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:
Public Health Nurse
Public Health Nurse
905-980-6000 ext. 7330, toll free 1-888-505-6074
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.
|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|
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.