Updates from the Non-Hospital Medical and Surgical Facilities Program

Difficult Airway Reporting

Facilities are reminded to complete difficult airway management reports for any patient who presents with a difficult airway. Reports should include:

Discussion with the patient

The discussion between the anesthesiologist and the patient should be documented describing the events, the seriousness of the problem, and direction to the patient to inform the next anesthesiologist of his/her problem.


  • Record adequate notes in the anesthetic record indicating the precise problem and course of action taken.
  • Place an airway alert on the patient’s chart and also note it on the electronic record.
  • Complete a written airway alert form. Provide the patient with a copy of the form. Also send a copy of the form to the patient’s GP, and retain a copy at the facility. Airway alert forms can be downloaded from the Internet or adopted from the local hospital.
  • Submit the College's Reportable Incident Form if a complication arises.

Accurate recording of allergies reduces errors

Registrants are reminded of the importance of accurately documenting patient allergies on all clinical records. Allergies are often not documented accurately on facility records and inconsistencies are seen on booking forms, histories, consults, anesthetic and OR records. Allergies and reactions need to be up to date and the information shared with all health-care professionals. As a final check, allergies and reactions must be discussed by the surgical team during the briefing period of the surgical safety checklist before proceeding with the surgery.

Accreditation standards development subcommittee

In April 2013, the College extended an invitation to non-hospital medical and surgical facilities to participate in a subcommittee. Physicians and nurses from eight non-hospital medical and surgical facilities, as well as two nurses from the public sector, agreed to participate. Reporting to the Non-Hospital Medical and Surgical Facilities Committee, the subcommittee will develop accreditation standards which provide a framework for the delivery of high quality and safe service in all facilities. Once approved, these standards will set out the minimum requirements that a non-hospital medical and surgical facility is required to achieve to be granted College accreditation. 

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