Altima Pelham Ridge Dental Centre


Summary

Improper practices related to reprocessing of dental instruments/devices.

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

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 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.

Ongoing Issues

IssueCorrectionLast Updated
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.Dec. 18, 2017
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.Dec. 18, 2017
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.Dec. 18, 2017
Reprocessing work does not flow from dirty to cleanEnsure that work flow in the reprocessing area is from dirty to clean to prevent cross contaminationDec. 18, 2017
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.Dec. 18, 2017
Masks not available in the reprocessing area.Ensure that personal protective equipment such as masks are readily available and accessible in the reprocessing area.Dec. 18, 2017
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. Dec. 18, 2017
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. Dec. 18, 2017
Ultrasonic washer not tested for efficacy.Ensure that the ultrasonic washer is tested for efficacy as per the manufacturer’s recommendations.Dec. 18, 2017
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. Dec. 18, 2017
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.Dec. 18, 2017
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. Dec. 18, 2017
Packaged sterilized instruments not kept in a secure location.Ensure that all packaged sterilized instruments are stored securely to prevent contamination.Dec. 18, 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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