_ ilpproxi~t~atel}' OI)C

I17Qltl~~

toter. an October ?C. 2~1i, 'v1.C. ~~~as acimitt~t~ !t~ Sai~zt

Claire's l~lospital a#~cr cc~rn~l:iits oi'fe~~er, chills, tti~i~t s~~~Ci~IS 1130 ~~'ci~~~ll iQSS S111CC I3CC OT':lI StiP`,ery
~rc~cedure. '~~.C'. ~~~zs diagnosed with acute bactcria~l iridUCZrditis ~itcr apt ~cl~ocardia~r~tn sti~~ti~eci
possible ~~e~ctatio~~ ailc! blood t;ultures rettin~et~ positive for enterococ~us fZecalis.
4=~. '~1.C, ~~~as ~r~ateci ~it}t intravenous <3r~tibiotics a~~d ~~~as discliar~ec~ osl October i 1, 201 i,
=3~, I~P.SnOilLIC13F's ~ailur~ to ~idi~~rc to CnC lr~fcctior~ Control }'racticcs for T~eilti5try, ~hich
121CIUC~I~S pP<iC11G Slit ii1~CCilOil COilll'O~,

aseptic techniQue, ir~jc:ction safety, lianci li}~~i~ne, ~ti~atcr

quality and medic<aiic~n prep:~ration, ~xpased ?~4.C. to a risk of harm of cantractin~ a hact~ri~l
in.Ccctioi3 3'c'S1311]ill
'
J lIl ~I1C~OCc1tY~1If$,
~6. Tt~e aetio~ts t~f Rispondcilt dcscriUet] i~erc;in co~Ysiitute dross nc~li~enCc', nz;~lprac[ice car
LCO55 I11C~J~3~)L'I~I1CC

1~']31CI1

C'.T3C~1ili?Lf~:t~ 1~1C Il~t,

1~~altha ~~~cli'are car s~~fit}~ of a~~y per~c~n ar3d!or

r~:pe.ite;d ~~cts of'ttz~li~~ncuT Il'11IJ)Tc~CtiCC OF 1I1GC3It1~?l'.tCI'1Ct; ~?tiI'SU.~~3t to ?~,J.S.r~. 4~;I -21(c)1nd (d).
~7. ~~~~e actions of rtes~~ondent described }acrein coitstitutc~ profc~.ssional or orau~a3ioz~al
miscc~c~dc~ct p~3rsti~tnl io ;~T.J.S.11. ~#>:7-21(c).

l0

~8."I'l~i actions of Respondcait described licrein constitute a violation c~f"~t,J.A_C. 13:30-8.~,

1~}11G~1 1"~L~UIt"CS i1C~T3SCi;S iQ COI?l~)~~' ~~~7t1~

US~-~~'1 re~ulat.ia~is conccrnin~ occupiil10T111 C'.\~USUi'<: 10

blood or ether potetitia}ly in~cctiaus ~nat<rials, as veil as the CDC ~tltectiozi Coritr<~I Practices for
T.)c~~tzstry, a~ic3 as stick provide b~isis for tliseiplit;c p~Yrst~az~t to ~I.J.~.:~. ~~:1 ~2](h}.
CQLiNT '4~
=~9. Co~nplait~ant repeats and rcalleg~s the Getleral :'llle~llit)I1S fiilC~ i~]C ZIIi'~,~itio~ls i~1 each of
the q>rcv'so~is coy:nts as if~ Bully sit forth lzcr~ii3.
~0. On ran~~r~123, 2013, Res~otule3;t perl'orrncti ~~n e~,traction ot~tootli if 18 on patient ~~'.t..
<zr~ci ac9ministcrecl intra~~c:nous ane5tl~ctic .3~~nis, inCttidir~~ proporol."I'.1_. was a ~4 }year old n}aIe ~~itl~
~ic~ prior carcii~3c ~iistc~rr.
51.:1 te~~~ mot~t~is later, "I'.I... t~'~is ~iL~t~111ieCl lq St. C1~3rc'S I1QS~)31a1 ~ift~r coiziplaints of fever,
ni~.i~t s~~~e<its rind ~~=eight loss since leis oral st3~~ery procedure. T.~.. ~~~~is dia~nos~d ~~~itlt mitrat
~c~rtie v<i14~e i;r3docarc3itis t~f~c3 ate ~cllocardio~r~in si~o~cd vegetation on t1~c n~itr:il aa~d aortic

and

~~;~l~res

and Mood cti#lures telurncd }~osilive tc~r cnttaracaccus f~ccalis. Un ~1ay 20, 2Ui>, 'l~.Z.,.
~~~as
tr~iFisferred to ~~~c~rristc~L~'Il '~~L'diCill C'critcr for z li~ar~ valve rc;~laccn~cnt sur~;~ry.
~2. O~i ~ia~~ ?2, 20I3, 'l'.L. t~nden~~e~tt ~n aortic a~~d tilitrZl val~~c iL'~)~~CP.I13C'.I31

~1IlC~ tva.5

tjischar~;ed io <t r~liabiliiatioti cct~tcr for neuroct~~~~iti~+e rclt3b and at~tik~iotie therapy.
53. ~~1 rvovei~~bcr ~, 2013, T.L. died as a result o#'a post-operati~~c i~~fcctic>n oi't13e
lzeart,
~~~it1} i31~ tintierl}'it~g cause o1~de~tlt bt',in~, coitt~licatioit~ t>f et~terUct~cc:us c:ndocarditis.
~~. ~Zes~~ond~ait's fiillirC t0 ~iC~~3('t'C (C) CDC IJ3~lCI)OIl C011ITi7I I~I'i1C11CL:S ~O1' DLIli1S1T'

}t, ~~liicl3

I11GIi1C~C5 }?fc~Ct3C~S FI1 i11~CC1l011 COil1TQ~; aSC~11C tCCI7111C~1l~,

tt3~t',C11UI1 Sa.~Ci~', }lillt(~ }]tif?lCI1C, \\'Sic't

quality

:illtj

zn4c{ication pri;paration, exposed T.I.,. to ~ risk of 1~<trtn of coralractia~g a bacteria!

~nfi:ctian, resuliin~ in cncioc~~rdi~is.

JJ. TJ3C iiCI1QII5 a~'Respondent described

~rc~ss islcomgctence ~;~I1FC}]

G11C~111PC1"tC~ 1~1C

I~erein constitute gross izc~ii~;encc:, ma]}~r~~ctice; or

lif'c, health, ~~~el{<ir~~ car saf~t~i oi' a~iy ~crson

a~lCl!Or

repeated zcts ol'negli~~cncc, maipracticc or incoilypet~nee ~~~rsua3;t ta'~.J.S.:'~. 4~:1-21(c) as~ci (d).
j{~, ~'}~~ ~{~.~~~I~s oP Itespandent described 1lerein constitute profcssioizal ar occu~atiot~al
]321~CC3I)C.~UCI ~13fSEI1111 t0 `~F..~.S,A. =3~:1-2i(c~).

57, "1'hc actic~its of ttc.~pondent described herein constittitc ~i violation cif~.J.A.C~. 1 i:3U-8.~,
tti~hich requires licensees t~ coi~3~~1~~ ~ti~itll 4SI~i.A rc~til~itfails COriC~rrisns~ t)CCu~]I9IIOf1~I L'\j~OSi1T'C 1V
~alood o: atl~e3 ~otcr~ti~l]}' iiisecti~us materials, as ~;=ell as tl~~ GT}C Infectiory C:~~itrol Practices for
~ent~stn~,:~rzd a~ such provide biiSl:i ~OT' C~1SC3~)lllll'. ~lll'S11i1TIS 1U ~t.J.S..'1. =~>:1?3(li).
Cnt?ti's''~'T
SS. G~iiipl~ii~3~~nt rcpc~lTS s~tl(~ 1'~~I~Ci;GS lJ1C GCIIi'.fi3l AIIC~?~Li3p11S ilil(,j 1~1t ~l~~~f'_~110I1S lI7 ~acll cif
t~~c ~~rcviaus cau~~ts as if` full}~ set forth herci~l.
~~1. Qn I7ccer~~t~cr 2Q,201?, ~t~spondcnt per#ormcd an extraction of"lootlZ ;i9 07~ patie~it G.~,
and ~tclmi~~istered intra~~ei~oeis ~tnisthc_tic agents, it~ciuc~in~ pro~~ofol. C.i.N. is a 7:s ~~i:~r old ~~iale ~~~ith
~t~ ,prior history o!'~t l~et3rY c~ndiiio~t,
b0. ,'lpproxir3z<~tcly o~3~ month laler, on 3<tnuaxy 25, 2 13, G.'~, ti<<is ~ac~3nittcd tc~ \+~aaiatcc
~~et3zorial ~~ospitil irz I~lorid~~ ailcr cosnplaiiits of fet=er, ~ea~:ness and back pant si~3c~ iris oral
stsr~ery procdtirc;. G_~_ ~+~as dia~,noscd ith ba~t~.ri<~l ~rulocardit.is af'tcr t~l~c~d culiur~s r~tiirztcci
~ositi~j~~ for ent4rc~cocciis 3'aecz~~is.
Gi. G.;~. ~~~as tr4ateci ~~~i~h intra~~cn~us antibiotics :~nc~ ~i~as discharwed to a rt}~~bi~itatian
fiiL'IIII)' on

I~~~nuxry I4, 2013.

62. Respondent's fiiilure to ac~lt~re to C'I)C Infc;ctiot~ C~ntrnl 1'racticcs fc~r D~nlistry, ~~-1~ic}i
ix3cliides ~rac:tices in inlec:tic~n cc~~itral, aseptic terl~nigf~e, i~~#cctio~l saf'~t~~, haxic~ hy~icne, ~i~:~ter
~?

duality ~~nd medicat'san prc:~:~r~ztion, cxpost;ti G.~. to a risk of farm of cc~nt.raCtin~ a bacterial
inf'c;ctiort ~'~sultin~a in cnd~card'stis.
G3. '1"lie actions of'Rcs}~a~uicnt described lyerein caristitute dross FZe~li~enccT i~jalpractice or
dross

1i1CU1t1j~Ct~11CC

~~-l~ich ~ndan~cred tIle life, health, ~eii'are or sa#'e.ty ofany person and/or

rc;~catecl Acts of n~s;ligCr3Ce, mal~~raciiCe Or ii~Ct~t3lpCtetlCe pLtrSit~ir~F to ?~ ..~.5_'~. X5:1 ~21(c) ~tid (ci}.
G~. 7'I~e actions of Itcspondent described I~is~~ein c~nsiit~ite ~rofessic~nal or occupational
r~~~sc~r~duct pt~rst~~nt tc~'~.J.S.A. ~a:l-2l(c},
b~.'T'}se actiai~s of'Respa~~dcnc d~scrit~eci hcr~in constitiFi~ a violatfo~~ o#'?~..~..~.G. 1 x:30-8.5,
~l~IliCI7 I'CC~Ei11"CS ~1CCI1S4CS 10 COIl1~I~~

with OS~~~~ re~ul~tiQns conc:crnin~ occt~~atiot~al exposure to

bloac~ car other potentiall~~ i3~fcctic~t~s ~n~ltcri,3ls, as ~~ell as flee GllC: ~niect~oi} Control I'ractic~s far
l~entistn~, aI~C~ aS StiCll pf~~~it~c ~asi5 Ic)Y t~iSCi~~itte ~JtlrSUattt t0 N..~.S..1. ~~:1-21(h}.
GO(;'~'T''t'T ~
6(i. C~.~mplairiant repeats a3~d ~c:~lic~~es tl~c General Allcgatia~ls a~~d tl~c: a1le~ations in each oi`
i1~4 I7re~~iotts counts as ii' fu11y set forth herein.
67. U~~ June~?0, 2U14, Ites~o~lcieitt perforn~ed an extraction o!'to~th i-s 1, lb, 17 and 32 on
~~ati~nt'~i.,7, ii11CI 1C~I111IliSlCfC;C~ 3l]ll'c'il'(:ilOt3S i111CSlI1CI1C:l~wents, i31C1ltCltf3g ~r4hofC~1.'~~I.J. isa 31 ye~tr~ld
~~~:~lc; 4~~ith n~ prior cardi;~c history.
fi3. A fe~~~ months tatcr, on October S,201 ~, Ni.J. ~~~as ad~t~itted to ]-iac:kc~l5ack l~~Ios~ital aiYer
cai~~plaints oi'~cakness, dizrincss and r~~iasea sincr: l3is ac~tl surgc:.ry praredure. '~-1.J. gas <lia~~nascd
~~~ith b~ct~rial cnc~ocarditis tzft~r ~ilt~od cultures rctl~rn~d ~~ositi~lc f'or Lnterococcus fa~cali5.
G9. ~~.J. eras created ~~~ith iritr~~venous antibiotics a~Yc3 ~;~s disch~;r~c;d ot~ October 10, 2014.
7t). YZ~sponciciit's failiirc ~o adhere to CI)C t~ifcctic>n Coiztrc>t Yra~tices far I7cnlislr;f, ~+iic3~
iracltid~s ~~r4tetic~ts i~t ini'eCtion control. cas~ptie

tcch3~iqu~, 113)CC11QIl
13

SC~fc:ty,

land li~~gicrte. ~~~atcr

quality 3i~d snedication prcp~tr~ttiat3, cxpased ~~.J. to a risk of l~ar~n oi~ ~Oi3tT'1C11t3L?

~3 b1CtCrl~1~

in~ec.lion rest~ltii7~ in Gndc~carciitis.

7I , 7~ie actions of~Rcsponder3t describzci I~er~in cor~stitYttc =dross nc~li~cnce, ~~~alpracticc or
i;t'OSS it'1GO1Tlpittllce ~V}11C~) CF1C~~J3~Zt~(~ 1f]C:

life, l~ealth, ~~~~tfare nr saict~~ of ~zny per~san ai d/pr

rL.pe.~ti~d acts a1'ne~Ii~,enec, malpractice ter ir~coFnpetence pursuant tc~ ;~r..I.S.A. ~~:}-21(c) a~~d (d).
7?."I~he acsioris of Respondent ciescril~c~c~ hcr~in constitute

}3rOfe;SSlQi11~ OC C3CCu()~IlOili3~

~nisconciuct i~ursu.~i~t to ~.I.S.f1~ ~S;l -21(e).

73. Tllc a~tit~~ls of ~Zes;~ondz;:E Cjt'.SCI'Yt?CC~ Ii(',CC;ltl CUflSllllllC ~i 1'lU~1l1UI1 Ofi~..T.!~.C~:. 13:30-8.>,
~~~~iiel~ requires Iicensecs to comply with USlTr~ rerulatians c<>nccrnin,~. occupational et~osure to
~~AUd Or ()1~te:C ~Otct]lial~~4~
I7et~iislr~~, anci as suc~1

ir~fectioias ~nt~tcri~3ls, as well as tl~e CI~C Iilf`ection Cantral I'raCtiCes far

q~ro~~idc basis fi r disciplir3c pursuant tc~ ~.J.S.A. ~~:1-21(il).

CO~;i!'I` ~rII~

7~, Co~nplai~za~it r~~3eats arici re<illeees the Giii~r~zl Allc~~~tior~s ~~i3d the ~illegatior3s in each of
tl~e ~rcvio~~s counts ~3s if fu31y sci f~rih herein.
75. t)~1 iuly $, ?Ol i, RCS~1Qt]C~CIIl J7CI"t03'l1lCCI

ZIt c',~11'i3CtlOi1 OI'taoth

ris 1, 16, J 7 a~1d ~2 on

.~atscnt 5.3.3. <tnd ~d~~linistcred i~~ir~vettot~s anisthc;tii t~~~ttist 1I3CIUC~311+;~rc~~oio1. S.I3. is a 2l y4;~r alc~
f'c:~naIe ~vitll rio ~iric3r s:.trdi~~c l~isiary.
'7G. 4n 5~.~~tembcr 5,2p l 3, 5,~3. was t~LIT1311iCC~ t(> IZt7bii1SOt1 ~>lcmori~al I~.otipil~tl ire OSiit~ af~ic;r
complaints old i'~vc.r axed r~~c~nr~ry loss si~lcc l~cr or1I st~r~ety prczcc:diirc. S.~3. ~~~iiS c3ia~nascd

~iih

bactcrit~i tndoc~rclitis a1t4r blood ci~Itures reitirn~d posiiivc #`or ~;titc~rUcoc:ctts facc.11is.
77. O~z Scpt~n~ber 9,?U1~,S.i3. undci~vcrit lie~trt surs~~ry for an aori.ic valve;rept;ir due to tlic
t~act4ri~~l ~nclac~rr]itis.

14

78. Iti:spos~dcnt's f'aill~re to aciizc:re to G~7C Inf'c;ction C`ontr~l ~'rac~icLs for Dcntistryt -liicl~
includes practices in i~~#cctia~l co~~tro~, ~SC~t1C

tLCI1113C~1it:,

inj~.ctic~l7 sai~et~f, I31i1CI

~1~~yiirie:,

~v~ate~

<~uality end 3i~cdicatiot~ prc~ar~tior~, c:xposcci S.I3_ to ~ risk of i~arn~ of contractit3~ ~ bacizri.~l
inlc:~iic)ai r~st~ltinb in inc4c~carditis.
7t). 'C`13c ilCIiOJ}S ()~IZCS~Ot1C~~Ilt L~CSCI"t~7iC~ ~lCrC1I1 (:0115tiilllC Li'~SS 3'4C~~i~CilCC, I11i1~~3i'aCF1Ci: Of
;.:Ct)SS 111CQTll~ztt^I1CP, ~'~~i~icl~

endzn4wCi'c'.t~

tI3C ~lfL', ~~t',<i~l}l, WC~~til'L OT Sii~Cl}~ 0~~ ~Fl)7

persC~tl ~ilcilor

rcpL.itec~ :lGi5 t~#~ Ilc;~Iiye~~cz, ~~~al~racticc; ar incorn~>c~terice pursuant to N.J.S.A. 45:l -2l(c) ~3d (d).
~i{). "I`l~~ actions of ~~cspondint c~cscribed herein constYtute praf'~ssic~r~a3 or r~ect~ptuiaial
~niscotx3uct }~ursti~ini to'ti.J.S.A. ~i:1~2](c).
~i I.'l~he actions of R~Sf.)Qi1C3Cl3t C~iSL`Ci~C(~ }1l'i'~121 C~tlSilttit~ a ~-iolatior~ 01`?~..i.A.C'. 13.30-8.>,
ti~~Jzich rcyt3ires lic~r3secs try corn~ly ~~'i1Ji C}SI~IA

I'i'LUlations conccn~ir~~

occu{~ationtil iX~~O:iurC O

blood or ot}acr potc:.ntiall~~ irif'ccti~f~s n3atcrials, as ti~~ell <3s tl;~ CDC I~zi`c:ctian Control }'ractic~s fir
~3~ntistr~~, and as such ~~c~aicic~ basis for disciptin~: pursuant t~ ?~.J.S.~1. ~~: -2 3(~i).
C'U'[:~T i:~
S2. Cc~ii~ptain~3~it re~~e~ts atac~ ret~l}~~is t13e Ge~aer~l ~'111c;~~~iioiis .end tl~e ~~13cgati~~is i~~ each of
1~3~' {)CC1~3011S COUTIIS ~1S ]~ CilIIY

set tc~rtli I~~rcin.

83, Otl !ul} 3l, 2flI4, Res~~o~tdt.3~t ~~crforsn~c~ a tisstiC biopsy on ~~~~tieitt X7.1~V, and
<~di~~ ir~istcrcci itilrt3vC110US 711CS1~1Ct1C <lf~4tliS, includins; prr~pc>#'~l. I).~~J. is ~3 72 year old fcm~ile ~~-it~~ a
cardi~ic liistar}~ c~f'l;~~perics~siott end ~.c~rori~ry arten~ disease.
$=~. 1n 2{)I ~3, I).'~~+'. ~~~<is ac~~iaitt~d to tl~e Ilc~spit~l after c;on3~lain~s of Icvcr, ciiiil~ and sty=cats
sine t14r oral st~r~cr~~ ~sroceclurc. I.?.W. vas c~ia~tioscd ~~~ith baciCrial cndocarditis after :~~i
ccliac~rtlic~~ram slio~~d v~~c~atian of I~er Heart ~~<ilve
cnterocaccus faccalis.
1~

:1110 b10QC~ CUICUI'eS rc:tUt't1lC~ pc)S[t1VL

for

b~. Un December 9,201 ~,I7.~~'. ~~~1S iiCIIT1i11CC~ 10'V'~UTi'1S101~'il ~1~ledical Center for urgent heart
suz~~er~~ anci und~r~~+ent an aortic val~~e reptacen~ent clue; to the bacterial cnduc~is-ditis.
SG. ResF~oneieni's failure to :~c~Iierc to CI:?C Tni'ection Control F'racticcs 1'ar Dentistry, ~~lllict3
inciutles practice in infceti~i~ ec~ntrol, aseptic Iecl~nit}iie, injection stafLty, ~1~i.T1C~

Ily~;icl~c,

~i~atcr

q~talit~~ and ~nedication ~rep,irt~tic~n, e~p~sed D.l~', to z risk of Iyan7i <~i' ccmtractin~ ti bacicria[
in.fecti0n rc.St~lti~tg i;t endoC.3rdiFis.
$7. '~`!~e tICFiUnS U1'RespodenE described l~creii3 constit~te ~rc~tis negli~~cn~:c.:: m;~lpr~rtice ~-~r
brass incoil~pcte~~cc ~~~liich cnd~in~ercd t1~e lif'c, t~ealt.}~, ~~~~:liar~ ar sal t}~ ofd any person and~or
z-epcatcci acts ol~negli~enre, n3<tlpr~ctic~ or incompetence pursu2~I71 lQ ~.J.S.A. ~>:~-21{c)and (cl).
&. '~~1ie actions oi' R~spott~lent described l~creiti cotistitui~ prolessio~3a1 or t~ccu~~ation~tf
aa3isco~2dtzct purSt~~irit tc~ ~..i.S.r~.. ~5:l -21(e).

S~}. TI~G actions of'Respot~dcnt ti~scribc:d licrein constitiu~ ,i violation ofti.J.~~..C. 3 ~;3~-3.~,
~~'I]1CI1 i'CC~U13'~S I1CCI3SCC:S ll~ CCltII~)IV ~~-ittt ~St~iA rc~ulatians c~ncerniFig occtipt~tiont~l ex}sos~trc: to
l~lt~ad or other ~otentiall}' in4cctious materiels, as n-eJ1 as flee C"I)C ~iif'ectinn Control Pr<tctic~s for
T~~;~~tisiry, lt3d as suc1~ ~~ro~~ide l~~~sis for dis~iplit~c pt~isuaF~t to ~..~.S.A, X5:1-21(!i).
Ct)L?~'I' X
90. Cam}~laiilant repeats and reall~~cs ilte General ,'111c;~aliUns 1r3d the alle~*ation5 in each oY
~}~c previous cai~nis ~s if fully set iortl~ 3~er~it~.
9l. L)Il J13i1C ~7,?O l ~, Respondent J~zri'orn~~cI ~n cxtractic~n of'tac~th ~~s I and 1 fi ~~i ~aticnt
1t.IJ. <~nd aci~ninistc~cd iiitra~~tt1Cl13S SII~SEI1ClIC ~iL?Cf4IS~ lTl(:Ili{~i13~ bra}~o~'al. It.D. is a 25 year old male
~~iil~ no prior l~istor~~

off'a cardiac cnt~ditic~n.

16

92. ~ S'e~}~ n~Unti~s Eater, nn October 9, ?(31~, R.D. ~~is admitied to Sai~it C:l~iire's I-Iosnital
;1~:lCT' GOi11~I~ltIIS 01'a fe~~er since

his t~r<t1 star~,cr~c~ }~roc~dtsr~. R.I. ~i~as disc}~ar~cd tly~; sa~nc day ~ti~itli

1'c~~er n~~ciication,
9;. On Ocipber 1 G,201 ~, R.Ia. gas ac~mittcci to Morristown Medical Cesiter aiier con plaints
ova fiver, ni~~~lit s~~cats ~~nd u~ei~t~t loss. R.D. ~~~as dia~~insed ~ith ti~ii~~1 ~-~il~~e t~<tctcrial ~~idocar~litis
~111C:2" i~tl CC1iOC~irC1i~~T;lt37 SI'1t3~~CCU v~~Ct~iiQn t)n itl~ hC<art

~~rilvc a~ld bloac~ c:ultures returned positive

~Clf t:n1CI'OCUCClI5 !~i'C~115,

~)~. OtY'~~I~rch 5,203 5, IZ.T7. amder~~+c~~t heart surer} at'~c:~,~~ "1'c~rk I'resbyt~rian fc~r a;nitral
val~~e repair <fs a rc5utt t~t~tlze Uacici~ial ~ndc>e~lydiiis_
X35. ~ZC45}~~11(:~C'IlI's ii~ilure tt~ adhere; to CDC 7nfection C"c~titrol I'rt3ctici:s for Dc:niisir}, ~vhic;lY
icictudes ~'ilCI1CCS 11l 113~~cctic~ ct~c~irol, t~sepiic iecJznic~ue, i[~jCclic~rl Sil ly, land hygi~~e, w<~tcr
quality .inci tt~edicaiic)n i~re~ax~a~ion, expc~std R.D. to ~t risl~ of liarin of~ contr~rctin~ a Uactcrial
lll~~'Cllt)Il I'<:SUIll13t~ !tl t'_I1C~pCiii'(~1I15.

~~. ~j ~'IL' 11Cl?QI1S O~CZG$~C))1CJ4'.131 C~CSCr1I~(:C~ IICt'C1T1 COI35tlIU(t' ~T't)SS Il(:f~;I1f~~T~Ct;, 3Z1~il~PaciiC~

c7r

~ro~s inc~~~lpetcne~ ~+~hic13 en~ian~ered tl~e life, hi:~ltlz, ~~~etfare or sai'zty of airy ~~ersc~i~ and;or
r~:p~t~ted t~cts of ~~~~li~zncz, xTt<ll~r<3CticC or irtcompetericc pursU.ini in ~.1.S.A. 45:1-21(c) and {d).
97. '1`~~c zctian4 oE' Rcs~~oiide37t cicscribed herein coi~siitutt' professic~~3a1 ar occu~~ation~ll
~i7isca~zdi~ct pursuant io'~t..1.S.A. 45:I-21(c).
98. TIZ~ ,jctions oi'Rcsp~nc~~n~ described herein cc~i3stitutc a vialation oi~~r..~.:'~.C.13:30-$.~,
~~l~iclt requires licc'risecs to comply ~vitl; ~JSI~~IA rc~~ulatiotis co~i~era~ing occt3patic~n~1 c~pasure to
bIoc~ct or c~tt~cr ~~otentiall}! i~~fectiaus snaierials, as ~~~ell a;; tl3c CllC I~~icction Conirr~l 1'r;~cticcs for
IJentistry, ~lr~d Zs such }provide basis i~~r discipline ~~u3su~u~t to N.J.S.~'1. X5:1-2I(h).

17

COt3'!T :~I
99, Cam~l,iinant rcpca~s and re~111~~es tF~c. General /~llz~ations <iticl t3~e alterations in cash of
[l1C }~rC~~ic7uS cduniS as ii'fu31y

l 00.

set farih 1}ercin.

C)n April ~,2013, ~7es~ond~nt pirf"orn3cd extraciiotis oftooili =~s l, i 6, 16A a~3d 2~~~1

c~t~ pati~~~t \,S. atui ~~dminisic;red intra~-enaiis ai~cstl3ctic a~eits, it~cluc3i~i~~ prapc~fc>l.'~.5, is .i 21 ~~ear
odd male ~~it1~ ilo prier History ~i~a e:~rc3iac concjitiori,
l Ol.

:'~ fe~v lc~n~tis ~atea~, c>i~ June ?5, 2U t 3, ?~.5. ~~~~~s i1C~i7l3IlCCj l0 ~~lorristown '~ledicai

Ce~3ttr alter c~mpl<iints t~f <IUC~Ot7'11ri8I

~1t11 SIIICC ilis oral Sur~cr}~

proe:c<itire. ~.5. ~~~as di.j~,nos~d

~~~~th ~ziitral ~~alvc e~idocarditis aft~rblood c~altr~res returned posit~~-e for ir~terococcus faecalis. ~_S.
~~~as ~.rc~it~d ~~ich fintibic>tics end c4iszli~r~cri iii Jule 3, 20l >.
l~}?.

Res~~ozuli:3~t's f<~ilur~ to adhere tc~ CI~C Ir3lectit~n Cot~trc~l Practices f'nr I~~r~tistry,

ti~~laich inel~ides ~~r~~ciiees in inf`ectic~iz c~3Titrol, <ts4ptie liehnigt~e, injection s~~ft'ty, Band I~y~ie~~e, ~~~ater
duality ar~<i

IriC(~3Clit1U13

pr~:parationr e~p~scd \~.5. tc> a risk ot~ ~3ii1`I11

Of COIli7'actii~<~

a b~tctcriat

ini"cction r~sutiny in endocarditis.

]03.

'1~1~~ ~:tctiotls 4f'I2LS~oruiLnt cI~SCribeCl herein Canstilutc s~~rC~ss neY~ligccc, n~alpr~cticc

sir dross ii~cosnpetencc ~~Itich cndan~;c~ed tlse fife, ~~calth, ~i~~ii~arc <>r s.i1i'!\~ of an}~ person ~~~~tl/~r
reJ~eated acts cif n~~liger~cc, nlalpr3ciice or inco~~petence p~trsr~arzt to'~.J.S.A. ~S;I-?I~C~ 1f1C~ ~CI~.
l 0~.

7'hc actions c>i'~2~:spc~nd~nt cicscribcci iierc:in ~onslituie; profcssio~~a1 c>r occup~itio~tal

n~isc:c>nduci pt~rsu~irit to ?~..~."~.:'~. =~5: l -21{c}.

t O5.

"l'he actions of R~spot~dent c~Ls~ribc.d 1lercin constittne a violation of?~'.3.A.C. 1 i:30-

8.~, which r~~gt3ir~s licensees to ~ornply ~~~it1~ OSI~{~'~ re~~~l<itians cc~ncernin~ acciip~itioal exposure to
blood or otl~cr ~aotcnti~li~~ i~~fcctious rnaterial5, as ~~ell as ll~c C'I)C Infection {`ontrol Pr,~c:tices fc>r
vintistrv, and as such ~ro~~itlt ~.~slsis for discipline ~ursuani 1v ~T.J.S.!~. =15:1-2](lt).
18

cou~r ;~~r
]06.

C'omplai3iant rcJ~eats and r~<;llegcs tl~t General AIlc~~tliotys,~nti the ;~Ilc~~ti~ns in c~teh

cai~tlie prcviaus cotznis as if ~~ully sct #arch ]~crein.

l 07.

Ury S~pteii3l~er >,?f3I ?, Re:S~30ndCtli p4r~'rJ~rnc;c3 ~n i~t3j~Ia11t ~>S'~CCc~Lti'c; 033 ~~ltiCni G.D.

~iFl(~ ilC~fT13i115tL'1'CCI IR(TiiVf'ilOLtS :i13i5t~l~i1C Sf!C1125; 1I1Cit3(~t11~ ~T0~4I(?l. Ci.~~, 15 :l ?~ ~'Ct3T c)~C~ J31~S~C 4'.Ii}3

no ~~rior History cifc<~rc3i:~c disease,

I ~$.

Orl'~-Say 2~~, 2013,(.;.t7. ~~~aS ZC~ri31tiCL1 lQ S~t~i]l C~~iTi's I-Iospital af~cr com~lai~~ts ofa

~c:~~cr since Isis or~il sur~~ery procedure. G.D. ~~~as dia~~nc~sed ~~~iill h<icicri~il cridocarditis ;tt"ti:r ~iac~d
cult~~res rett~r~led pc~sititi=c fc~r ~r~teroct>ccus raecalis.
~t~~.

t~n'~4ay 30, 21)13, C.U.~~~as di:~c~l~trg~c3 fti~tcr reC~i~~iil~ intra~-cnaus;~ntibic~tics aa~d a

zelerral to a c3rciiotl~oracic sur~con lar heart su~~en~ tc~ rep<~ir tl~c rnitral ~~alr'i' {~11~ lt7 I~1C It1~c:CllUfl
caused ley the baCi~ri~1 cntlocarditis,
l 10.

~n Sc~pt~~~~~cr ?Q]3,Ci.D, u~3der~~~crit ~ze~l~t sur<~er~'LU I"C'.})ii1T tllt' I731IIii~ Vi.'lIVC C~lIC ~Q t~1L

b:~ct~.rial cnd~carditis.
I 1 }.

C7n ()ctoU~r 26,?O 1 >, G.i). presei~tcd to tI~e ~mer~~e3tcY room with a f'evcr ~~nd vas

dxa~~~ios~:ci ~itl~ <l t~3t'Oi~I IIIICCl1QIl. G.D. gas ~i~-e~~i penicillin ai3t~ eliscl~ar~4~f tlic same ci,t}.
112.

C)ti ~~~~crziber 22,2013, G.n. ~)I'C:SCI1lCCI l0 lI]C CIIICi'i;~]lC} roa;n ~~~itl~ a lever a3~d yin

el~;v,ited 13c.Art rate. G.iS. ~~~as ~iv~t1 itltrati~cnc~~3s <tntit~iotics Find disc:har~ec~ the same day.
113,

Ites~~ondc~~t's iailwc tc~ aclliete to C~~C. ]rtf'~c~tion Co~~tral Przct.ices i`or Dctitistr~~,

u~hicli ir~c~luci~s ~r~~cti~es in inf'iction c:ontrc~I,.asc~tic ti;clu~ic~ui, ii~jcctio~i safet,~, lia~~ci 13p~iene, ~vasir
c~~~afity and i~~~dication ~r~par~tion, 4xposec~ G.A. ~o a risk of 1~~~nn oi' coiitractin~ ~ l~actcrial
it3fc~c:iion rt:sulti~~~ i~~ cndr~carditis.

1~

1 I4.

'3`lte actions of Respc~t;dent described ilerei;~ consti~utc brass ~3e~lis~t:nce:, malpractice

or moss i~~co;npetence ~~-hicl~ cndantc:re:.d flit li#e, 1~ealthT ~clt<1rC

or S~i1Ci~~

of an}~ person and/or

r~~~catGd ~~cts t~f ~ic~~li~;cnce, tna3pr:tctici or iTicom~ctc~~ci pursuani to N.J.S.>. ~~:1-2I(c} a;id (d}.
1 l 5.

"I'he .iCI)OI1S O~'RCS}5c)IldCtll C~c'SCT1Lli:t~ ~1CCCitI C(7~tSl11UlC pfnfCS5t011a1 or occupatian~l

~~~isco~~duci piirsu:~nt t~ ~..I.S.,~. X5:1-2 3(c).

11 G,

'r>>~ ~~:~sans ~i'Re;~~~oiidcnt described iiercin costitute a ~~ic~lation of~;.J.:~1.C'._ 13:30-

5.~, ~i~liic:lt r~c~~iirc;s Eicensecs to comply ~~~itli OSI~iA re~ulatian~ c~~~cernin~ c~ccu;~atic~s~al ~x4>osuri to
?IOC?Ci UI' C)iI1C1' ~OE~11I3c~I~V lIl~i'.CtfQt1S i11tiICC1i~S, as

~~il as ti;e CUC.v I;~tectia~z Gatitral Practicc:5 f'or

D~'ntistr}-. ~id as such provide btisis for c~iSCipIiriC pursli<ini to'~'.1.5.:~. 4J:1-21(li}.
C(}IJ'~T dill
1 l 7.

Co~~iplain~int repeats and reall~~~s tl~e General l~Ue~~tit~ris anti the alle~~itiar~s i~~ cac~t

caf~113c ~revi~>t3s coiatits as ii' fiiily set ori9~ )iereir~.

1 l 8.

()~13u1}~ i8,214,~ZCS[)t)ilL~Ctl1 ~c'i"fO~t2lCd GXif~iGtlC3riS 01'toatii ~~s 1, i{, 17 anti 32 on

p~tTaCtlt l.i-I, .ind ad;tiinisrereci intrlV~n0u5 finC5113i'tiC a~~i'i1tS, ic~clttdins~ prapofol. ~:.1I, is a 24 year
cold ~z~al~ with nn prier hisi4r~~ c~!' ~j c~rtiiac condition.
11 r).

A fC~~~ ttloriih5lat~r, an

Oct~l~cr 17, 201=~,1...~~~. ~;-as adn~ill~c~ to V~41c}~ I-iaspital alicr

coinglai;its ot`fc~+4r, n<r~~sea anti vo~~iiiin4~, since leis nrG3l st~r~~n~ procedure. l.I~I. vas ~iir~~,~n~scd ~~~iift
acute bacterial cndocarc~itis after a blood culture returr~eci ~~ositi~~e fi>r ct~terococ;cus f'accalis.
120.

O~~ Oct~i~~r 25,20l ~, l.l~~. ~~fas disch~irs~eci ~vitli a sis ~~~et~ coairsc cif ~~rni~iotics, but

~oIlo~v-up indic~~t~c~ thzt 7_.,~~i,'S CUnC~itiOri l~~id ~~~rSCr3c:d, r~c~~Yirin~ heart sur4iry to replace the aortic
~~zl~~e due to the t~~cteri.il c;nciocarr~itis.
121,

Q~~ November 10, ?01=x, ~,iI, u~zdcnvern .ire sortie v<ri~~c replacen~exat clue to the

bactcri~il c~~~clocarditis acid was disc~iar~ed oti'~oveml~cr 17, 2014.

~~

12~.

Rcspottdet~c's i~ailure. to ac~l~er~ io C:~JC ~nfcction Control 1'r:~cticcs for ~)intistry,

~ti'I~ic~i includes pr~~cticcs in infectiatt control,aseptic tccl~nigtie, injectio~i saf'i;t~~, hand 1~y~:;It;IIC, \i'3lt'1'
c~u,ilit~t~ anti n3edication prc~paratio;i, e~pos~d 7.I-i, tc~ a risk ai` Bann <~fcontractitir~ a bacterial
ini:c.ct~{~n restiltinf5 i33 e~~dc~carditis_
123.

~I ~lC:1C110I1S ~fRI;S}~011C~C13I C~CSCI'1~)L'CI ~~t',3'Cfll COIlSl1~111C ~I'OS5 TIC~~i?CI~CC, T13~3~()I'1Cf1C~

car gross itic~fii~iecence ~~~i~icti cnciangcreci the life, l~ealt.~i, ~~'ilf~re or saf4ty of zrty J~~rsa~l anc~.'or
r~pe~atcd f1GiS O~~t1CLI1~Ci1Ci:, Ill~ilpt":fCtiCC OI' IIICOriI~)~IC11C~ ~111'StI~riL t0'~1.T.S.I1. ~~:I-21(c) arici (c3).
12~.

"1`I~e 13(;310115 l'1(~I~G'S~3{1T1(~C41I C~CSCfI~)C"L~ }14'I'C'.1T7 GOilSt1~11tC ~~TOfL'SSl()Ilil~ OT' OCCLl~3F10I1,1j

i~~iscaatduct pursuant tc7 ?v..1~S.~~. 4~;1-21(ej.

12>.

Tl~c~ a~lions ofR~spo~l~e3ti tie5eribed herein cc~i~s?iluie ~ ~~ic>l;itic~n af'~.1.,1.C. l3:i0-

X3.5. ti~~hicl~ rec~~iiris lircnsecs to compl~~ i~~ith t)SI~r'~ CC~UI~ii1o315 C~1~CCP!'11i]i! pCCtlp~tioil~J Chi>~SUCC t0
1~1~JOd ~r 4th~r pt)ictttially

inlcctiai3s ~natcrials, as t~,~ell as tl~e CDC lilf`cciiUn Control Practic;cs fir

~Gntistz-y, aa~ci as sucf~ provide t~a~is i'~~' C~lSC9j)I~I~L' ~)t!T"S11R11I 10 ~_.r.S.l~. =~J.7 -~ I (~1~.
C+n~.1tiT 7iiV
12Ci.

C:omplainattt ~tp~ats ~~~~ci re<~~lc:ges the G~n~rai :1f~~~atic~ns anti the ~lli~~ttinns in ~acl~

of~tl~~ previous co~znts as sf'iull~' set foril~ herein.

127,

Un i~~~~~ 7, 241=x, R.csp~~nc~ent pert`an3~ed e~fr~tctioi3s oi`tootl~'~s 1, l6. 17 anc~ 32 on

~~aticnt ~:.5. anti admi~yistexzd ii3tra~~~nous :i11C'SI~ICl1C i3f~i:i11S, incii~dixiz; pr~Jx~#ot. }~.5. is 19 y<:ar olci
~i~~~e ~~~it~~ no;prior history ofa cardiac c<~nditian.
JZA.

A SCL1't7lotttt~s 1~ttci, ~m

October 1, 2a1=~, K,S. ~~~as ~icir~litted to '~9oi~risto~r~r1 Mi;dic<~1

Center ~~lier cc~~il~~laii~ts of{~~IIS~;U~, I~1~,I3t 5\'vets and abdc~mir~al }~~iit~ since 3tis oral surgery ~rt>Cidtire.
K.S. w,as dia~Ynasc:d with hactcrial enci~carc~itis after blood c~iltures r~turt~cd positive: for
etiterococcus faycalls.
21

129.

K.S. ~a~as ~i~~c;n intra~r~naus ~zntibiatics anti ~i~~s tef~rr~;d ~<~r ~~ Gardiofo~y consult~tian

10~ pp5sible I1c~trt sur~rtir due to 1ti~ b~ct~rial itZdoc~rc3iti~.

I34.

Ites~>u~3dec~i's i'ailure. tc~ adl~ere 2<~ C'I)C Infection Contra! Pr~~cti~cs i:ar Detistn~;

i~~l~icli iE~c~tides ~r,~czic:is in 'r~~i'~ctian control,aseptic tc~~:h~iir~~~e, injectio~~ safLt}t, I~attd 1~}~~iine, ~~r<iter
t~ualit~~ anti Tnc<~icznion prcpar~tioi~, expascd K..S. t~ a risk of Dann c~#' contractict~ a bacterial
3I1~ZC:IlflT3S 1'C'.Sli~ilil~ 1!1 C11C~OCi~C(~1115.

l 3l. '1'I~c actions af~Rcs~~oncient described Herein coi~stitulc dross nc~~.li~~aicc, m~ilpractice
or dross rt~ec>rnp~~ince wl~icil itic~an~erc:d tizc li1~c, hcalih, ~ctiare or saiet~~ oi'~n~~ persar~ Grit]/or
repc;~atcd acts oi'neeli~cnce, I11~iI~33'.1Ct1GC t)C )T1CnTI~~CIi.riCC ~UI'Stl,int

132,

t<~'s~?.Y.S.r'~. 45:1~23(c) a~~d (d).

'I'}~e i~4Il011S ()~ ~CSJ)Oi1C~C21I C~CSC1'F~)~C~ I~~Cc'.III COIlSlltillt'. ~}i'fJ~t'.SSlOtl~l~ OC UCCL1~7:1I3017f1I

n~isconducE jaursua~~i tn'~I..1.S.:~. ~S:I-2](i).

133.

'I'11c actions ai'~tes~~ondc:tit descrit~ed hcrGizi constitt~ze a vic~l~ti~n o#''~t..i.A.C. 3 3:3~-

8,5, ~~hi~~I3 regt~it~Cs IiCCtiSt~es i0 C(~mp11'~'4')tJi ~S~"C:'~ 1'C~11~11I0i1S C011C~1'I3F3'!~ [)CLilj7;i11011c~I t'X~OStI~'4 YO
blood or ~t}~~r ~~otc3~tially infi~Ctious tt~~tc's'i.ils, as ~~ill as the CI~C In~'cctia~3 C:ontrc~l Practicc;s for
~c~ntistn~, and as such ~~rovidt; lasts far c~is~iplint pursu.ts3t to N1.~.;'~. ~j:l-2l(h).

13~.

Cc~,~~p9ainant repesus as~d ri~alle~;es tl~e General :'11~eLations attd thi ~Ilc~~ratit~ns in ~a~h

o#'t~~c previous counts ~s if f'u11}~ set f~rtli hert~it3.

1;~5.

Oti !1~ri1 19,2013,Respondcs~t ~crforcz~cci extractions of moth ? s 1, 16, l 7 a;~d 3? oil

p.~ticnt S.C, anc~ adn~inisier~ci intra~'('I30135 iIIlCSi~l~'ZIC ~~~c;Fits, 111CIUCIi1]L? ~I'Oj)Of()~..~.C. is a 5U yiar old
feinai~ ~~~iFlz ~t cardiac ]Zist~ry ~f mural ~lal~~z prolapse.
i 36.

C)~~ Jute ~i, 2013,J.C, teas <idn~it~tcc3 to'~9c~~-istcar~~r~ ?~Iedic<~i C~c:niir a'ter ron~~~4aints of

a fcvc;r ti~at SFancd

a~~proxitnatel~~ any week after her oral sur~i:ry proccc~itrc.. 3.G. ~~'1S C~1~~flQ5zd
77

1~~ith b<ictcri~31 endocarciitis after an ecl~oc~rdi~~rAtY~ sllo~~~cd an en~iocarcfial lesion and blood c~~ltures
z'eturned positiv` f'nr ec~tero~orciis 1:~ccalis. 3.C. ~~as discharged otl June 10,?O1 i to follot~~-up as ~n
aiilp~~li~311.
1>7,

Rcspox3dent's failure t~ adltert iv CT7C Infection Control I'rzctices for Dentistry,

~~-31sc~i includes ~Sractic~s in ir7tection control,aseptic teclu~ique, injection sai'~ty, l3~ncl l~ygictte, ~~~~rter
duality ,end ~~cc~icatiatt ~~reparaEion,ex~o5cd J.C:. to a risk ol'haa-n3 af~contracti~~g a l}actc~iai inf'e~tion
r~sultin~ in endc~carclitis.
l 3~.

'I`hc actions oi'Rc.spondent described hc~-cin constit~it~ dross ne.~lic;~ncr, malpractice

or dross incc>m~~itencc ~hicli ~~~dangercc~ tine ]i3'e, 13i~iltli, welfare or s~xfets~ of any person and/or
ri;~~eatcc3 acts caf r~e~li~eiYcc, :~ialpr~ictice or incom~~tc~zce }pursuant to \.J.S.:1. 4~:1-21(c) ~.~~d (c!).
1 ~9.

Tlic actions ofRes~ond~rit described }3ere.ii~ ct~nstitute }~rofessio;gal or Deco}~.ltional

sniscoric~~ict pursuant tc~ ~,J.S.A. 4~:i-21(e}.

1 ~0.

"]`he :actions ofRespandcnt dcscribecl herein constitute a violation of'?~T.J.A,C.13:3U-

8,a, ~a~hicli req~iires license to comply ~vi~tl OS]~iA res~ulii110115 CUI1C41'I]lil<v orc~i~~ational exposure to
t~l~~c~d or c>thcr potcnti,iil} infcctiot~s ~~iaterials, pis ~~11 ~~ ~I~c C:I)C Ifcc~io~~ Gc~nEro1 Pracciccs i:o~
L~4'I3il5l3Y; c11'1C~ c1S SLIC~I ~1'O\'1l.IC ~7aSiS IOt C~1SC3~~IlI}~; p~lfSU:int

to I~.J.S.A. 4~:1-21(h).

COisNT Zvi
1 ~ 1.

Com~~lainant re~c:us and rcaile~es tlic General All~gatic~ns su3ci the alle~ations in each

af'tl~e pre~~~i~us eour3ts zs ii~fully set it~rth llcr~in.

t a2,

On :1~itust 27, 2Q i 3, 12espondit~t pert'ont~ec~ an ixlra~tion of tooth =~ 15 ors ~ati~nt

C.11. ~~d ad~nini~tc.r~d intravenous <3aiestl3etic a~er3ts, includizi~ propc.~1'oi. C,:.D. is an S(}}fearolti male
~itiy a ~;~ior cardiac history c~f'coxo~i~~ry artery disease.

73

i=~3.

nil September 3U, 201 , C..I~. ~ti~~3s adr~~ittcd to ~~c~rristow73 ~1c:dieal Ginter aitc:r

cc~~n~l~iints o#' sttortn~ss ~t' breath <tfld clac:st pE3133

SI~3CC ~]lS t}C~tI

surer! ~rc~cedtzrt. C.D. ~.~as

ciia~noscd ~~~ith .3t~rtic valve i:ndt~c~rditis ~tfier an ec}toeZrdio,~t'Zrt7 S~]pte~~C~ t~CLCtiit90i1 ~ri t~2c' ~OI"tiC
va3~~L. ~::.J. etas ~.;iv4ti ia~tr<~ver~c~t~s :ititil~iatics and a c~irc~i~c stsr~c~r} ~:oi~sultzitioii.
1 ~~.

UT3 {)ctc~ber i, 201 a, {'.I7_ ~ti'CI~1 iFltO Ciii~dic~~~nic sf~c~ck and ~inderi~'Ctlt i'131i;1'~CC1C~

I~t;'art stir~et'~~ for an ~~ortic val~~c; r~:~~l21CCtzli:tll (~11C l0 i~li; ~)i1Cti:l'I~tI ~11{~OCi~rc~itiS. C.I .gas discfYzr~~cd
on C)c:t~>~~:r ?4,?013.
1~5.

Itcsp~r~dcnt's failiir~ Eo adhc~rc try CI~G I1~fectio~~ Control Practices #or Iae3~tistry,

s~~ltic:h incltici~s practices in infe:c:t.ian control,;~sepiic tcct~rticl~t~, injection saf'c~t}~, Izar~t~ 1~y~ic~~c, ~vatcr
yualit~~ and ~i~cciicatit~n preparFitTQtl, exposed C.D. to a ~~isk ~i' l~arrn ~f contractig a bacterial
iixi"c:ctzc~n r~sultin~ iry ~ndocarditis.
14C>.

'7~1ic ~~ctioris oi'R~s~ondetlt cisscribed l~erci~3 cot~stii~3te dross ne~~i~;encc:,rt~alpriciicc

or dross ir3co~;~ctet~i~c ~~-hicf~ z~~c~an~ered the lif`c, licaftli, ~~~c:Ii'arc or safety of ax3}r persasl at~d/car
ri~~c<~tet~ acts ~'ne~li~:;t'.tlGC, 33lt~j)I'i~C:l1CL'. OS' IIIGt~)i]'lPt,',ICR(:4 ])L1I'SU;ini tt~'~~.J.S.:'~. ~~:1-21(c) and (ci).
I~7.

'I'l~e. actions of'Respo~~denc described l~ere'sn constitute pro{essio~~al nr occupational

I11lSCOI1CiUL'i }7Li1'SU<~11I ZQ I~.J.S.A. 45:1-? I(c).

i ~~,

"I'1~~ i~Ct14J15 <)I Rt:S~011di'ilI (~(:SCt'i~7C'(I I1000l11 COf1SllllilC" ii ~'10Ii311Uii OS~i\.J.:~.C~, i >:.i0-

~i.S, ~~~liich rc.~quire~ licinszis to cc~;npl~r t~~ith QS1~~~1 r~~?~laiions conccrsiin~ c~ccu~ation~~3 ~.xposurc to
blood or c~tl~~r potentially i~~fcctic~us m~it4rials, as wc:31 as t}~c C'DC Inicctia~i Cantr~aI ~'ractices 1:c~r
Uc~~tistr~-, a~~d ~s suc3~ ~~ros~ici4 basis fpr diaci~Iinc ptirsuas~t tcx \x.3.5.:'1. ~#a:1-21(h).

~:~

VVHr~i~~'O~t~, Ca~~~plai~~aait r~s~ectfuily dema3zds the c~~try of an order a~air~st

Res~aaxdc~~t, John Vc;cchic~n~, D.~7.S., as follows:
1.

'I'~331~ararily suspending; Res}~ondern's liccs~se to practice as ~ dentist in tl~~. Mate cif

~e~~rJc;~s~~~ pending tf~e disposition ofa p)~na~t l~carin~;on this Veri#icd Admi~istr<~tivi Coi3~~lai3it;
2.

Suspc~~ciing ~r retiroi~ir~~; tl~e Rcs~ond~:ni'S li~t~lSe to ~r~~tie~ as ~ dcnliSi i~3 the Sizic

of'ti'er J~rst~f ft~llo~irt~ a plsn~ry hc,irinL}

3.

Asscssuz~ ci~~il ~~n:~ii~es a~~inst Resp~ndet~t l~or e<~ch ~ia~c~ e~~c~ra~ se~:~rc3te ~snla~~+#iil .ict

{~s sc~[ ~~rt~y al~ov~., }~ursua~~t to N.J.S. .x#5:1-25;

4.

Rcquiii~3~; Rc~spandent to pay costs, includi~~g i~tv~stigati~~c costs,attor'ney's fees acid

costs, expert and f,~ct ~~~itricss fees and costs,cosEs reftrial, a~~d tr~inscript casts, ~~~suant to ~?.d.S,A,
x#5:1-25;
S.

Ordering suc}3 ott~cr:~~ici furt~~cr relief as thc~ 13o~.rd oi'l~e~~tistry s1ia11 cieenz just acid

~~p}~rc~pri~ite u3~der tisc~ cir~~in3sta~~ces.

Ci-~R3STOi't-~Lit S. PC}Ii.RIIhO

~.~ro~~n~~~~ G~~rn~r~ or ~~~`~~ ~r~zsr~~

f
r

I'~~~ithra ~n~ar~
D~~~uts~ ,~,tton~ey Gene: al
D:it~d: ~,~aust,~,20l6

?a