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RPPEO Vehicle Procedure

• Rules

  1. Prior to booking travel confirm the work-related travel is approved by your manager.
  2. If an overnight stay is required during your trip, please complete a TOH travel pre-approval request form. In order to claim expenses resulting from work-related travel it needs to be pre-approved or TOH will not reimburse the expenses.
  3. Prior to taking a vehicle, ensure the vehicle is available to be reserved for the duration of your corporate trip. You can check availability and book a vehicle on our website: www.rppeo.ca located under the “Staff” tab.
  4. On the day of travel ensure you obtain the vehicle key and ESSO gas card from the lock-box in the storage room. It is required to bring the vehicle back with a full tank of unleaded gas as a courtesy to the next driver and to associate gas expenses with your trip.
  5. Obey all traffic laws in the city/township you are in and be courteous toward other drivers. You are a representative of The Ottawa Hospital while operating the company vehicle.
  6. At the beginning of your trip document in the RPPEO Vehicle log in whichever vehicle you will be driving (i.e.- Kia Sedona or Dodge Caravan):
     1. your name,
     2. the purpose of using vehicle,
     3. the date of usage, and
     4. the starting odometer reading.
  7. At the end of your trip when you return the vehicle, document the final odometer reading.
     **It is important to document the starting and final odometer reading related to your trip. We need to document the total distance traveled; items 6 and 7 are requirements of the Canadian Revenue Agency for corporate vehicles.
  8. Ensure you report any indicator lights (on the dashboard) that may be on, or may come on, to your manager.
  9. Perform a visual walk-around inspection of the vehicle before you enter the vehicle at the beginning of your trip, and again at the end of your trip. Report any visual damage or problems with the vehicle immediately to your manager.
  10. In the event there are any restrictions to your ability to drive in Ontario, such as driver’s license suspension or a medical order restricting driving, please report these promptly to your manager.
  11. The Ottawa Hospital no smoking policy applies to all work environments, the vehicle is considered a work environment. There is no smoking in the company vehicles.
  12. Always lock company vehicle doors when not operating the vehicle.
  13. Administrative staff will coordinate vehicle scheduled maintenance appointments.
  14. Do not lease, sell, rent, or lend the company vehicles.
  15. Only RPPEO staff registered under the company insurance plan can drive the vehicles.
  16. Only hands-free operation of smart-phones or telephone devices is permitted in the vehicle. Do not text or use a handheld device while driving.
  17. Bring the vehicle back with a full tank of gas. The Esso gas card will work at any Esso gas station, please plan ahead of your trip to fuel. You will need the driver number (654889), and the current odometer reading (in kilometers) of the vehicle to authorize the card at the pump. When you get to the pump be ready with this information. You need to bring a copy of the receipt to finance for accounting purposes.
  18. Return the vehicle to the designated parking space at the RPPEO office. Return the key and gas card to the lock box when your trip is finished.
  19. Leave all gas receipts on Hannah’s desk for filing and accounting purposes. Notify Hannah of any new receipts as a courtesy.

• Equipment

  IN BOTH THE KIA SEDONA AND DODGE CARAVAN YOU WILL FIND

  1. 120W cup holder power inverter that allows you to charge iPad, phones, laptops etc.
  2. A safety kit is also in each of the vehicles that includes:
     1. One Year Roadside Assistance Emergency Plan from Canadian Tire Roadside Assistance included
     2. Key components among the 86 pieces include an air compressor, booster cables, tow strap, fleece blanket, and tool kit.
     3. Tool kit contains multi-tool, LED flashlight, (1) D Cell battery, tire gauge, and a 2-in-1 screwdriver
     4. 60-piece first aid kit contains instruction card, (5) towelettes, (10) sterile cotton balls, (40) adhesive strips, 2-piece tape strips, and (2) 2\" x 2\" (5 x 5 cm) gauze pads.
     5. Knit gloves, roll duct tape, emergency poncho, (10) cable ties, window mount reflective triangle, 8' (2.43 m) 8-gauge booster cable CCA, 14' (4.26 m) 4500 lb (2041 lb) capacity tow strap, signal cone and a carrying case.

Request Calendar

Please review the RPPEO Vehicle Request Procedure before booking a vehicle.

Open Calendar

2025 Spring CME Skill Sheets

These skill sheets can also be found in the Spring Hybrid CME course on MEDICLEARN.

• Synchronized Cardioversion

  1. Assesses patient, donning appropriate PPE.
  2. Identifies need for treatment.
     • Patient with a symptomatic tachyarrhythmia
     • Altered mental status
     • ongoing chest pain
     • other signs of shock
     • Age ≥ 18 years
     • Heart Rate ≥ 120 (wide) or ≥ 150 (narrow)
     • Hypotension SBP < 90 mmHg
  3. Identifies equipment required:
     • Cardiac Monitor
     • IV equipment
     • Defib pads
     • Airway equipment (oxygen), including BVM
     • Suction equipment
  4. Mandatory patch point to proceed with synchronized cardioversion and requests analgesia/sedation orders if appropriate.
  5. Attaches ECG electrodes. Confirms and interprets the rhythm. Adjusts lead and amplitude as required.
  6. Establishes IV access
  7. Applies the pads in the manufacturer recommended position.
  8. Administers analgesia/sedation if appropriate.
  9. Explains procedure to the patient.
  10. Selects joule setting (device dependent). Administer up to three shocks in accordance with BHP direction and energy settings. (In the setting of a patch failure the energy settings to be used are 100J, 200J and the maximum manufacturer setting.)
  11. Presses “sync” button. Looks for synch marker (↓) above each R wave.
  12. Presses the charge button.
  13. Presses and holds the shock button until shock is delivered.
  14. Presses sync button for subsequent shocks.
  15. Evaluates the patient after each shock. If the patient’s condition worsens, if rhythm changes or cardioversions are unsuccessful, contact BHP.

• Transcutaneous Pacing

  1. Assesses patient, donning appropriate PPE.
  2. Identifies need for treatment.
     • Patient with a pulse and ventricular rate < 50 AND patient is clinically unstable secondary to bradycardia AND systolic BP < 90 mm/hg.
     • Patient is ≥ 40 kg.
  3. Confirms that conditions for treatment are satisfied and that there are no contraindications to treatment.
     • Hypothermic patients.
  4. Identifies equipment required:
     • Cardiac Monitor
     • IV equipment
     • Pacing pads
     • Airway equipment (oxygen), including BVM
     • Suction equipment
  5. Exposes the patient’s chest.
  6. Attaches ECG electrodes. Confirms and interprets the rhythm. Adjusts lead and amplitude as required.
  7. Establishes IV access.
  8. Applies the pacing pads in the manufacturer’s recommended position.
  9. Considers Procedural Sedation, if appropriate.
  10. Explains procedure to the patient.
  11. Places the cardiac monitor in “Pacing” mode.
  12. Sets pacing rate at 80 and then increases output (milliamps) slowly until electrical and mechanical capture is achieved. Re-confirms these values often. Increases output by another 10 milliamps to ensure consistent capture.
  13. If capture is unsuccessful after one minute at maximum milliamps, discontinues pacing attempts and consults with BHP.
  14. If TCP is not available, considers patching to BHP for Dopamine.

• Endotracheal Intubation

  1. Assesses patient, donning appropriate PPE.
  2. Identifies need for treatment. Patient meets indications for treatment under one or more Medical Directives.
     • Airway control AND
     • Other airway management is inadequate or ineffective
  3. Confirms that conditions for treatment are satisfied
     • Lidocaine Spray – orotracheal intubation
     • AND that there are no contraindications to treatment
     • Lidocaine Spray – allergy or sensitivity to lidocaine, unresponsive patient
     • Age <50 years AND current episode of asthma exacerbation AND not in a near cardiac arrest.
  4. Performs airway assessment using: LEMON
     • Look externally (facial trauma, large incisors, beard or moustache and large tongue).
     • Evaluate the 3-3-2 rule (incisor distance < 3 fingerbreadths, hyoid/mental distance < 3 fingerbreadths, thyroid-to-mouth distance < 2 fingerbreadths).
     • Mallampati (mallampati score > 3).
     • Obstruction (presence of any condition that could cause an obstructed airway)
     • Neck mobility (limited neck mobility).
  5. Checks if patient has a gag reflex by oral airway insertion .
  6. Suctions and clears the airway as required.
  7. Pre-oxygenates. BVM with 100% O2 for 30-60 seconds.
  8. Prepares ETT:
     • Chooses appropriate size
     • Checks for cuff leaks (injects maximum volume)
     • Deflates cuff
     • Lubricates distal end of ETT, if required
  9. Precaution: C-Spine.
  10. Inserts the ETT:
      • Pays attention to teeth for trauma
      • Identifies vocal cords
      • Depth of insertion adequate
      • Proper use of B-U-R-P maneuver
  11. Confirms ETT placement using at least 2 primary methods:
      • ETCO2
      • Auscultation
      • AND one secondary method
      • EDD
      • other
  12. Secures Endotracheal tube: SET protocol.
      • Placement / No displacement
      • Tube fixation
      • C-spine collar & Backboard
        • Clear/Plan/Command each patient movement
        • Verification after each patient movement
        • Documentation of ETT confirmation after each patient movement.
  13. Troubleshooting ETT.
      • BVM and transport as initial back-up or after 2 ETT attempts
      • 2 attempts are defined as insertion of the laryngoscope into the mouth

• Central Venous Access Devices

  1. Assesses patient, donning appropriate PPE.
  2. Identifies need for treatment. Patient meets indications for treatment under one or more Medical Directives;
     • Actual or potential need for intravenous medication OR fluid therapy AND
     • IV access is unobtainable AND
     • Cardiac Arrest OR near arrest state
  3. Confirms that conditions for treatment are satisfied and that no contraindications to treatment exist.
     • Patient has a pre-existing, accessible central venous catheter in place.
  4. Cleans access area with alcohol and allows it to dry.
  5. Ensures line is clamped.
  6. Removes cap if applicable and adds 10cc syringe (no air in syringe).
  7. Unclamps line.
  8. Aspirates 5cc of blood (if using PICC line, needs to insert 10cc NS prior to aspirating).
  9. Clamps line.
  10. Discards blood.
  11. Attaches line/syringe, unclamps line and infuses fluid/drug. If drug, line needs to be flushed with 10cc of NaCl.
  12. Updates the receiving hospital and documents procedure accordingly.
  13. Is able to troubleshoot CVAD – if flow is impeded.
      • Line unclamped?
      • Line kinked?
      • Patient position impeding flow?
  14. Knows at least five (5) possible complications:
      • Embolism
      • Occlusion
      • Catheter Damage
      • Infection
      • Infiltration, Extravasations
      • Skin erosion, Hematoma
      • Dislodgment
      • Pneumothorax

Service Forms

• Certification Request Form

  Paramedic colleges or paramedic service: download and complete this PDF to request the certification of a student or paramedic.

  PDF Download

• Cross-Certification Referral Form

  Updated April 18, 2023

  For paramedics who would like to request cross-certification in the RPPEO region from another base hospital. Please submit one form for every Regional Base Hospital Program or certifying body within the past 10 years.

  Please download and save this form, then submit by email. 
  Details within the PDF.

  PDF Download

• Return to Clinical Practice

  Paramedic services anticipating the return to work of a paramedic who has been away for 90 days or more, please complete this form to submit a Return to Clinical Practice request on behalf of the paramedic.

  Online Form

OHB24 Sponsorship

Join us as a sponsor at 'OBHG24: 15 Years in the Making,' a pivotal event scheduled for September 24 - 26, 2024. This gathering serves as a unique crossroads where industry leaders, healthcare professionals, and experts convene to shape the future of emergency paramedic care in Ontario. Your sponsorship offers a prime opportunity to actively guide discussions, influence strategies, and contribute expertise to chart innovative solutions for Ontario's ever-evolving healthcare landscape. Join this collaborative journey towards person-centered emergency care and be an essential driver in steering the course of emergency paramedic care towards a brighter, more patient-centric future.

We are seeking sponsors who bring diverse expertise and perspectives to OBHG24. Ideal sponsors include organizations or entities well-versed in adult learning, quality management, risk assessment, emergency healthcare, research, technology, or partner engagement within the healthcare sector. Sponsors with a passion for driving innovation, a commitment to person-centered care, and a desire to shape the future of emergency paramedic care in Ontario will find this Annual Meeting a valuable platform to showcase their expertise and contribute to collaborative discussions. Whether you're an industry leader, a healthcare innovator, or an expert in any of these fields, your sponsorship will play a vital role in steering the direction of emergency paramedic care for a more inclusive, resilient, and patient-centric future.

 

Sponsorship Opportunities

Sponsoring OBHG24offers a unique opportunity to engage with a diverse spectrum of professionals shaping the future of emergency healthcare.

As a sponsor, you'll have exclusive access to Ontario's ambulance system medical directors and base hospital physicians – all emergency physicians - paramedics, and hospital staff from seven major teaching hospitals, including representatives from Ornge, Ontario's air ambulance provider. Sponsors will interact with decision-makers and leaders at the forefront of patient quality & safety, adult continuing medical education, health data management, health and human research, and health communications. This access presents an unparalleled chance to network, collaborate, and forge connections with key influencers and innovators driving transformative change in Ontario's emergency healthcare landscape. Your sponsorship not only showcases your commitment to advancing healthcare but also offers an invaluable platform to engage with thought leaders and decision-makers shaping the future of emergency paramedic care.

• Accelerator Level: Positioned as the driving force behind transformative advancements in paramedic care. $5K and up
• Vanguard Partner: At the forefront, steering the future of emergency healthcare in Ontario. $4K
• Pathfinder Sponsorship: Pioneering the way forward in shaping innovative strategies for tomorrow's care. $3K
• Trailblazer Supporter: Leading the charge towards a brighter future in paramedic practices. $2K

Download the OBHG24Sponsorship Proposal as a PDF. 
OBHG24_Sponsorship_Proposal.pdf

Become a Sponsor

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Sponsors

Our Sponsors for OHBG24

• 

  ZOLL Medical Corporation

  Accelerator Sponsor

  ZOLL® is focused on improving outcomes with novel resuscitation and acute critical care technology.

  Visit Zoll

• 

  Ontario Medical Supply

  Vanguard Sponsor

  Visit OMS

• 

  Prehos

  Vanguard Sponsor

  Prehos redefines paramedic's time

  Visit Prehos

• ACE TOOL

• MedicASK Submissions

• Add Training Event

• Submit Timesheet

• Staff Contacts

TOH Links for Staff

• UKG Time Sheet

  Your online time card. Schedule time off, view your vacation bank, staff schedule and more.

  Read more

• TOH Citrix Workspace

  Access the following applications on the TOH Network:

  • HRIS
  • ELM
  • Remote Desktop

  Open Citrix

• TOH Sharepoint

  Files and resources

  Go to Sharepoint

• TOH Service Now

  To create a support request send an email to servicenow@toh.ca

  Email support

The Team

RPPEO News Hub

RPPEO New has moved to Sharepoint. With so many of our work tools already in Office Online, the integrations possible with SharePoint make it easy and secure as our news tool. We hope you'll enjoy getting the news here!

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Vehicle Reservations

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