Paramedic Curriculums

 

In the province of Ontario, a healthcare worker must possess academic medical qualifications in order to perform medical interventions. Paramedic curriculums have national standards that are structured for patient safety and accredited by:

 

   1. The Ontario Ministry of Training, Colleges & Universities

   2. The Paramedic Association of Canada's National Occupational Competency Profile

   3.  Canadian Medical Association

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Primary Care Paramedic (PCP) 

 

(2 Year Community College Diploma Program)

 

The Primary Care Paramedic (PCP) is a community college graduate of a program dedicated to the Paramedic profession. 

The diploma in "Paramedic Studies" is two years in duration (2000 hours) and emphasizes anatomy, physiology, pharmacology, and mechanisms involved in acute injury and illness. The program involves classroom learning and clinical hours working directly in the field. Once the college program is successfully completed, a paramedic must complete a provincial examination. This certification, known as the Paramedic exam or Advanced Emergency Medical Care Assistant (A-EMCA) exam, must be successfully completed to practice as a primary care paramedic in Ontario. In addition, each PCP must complete many continuing medical education courses on an annual basis to maintain their qualifications. The PCP is also certified by a physician to perform a number of controlled medical acts for individuals experiencing acute injury or illness. PCP's can be recognized by the one stripe on their shoulder epaulettes. 

 

Primary Care Paramedic Scope of Practice

 

Medications
Acetaminophen (PO)
Antibiotics (TOP)
ASA (PO)
Dimenhydrinate (IM, IV)
Diphenhydramine (IM, IV, PO)
Epinephrine (IM, NEB)
Glucagon (IM)
Glucose (PO)
Ibuprofen (PO)
Ketorolac (IM, IV)
NaCl 0.9% (IV)
Naloxone (IM, SC, IN)
Nitroglycerine (SL)
Oxygen (100%)
Salbutamol (MDI, NEB, BVM)

 

 

 

Procedures & Controlled Medical Acts
12 Lead ECG & STEMI Diagnosis
Advanced Airway (Supraglottic LMA / KingLT)
Airway Suctioning
Capnometry (ETCO2)
CPAP Therapy (PEEP)
Defibrillation (Semi-Automated External)
Intravenous Access & Monitoring
SpO2 / SpCO
Taser Probe Removal
*Evidence Based Research

 

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Advanced Care Paramedic (ACP) 

 

(3 Year Community College Diploma Program)

 

The Advanced Care Paramedic (ACP) must have a minimum of 2 years of experience in the paramedic field before being able to qualify for academic training at the ACP level. The ACP program is a 3rd year in length and is considered a post-diploma program (total 3200 hours). The ACP course is highly intensive and requires weeks of in-class didactic training, weeks of in hospital clinical training (where the ACP learner works directly with physicians) and months of preceptorship practicum where the ACP must demonstrate competence to multiple preceptors. 

 

In addition, each ACP must successfully complete many mandatory and elective continuing medical education courses on an annual basis to maintain their qualifications and certifications. ACP's can be recognized by the two stripes on their shoulder epaulettes.

 

Advanced Care Paramedic Scope of Practice

 

Medications

Acetaminophen (PO)
Adenosine (IV)
Amiodarone (IV, IO)
Antibiotics (TOP)
ASA (PO)
Atropine (IV, IO)
Calcium Gluconate (IV, IO)
Dextrose (IV, IO)
Dimenhydrinate (IV, IM)
Diphenhydramine (IV, IM, PO)
Dopamine (IV, IO)
Epinephrine (IV, IM, NEB, IO, ETT)
Glucagon (IM, SC)
Glucose (PO)
Ibuprofen (PO)
Ketorolac (IV, IM)
Lidocaine (IV, IO, ETT, TOP)
Midazolam (IV, IM, IN, BC)
Morphine (IV, IM, IO, SC)
NaCl 0.9% (IV, IO)
Naloxone (IV, IM, IN, SC, IO)
Nitroglycerine (SL)
Oxygen (100%)
Salbutamol (MDI, NEB, BVM)
Sodium Bicarbonate (IV, IO)
Xylometazoline / Phenylephrine (IN)

 

Procedures & Controlled Medical Acts

12 Lead ECG, Posterior, Right & STEMI Diagnosis
Advanced Airway (Endotracheal Intubation)
Advanced Airway (Supraglottic LMA / KingLT)
Advanced Airway (Tracheal Tube Introducer Device)
Airway Foreign Body Removal (McGill Forceps)
Airway Suctioning & Deep Suctioning
Capnometry & Capnography (ETCO2)
CPAP Therapy (PEEP)
CVAD Infusion
Defibrillation (Manual External)
Intraosseous Therapy
Intravenous Therapy
Needle Cricothyrotomy
Needle Thoracostomy
SpO2 / SpCO
Synchronized Cardioversion
Taser Probe Removal
Transcutaneous Pacing
*Evidence Based Research

 

Advanced CBRNE / Tactical Medications

Amyl Nitrite (INH)
Atropine (IM, IV)
Calcium Gluconate 2.5% (NEB)
Diazepam (IM, IV)
Hydroxocobalamin (IV)
Pralidoxime / Obidoxime (IM)
Proparacaine (TOP)

Advanced CBRNE / Tactical Procedures
Combat Application Tourniquet
Hemostatic Z-Fold Wound Packing Gauze
High Risk Transfer Unit
Olaes Modular Pressure Dressing
SCBA certified
Tactical Combat Casualty Care (TCCC)
Tactical Emergency Casualty Care (TECC)