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Physicians Practising in Out-of-Hospital Premises Standard

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  1. All physicians practising in an Out-of-Hospital Premises (OHP) must:
    1. have completed the online Staff Affiliation form for each OHP they wish to practise in, prior to practising in that OHP;
    2. report any revocation, suspension, or restriction of hospital privileges to the Medical Director within 2 weeks;
    3. meet the standard of practice of the profession, which applies regardless of the setting in which care is being provided;
    4. practise within their scope of practice and within the limits of their knowledge, skill and judgement;
    5. comply with all applicable requirements in the OHP Standards, including:
      1. cooperating with and providing information to CPSO in accordance with the Co-operation with the Out-of-Hospital Premises Inspection Program Standard;
      2. being appropriately qualified to perform all procedures they perform in that OHP, in accordance with Appendix A of the Medical Director Standard;
      3. complying with pre-procedure, intra-procedure and post-procedure care requirements when performing procedures in accordance with the Procedures Standard;
      4. complying with all infection prevention and control standards and requirements in accordance with the Infection Prevention and Control Standard;
      5. managing and reporting all adverse events in accordance with the Adverse Events Standard;
      6. participating in quality assurance processes within the OHP, in accordance with the Quality Assurance Standard;
    6. comply with all applicable CPSO policies1;
    7. comply with the requirements for the OHP set out by the Medical Director and all applicable policies and procedures of the OHP, including those set out in Appendix B of the Medical Director Standard; and
    8. comply with existing standards or guidelines from applicable speciality societies. 2


1. This includes but is not limited to the following: Availability and Coverage, Consent to Treatment, Delegation of Controlled Acts, Disclosure of Harm, Prescribing Drugs, Managing Tests.

2. For example, the Canadian Anesthesiologists’ Society Guidelines to the Practice of Anesthesia.