1.1 Function as a professional 1.1.a Maintain patient dignity. S S P P P P 1.1.b Reflect professionalism through use of appropriate language. S S P P P P 1.1.c Dress appropriately and maintain personal hygiene. A A P P P P 1.1.d Maintain appropriate personal interaction with patients. A A P P P P 1.1.e Maintain patient confidentiality. A A P P P P 1.1.f Participate in quality assurance and enhancement programs. A A A A A A 1.1.g Promote awareness of emergency medical system and profession. A A A A A A 1.1.h Participate in professional association. A A A A A A 1.1.i Behave ethically. A A P P P P 1.1.j Function as patient advocate. A A P P P P 1.2 Participate in continuing education and professional development 1.2.a Develop personal plan for continuing professional development. X X A A A A 1.2.b Self-evaluate and set goals for improvement, as related to professional practice. X X A A A A
1.2.c Interpret evidence in medical literature and assess relevance to practice. N N A S S A 1.2.d Make presentations. N N N S S N 1.3 Possess an understanding of the medicolegal aspects of the profession 1.3.a Comply with scope of practice. S S P P P P 1.3.b Recognize the rights of the patient and the implications on the role of the provider. A A A A A A 1.3.c Include all pertinent and required information on reports and medical records. S S P P P P 1.4 Recognize and comply with relevant provincial and federal legislation 1.4.a Function within relevant legislation, policies and procedures. A A P P P P 1.5 Function effectively in a team environment 1.5.a Work collaboratively with a partner. S S P P P P 1.5.b Accept and deliver constructive feedback. S S P P P P 1.6 Make decisions effectively 1.6.a Employ reasonable and prudent judgment. S S P P P P 1.6.b Practice effective problem-solving. S S P P P P 1.6.c Delegate tasks appropriately. S S P P P P
1.7 Manage scenes with actual or potential forensic implications 1.7.a Collaborate with law enforcement agencies in the management of crime scenes. A A S S S S 1.7.b Comply with ethical and legal reporting requirements for situations of abuse. A A S S S S 2.1 Practice effective oral communication skills 2.1.a Deliver an organized, accurate and relevant report utilizing telecommunication devices. S S S S S S 2.1.b Deliver an organized, accurate and relevant verbal report. S S P P P P 2.1.c Deliver an organized, accurate and relevant patient history. S S P P P P 2.1.d Provide information to patient about their situation and how they will be cared for. S S P P P P 2.1.e Interact effectively with the patient, relatives and bystanders who are in stressful situations. S S P P P P 2.1.f Speak in language appropriate to the listener. S S P P P P 2.1.g Use appropriate terminology S S P P P P 2.2 Practice effective written communication skills 2.2.a Record organized, accurate and relevant patient information. S S P P P P
2.2.b Prepare professional correspondence. N N A A A A 2.3 Practice effective non-verbal communication skills 2.3.a Employ effective non-verbal behaviour. A A S S S S 2.3.b Practice active listening techniques. S S P P P P 2.3.c Establish trust and rapport with patients and colleagues. A A P P P P 2.3.d Recognize and react appropriately to behaviours. A A P P P P 2.4 Practice effective interpersonal relations 2.4.a Treat others with respect. S S P P P P 2.4.b Employ empathy and compassion while providing care. S S P P P P 2.4.c Recognize and react appropriately to persons exhibiting emotional reactions. A A P P P P 2.4.d Act in a confident manner. S S P P P P 2.4.e Act assertively as required. S S P P P P 2.4.f Employ diplomacy, tact and discretion. S S P P P P 2.4.g Employ conflict resolution skills. S S S S S S 3.1 Maintain good physical and mental health 3.1.a Maintain balance in personal lifestyle. X X A A A A 3.1.b Develop and maintain an appropriate support system. X X A A A A 3.1.c Manage stress. X X A A A A
3.1.d Practice effective strategies to improve physical and mental health related to career. X X A A A A 3.1.e Exhibit physical strength and fitness consistent with the requirements of professional practice. S S P P P P 3.2 Practice safe lifting and moving techniques 3.2.a Practice safe biomechanics. S S P P P P 3.2.b Transfer patient from various positions using applicable equipment and / or techniques. S S P P P P Spinal 3.2.c Sched 1 2(c) Transfer patient using emergency evacuation techniques. S S S S S S Spinal 3.2.d Sched 1 2(d) Secure patient to applicable equipment. S S P P P P Spinal 3.3 Create and maintain a safe work environment 3.3.a Assess scene for safety. S S P P P P 3.3.b Address potential occupational hazards. S S P P P P 3.3.c Conduct basic extrication. S S S S S S 3.3.d Exhibit defusing and self-protection behaviours appropriate for use with patients and bystanders. S S S S S S 3.3.e Conduct procedures and operations consistent with Workplace Hazardous Materials Information System (WHMIS) and hazardous materials management requirements. A A A A A A
4.3 Conduct complete physical assessment demonstrating appropriate use of inspection, palpation, percussion and auscultation, and interpret findings 4.3.a Sched 1 1(b) Conduct primary patient assessment and interpret findings. S S P P P P NPA EGD 4.3.b Sched 1 1(b) Conduct secondary patient assessment and interpret findings. S S P P P P 4.3.c Sched 1 1(c & d) & 1 2(e) Conduct cardiovascular system assessment and interpret findings. S S P P P P AED 4.3.d Sched 1 1(b & c) Conduct neurological system assessment and interpret findings. S (LOC only) S P P P P Spinal 4.3.e Sched 1 1(b) Conduct respiratory system assessment and interpret findings. S S P P P P NPA EGD 4.3.f Sched 1 1(c) Conduct obstetrical assessment and interpret findings. S S S C C S 4.3.g Sched 1 1(c) Conduct gastrointestinal system assessment and interpret findings. S S S P P S 4.3.h Sched 1 1(c) Conduct genitourinary system assessment and interpret findings. S S S P P S 4.3.i Sched 1 1(c) Conduct integumentary system assessment and interpret findings. S S S S C S 4.3.j Sched 1 1(c) Conduct musculoskeletal assessment and interpret findings. S S P P P P Spinal 4.3.k Sched 1 1(c) Conduct assessment of the ears, eyes, nose and throat and interpret findings. S S S S S S 4.3.l Sched 1 1 1(c) Conduct neonatal assessment and interpret findings. S S S C C C
4.3.m Sched 1 1(c) Conduct psychiatric assessment and interpret findings. S S S S S S 4.3.n Sched 1 1(c) Conduct pediatric assessment and interpret findings. S S C C C C 4.3.o Sched 1 1(c) Conduct geriatric assessment and interpret findings S S P P P P 4.3.p Sched 1 1(c) Conduct bariatric assessment and interpret findings S S S S S S 4.4 Assess vital signs 4.4.a Sched 1 1(b) Assess pulse. S S P P P P AED 4.4.b Sched 1 1(b) Assess respiration. S S P P P P NPA EGD AED 4.4.c Sched 1 1(b) Conduct temperature monitoring. S (touch only) S C C C C 4.4.d Sched 1 2(e) Measure blood pressure by auscultation. N S P P P P IV 4.4.e Sched 1 2(e) Measure blood pressure by palpation. N S S S S S IV 4.4.f Sched 1 2(e) Measure blood pressure with blood pressure monitor. N S C C C C 4.4.g Sched 1 1(b) Assess skin condition. S S P P P P 4.4.h Sched 1 1(c) Assess pupils. S S P P P P 4.4.i Sched 1 1(b) Assess level of consciousness. S S P P P P NPA EGD AED invasive
4.5 Utilize diagnostic tests 4.5.a Sched 2 2(b) Conduct oximetry testing and interpret findings. N S C C C C NPA 4.5.b Sched 1 4(k) Conduct end-tidal carbon dioxide monitoring and interpret findings. N N A C C A 4.5.c Sched 2 2(d) Conduct glucometric testing and interpret findings. N A P P P P IV 4.5.d Sched 2 3(a) Conduct peripheral venipuncture. N N S S C A IV 4.5.e Sched 2 4(f) Obtain arterial blood samples via radial artery puncture. N N N A S N 4.5.f Sched 2 4(g) Obtain arterial blood samples via arterial line access. N N N A C N 4.5.g Conduct core temperature monitoring and interpret findings. N N X A A X 4.5.h Sched 2 4(d) Conduct pulmonary artery catheter monitoring and interpret findings. N N N A C C (infants only) 4.5.i Sched 2 4(d) Conduct central venous pressure monitoring and interpret findings. N N N A C N 4.5.j Sched 2 4(k) Central Venous Access N N X A C X 4.5.k Sched 2 4(d) Conduct arterial line monitoring and interpret findings. N N N A C N 4.5.l Sched 2 4(h) Interpret laboratory data as specified in Appendix 5. N N A A C A 4.5.m Sched 2 3(d) Conduct 3-lead electrocardiogram (ECG) and interpret findings. N N A P P P (infants only) ECG 4.5.n Sched 1 4(b) Obtain 12-lead electrocardiogram amanualnd interpret findings. N N A P P S
5.1.k Sched 1 4(g) Conduct percutaneous cricothyroidotomy. N N A S S A 5.1.l Sched 1 4(g) Conduct surgical cricothyroidotomy. N N A S S A 5.2 Prepare oxygen delivery devices 5.2.a Sched 1 1(f) Prepare oxygen delivery devices. S S S S S S NPA EGD AED 5.2.b Sched 1 2(h) Utilize portable oxygen delivery systems. S S P P P P NPA EGD AED 5.3 Deliver oxygen and administer manual ventilation 5.3.a Sched 1 2(h) Administer oxygen using nasal cannula. N S C C C C 5.3.b Sched 1 2(h) Administer oxygen using low concentration mask. S S S S S S 5.3.c Administer oxygen using controlled concentration mask. N N A A A A 5.3.d Sched 1 1 (f) Administer oxygen using high concentration mask. S S C C C C NPA EGD AED 5.3.e Sched 2 1(a) Administer oxygen using pocket mask. S S S S S S 5.4 Utilize ventilation equipment 5.4.a Sched 2 1(a) Provide oxygenation and ventilation using manual positive pressure devices. S S C C C C NPA EGD AED PPD 5.4.b Sched 2 4(a) Recognize indications for mechanical ventilation. N N A A S S (infants only)
5.4.c Sched 2 4(a) Prepare mechanical ventilation equipment. N N A A S S (infants only) 5.4.d Sched 2 4(a) Provide mechanical ventilation. N N A A C C (infants only) 5.5 Implement measures to maintain hemodynamic stability 5.5.a Sched 1 1(d) Conduct cardiopulmonary resuscitation (CPR). S S S S S S NPA EGD AED 5.5.b Sched 1 1(e) Control external hemorrhage through the use of direct pressure and patient positioning. S (basic wound only) S S S S S 5.5 c Sched 2.2 (a) 2 3 (b) Maintain peripheral intravenous (IV) access devices and infusions of crystalloid solutions without additives. N S only) C P P C IV 5.5.d Sched 2 3(a) Conduct peripheral intravenous cannulation. N N C P P C IV 5.5.e Sched 1 4(c) Conduct intraosseous needle insertion. N N A S S A 5.5.f Sched 1 3(d) Utilize direct pressure infusion devices with intravenous infusions. N N S S S S 5.5.g Sched 1 4(l) Administer volume expanders (colloid and non-crystalloid). N N A S S A 5.5 h Sched 2 4(e) Administer blood and/or blood products. N N A A S S (Infants only) 5.5.i Sched 2 1(b) Conduct automated external defibrillation. S S S S S S NPA EGD AED 5.5.j Sched 1 4(b) Conduct manual defibrillation. N N A S S S (Infants only) 5.5.k Sched 1 4(b) Conduct cardioversion. N N A S S A
5.5.l Sched 1 4(b) Conduct transcutaneous pacing. N N A S S A 5.5.m Sched 2 4(m) Maintain transvenous pacing. N N N A S N 5.5.n Maintain intra-aortic balloon pumps. N N N A A N 5.5.o Sched 2 4(c) Provide routine care for patient with urinary catheter. N N A A C S (Infants only) 5.5.p Provide routine care for patient with ostomy drainage system. N N A A A A 5.5.q Provide routine care for patient with urinary drainage system. N N A A A A 5.5.r Sched 1 4(g) Monitor chest tubes. N N A S C C (infants only) 5.5.s Sched 1 4(c) Conduct needle thoracostomy. N N A S S C (infants only) 5.5.t Sched 1 4(h) Conduct oral and nasal gastric tube insertion. N N A S C C (infants only) 5.5.u Sched 2 4(c) Conduct urinary catheterization. N N A A C C (infants only) 5.6 Provide basic care for soft tissue injuries 5.6.a Sched 1 1(e) Treat soft tissue injuries. S S P P P P 5.6.b Sched 1 1(e) Treat burn. S (basic only) S S S S S 5.6 c Sched 1 1(c) Treat eye injury. S (basic only) S S S S S 5.6.d Sched 1 1(e) Treat penetration wound. S (life only S S S S S 5.6.e Sched 1 1(c) Treat local cold injury. S S S S S S
5.6.f Sched 1 1(e) Provide routine wound care. S S S S S S 5.7 Immobilize actual and suspected fractures 5.7.a Sched 1 1(e) Immobilize suspected fractures involving appendicular skeleton. S S S S S S Spinal 5.7.b Sched 1 1(e) Immobilize suspected fractures involving axial skeleton S S P P P P Spinal 5.7.c Sched 1 2(f) Reduce fractures and dislocations. N S S S S S Spinal 5.8 Administer medications (see also reference to specific medications on page 34 - 36) 5.8.a Sched 1 3(b) Recognize principles of pharmacology as applied to the medications listed in Appendix 5. N N S S S S IV IM All meds 5.8.b Sched 1 3(b) Follow safe process for responsible medication administration. N N C P P C IV IM All meds 5.8 c Sched 1 3(b) Administer medication via subcutaneous route. N N S S S S Narcotic Antagonist (Narcan) Sympathomimetic Agent - EPI 5.8.d Sched 1 3(b) Administer medication via intramuscular route N N S C C S IM Glucagon Antihypolglycemic Agent Anti-Emetic-Gravol Anti-Hypoglycemic Agent 5.8.e Sched 1 3(b) Administer medication via intravenous route. N N P P P P IV Sympathomimetic – EPI Narcotic Antagonist (Narcan) D10/D50 Procoagulant: TXA Vitamins 5.8.f Sched 1 4(m) Administer medication via intraosseous route. N N A S S (infants only) Any meds applicable to licence level 5.8.g Sched 1 4(m) Administer medication via endotracheal route. N N A S S A Any meds applicable to licence level
5.8.h Sched 1 4(m) Administer medication via sublingual route. N N S C C S Nitro Anti Anginal 5.8.i Sched 1 4(m) 2 1 (e) Administer medication via buccal route. S (oral glucose only) S (oral glucose only) S (oral glucose only) C C S Oral Glucose 5.8.j Administer medication via topical route. N N A A A A None 5.8.k Sched 1 3(b) Administer medication via oral route. N N S C C S ASA Platelet Inhibitor Benadryl-Diphenhydramine Nitrous Oxide – Analgesia Vitamins 5.8.l Sched 1 4(m) Administer medication via rectal route. N N A C C A Diaphen Dydrinate: Gravol Midazolam 5.8.m Sched 1 3(b) Administer medication via inhalation route. C (oxygen only) C (oxygen & nitrous oxide only) C C C C Nitrous Oxide, Ventolin, Atrovent, Oxygen 5.8.n Sched 1.3(b) Administer medication via intranasal route. N N S S S S None 5.8.o Provide patient assist according to provincial list of medications. A A A A A A 6.1 Utilize differential diagnosis skills, decision-making skills and psychomotor skills in providing care to patients 6.1.a Provide care to patient experiencing signs and symptoms involving cardiovascular system. S S P P P P AED 6.1.b Provide care to patient experiencing signs and symptoms involving neurological system. S S P P P P Spinal 6.1 c Provide care to patient experiencing signs and symptoms involving respiratory system. S S P P P P NPA EGD 6.1.d Provide care to patient experiencing signs and symptoms involving genitourinary / reproductive systems. A S S S S S
6.1.e Provide care to patient experiencing signs and symptoms involving gastrointestinal system. A S P P P P 6.1.f Provide care to patient experiencing signs and symptoms involving integumentary system. S (basic only) S P P P P 6.1.g Provide care to patient experiencing signs and symptoms involving musculoskeletal system. S S P P P P Spinal 6.1.h Provide care to patient experiencing signs and symptoms involving immunological system. N S S S S S 6.1.i Provide care to patient experiencing signs and symptoms involving endocrine system. S (glucose only) S S S S S 6.1.j Provide care to patient experiencing signs and symptoms involving the eyes, ears, nose or throat. S S S S S S 6.1.k Provide care to patient experiencing toxicologic syndromes. N S S P P S 6.1.l Provide care to patient experiencing non-urgent problem. N S S S S S 6.1.m Provide care to a palliative patient. N S S S S S 6.1.n Provide care to patient experiencing signs and symptoms due to exposure to adverse environments. S (basic only) S S S S S 6.1.o Provide care to trauma patient. S S P P P P NPA EGD IV 6.1.p Provide care to psychiatric patient. A S P P P P
6.1.q Sched. 2.1 (f) Provide care to obstetrical patient. A S S C C S 6.2 Provide care to meet the needs of unique patient groups 6.2.a Provide care for neonatal patient. S S S C C C NPA EGD 6.2.b Provide care for pediatric patient. A A C C C C C 6.2 c Provide care for geriatric patient. A A C C C C 6.2.d Provide care for physically impaired patient. A A S S S S 6.2.e Provide care for mentally impaired patient A A S S S S 6.2.f Provide care for bariatric patient. A A A A A A 6.3 Conduct ongoing assessments and provide care 6.3.a Conduct ongoing assessments based on patient presentation and interpret findings. S S P P P P IV AED 6.3.b Re-direct priorities based on assessment findings. S S P P P P IV AED 7.1 Prepare ambulance for service 7.1.a Conduct vehicle maintenance and safety check. N S P P P P 7.1.b Recognize conditions requiring removal of vehicle from service. N A A A A A
7.1 c Utilize all vehicle equipment & vehicle devices within ambulance. N A S S S S 7.2 Drive ambulance or emergency response vehicle 7.2.a Utilize defensive driving techniques. N A S S S S 7.2.b Utilize safe emergency driving techniques. N A S S S S 7.2 c Drive in a manner that ensures patient comfort and a safe environment for all passengers. N A S S S S 7.3 Transfer patient to air ambulance 7.3.a Create safe landing zone for rotary wing aircraft. N A A A A A 7.3.b Safely approach stationary rotary wing aircraft. N A A A A A 7.3 c Safely approach stationary fixed wing aircraft. N A A A A A 7.4 Transport patient in air ambulance 7.4.a Prepare patient for air medical transport. N A S S S S 7.4.b Recognize the stressors of flight on patient, crew and equipment, and the implications for patient care. N N A A A A 8.1 Integrate professional practice into community care 8.1.a Participate in health promotion activities and initiatives. N N A A A A
8.1.b Participate in injury prevention and public safety activities and initiatives. N N A A A A 8.1.c Work collaboratively with other members of the health care community. A A P P P P 8.1.d Utilize community support agencies as appropriate. A A A A A A 8.2 Contribute to public safety through collaboration with other emergency response agencies 8.2.a Work collaboratively with other emergency response agencies. A A P P P P 8.2.b Work within an incident management system (IMS). A A A A A A 8.3 Participate in the management of a chemical, biological, radiological, nuclear, explosive (CBRNE) incident 8.3.a Recognize indicators of agent exposure. A A A A A A 8.3.b Possess knowledge of personal protective equipment (PPE). A A A A A A 8.3.c Perform CBRNE scene size-up. A A A A A A 8.3.d Conduct triage at CBRNE incident. A A A A A A 8.3.e Conduct decontamination procedures. A A A A A A 8.3.f Provide medical care to patients involved in CBRNE incident. A A A A A A Medications NOCP Appendix 5 EMA FR EMR PCP ACP CCP ITT Reg. Ref. Cross-reference supporting documentation.
C. Medications affecting the respiratory system C.1 Bronchodilators N N S S S S Sched 1 3(b) (ii) Bronchodilator (Ventolin) D. Medications affecting the cardiovascular system D.1 Antihypertensive Agents N N N A A N D.2 Cardiac Glycosides N N N A A N D.3 Diuretics N N N S S N Sched 1 4(m) (iii) Diuretic (Lasix) D.4 Class 1 Antidysrhythmics N N N S S S (infants only) Sched 1 4(m) (i) Anti-Arrhythmic D.5 Class 2 Antidysrhythmics N N N S S N Sched 1 4(m) (i) Lidocaine (Amiodarone/Adenosine/ Magnesium Sulfate) D.6 Class 3 Antidysrhythmics N N N A A N Sched 1 4(m) (i) D.7 Class 4 Antidysrhythmics N N N A A N Sched 1 4(m) (i) D.8 Antianginal Agents N S (sub- lingual only) S S S S Sched 2 2 (c) (i) Nitro Antianginal E. Medications affecting blood clotting mechanisms E.1 Anticoagulants N N N S S N Sched 1 4(m) (iv) Anticoagulants E.2 Thrombolytics N N N A A N E.3 Platelet Inhibitors N S (oral only) S S S S Sched 2 2 (c) (iv) Platelet Inhibitor ASA) Procoagulant N N S S S S Sched 1 3(b) (v)
Jump Bag – pen light. Jump Bag – set of Nasopharyngeal Airway – (1 size 28 French and 1 size 30 French). Jump Bag – Laryngeal tube – (type “KING” size 155 cm - #3 yellow). Hard Collar Kit – adjustable size collars (Laerdal type or similar). Hard Collar Kit – Headbed (reusable). Hard Collar Kit – Padding. Hard Collar Kit – 1” fiberglass tape or similar. Hard Collar Kit – SAM splint or other similar head blocking device. IV Kit – small (250cc or 500 cc bags normal saline, labelled D-10 w). IV Kit – standard adult administration sets. IV Kit – Opsite dressings IV Kit – 2” X 2” gauze pads IV Kit – 2” X 2” sterile gauze pads. IV Kit – 1” hypoallergenic tape IV Kit – 1cc syringes. IV Kit – 20g IV Catheters. IV Kit – alcohol prep pads. IV Kit – betadine swabs. IV Kit – Sharps Container (sufficient to contain all used sharps consumed during the training session). IV Kit – IV Arm (functional). ACP Programs In addition to the above equipment, the following must be provided for ACP programs: ALS monitor (with connection to a VGA monitor so the evaluator can see the same screen from a desktop computer). Intubatable CPR Manikin. Pacer simulator. Rhythm simulator. ALS kits with equipment. FR Programs – training agencies to check items identified above as appropriate and add additional equipment below