|1. During the complaint inspection it was observed that the cleaning, disinfection, and sterilization of reusable instruments on site did not follow Provincial Infectious Disease Advisory Committee (PIDAC) Best Practice Standards for reprocessing and infection control in a clinical office setting.
2. Flash sterilization or immediate use steam sterilization (IUSS) was used on non-critical equipment (e.g., rubber dam punch, and mouth props).
3. The reprocessing work area is physically separated from other work areas, however, the design does not allow for a one way flow of instruments from dirty to clean to prevent cross-contamination.
4. At time of the investigation instrument/equipment manufacturer’s instructions for use (MIFU’s) were not available for review.
5. Instruments were not pre-cleaned after use (an enzymatic cleaner was not used).
6. Inconsistent disassembling of instruments (e.g., two-piece mouth mirrors).
7. Pre-drawn syringes containing sodium-hypochlorite and EDTA were in drawers, four days after specialist last worked; the syringes were not labelled or dated.