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Controlled Acts Under Regulation 257/00
Schedule 1
List of Controlled Acts that may be performed by a Primary Care Paramedic
- Administration of glucagon, oral glucose, nitro-glycerin, epinephrine, salbutamol and ASA (80 mg form)
- Semi-automated external cardiac defibrillation
Schedule 2
List of Controlled Acts that may be performed by an Advanced Care Paramedic or, if authorized, a Primary Care Paramedic
- Administration of the drugs referred to in item 1 of Schedule 1, in addition to any other drug approved by the Director on the recommendation of one or more medical directors of base hospital programs
- Semi-automated external cardiac defibrillation
- Peripheral intravenous therapy
- Endotracheal intubation
- Non-automated external cardiac defibrillation and monitoring
Schedule 3
List of Controlled Acts that may be performed by an Critical Care Paramedic or, if authorized, an Advanced Care Paramedic
- Administration of any drug that an advanced care paramedic may administer under item 1 of Schedule 2, in addition to any other drug approved by the Director on the recommendation of one or more medical directors of base hospital programs
- The controlled acts referred to in items 2 to 5 of Schedule 2
- Non-automated external cardiac defibrillation, electrical cardioversion and pacing
- Maintenance and monitoring of arterial and central venous catheters
- Gastric intubation and suction
- Ventilation (mechanical) and setting of ventrillatory parameters
- Lab blood value interpretation
- Management of chest tubes and chest drainage systems
- Chest x-ray interpretation
- Urinary catheter insertion
- Intravenous blood product administration
- Doppler flow monitor use
- Use of infusion pumps
- Other advanced airway techniques, e.g. needle thoracostomy, cricothyroidotomy
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