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You can download the forms below:


How to Obtain Anesthesia Coverage for Procedures in Out of OR Locations at the CIVIC Campus

Elective outpatient:

1.       Send to PAU admitting

    1. Please have patient complete Preop Questionnaire (Form # NUR71C (03/2014)
    2. Signed Consent (if necessary)
    3. RFA (Form #PRC   09 ( 12/2014)Cat;421080)   AND

2.       Inform Anesthesia Scheduler of date via email at AnesCivic@toh.ca . Confirmation of availability will be sent by return email. Appointment should not be considered booked until response received.

PAU RN will triage the request for RN phone call, RN visit, or Anesthesia Assessment. Anesthesia scheduler will inform OR booking, and PACU.

Elective (> 24 hours) Inpatient

1.       Call Anesthesia Resident on call for consult if needed. Use ORA 69 (04/2017) to determine need for consult.  AND

2.       Inform Anesthesia Scheduler of date via email at AnesCivic@toh.ca . Confirmation of availability will be sent by return email . Appointment should not be considered booked until response received.

Anesthesia Scheduler will inform OR booking/ PACU.

Urgent < 24 hour Inpatient or Outpatient

Priority A  Life or limb threatening

< 45 minutes

Priority B

< 2 hours

Priority C

< 4 hours

Priority D

< 8 hours

Priority E

< 24 hours

 

Priority A or B

1.       Daytime 07:30-15:30,  Call OR Care Facilitator or Charge Nurse at 19553.

Evening/ night 15:30-07:30 page STAFF anesthesiologist via 14221   AND

2.       Call OR desk 18800 with patient name, MRN, fasting status. OR booking clerk will notify PACU. (Note, fasting status < 8 hours will NOT delay case due to urgency of the investigation.)

Priority C-E

1.       Call Anesthesia Resident on call for consult if needed. Use ORA 69 (04/2017) to determine need for consult.    AND

2.       Call OR desk 18800 with patient name, MRN, fasting status. OR booking clerk will notify PACU.

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  You can download the forms below:

 

RFA.pdf 

How to Obtain Anesthesia Coverage for Procedures in Out of OR Locations at the CIVIC Campus.docx

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