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Narwal Dental- Queenston Location Infection Control Inspection


Summary

Inadequate packaging, labelling, and inconsistent documentation during reprocessing.

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 April 11, 2022, 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 April 21, 2022.

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

Corrected Issues

IssueCorrectionDate Corrected
Written infection control and reprocessing policies and procedures and occupational health and safety policies were incomplete.Infection control and reprocessing policies that are based on current best practices to be available, reviewed and updated on a routine basis. Occupational health and safety policies to be completed July 29, 2022
Dental equipment with lumens not being cleaned appropriately. Dental equipment with lumens to be cleaned appropriately. June 17, 2022
Surfaces and furnishings not smooth, non-porous, and cleanable.Surfaces and furnishings to be smooth, non-porous, and cleanable. June 17, 2022
No process in place for receiving and disseminating medical equipment/device alerts and recalls or contingency plans in the event of a sterilizer failure.Create a process for receiving and disseminating medical equipment/device alerts and recalls or contingency plans in the event of a sterilizer failure.June 17, 2022
Closed water systems not followed for testing and daily/weekly maintenance.Closed water systems to be followed for testing and daily/weekly maintenance.June 17, 2022
Safety Data Sheets (SDS) for cleaning/disinfecting products were not available Safety Data Sheets (SDS) for cleaning/disinfecting products to be readily available June 17, 2022
Dental equipment was not disassembled for cleaning and sterilization.Disassemble dental equipment for cleaning and sterilization. April 20, 2022
Dental instruments not packaged for sterilization in a way that the steam can move around and through the items and contact all surfaces.Dental instruments to be packaged for sterilization in a way that the steam can move around and through the items and contact all surfaces. April 20, 2022
Physical parameters of sterilizer not completely recorded.Record complete physical parameters of sterilizerApril 20, 2022
Personal protective equipment not worn as appropriate for reprocessing. Appropriate personal protection equipment to be worn during reprocessing.April 20, 2022
Hand sanitizer and soap refilled and/or topped up.Do not refill/top up hand sanitizer and soap.April 20, 2022
Sterilization packages not labelled appropriately.Sterilization packages to be labelled appropriately. April 20, 2022
Suction lines not purged between patients.Suction lines to be purged between patients..April 20, 2022
Dental instruments not pre-cleaned at point of use before transport for further manual or mechanical cleaning. Dental instruments to be pre-cleaned at point of use before transport for further manual or mechanical cleaning. April 20, 2022
Chemical products not labelled with expiration date.Label chemical products with expiration date. April 20, 2022
Waterlines not purged at the beginning of each day by flushing with water for 2 to 3 minutes.Waterlines to be purged at the beginning of each day by flushing with water for 2 to 3 minutes. April 20, 2022

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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