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Dr. Olufemi Olugbenga Olufowobi’s clinic Infection Control Inspection


Summary

The use of a sterilizer for reprocessing instruments did not follow best practices. Inadequate packaging, quality assurance, and 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 August 19, 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 August 20, 2021.

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

Ongoing Issues

IssueCorrectionLast Updated
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 Sept. 2, 2021
Eyewash fountain not present. Provide an eyewash fountain that is capable of operating hands free.Sept. 2, 2021

Corrected Issues

IssueCorrectionDate Corrected
Safety Data Sheets (SDS) for cleaning/disinfecting products were not available Safety Data Sheets (SDS) for cleaning/disinfecting products to be readily available Sept. 2, 2021
Medical equipment with multiple components not disassembled for sterilization. Sterilizer and multi-use instruments have been removed from premises Sept. 2, 2021
Medical equipment placed in locked and unopened position in packages for sterilization Sterilizer and multi-use instruments have been removed from premises Sept. 2, 2021
PPE not worn for procedures (eg. Instrument cleaning) that are likely to result in splashesSterilizer and multi-use instruments have been removed from premises Sept. 2, 2021
Gross soil was not removed from medical equipment at point-of-useSterilizer and multi-use instruments have been removed from premises Sept. 2, 2021
No process in place for receiving and disseminating medical equipment/device alerts and recalls or contingency plans in the event of a sterilizer failure. Sterilizer and multi-use instruments have been removed from premises Sept. 2, 2021
Education and training of infection control and reprocessing policies, procedures not provided on a regular basis or documented for all staff. Education and training to be provided and documented on a regular basis. Sept. 2, 2021
The sterilizer not tested with a biological indicator each day the sterilizer is used. ORDER has been issued on August 20, 2021 to ensure complianceSterilizer has been removed from premises. Order rescinded on September 2, 2021.Sept. 2, 2021
A log of test results, parameters, and maintenance during sterilization not kept. Sterilizer has been removed from premises. Sept. 2, 2021
There was not a one-way work flow from dirty to clean in the reprocessing areaSterilizer and multi-use instruments has been removed from premises.Sept. 2, 2021
Sterilizer not tested with chemical indicators and/or integrators each time the sterilizer is usedSterilizer and multi-use instruments have been removed from premises Sept. 2, 2021
Sterilizer mechanical display was not checked, verified, and signed for each cycle Sterilizer and multi-use instruments have been removed from premises Sept. 2, 2021
Sterile critical medical equipment were not stored securely in a manner that prevents contamination.Sterilizer and multi-use instruments have been removed from premises Sept. 2, 2021
The designated reprocessing area was not separated from clean areasSterilizer and multi-use instruments have been removed from premises Sept. 2, 2021
Medical equipment were not packaged for sterilizationSterilizer and multi-use instruments have been removed from premises Sept. 2, 2021
Furniture and toys were not cleanable. Furniture and toys to be cleanable. Aug. 27, 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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