Silverman Dental


Dental instruments not in sealed sterile bags.

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
  • Skin / soft tissue infections


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

Findings and Corrective Measures

A complaint was identified from a member of the public on November 6, 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 November 8, 2017.

Corrected Issues

IssueCorrectionDate Corrected
Written policies and procedures were not available for infection prevention and control practices. Ensure that infection prevention and control policies are based on the most current practices available on site; are reviewed and updated on a regular basis.March 21, 2018
Education and training related to infection prevention and control and re-processing of medical equipment/devices/instruments were not reported and documented. Ensure formal education/training in infection prevention and control is provided and documented.Nov. 13, 2017
Hand hygiene supplies (ABHR/hand soap) were not available at point of care in the operatory. Ensure hand hygiene supplies (ABHR / hand soap) are available at point of care in the operatory.Nov. 13, 2017
Plastic barriers on keyboard/mouse not removed and discarded between each client. Ensure plastic barriers on keyboard/mouse are removed and discarded between each client. Nov. 13, 2017
One sharps container in operatory overfilled.Ensure Sharps containers in every operatory are not filled past the fill line.Nov. 13, 2017
Sterilizer mechanical display not verified and signed for each cycle.Ensure sterilizer mechanical display is checked, verified and signed for each cycle by the person sterilizing the instruments – sample log sheet provided to document parameters for each cycle and maintain results.Nov. 9, 2017
Packages to be sterilized were not labelled.Ensure each package to be sterilized is labelled with date processed, sterilizer used, cycle or load number and the health care provider’s initials. Nov. 9, 2017
Sterilizer not tested with a biological indicator (BI) daily.Ensure sterilizer is tested with a biological indicator (BI) each day it is used.Nov. 8, 2017
Condensation noted inside sterilized instrument packages. Ensure that the integrity of the package is inspected after sterilization. Nov. 8, 2017
Expired medication vials (Ultracaine DS) on site.Ensure products (medication vials or solution - i.e., Ultracaine DS) are discarded according to expiration dates.Nov. 8, 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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