O. Reg. 346/01: HOSPITAL MANAGEMENT

 

ONTARIO regulation 346/01

made under the

public hospitals act

Made: August 29, 2001
Approved: August 29, 2001
Filed: August 30, 2001
Printed in The Ontario Gazette: September 15, 2001

Amending Reg. 965 of R.R.O. 1990

(Hospital Management)

1. (1) The definition of “dental staff” in subsection 1 (1) of Regulation 965 of the Revised Regulations of Ontario, 1990 is revoked and the following substituted:

“dental staff” means,

(a) the oral and maxillofacial surgeons to whom the board has granted the privilege of diagnosing, prescribing for or treating patients in the hospital, and

(b) the dentists to whom the board has granted the privilege of attending patients in the hospital in co-operation with a member of the medical staff;

(2) The definition of “dentist” in subsection 1 (1) of the Regulation is revoked and the following substituted:

“dentist” means a member of the Royal College of Dental Surgeons of Ontario;

(3) Subsection 1 (1) of the Regulation is amended by adding the following definition:

“oral and maxillofacial surgeon” means a dentist who holds a specialty certificate from the Royal College of Dental Surgeons of
Ontario authorizing practice in oral and maxillofacial surgery;

2. (1) Clause 11 (1) (b) of the Regulation is revoked and the following substituted:

(b) on the order or under the authority of an oral and maxillofacial surgeon who is a member of the dental staff;

(b.1) if the person is being admitted for treatment by a dentist who is a member of the dental staff other than an oral and maxillofacial surgeon, on the joint order of the dentist and a physician who is a member of the medical staff; or

(2) Clause 11 (3) (b) of the Regulation is revoked and the following substituted:

(b) on the order or under the authority of a member of the dental staff who is an oral and maxillofacial surgeon;

(b.1) in the case of a person who is an out-patient solely for the purpose of attending a dental clinic in a hospital, on the order or under the authority of a member of the dental staff; or

3. Subsection 14 (1) of the Regulation is revoked and the following substituted:

(1) A physician, an oral and maxillofacial surgeon or a midwife who knows or suspects that a person being admitted to the hospital on the physician’s, oral and maxillofacial surgeon’s or midwife’s order is or may become dangerous to himself or herself or to other persons, shall forthwith notify the administrator concerning the patient.

4. Subsection 16 (1) of the Regulation is revoked and the following substituted:

(1) If a patient is no longer in need of treatment in the hospital, one of the following persons shall make an order that the patient be discharged and communicate the order to the patient:

1. The attending physician or midwife or, if the attending dentist is an oral and maxillofacial surgeon, the attending dentist.

2. A member of the medical, dental or midwifery staff designated by a person referred to in paragraph 1.

5. (1) Clause 25 (1) (b) of the Regulation is revoked and the following substituted:

(b) is authenticated by a member of the medical staff, a member of the midwifery staff or a member of the dental staff who is an oral and maxillofacial surgeon,

. . . . .

(2) Subsection 25 (2) of the Regulation is amended by striking out “clause (3) (d)” and substituting “clause (3) (d) or (3.1) (d)”.

(3) Section 25 of the Regulation is amended by adding the following subsection:

(3.1) Every board shall ensure that procedures are established in a hospital that provide, within 72 hours after a patient is admitted to the hospital by an oral and maxillofacial surgeon, that an oral and maxillofacial surgeon,

(a) takes a medical history of the patient;

(b) gives the patient a physical examination;

(c) makes a provisional assessment of the patient’s medical condition and a provisional diagnosis or assessment of the patient’s dental condition; and

(d) records, dates and authenticates the history and a report of the findings of the physical examination and the provisional assessment and diagnosis of the patient.

(4) Subsection 25 (4) of the Regulation is amended by striking out “Subsection (3) does not apply” at the beginning and substituting “Subsections (3) and (3.1) do not apply”.

(5) Subsection 25 (5) of the Regulation is amended by striking out “Subsections (1) and (3)” at the beginning and substituting “Subsections (1), (3) and (3.1)”.

(6) Subsection 25 (7) of the Regulation is revoked and the following substituted:

(7) Where a patient is admitted to a hospital for dental surgery by a person other than an oral and maxillofacial surgeon, the attending dentist shall ensure that the procedures referred to in subsections (3) and (6) have been carried out before the surgery commences.

Tony Clement

Minister of Health and Long-Term Care

Dated on August 29, 2001.