Improper practices related to reprocessing of dental instruments/devices.
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
A complaint was identified from a member of the public on December 12, 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 December 13, 2017.
|Sterilization dry cycle being stopped early by staff. ORDER has been issued to ensure compliance.||Ensure the sterilizer is operated as per the manufacturer’s recommendations.||March 9, 2018|
|Instruments/devices not packaged according to manufacturer’s recommendations prior to sterilization. ORDER has been issued to ensure compliance.||Ensure that prior to sterilization, dental instruments/devices will be packaged as per manufacturer’s recommendations.||March 9, 2018|
|Staff have not received adequate training specific to the reprocessing devices used.||Ensure that staff receive adequate education from device manufacturer or training based on manufacturer’s instructions.||March 9, 2018|
|Reprocessing work does not flow from dirty to clean||Ensure that work flow in the reprocessing area is from dirty to clean to prevent cross contamination||March 9, 2018|
|There is inadequate counter space to properly reprocess instruments/devices.||Ensure there is sufficient counter space in the reprocessing area to handle the required volume of work.||March 9, 2018|
|Masks not available in the reprocessing area.||Ensure that personal protective equipment such as masks are readily available and accessible in the reprocessing area.||March 9, 2018|
|Instruments/devices not fully submerged in enzymatic solution in the ultrasonic washer.||Ensure that instruments/devices are loaded into the ultrasonic washer as per the manufacturer’s recommendations.||March 9, 2018|
|Brushes used for cleaning in the reprocessing area are not being disposed or sterilized at the end of the day.||Ensure that brushes used for cleaning in the reprocessing area are disposed or sterilized at the end of the day or when visibly soiled.||March 9, 2018|
|Ultrasonic washer not tested for efficacy.||Ensure that the ultrasonic washer is tested for efficacy as per the manufacturer’s recommendations.||March 9, 2018|
|Instruments/devices not loaded into the sterilizer properly. ORDER has been issued to ensure compliance.||Ensure that instruments/devices are loaded into the sterilizer as per manufacturer’s recommendations.||March 9, 2018|
|Sterilizer not tested with a biological indicator each day the sterilizer is used. ORDER has been issued to ensure compliance.||Ensure the sterilizer is tested with a biological indicator each day the sterilizer is used.||March 9, 2018|
|Physical parameters for each sterilization load not documented.||Ensure that a detailed log is kept to verify and document that all indicators (physical, chemical and biological) have passed during sterilization.||March 9, 2018|
|Packaged sterilized instruments not kept in a secure location.||Ensure that all packaged sterilized instruments are stored securely to prevent contamination.||March 9, 2018|
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.