Dr. J. Sternadel Infection Control Inspection


Summary

Expired Alcohol Based Hand Rub (ABHR) and disinfectant products. Reprocessing area not separated into distinct areas for proper flow.

Diseases resulting from similar errors in infection control may include:

  • Blood-borne infections
  • Skin / soft tissue infections

Contact

Public Health Nurse
Public Health Nurse
905-980-6000 ext. 7330, toll free 1-888-505-6074
id@niagararegion.ca


Findings and Corrective Measures

Infection prevention and control concerns was identified through disease surveillance.

An initial onsite investigation was conducted on April 24, 2019.

An investigation report was given to the premise / facility noting corrective measures. Information and education was provided.

Corrected Issues

IssueCorrectionDate Corrected
Surfaces and finishes in exam room are not seamless, cleanable or smooth. Repair tear in exam table in clinic room.Aug. 22, 2019
Lack of eyewash station in reprocessing area.Eyewash station shall be located within a 10-second walk of the reprocessing area. Aug. 22, 2019
Written infection control policies and procedures were incomplete. Infection prevention and control policies that are based on current best practices are available, reviewed and updated on a routine basis.Aug. 22, 2019
Education and training not provided and documented for all infection control and reprocessing practices.Education and training provided and documented. May 17, 2019
Expired Alcohol Base Hand Rub (ABHR) observed in reception area, clinic rooms and reprocessing area. Replace expired ABHR bottles. Liquid soap provided at every hand wash sink.May 3, 2019
Expired chemical products used for environmental cleaning observed in clinic rooms.Replace expired chemical products.May 3, 2019
Not all surfaces cleaned and disinfected between patients.Clean and disinfect all surfaces between patients.May 3, 2019
Clean medical supplies stored under sinks.No storage of clean medical supplies under sinks.May 3, 2019
Personal Protective Equipment (PPE) was not readily accessible in the reprocessing area. PPE available for use in the reprocessing area. May 3, 2019
Reprocessing area not separated into distinct areas for proper flow. Reprocessing area follows a one-way work flow from dirty to clean. May 3, 2019
Cleaning brushes in reprocessing area not cleaned/disinfected between uses.Cleaning brushes cleaned/disinfected between uses and discarded when worn. May 3, 2019
Medical equipment not placed in unlocked, opened position for sterilization.All medical equipment placed in unlocked, opened position in packages for sterilization. May 3, 2019
Sterilized packages not labelled. Sterilized packages labelled with date processed, sterilizer used, cycle or load number and the health care provider’s initials. May 3, 2019
Type 5 Integrators were not used appropriately to justify the release of routine loads. Type 5 Integrators placed in each pouch undergoing sterilization.May 3, 2019
A control Biological Indicator (BI) not used for sterilization each day that routine BIs are incubated. A control BI from the same lot number as the test BI is incubated each day that routine BIs are incubated. May 3, 2019
Time, temperature/ pressure parameters not recorded for each sterilization cycle.Sterilizer display checked, verified and signed for each cycle.May 3, 2019
Packaged, sterilized medical equipment not stored in a manner that keeps them clean, dry, and prevents contamination. Packaged, sterilized critical medical equipment are stored securely in a manner that keeps them clean, dry, and prevents contamination. May 3, 2019

Health Risks and Inspections

In the event that a direct health risk is identified for clients who visited this establishment, Niagara Region Public Health will contact those at risk with advice around any medical follow-up.

For general updates regarding this investigation, continue to monitor this website.

Page Feedback Did you find what you were looking for today?