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Preamble

All Paramedics shall obtain and maintain the qualifications required by the Ambulance Act. This document sets out the requirements and processes related to Certification.

Definitions

  • Authorization:

    means written approval to perform Controlled Acts and other advanced medical procedures requiring medical oversight of a Medical Director;

  • Business Day:

    means any working day, Monday to Friday inclusive, excluding statutory and other holidays, namely: New Year’s Day; Family Day; Good Friday; Easter Monday; Victoria Day; Canada Day; Civic Holiday; Labour Day; Thanksgivin g Day; Remembrance Day; Christmas Day; Boxing Day and any other day on which the Province has elected to be closed for business

  • Certification:

    means the process by which Paramedics receive Authorization from a Medical Director to perform Controlled Acts and other advanced medical procedures in accordance with the ALS PCS;

  • Continuing Medical Education (CME):

    means a medical education program and confirmation of its successful completion as approved by the Regional Base Hospital Program (RBHP);

  • Consolidation:

    means the process by which a condition is placed on a Paramedic’s Certification restricting his or her practice to working with another Paramedic with the same or higher level of qualification (i.e. Certification);

  • Controlled Act:

    means a Controlled Act as set out in subsection 27(2) of the Regulated Health Professions Act, 1991;

  • Critical Omission or Commission:

    means the performance of a Controlled Act or other advanced medical procedure listed in the ALS PCS that a Paramedic is not authorized to perform; or an action or lack of action, including the performance of a Controlled Act or other advanced medical procedure listed in the ALS PCS, by the Paramedic that has negatively affected or has the potential to negatively affect patient morbidity or mortality, with a potentially life, limb or function threatening outcome;

  • Deactivation:

    means the temporary revocation, by the Medical Director, of a Paramedic’s Certification;

  • Decertification:

    means the revocation, by the Medical Director, of a Paramedic’s Certification;

  • Director:

    means a person who holds that position within the Emergency Health Regulatory and Accountability Branch (EHRAB) of the Ministry of Health and Long-Term Care (MOHLTC);

  • Employer:

    means an ambulance service operator certified to provide ambulance services as defined in the Ambulance Act;

  • Major Omission or Commission:

    means an action or lack of action, including the performance of a Controlled Act or other advanced medical procedure listed in the ALS PCS, by the Paramedic that has negatively affected or has the potential to negatively affect patient morbidity without a potentially life, limb or function threatening outcome;

  • Medical Director:

    means a physician designated by a RBH as the Medical Director of the RBHP;

  • Minor Omission or Commission:

    means an action or lack of action, including the performance of a Controlled Act or other advanced medical procedure listed in the ALS PCS, by the Paramedic that may have negatively affected patient care in a way that would delay care to the patient or lengthen the patient’s recovery period, but has not negatively affected patient morbidity;

  • Ontario Base Hospital Group (OBHG) Executive:

    means a provincial body comprised of representatives from RBHPs as defined in the Terms of Reference for OBHG Executive and approved by the MOHLTC;

  • Paramedic:

  • Paramedic Practice Review Committee (PPRC):

    is a committee that performs an independent, external advisory role, providing information and expert opinion to the Medical Director on issues related to Paramedic practice when the Medical Director is considering Decertification of a Paramedic;

  • Patient Care Concern:

    means a Critical Omission or Commission, Major Omission or Commission, or Minor Omission or Commission;

  • Reactivation:

    means the reinstatement of a Paramedic’s Certification after a period of Deactivation;

  • Regional Base Hospital (RBH):

  • Regional Base Hospital Program (RBHP):

  • Remediation:

    means a customized plan by the RBHP to address a Patient Care Concern or to address any concerns identified during Certification, including a failure to meet a requirement for the maintenance of Certification;

  • Senior Field Manager:

    means a person who holds that position within the EHSB of the MOHLTC, and for the purposes of this Standard a reference to the term means the relevant Senior Field Manager responsible for the applicable RBHP.

Contact

Ministry of Health and Long-Term Care
5700 Yonge Street, 6th Floor
Toronto, ON M2M 4K5

416-327-7900

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