4 Temporary
registration
5 Annual renewal
6 Powers of
Registration Committee
7 Renewal date
8 Register
9, 9.1 Emergency
Medical Responder
10, 10.1 Emergency
Medical Technician-Ambulance
11 Emergency
Medical Technologist-Paramedic
12 Registration
Committee approval
13 Duties of
registered members
14 Change in name,
etc.
15 Use of title
16 Board of
Governors
17 Registration
Committee
18 Conduct and
Competency Committee
19 Annual report
20 Repeal
21 Coming into
force
Definitions
1 In this Regulation,
(a) “Act”
means the Health Disciplines Act;
(b) repealed
AR 37/2000 s2;
(c) “Board”
means the Health Disciplines Board established under section 3 of the Act;
(c.1) “College”
means the Alberta College of Paramedics;
(d) “Emergency
Medical Responder” means a registered member who is registered in the Emergency
Medical Responder area of practice;
(e) “Emergency
Medical Technician-Ambulance” means a registered member who is registered in
the Emergency Medical Technician-Ambulance area of practice;
(f) “Emergency
Medical Technologist-Paramedic” means a registered member who is registered in
the Emergency Medical Technologist-Paramedic area of practice;
(g) “employed”
means engaged to provide services whether on a full-time or part-time basis and
whether as a paid or unpaid employee or volunteer;
(g.1) “employer”
means
(i) an operator as defined in the Ambulance Services Act, or
(ii) any person who engages a registered member to provide services;
(h) “medical
audit” means an assessment by the medical director of the health services
provided by a registered member and the protocols under which the registered
member operates;
(i) “medical
control” means orders within the registered member’s scope of practice that
define patient management and are issued by the medical director or a person
designated by the medical director
(i) prospectively through the development of protocols,
(ii) directly by oral or written orders, or
(iii) retrospectively by medical audits;
(j) “medical
director” means a physician who is designated by an employer to provide medical
control to registered members;
(k) repealed
AR 229/95 s2;
(l) “registered
member” means a person who is registered as a member of the designated health
discipline of Emergency Medical Technicians;
(m) “registrar” means the registrar appointed under
section 15(1) of the Act.
AR 48/93
s1;229/95;37/2000;251/2001
Emergency Medical
Technicians
2 The designated health discipline of
Emergency Medical Technicians is divided into the following areas of practice:
(a) Emergency
Medical Responder;
(b) Emergency
Medical Technician-Ambulance;
(c) Emergency
Medical Technologist-Paramedic.
Registration
3 In accordance with section 22 of the Act,
the Registrar shall register a person as an Emergency Medical Responder, an
Emergency Medical Technician-Ambulance or an Emergency Medical
Technologist-Paramedic, as the case may be, if, with respect to an area of
practice,
(a) the
person has satisfactorily completed a program of study
(i) that is approved by the Board, or
(ii) that is substantially equivalent to a program approved under
subclause (i),
(b) the
person has satisfactorily completed an examination approved by the Board,
(c) the
person has,
(i) within the 2 years immediately preceding the date of application,
been employed in a manner that indicates that the person is competent to act as
an Emergency Medical Responder, Emergency Medical Technician-Ambulance or
Emergency Medical Technologist-Paramedic, as the case may be,
(ii) within one year immediately preceding the date of application,
met the requirements of clause (a), or
(iii) within one year immediately preceding the date of the
application, satisfactorily completed a refresher program approved by the
Board,
(d) the
person has completed and submitted to the Registrar the applicable forms prescribed
by the Minister, and
(e) the person has paid the fee prescribed in
the by-laws.
AR 48/93 s3;251/2001
Temporary
registration
4(1) A person is eligible to be temporarily
registered as an Emergency Medical Responder, Emergency Medical Technician-Ambulance
or an Emergency Medical Technologist-Paramedic if, with respect to the area of
practice in which the person is to be registered temporarily, the person has
met the requirements of section 3(a), (c), (d) and (e).
(2) A
temporary registration under subsection (1) expires 30 days after an
examination, approved by the Board and referred to in section 3(b), is held.
(3) A temporary registration under
subsection (1) may not be renewed.
(4) A
person who is registered temporarily as an Emergency Medical Technologist-Paramedic
may practise only under the supervision of an Emergency Medical
Technologist-Paramedic.
(5) A
person who is registered temporarily as an Emergency Medical
Technician-Ambulance may practise only under the supervision of an Emergency Medical
Technologist-Paramedic or an Emergency Medical Technician-Ambulance.
(6) A
person who is registered temporarily as an Emergency Medical Responder may
practise only under the supervision of an Emergency Medical
Technologist-Paramedic, an Emergency Medical Technician-Ambulance or an
Emergency Medical Responder.
Annual renewal
5 In accordance with section 24 of the Act,
the Registrar shall annually renew the registration of a registered member if,
with respect to an area of practice,
(a) the
registered member has,
(i) in the case of an Emergency Medical Responder or an Emergency
Medical Technician-Ambulance, within the 2 years immediately preceding the date
of submission of the application for renewal of registration,
(A) satisfactorily completed basic life
support-basic rescuer certification,
(B) been employed in a manner that indicates the
person is competent to provide Emergency Medical Responder or basic life
support health services, as the case may be, and
(C) obtained 120 educational credits as
determined by the College and approved by the Board,
or
(ii) in the case of an Emergency Medical Technologist-Paramedic,
(A) within the 4 years immediately preceding the
date of submission of the application for renewal of registration, satisfactorily
completed an advanced life support re-certification examination prescribed by
the Board,
(B) within the 2 years immediately preceding the
date of submission of the application for renewal of registration, been
employed in a manner that indicates the person is competent to provide advanced
life support health services, and
(C) within the 2 years immediately preceding the
date of submission of the application for renewal of registration, obtained 120
educational credits as determined by the College and approved by the Board,
(b) the
registered member has completed and submitted the applicable forms prescribed
by the Minister, and
(c) the registered member has paid the renewal
of registration fee prescribed in the by-laws.
AR 48/93
s5;37/2000;251/2001
Powers of
Registration Committee
6 For the purposes of section 24(7) of the
Act, the programs and examinations that the Registration Committee may order
are
(a) any
or all of the programs of study referred to in section 3(a),
(b) an
examination approved by the Board and referred to in section 3(b), and
(c) a refresher program referred to in section
3(c)(iii).
AR 48/93 s6;251/2001
Renewal date
7 For the purposes of section 24
of the Act, the date of submission of an application for renewal of registration
is December 31 of the year immediately before the year in which the renewal of
the registration is to be effective.
AR 48/93 s7;251/2001
Register
8 The Registrar shall enter in
the Register the names, places of employment, registration numbers and areas of
practice of persons to be registered as registered members and, pursuant to
section 24 of the Act, shall issue to each registered member an annual
certificate stating the area of practice in which the member has been
registered and the expiry date.
AR 48/93 s8;251/2001
Emergency Medical
Responder
9(1) An
Emergency Medical Responder may, under medical control and with an ongoing
medical audit, provide the following health services:
(a) conduct
primary and secondary surveys, including scene assessments;
(b) use
basic methods of managing medical, traumatic and obstetrical emergencies;
(c) use
airway management techniques, including oropharyngeal airways, oral suction
devices and oxygen‑supplemented mask devices to assist ventilation;
(d) administer
oxygen using basic delivery devices including masks and nasal canula;
(e) bandaging;
(f) cardiopulmonary
resuscitation;
(g) patient
extrication;
(h) use
splinting techniques, including spinal motion restriction devices;
(i) automated
and semi‑automated defibrillation.
(2) An Emergency Medical Responder who
(a) satisfactorily
completed a program approved by the Board before January 1, 2004 and who, on or
after January 1, 2004, satisfactorily completed the gap training approved by
the Board, or
(b) satisfactorily
completed a program approved by the Board on or after January 1, 2004
may, under medical
control and with an ongoing medical audit, provide the following additional
health services:
(c) airway
management using nasopharyngeal airways;
(d) patient
ventilation using a bag‑valve mask device;
(e) oral
administration of ASA;
(f) patient‑assist
administration of the patient’s pre‑prescribed salbutamol, ipratropium
bromide or epinephrine;
(g) glucometric
testing and oral administration of glucose;
(h) apply
and use traction splints;
(i) oximetry testing.
AR 48/93
s9;229/95;75/2007
Emergency Medical
Responder
9.1 An Emergency Medical Responder may, under
medical control and with an ongoing medical audit, provide the health services
referred to in sections 10 and 12(1) while engaged
(a) in
an ambulance practicum as part of a program approved under section 3, and while
under the direct supervision of a registered Emergency Medical Technician‑Ambulance
or a registered Emergency Medical Technologist‑Paramedic, or
(b) in a hospital practicum as part of a program
approved under section 3, and while under the direct supervision of a physician
or a registered nurse.
AR 37/2000 s4
Emergency Medical
Technician‑Ambulance
10(1) An
Emergency Medical Technician‑Ambulance may, under medical control and
with an ongoing medical audit, provide the following health services:
(a) emergency
childbirth;
(b) apply
and use traction splints;
(c) psychological
support measures;
(d) maintain
intravenous infusions without medications or blood products;
(e) glucometric
testing and oral administration of glucose;
(f) patient
ventilation using a bag‑valve mask device;
(g) oximetry
testing;
(h) airway
management using nasopharyngeal airways;
(i) the
health services described in section 9(1).
(2) An Emergency Medical Technician‑Ambulance
who
(a) satisfactorily
completed a program approved by the Board before January 1, 2004 and who, on or
after January 1, 2004, satisfactorily completed the gap training approved by the
Board, or
(b) satisfactorily
completed a program approved by the Board on or after January 1, 2004
may, under medical
control and with an ongoing medical audit, provide the following additional
health services:
(c) cardiac
monitoring;
(d) perform
peripheral intravenous therapy;
(e) intermediate
airway management using non‑visualized airways;
(f) administer
nitrous oxide and oxygen inhalational analgesia;
(g) administer
nitroglycerine, salbutamol and ipratropium bromide;
(h) administer
D25W and D50W through intravenous route;
(i) administer
glucagon intramuscularly and administer epinephrine intramuscularly or
subcutaneously;
(j) nasopharyngeal
suctioning;
(k) the health services described in section
9(2).
AR 48/93 s10;75/2007
Emergency Medical Technician-Ambulance
10.1 An Emergency Medical Technician‑Ambulance
may, under medical control and with an ongoing medical audit, provide the
health services referred to in sections 11 and 12(2) while engaged
(a) in
an ambulance practicum as part of a program approved under section 3, and while
under the direct supervision of a registered Emergency Medical Technologist‑Paramedic,
or
(b) in a hospital practicum as part of a program
approved under section 3, and while under the direct supervision of a physician
or a registered nurse.
AR 37/2000 s5
Emergency Medical
Technologist‑Paramedic
11(1) An
Emergency Medical Technologist‑Paramedic may, under medical control and
with an ongoing medical audit, provide the following health services:
(a) airway
management, including
(i) tracheal suction,
(ii) deep chest suctioning,
(iii) endotracheal intubation,
(iv) percutaneous transtracheal ventilation, and
(v) emergency cricothyrotomy;
(b) use
of intermittent positive pressure breathing adjuncts;
(c) cardiac
defibrillation, cardioversion, carotid sinus massage and telemetry
transmission;
(d) topical,
oral, sublingual, rectal, subcutaneous, intramuscular, intravenous,
endotracheal or nebulized drug administration;
(e) needle
thoracentesis;
(f) venipuncture
for venous blood specimens;
(g) insertion
of orogastric or nasogastric tubes;
(h) gastric
lavage;
(i) the
health services described in section 10.
(2) An Emergency Medical Technologist‑Paramedic
who
(a) satisfactorily
completed a program approved by the Board before January 1, 2004 and who, on or
after January 1, 2004, satisfactorily completed the gap training approved by
the Board, or
(b) satisfactorily
completed a program approved by the Board on or after January 1, 2004
may, under medical
control and with an ongoing medical audit, provide the following additional
health services:
(c) administer
drugs through umbilical, intralingual, intradermal or intraosseous routes;
(d) initiate,
monitor or maintain blood and blood product transfusions;
(e) obtain
arterial blood samples;
(f) femoral
venipuncture;
(g) perform
intraosseous infusions;
(h) umbilical
vein cannulation;
(i) nasotracheal
intubation;
(j) use
pacemakers;
(k) wound
management;
(l) urinary
catheterization;
(m) monitor chest tubes.
AR 48/93 s11;75/2007
Registration
Committee approval
12(1) An
Emergency Medical Technician‑Ambulance who has received Registration
Committee approval under subsection (4) may, under medical control and with an
ongoing medical audit, provide the following health services:
(a) nasopharyngeal
suction;
(b) cardiac
monitoring;
(c) perform
peripheral intravenous therapy;
(d) administer
nitrous oxide and oxygen inhalational analgesia;
(e) administer
D25W and D50W through intravenous route.
(2) An Emergency Medical Technologist‑Paramedic
who has received Registration Committee approval under subsection (4) may,
under medical control and with an ongoing medical audit, provide the following
health services:
(a) obtain
arterial blood samples;
(b) femoral
venipuncture;
(c) nasotracheal
intubation;
(d) use
pacemakers;
(e) wound
management;
(f) urinary
catheterization;
(g) perform
intraosseous infusions;
(h) monitor
chest tubes;
(i) monitor
and maintain blood and blood product transfusions.
(3) An
application for approval to provide the health services referred to in
subsection (1) or (2) shall be made to the Registration Committee by the
medical director and the application shall
(a) name
the registered member and the registered member’s place of employment,
(b) describe
the training received by the registered member with respect to the health
service for which approval is sought, and
(c) provide
evidence that the registered member has satisfied the medical director as to
the registered member’s level of skill with respect to the health service for
which approval is sought.
(4) The Registration Committee may grant approval
for a registered member to provide the health services referred to in
subsection (1) or (2), but the approval shall be limited to the particular
employment situation described in the application submitted under subsection
(3).
AR 48/93
s12;229/95;81/98;75/2007
Duties of registered
members
13 A registered member shall
(a) execute
duties in a safe and competent manner being guided at all times by the welfare
and best interests of the patient;
(b) work
within the scope of practice and the registered member’s ability and within the
limitations or conditions placed on the provision of service by the medical
director;
(c) conduct
affairs with respect to the discipline so as not to bring discredit to the
discipline;
(d) maintain
current knowledge and skill in the practice of emergency care and upgrade
knowledge and skill with the development of new procedures and equipment;
(e) work
to promote high standards of research, training and performance for registered
members;
(f) work
in co‑operation with colleagues and other health care personnel;
(g) refer
any incompetent, illegal or unethical conduct by colleagues or other health
care personnel to the appropriate authorities;
(h) hold
in confidence all information learned in the health care setting respecting the
patient unless failure to disclose would endanger the patient or a third party
or the disclosure is required by law.
Change in name, etc.
14 A registered member shall forthwith
inform the Registrar in writing of a change in name, home address, place of
employment or employment status.
Use of title
15(1) A person who is registered as an Emergency
Medical Responder may use the name “Emergency Medical Responder” or the
initials “E.M.R.”.
(2) A
person who is registered as an Emergency Medical Technician-Ambulance may use
the name “Emergency Medical Technician-Ambulance” or “Emergency Medical
Technician” or the initials “E.M.T.-A.” or “E.M.T.”.
(3) A
person who is registered as an Emergency Medical Technologist-Paramedic may use
the name “Emergency Medical Technologist-Paramedic” or the initials “E.M.T.‑P.”.
Board of Governors
16 The governing body of the College shall
be a Board of Governors consisting of
(a) no
fewer than 2 Emergency Medical Responders,
(b) no
fewer than 2 Emergency Medical Technicians-Ambulance,
(c) no
fewer than 2 Emergency Medical Technologists-Paramedic, and
(d) the persons appointed by the Lieutenant
Governor in Council under section 14(1) of the Act.
AR 48/93
s16;37/2000;251/2001
Registration
Committee
17 The Registration Committee shall consist
of
(a) no
fewer than 2 Emergency Medical Responders,
(b) no
fewer than 2 Emergency Medical Technicians-Ambulance, and
(c) no
fewer than 2 Emergency Medical Technologists-Paramedic.
Conduct and
Competency Committee
18 The Conduct and Competency Committee
shall consist of
(a) no
fewer than 2 Emergency Medical Responders,
(b) no
fewer than 2 Emergency Medical Technicians-Ambulance,
(c) no
fewer than 2 Emergency Medical Technologists-Paramedic, and
(d) the person appointed by the Lieutenant
Governor in Council under section 17(1) of the Act.
AR 48/93 s18;251/2001
Annual report
19 The date on or before which a
report under section 18 of the Act must be submitted is March 31.
AR 48/93 s19;251/2001
Repeal
20 The Emergency Medical Technicians
Regulation (Alta. Reg. 326/85) is repealed.
Coming into force
21 This Regulation comes into force on March
1, 1993.