Dr. G.S. Cheema Infection Control Inspection
- Address
6453 Morrison St., Suite 102, Niagara Falls, L2E 7H1
Niagara Falls - Services
Physician
Summary
Improper use of biological and chemical indicators for reprocessing. Medical instruments in disrepair. An order was issued on May 21, 2019 to ensure compliance.
Diseases resulting from similar errors in infection control may include:
- Blood-borne infections
- Skin / soft tissue infections
- Sexually transmitted 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 May 15, 2019, related to infection prevention and control concerns.
This infection prevention and control lapse involved a member of the regulatory college.
Orally corrective measures were discussed at the time of inspection.
An initial onsite investigation was conducted on May 21, 2019.
An investigation report was given to the premise / facility noting corrective measures. Information and education was provided.
Corrected Issues
| Issue | Correction | Date Corrected |
|---|---|---|
| Education and training of infection control policies, procedures not provided or documented for all staff. | Education and training to be provided and documented on a regular basis. | June 9, 2020 |
| 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. | Dec. 13, 2019 |
| Cleaning brushes not used to clean equipment during reprocessing. | Cleaning brushes to be used to sufficiently clean tools prior to sterilization and is cleaned, disinfected, dried and stored after each use, or discarded. | July 4, 2019 |
| Reprocessing area not sufficient in space to follow a one-way work flow. | Reprocessing area space to follow a one-way work flow from dirty to clean. | July 4, 2019 |
| Eyewash station not provided and located within a 10-second walk of reprocessing area. | Eyewash station to be available and located within a 10-second walk of reprocessing area. | July 4, 2019 |
| Needles for injection not safety-engineered. | Needles for injection are safety-engineered. | July 4, 2019 |
| Medications not prepared in a clean area separate from other areas. | Prepare medications in a clean area on a clean surface. | July 4, 2019 |
| Floor surface in exam room(s) not cleanable. | Floor surfaces in exam room(s) are to be of material that can be cleaned and disinfected. | July 4, 2019 |
| Personal protective equipment (PPE) not available in exam and reprocessing areas. | PPE to be available for use in exam and reprocessing areas. | July 4, 2019 |
| Non-critical items that may become contaminated or come in contact with patient not cleaned and disinfected between patients. | Non-critical items that can become contaminated during patient exam or after patient contact are cleaned and disinfected or barriers used. | July 4, 2019 |
| No safety data sheets available for cleaning/disinfecting products. | Safety data sheets for cleaning/disinfecting products to be readily available and up-to-date. | July 4, 2019 |
| Medical instruments for sterilization in disrepair. ORDER has been issued to ensure compliance. As of May 24, 2019, all contents of the order have been satisfied. | Repair or discard medical instruments. | May 24, 2019 |
| Packaged, sterilized medical equipment not stored in a manner that keeps them clean, dry, and prevents contamination. | Packaged, sterilized critical medical equipment to be stored securely in a manner that keeps equipment clean, dry, and prevents contamination. | May 24, 2019 |
| A log of test results, parameters and maintenance during sterilization not kept. | Record and maintain appropriate results on log sheet. | May 24, 2019 |
| Sterilized packages not labelled. | Sterilized packages labelled with date processed, cycle or load number and the health care provider’s initials. | May 24, 2019 |
| Opened multi-dose medication vials not labelled with date opened and discarded as per expiry date. | Multi-dose medication vials are to be labelled with date opened and discarded as per manufacturer expiry date. | May 24, 2019 |
| Furnishings within exam room(s) are porous and not cleanable material. | Furnishing within exam rooms are to be of porous and cleanable material. | May 24, 2019 |
| Clean medical supplies stored on counters adjacent to sink. | Clean medical supplies to be stored in a clean, dry area away from contamination. | May 24, 2019 |
| The sterilizer not tested with a biological indicator each day the sterilizer is used. ORDER has been issued to ensure compliance. As of May 24, 2019, all contents of the order have been satisfied. | The sterilizer to be tested with a biological indicator each day the sterilizer is used. | May 22, 2019 |
| Medical equipment placed in locked, unopened position and overlapping in packages for sterilization. | All medical equipment to be placed in unlocked, opened position and not overlapping in packages for sterilization. | May 22, 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 22, 2019 |
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.
© Niagara Region - 1815 Sir Isaac Brock Way, Thorold, ON, L2V 4T7 - Phone: 905-980-6000, Toll-free: 1-800-263-7215
