The Non-Hospital Medical and Surgical Facilities Accreditation Program Committee is responsible for establishing, monitoring and enforcing standards to ensure the safety, quality and consistency of patient care in private medical/surgical facilities in BC. 

Based upon evidence and consensus-based information, these standards represent the minimum level of performance required to achieve accreditation with the College, reflect relevant legal requirements, and are enforceable under the Health Professions Act as set out in section 5-1 of the College Bylaws made under the Act.

The standards are used by private medical/surgical facilities to provide a framework for the continuous self-assessment and evaluation of the quality and safety of patient care delivery.

The public can use these standards to understand the College’s expectations of accredited private medical/surgical facilities.

New/updated standards

• Admission and Pre-procedure Care
• Emergency Preparedness
• Intraoperative Care
• Medical Gas – Free-standing Tank System
• Medical Gas – Pipeline System
• Pre-admission Evaluation and Selection

Existing standards and guidelines

• Admission and Pre-procedure Care
• Anesthesia Equipment Reprocessing
• ASA Physical Status Classification
• Best Practice Guidelines for the Cleaning, Disinfection and Sterilization of Critical and Semi-critical Medical Devices in BC Health Authorities – Ministry of Health (BC)
• Best Practices for Hand Hygiene – Ministry of Health (BC)
• Blood, Blood Products and Artificial Colloids
• Bone, Bone Products, Cells and Tissues
• Clinical Trials
• Consent
• Discharge
• Electrical Systems and Safety
• Emergency Cart Medication and Equipment
  • Class 1 Facility: General Anesthesia
  • Class 2 Facility: IV Sedation and/or Analgesia
  • Class 3 Facility: Local Anesthesia
• Emergency Preparedness
• Environmental Cleaning
• Equipment Management
• Fasting
• Fluid and Blanket Warming
• Governance and Leadership
• Heating, Ventilation and Air-Conditioning System (HVAC)
  • Class 1 Facility: General Anesthesia
  • Class 2 Facility: IV Sedation and/or Analgesia
  • Class 3 Facility: Local Anesthesia
• Human Resources
• Immediately Sequential Bilateral Cataract Surgery
• Intraoperative Care
• Intraoperative Care Equipment
• IV Procedural Sedation and Analgesia for Adults
• Laparoscopic Adjustable Gastric Banding
• Laser Safety
• Latex Allergy
• Liposuction
• Malignant Hyperthermia
• Medical Director
• Medical Gas – Free-standing Tank System
• Medical Gas – Pipeline System
• Medical Records and Documentation
• Medication Management
• Obesity
• Occupational Health and Safety
• Overnight Stay
• Pain Infusion Clinic
• Pediatric Obesity
• Point-of-Care Testing
• Post-anesthesia Care
• Pre-admission Evaluation and Selection
• Radiation Safety
• Routine Practices and Transmission-based Precautions
• Single-use Devices and Multi-dose Vials
• Specimen Handling
• Surgical Safety Checklist
  • Surgical Safety Checklist (MS Word)
• Waste Management