QUALITY PROFESSIONALS | HEALTHY SYSTEM | PUBLIC TRUST80 College Street, Toronto, Ontario M5G 2E2 Tel: (416) 967-2600 Toll Free: (800) 268-7096 Fax: (416) 967-2605
The premises is cramped and cluttered, especially in the procedure room. It would be quite difficult to transfer any of their patients out of the procedure room in theevent of an emergency.
2.Pursuant to the OHP Standards- Procedure room 4.2.2
The reprocessing area (dirty area) and the Medivator are located in one corner of the procedure room. The technician uses the sink in the procedure room to clean scopeswhile the procedure is being performed and the air quality is questionable.
According to the Standards, the technicians who work in the reprocessing room must be protected by proper PPE (Personal Protective Equipment). In this case, not only wasthe technician not wearing a mask herself, but also, the patient was exposed to potential toxic fumes inside the procedure room.
3.Pursuant to the OHP Standards 6.2 Intra-procedure Patient Care
The noise from the Medivator is interfering with the ability to hear the audible soundsof the monitoring machine
4.Pursuant to the OHP Standards 3.3 .6.3g Infection Control
The premises is in the practice of reusing single-use items such as snares. Biopsyforceps may be reused but only if they are effectively decontaminated and sterilizedusing a proper sterilizer. They must follow all Infection Control and SterilizationStandards. Currently, the premises is attempting to sterilize them in the Medivator (however, it cannot be used as a surgical sterilizer). It is imperative that this practice be stopped immediately, because it is posing immediate potential harm to patients’health using unsterilized instruments and it promotes the transmission of diseases.
5.Pursuant to the OHP Standards 6.2 intra-procedure Patient care
The RN in the procedure room is ACLS certified, and there is also a technician present in the room who assists with the procedure. However, the RN is preoccupiedwith advancing the scope instead of monitoring the patient’s vital signs.
6.Pursuant to the OHP Standards 6.2 Intra-procedure Patient Care
There is no intra-operative record noted, which means that the nurse is not recordingvital signs during the procedures.