Zammit Orthodontics

  • Address
    93 Ontario St.
    St. Catharines
  • Services
    Regulated Health Professional

Summary

Re-processing area did not meet best practices for work flow and storage to prevent cross-contamination. High-level disinfectant used for equipment cleaning was past its manufacturers stated expiry date.

Diseases resulting from similar errors in infection control may include:

  • Serious blood-borne infections (Hep B, Hep C, HIV, sepsis, meningitis/nervous system)
  • Respiratory 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

A complaint was identified from a member of the public on August 1, 2017, related to infection prevention and control concerns.

This infection prevention and control lapse involved a member of the regulatory college.

An initial onsite investigation was conducted on August 2, 2017.

Corrected Issues

IssueCorrectionDate Corrected
Written policies and procedures were not available for infection prevention and control practices.Ensure that written comprehensive policies and procedures related to infection prevention and control are based on the most current best practices available, are reviewed, and updated on a regular basis.Nov. 2, 2017
Test strips were not being used to check for efficacy of the high-level disinfectant.Ensure that test strips are available for testing the high-level disinfectant.Sept. 12, 2017
Ultrasonic washer was not tested for efficacy at least weekly or according to manufacturer's recommendations.Ensure that the ultrasonic washer is tested at least weekly.Sept. 12, 2017
There was no evidence of on-going preventative maintenance for the ultrasonic washer.Ensure ultrasonic washer receives regular preventative maintenance.Sept. 12, 2017
Education and training related to infection, prevention and control were not reported and documented.Ensure that all education and training related to infection, prevention and control are reported, documented, and maintained on a regular basis.Sept. 12, 2017
Re-processing area did not meet best practices for work flow and storage to prevent cross-contamination.Ensure that the re-processing area meets best practices for work flow and storage (i.e., dirty to clean).Aug. 15, 2017
High-level disinfectant used for equipment cleaning was past its manufacturers stated expiry date.Discard solutions on or before expiry date. Aug. 15, 2017
Equipment not totally submerged in disinfectant.Ensure that equipment is totally submerged in disinfectant.Aug. 15, 2017
The integrity of the stored sterilized packages displayed evidence of contamination (i.e., Watermarks).Ensure that the integrity of the package is inspected after sterilization.Aug. 15, 2017
Sterilizer was not tested with a biological indicator each day the sterilizer was used.Ensure that a biological indicator is used to test the sterilizer on a daily basis.Aug. 15, 2017
Records were not kept to document that all sterilization parameters have been met (e.g. time/temperature/pressure readings).Ensure that records are kept to document that all sterilization parameters have been met (e.g. time/temperature/pressure readings).Aug. 15, 2017
Sterile items were not stored in their sterile packaging until time of use.Ensure that sterile items are stored in their packages until time of use.Aug. 15, 2017
Soiled equipment was not kept moist prior to cleaning. Ensure that equipment is kept moist if cleaning cannot be completed immediately.Aug. 15, 2017
Equipment was not adequately dried prior to high-level disinfection or sterilization.Ensure that equipment is air-dried or a lint-free cloth is used for drying of equipment prior to high-level disinfection or sterilization.Aug. 15, 2017
Records were not kept to document that all high level disinfectant parameters had been met, nor which equipment re-processed in the disinfectant.Ensure that records are kept to document the use of high level disinfectants as per manufacturer’s instructions, as well as documentation of the staff member responsible for re-processing.Aug. 15, 2017
Equipment was not rinsed with water after high-level disinfection.Ensure that all equipment is rinsed with water after high-level disinfection.Aug. 15, 2017
Items were not packaged according to the manufacturer's instructions.Ensure that equipment loaded into sterilization packages are loaded without overlapping or touching in the packaging.Aug. 15, 2017
Alcohol based hand rub was expired.Ensure that the alcohol based hand rub is on or before expiry date.Aug. 15, 2017
Personal Protective Equipment (PPE) was not available at point of care or in the re-processing area (i.e., gowns, eye protection). Ensure that PPE is available at point of care and in the re-processing area. Ensure that PPE is worn as per best practices.Aug. 15, 2017
Chair in the clinic room was observed to be cloth, not smooth, non-porous, seamless and cleanable.Ensure that all furniture is smooth, non-porous, seamless and cleanable.Aug. 15, 2017
Appropriate infection prevention and control signage was not available at the entrance of the clinic nor at the reception desk.Ensure that signage is posted at the clinic entrance or at the reception desk.Aug. 15, 2017

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.


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