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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

  1. Administration of glucagon, oral glucose, nitro-glycerin, epinephrine, salbutamol and ASA (80 mg form)
  2. 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

  1. 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
  2. Semi-automated external cardiac defibrillation
  3. Peripheral intravenous therapy
  4. Endotracheal intubation
  5. 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

  1. 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
  2. The controlled acts referred to in items 2 to 5 of Schedule 2
  3. Non-automated external cardiac defibrillation, electrical cardioversion and pacing
  4. Maintenance and monitoring of arterial and central venous catheters
  5. Gastric intubation and suction
  6. Ventilation (mechanical) and setting of ventrillatory parameters
  7. Lab blood value interpretation
  8. Management of chest tubes and chest drainage systems
  9. Chest x-ray interpretation
  10. Urinary catheter insertion
  11. Intravenous blood product administration
  12. Doppler flow monitor use
  13. Use of infusion pumps
  14. Other advanced airway techniques, e.g. needle thoracostomy, cricothyroidotomy

For more information

Emergency Health Services Branch
5700 Yonge Street, 6th Floor
Toronto, Ontario
Canada     M2M 4K5

Tel : 1-800-461-6431 (Toll-free in Ontario only)
Fax : 416-327-7911
Email : ehs.websitecontact@sdsx.moh.gov.on.ca

Call the ministry INFOline at 1-866-532-3161
(Toll-free in Ontario only)
TTY 1-800-387-5559
Hours of operation : 8:30am - 5:00pm
 
  
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