O. Reg. 289/19: HOSPITAL MANAGEMENT

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ontario regulation 289/19

made under the

Public Hospitals Act

Made: August 6, 2019
Approved: August 22, 2019
Filed: August 22, 2019
Published on e-Laws: August 22, 2019
Printed in The Ontario Gazette: September 7, 2019

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

(HOSPITAL MANAGEMENT)

1. Subsection 1 (1) of Regulation 965 of the Revised Regulations of Ontario, 1990 is amended by adding the following definition:

“anaesthetic” means a general, spinal, or epidural anaesthetic or an intravenous anaesthetic or a regional nerve block for procedural anaesthesia, but does not include a mandibular nerve block for a dental procedure; (“anesthésie”)

2. (1) Clause 19 (4) (i.1) of the Regulation is amended by striking out “28 (4)” and substituting “28 (3)”.

(2) Clause 19 (5) (g.1) of the Regulation is amended by striking out “28 (4)” and substituting “28 (3)”.

3. Sections 28 and 29 of the Regulation are revoked and the following substituted:

Anaesthesia

28. (1) No person shall administer an anaesthetic to a patient unless the person responsible for administering the anaesthetic,

(a) takes the medical history and performs the physical examination of the patient that are necessary to enable the person to evaluate the condition of the patient and to choose a suitable anaesthetic, in accordance with professional standards; and

(b) enters or causes to be entered and authenticates on the medical record of the patient the data relevant to safely administering the anaesthetic for the proposed procedure from,

(i) the patient’s history,

(ii) the results of any laboratory tests the person considers necessary, and

(iii) a physical examination.

(2) Subsection (1) does not apply where the person responsible for administering the anaesthetic and the attending physician are of the opinion that a delay for the purpose of complying with that subsection would endanger the life or a limb or vital organ of the patient.

(3) Where a person intends to administer an anaesthetic without complying with subsection (1) and the person responsible for administering the anaesthetic and the attending physician are of the opinion that a delay for the purpose of complying with that subsection would endanger the life or a limb or vital organ of the patient, they shall, as soon as practicable, jointly prepare and authenticate a statement that sets out that opinion.

(4) Where an anaesthetic to which subsection (1) applies is administered to a patient, the person responsible for administering the anaesthetic shall prepare an anaesthetic report or make or cause to be made an entry on the medical record with respect to the patient that shows, as applicable,

(a) the medications given to the patient in contemplation of the administration;

(b) the patient airway, circuit and monitors used on the patient;

(c) the anaesthetic agents used, the methods of administration of the agents and the proportions or concentrations of all agents administered by inhalation to the patient;

(d) the names, quantities and times of all drugs given by injection to the patient;

(e) the duration of the anaesthesia on the patient;

(f) the estimated fluid loss of the patient;

(g) the quantities and type of all blood products and other fluids administered intravenously to the patient during the operation; and

(h) the vital signs of the patient before, during and after anaesthesia.

Surgery

29. (1) No surgeon shall perform a surgical operation on a patient unless the surgeon,

(a) takes a medical history and performs a physical examination of the patient sufficient to enable the surgeon to make a diagnosis; and

(b) enters or causes to be entered and authenticates on the medical record of the patient,

(i) a history of the present disability or disease and any previous medical history relevant to that disability or disease,

(ii) a statement of the findings on the physical examination and the diagnosis, and

(iii) the results of any laboratory tests the surgeon considers necessary.

(2) Where anaesthetic is to be administered to the patient, the entering and authentication required under clause (1) (b) must be performed before the anaesthetic is administered, except under the circumstances described in subsection 28 (2).

(3) Every surgeon who performs a surgical operation in a hospital shall prepare, or cause to be prepared by a person qualified to do so, a written description of the operative procedure at the operation and findings and diagnosis made at the operation with respect to the patient, as the case requires.

(4) The written description referred to in subsection (3) shall be authenticated by the surgeon performing the operation and the person making the description.

4. Subsection 30 (2) of the Regulation is revoked and the following substituted:

(2) Every person responsible for the administration of an anaesthetic to a patient is responsible for directing the post-anaesthetic care of the patient.

Commencement

5. This Regulation comes into force on the later of October 1, 2019 and the day it is filed.

Made by:
Pris par :

La ministre de la Santé,

Christine Elliott

Minister of Health

 

Date made: August 6, 2019
Pris le : 6 août 2019

 

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