ontario paramedics scope of practice
TRANSCRIPT
ONTARIO PARAMEDICS SCOPE OF PRACTICE
MedicationsAcetaminophen (PO) Adenosine (IV)Amiodarone (IV, IO, CVAD)Antibiotics (TOP)ASA (PO)Atropine (IV, IO)Calcium Gluconate (IV, IO, CVAD)Dextrose (IV, IO)Dimenhydrinate (IV, IM)Diphenhydramine (IV, IM, PO)Dopamine (IV, IO, CVAD)Epinephrine (IV, IM, NEB, IO, ETT, CVAD)Fentanyl (IV, IM, IO)Glucagon (IM)Glucose (PO)Hydrocortisone Sodium Succinate (IM)Ibuprofen (PO)Ketamine (IV, IM, IO)Ketorolac (IV, IM)Lidocaine (IV, IO, ETT, TOP, CVAD)Midazolam (IV, IM, IN, BC)Morphine (IV, IO, SC)NaCl 0.9% (IV, IO, CVAD)Naloxone (IV, IM, IN, SC, IO)Nitroglycerine (SL)Oxygen (100%)Salbutamol (MDI, NEB, BVM)Sodium Bicarbonate (IV, IO, CVAD)Xylometazoline / Phenylephrine (IN)
Medications - CBRNE
Atropine (IM, IV) Calcium Gluconate 2.5% (NEB, TOP) Diazepam (IM, IV) Hydroxocobalamin (IV) Pralidoxime / Obidoxime (IM, IV) Proparacaine (TOP) Sodium Thiosulfate (IV)
Procedures & Controlled Medical Acts
12 Lead ECG, Posterior, Right & STEMI Diagnosis Advanced Airway (Endo / Nasotracheal Intubation) Advanced Airway (Supraglottic LMA / King LT) Advanced Airway (Tracheal Tube Introducer Device) Airway Foreign Body Removal (McGill Forceps) Airway Suctioning & Deep Suctioning Capnometry & Capnography (ETCO2)Combat Application Tourniquet CPAP Therapy (PEEP) CVAD Infusion Defibrillation (Manual External)Hemostatic Dressings Intraosseous Therapy Intravenous Therapy Needle Cricothyrotomy Needle Thoracostomy SpO2 / SpCO Synchronized Cardioversion Taser Probe Removal Transcutaneous Pacing
MedicationsAcetaminophen (PO)
Antibiotics (TOP)ASA (PO)
Dextrose (IV*)Dimenhydrinate (IM, IV*)
Diphenhydramine (IM, IV*, PO)Epinephrine (IM, NEB)
Glucagon (IM)Glucose (PO)
Hydrocortisone Sodium Succinate (IM)Ibuprofen (PO)
Ketorolac (IM, IV*)NaCl 0.9% (IV*)
Naloxone (IM, SC, IN, IV*)Nitroglycerine (SL)
Oxygen (100%)Salbutamol (MDI, NEB, BVM)
*PCP’s with Autonomous IV Certification only
Medications - CBRNE
Atropine (IM) Calcium Gluconate 2.5% (NEB, TOP)
Diazepam (IM) Pralidoxime / Obidoxime (IM)
Proparacaine (TOP)
Procedures & Controlled Medical Acts
12 Lead ECG, Posterior, Right & STEMI DiagnosisAdvanced Airway (Supraglottic LMA / King LT)
Airway Suctioning & Deep SuctioningCapnometry (ETCO2)
Combat Application TourniquetCPAP Therapy (PEEP)
Defibrillation (Semi-Automated External)Hemostatic Dressings
Intravenous Access & MonitoringSpO2 / SpCO
Taser Probe Removal
Expanded Scope of Practice operating under the delegated authority of independent MD’s
ALTERNATE DESTINATIONS & CRITICAL PATIENT BYPASS
Air Ambulance (Ornge) Burn Centre
Coronary Care Unit (Flolan, LVAD, PCI, STEMI) Emergency Medical Assistance Team
Hemodialysis High Risk Isolation
Hyperbarics Neonatal Intensive Care
Neurology & Stroke Obstetrics & Prenatal Care
Oncology Ophthalmology
Partner Abuse / Sexual Assault Pediatrics
Street Outreach Services Trauma
ADVANCED CARE PARAMEDICS 3-Year College Graduate Program
PRIMARY CARE PARAMEDICS 2-Year
College Diploma Program
COMMUNITY PARAMEDICS 2-Year
College Diploma Program
CRITICAL CARE PARAMEDICS 5-Year College Graduate Program
Significantly expanded Scope of Practice consistent with the level of care provided by Intensive Care Units Toronto Paramedic Service & Ornge only
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