The Taskforce on Office Assessment (TFOA) was established by the Board in 2008 with a mandate to review and develop recommendations on office assessment. In developing its recommendations, TFOA completed a through review process of other jurisdictions; professions and acquired feedbavck from members on the MDA Guidelines for Office Assessment approved by the Board in 2009and voluntary office assessments performed in 2012. TFOA focused on the MDA public protection mandate and meeting expectations identified in The Regulated Health Professions Act.
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Pharmacologic behaviour management – Anxiolysis, sedation, general anesthesia - is a continuum. It is not always possible to predict how an individual patient will respond to a drug. Members planning to produce a given level of sedation should be able to diagnose and manage the physiologic consequences (rescue) for patients whose level of sedation becomes deeper than initially intended. For all levels of sedation, the practitioner must have the training, skills, drugs and equipment to identify and manage such an occurrence until either assistance arrives (emergency medical service) or the patient returns to the intended level of sedation without airway or cardiovascular complications.
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