Get Or General Anesthesia Permit Application Form 2017-2025

Filling out the OR General Anesthesia Permit Application Form online is a straightforward process that requires careful attention to detail. This guide will walk you through each section of the form to ensure you submit a complete and accurate application.

Follow the steps to fill out the OR General Anesthesia Permit Application Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your name and Oregon License Number accurately in the specified fields, ensuring all spelling is correct.
3. Fill in your mailing address, business address, and contact information. Make sure the information is current and clearly presented.
4. Review the application instructions carefully. Acknowledge understanding by marking the provided checkbox.
5. In the Training section, describe and document your formal training in general anesthesia. This includes listing courses, their dates, the number of hours spent in clinical and classroom settings, and the institutions that sponsored them.
6. For your anesthesia assistant’s training, provide similar details including course title, date, hours, and sponsoring institution.
7. Attach copies of your and your assistant's current BLS/CPR certifications.
8. Answer all preoperative evaluation questions regarding patient assessment, vital signs, ASA status, pre-anesthesia instructions, and attach required forms like the informed consent and health history.
9. In the Operative section, outline your sedation procedures, detailing drugs, dosages, monitoring methods, airway management, and emergency equipment.
10. Complete the Postoperative and Emergency sections by describing recovery monitoring protocols and emergency procedures, ensuring all required documentation is included.
11. Review the entire application for completeness and accuracy, correcting any omissions.
12. Save changes, then download, print, or share the completed form as necessary before submission.

Start filling out your OR General Anesthesia Permit Application Form online now to ensure a timely submission.