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Greater Niagara Medical Imaging (GNMI) Infection Control Inspection


Summary

Semicritical and critical equipment were not cleaned and disinfected/sterilized as per Spaulding’s Classification. Chemical products for disinfection/sterilization were not prepared and used according to the manufacturers instructions. There was not a one-way work flow in the reprocessing area from dirty to clean to prevent cross-contamination.

Diseases resulting from similar errors in infection control may include:

  • Blood-borne infections
  • Skin / soft tissue infections

Contact

Duty Officer
Public Health Inspector
905-980-6000 ext. 7590, toll free 1-888-505-6074
inspect@niagararegion.ca


Findings and Corrective Measures

A complaint was identified from a member of the public on October 4, 2021, 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 October 7, 2021.

An investigation report was given to the premise / facility noting corrective measures. Information and education was provided.

Corrected Issues

IssueCorrectionDate Corrected
Surfaces/ Equipment not cleanable. Surfaces/ Equipment to be cleanable. Oct. 20, 2021
No barriers or covers for surfaces used. Use barriers or covers on surfaces that may become contaminated. Oct. 20, 2021
Education and training of infection control and reprocessing policies, procedures not provided or documented for all staff.Education and training to be provided and documented on a regular basisOct. 20, 2021
There was not a regular cleaning schedule in the dedicated reprocessing areaA regular cleaning schedule in the dedicated reprocessing area to be implementedOct. 20, 2021
Written infection control policies and procedures incomplete/not available. Infection control policies to be based on current best practices and reviewed and updated on a regular basis. Oct. 20, 2021
Expired vials/products not discarded according to manufacturer’s expiry date. Discard expired vials/products according to manufacturer’s expiry date. Oct. 13, 2021
Equipment/devices not cleaned and disinfected/sterilized appropriately. Clean and disinfect/sterilize equipment/devices appropriately. Oct. 13, 2021
There was not a one-way work flow from dirty to clean in the reprocessing area Reprocessing area to have a one-way work flow from dirty to clean Oct. 13, 2021
Clean medical equipment were not reprocessed in a designated area that is physically separate from direct care areas and from where clean, disinfected or sterile items are handled or stored.Clean medical equipment in a designated area that is physically separate from direct care areas and from where clean, disinfected or sterile items are handled or stored.Oct. 13, 2021
Clean medical supplies/equipment stored under sink(s).Clean medical supplies/equipment not to be stored under sink(s). Oct. 13, 2021
Laundry not handled in a manner to prevent contamination.Handle laundry in a manner that prevents contamination. Oct. 13, 2021
Furniture surfaces not cleanable in the reception/waiting area. Furniture surfaces to be made of a cleanable material. Oct. 13, 2021
Gross soil was not removed from medical equipment at point-of-use Remove gross soil from medical equipment at point-of-use Oct. 13, 2021
Probes not cleaned with a brush or covered after disinfection as per manufacturer’s instructionsProbes to be cleaned with a brush and covered after disinfection as per manufacturer’s instructionsOct. 13, 2021
Sterile critical medical equipment are stored in their sterile packaging until time of use.Sterility must be maintained until point of use. Oct. 8, 2021
Chemical products used for disinfection/sterilization were not prepared and used according to manufacturer’s instructions for use for shelf life and storage conditions and labelled with expiry date Chemical products used for disinfection/sterilization to be prepared and used according to manufacturer’s instructions for use for shelf life and storage conditions and labelled with expiry date Oct. 8, 2021
Disinfectant test strip bottles not labeled with date opened and were not discarded when expired.Disinfectant test strip bottles are dated when opened and discarded when expired.Oct. 8, 2021

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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