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Patient nurse call system outside OSHA worker safety jurisdiction

Summary A communications installer asked OSHA about a hospital call system that might prevent a patient from signaling a new emergency. OSHA said the described problem concerned patient safety rather than employee safety, so it did not violate OSHA requirements. It directed the requester to local health authorities and the hospital.
Document
Federal opinion letter
Agency
Occupational Safety and Health Administration (OSHA)
Document number
1990-06-21
Date issued
June 21, 1990
Status
Active
Status last verified October 9, 2026

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About this page: The full text below is the official document from Occupational Safety and Health Administration (OSHA). Ezel adds the plain-English summary and tracks the document's status. The official source linked on this page is authoritative for any reliance.

June 21, 1990
Mr. Bill K. Land
JWP Electronic Systems, Inc.
[Recipient address omitted]
Dear Mr. Land:
This is in response to your letter of May 1, addressed to Mr. Joseph Pipkin of the Occupational Safety and Health Administration (OSHA), regarding a Nurse Call Communication System that is being installed in a major hospital by your company.
In your letter you described a "worst-case scenario" involving a patient, who might use the calling system and then be put in the AIDE NEEDED mode. The patient would then not be able to recall a nurse to report an emergency situation which might arise, while the calling system is in the AIDE NEEDED mode.
Under the Occupational Safety and Health Act (OSH Act), OSHA is responsible to make sure to the extent possible, that employers provide protection to their employees from workplace hazards. Since the situation you described in your letter does not pertain to employees' safety and health, it does not belong in OSHA's jurisdiction and therefore does not violate any OSHA requirements.
Normally, local governments have jurisdiction over such situations, and we suggest you contact the local county health department for further assistance. We also suggest that you contact the hospital administrator in this regard, so that alternative means of abatement, such as immediate response by the hospital staff to the patients' needs, may be implemented to correct the situation.
Thank you for your interest in safety and health. If we may be of further assistance, please contact us.
Sincerely,
Patricia K. Clark Director
Designate Directorate of Compliance Programs

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