Grey Gretzky Medical Centre
Initial Report
| Establishment under investigation (name and address) |
Grey Gretzky Medical Centre
2-422 Grey St, Brantford, ON N3S 4X8 |
| Establishment type |
Walk-in clinic |
| Date health unit became aware of potential IPAC lapse |
August 15, 2023 |
| Date of initial report posting |
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| Date of initial report update(s) (if applicable) |
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| How was the IPAC lapse identified? |
Complaint |
| Date of on-site investigation |
April 15, 2023 |
IPAC Lapse Investigation
| Did the IPAC lapse involve a member of a regulatory college? |
Yes; CPSO |
| If yes, was the issue referred to the regulatory college? |
Yes |
| Were corrective actions recommended and/or implemented? |
Yes
Facility was requested to suspend services that use reprocessed equipment/tools. Affected services may be performed with single-use pre-sterile equipment/tools. Facility voluntarily suspended services. |
| Date of any order(s) or directive(s) issued to the owner/operator (if applicable) |
August 14, 2023 |
| Summary description of the IPAC lapse |
- Instruments/equipment were not pre-cleaned (e.g., enzymatic cleaner) or soaked after use and were stored within their respective sterilization pouch for an unspecified length of time before being reprocessed.
- At time of the investigation instrument/equipment manufacturer’s instructions for use (MIFU’s) were not available for review.
- Sterilization logs are not maintained for reprocessed/sterilized instruments/equipment.
- Safety needles affixed to syringes (2) were observed to be pre-drawn from single-use vials and stored within vaccine fridge.
- Inconsistency in cleaning/disinfecting of exam rooms between each patient.
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| Additional comments and/or updates to initial report |
Staff members responsible for any or all steps in reprocessing are recommended to complete the Medical Device Reprocessing Techniques Online Course through the Medical Device Reprocessing Association of Ontario. |
Final Report
| Brief description of corrective measures taken |
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| Date all corrective measures were confirmed to have been completed |
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| Date of final report posting and/or any date of any updates to final posting |
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| Date of follow-up to confirm corrective actions taken and completed |
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| Additional comments |
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