Farazli clinic findings
The College of Physicians and Surgeons of Ontario’s premises inspection committee issued several findings against Dr. Christiane Farazli’s endoscopy clinic:
“During the procedure the physician used the biopsy forceps to obtain a specimen. However, after she took the biopsy, she dipped the biopsy forceps in formalin (a solution containing formaldehyde) to get rid of the specimen and then re-inserted the same forceps into the patient’s esophagus without first rinsing it in water.”
Formaldehyde can be harmful to human health because of its carcinogenic properties, the report states.
“The Medivator was being used improperly for a high-level disinfection of the scopes and for the sterilization of the instruments. Additional training is required.”
“The technician uses the sink in the procedure room to clean scopes while the procedure is being performed and the air quality is questionable … In this case, not only was the technician not wearing a mask herself, but also, the patient was exposed to potential toxic fumes inside the procedure room.”
“There is no intra-operative record noted, which means that the nurse is not recording vital signs during the procedures.”
The registered nurse in the procedure room “is preoccupied with advancing the scope instead of monitoring the patient’s vital signs.”
“There is a small recovery room — which tightly holds one examination bed and one recliner, within three feet of the procedure room. There was no suction machine and no oxygen available inside this room. In addition, there is no record of any post-operative recording being done on the patient’s vital signs.”
“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 the event of an emergency.”
“There was no torso board available, and the NAC (nurse assessment co-ordinator) was advised that they would flip over a hard plastic dinner tray (currently sitting on a shelf holding supplies) to improvise.”
“Not only were five oxygen tanks containing a combustible material being stored in the procedure room about two feet away from the procedure table, but they were being stored without any visible method of securing them.”
“The premises does not provide any log or other evidence that it conducts any regular maintenance of its medical equipment.”
“The premises keeps the contaminated garbage from all of its previous cases under the procedure table.”
“This premises does not have an uninterrupted power source, for use in the case of a power disruption.”
“There are no fire exit signs and there is no evacuation floor plan visible for the patients,” the report concluded.