Public Health Unit Infection Prevention And Control Lapse Report

Initial Report

Premises/Facility Under Investigation

Residence St-Mathieu

Type of Premises/Facility

Retirement Home

Date Board of Health Became Aware of IPAC Lapse

October 2, 2025

Date IPAC lapse was linked to the premise/facility

October 2, 2025

How the IPAC Lapse was Identified

Unrelated complaint investigation

Summary Description of the IPAC Lapse

The investigation revealed that single-use sterile needles were re-used on the same individual.

IPAC Lapse Investigation

Issue referred to regulatory college and/or other stakeholder notified?

Ministry of Long-term Care, Retirement Homes Regulatory Authority and College of Pharmacists

If the Lapse Involved a Member of a Regulatory College, Was the Issue Referred to that Regulatory College?

Yes

Were any Corrective Measures Recommended and/or Implemented?

Yes

Further Details/Steps

- Cease re-use of single use needles.
- Cease recapping of single use needles.
- Obtaining new needles for single use.
- Embed in their IPAC Policies &
Procedures aseptic techniques and
immediate discard of single use needles.
- IPAC training and audits of staff under delegation of a controlled act.

Date any Order(s) or Directive(s) Were Issued to the Owner/Operators

October 3, 2025

Initial Report Comments

Exposed individuals have been notified.

If you have any further questions, please contact:

Genevieve Lord
Program Manager / Gestionnaire de programmes
glord@eohu.ca
613-933-1375

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