If you are directed to the Password change page, you MUST ENTER YOUR CURRENT PASSWORD. The Current password field may appear to be automatically filled in and have a green check mark, however you MUST MANUALLY ENTER YOUR CURRENT PASSWORD.
When the reset is successful there will be a message letting you know the reset was a success. If you did not see this message your current password was not entered correctly.
Single Sign-on
When logging in to the Regional Paramedic Program website, your account will give you access to MedicLEARN as well as MedicNET using Single Sign-On.
If you are having difficulties logging in please have a look at our help page.
If you are unable to log on to the website, we have a few tips that may help you to fix that.
Tip #1
Your login ID is your email address. This is typically your service email, if you are with multiple services all email addresses will work. If you have added a personal email to your profile in MedicNET that email address will also allow you to log on.
Tip #2
New users must click the link in the log on pop up that says "First time log-on or forgotten password?". This link is used to setup your log on password. When you click the link you will be directed to MedicNET. Enter your email address. If you see a green check mark, your email is valid in the system.
When you click submit an email will be sent to the address you entered. The password reset link is only valid for two (2) hours. If you are unable to complete the password reset in that time you will need to repeat the process.
Tip #3
The rules for your password will be shown to the right. As you enter your password and meet the various rules the corisponding rule will show a green check mark to show that you have met the requirement. Once all rules have been maked as met you can submit your password change.
**IMPORTANT**
If you have been directed to the page to update your password and see the CURRENT PASSWORD field, you MUST ENTER YOUR PASSWORD even though it may show ******** and have a green check mark
Tip #4
If you have tried all email addresses and do not see a green check mark, please contact the RPPEO so we can resolve the issue for you.
If your email address was valid but you are not receiving the email, check your Junk, Spam, Trash and Deleted folders for the email account you entered when requesting a password reset. If no email is received with in 10 minutes please contact us so we can assist.
Reporting of loss or theft of controlled substances, precursors and cannabis
Guidance Document: Document #: CS-GD-005
Published by authority of the Minister of Health
Purpose
This document provides guidance to regulated parties and exemptees under the Controlled Drugs and Substances Act (CDSA), the Cannabis Act (CA) and their regulations in completing a Loss or Theft Report form for controlled substances, precursors and cannabis.
Regulated parties and exemptees must notify the Minister of the loss or theft of controlled substances in accordance with the relevant regulations or the conditions of their exemption. Such notification must be submitted to Health Canada, Office of Controlled Substances (OCS) using the Loss or Theft Report Form for Controlled Substances, Precursors and Cannabis (CS-FRM-011).
A special Thank You to the Ottawa Heart Institute for providing clarity and information regarding LVAD patients' treatment and transport.
Please Note: Some information that is suggested in the YouTube links within the presentation may not follow the recommendations by the Ottawa Heart Institute and the RPPEO. These videos are for information only. Follow the guidance outlined in the main presentation regarding LVADs.
When the new page opens click Cancel to remove the error message.
Please note: In this second half, the presenter mentions cardioversion for arrhythmia conversion using Anterior-Posterior pad placement in hospital. Our Medical Director's recommendation for defibrillation and/or cardioversion in the pre-hospital environment is Anterior-Lateral positioning, to further protect the LVAD pump.
The Advanced Life Support Patient Care Standards outline the requirements for paramedic annual maintenance of certification in Appendix 6.
In brief, paramedics need 10 patient contacts each year as well as no more than 90 days out of service, Those who have more than 90 days away from practice undergo a Return to Clinical Practice to maintain their Certification.
In addition to the requirements set out in the Patient Care Standards, the RPPEO requires the following each year:
Each Advanced Care Paramedic (ACP) must:
Be employed by a Paramedic Service
Have participated in Cycle 1 Spring and Cycle 2 Fall CME
The RPPEO Certification Year runs from February 1 through January 31. Each paramedic must complete annual maintenance of certification requirements by the end of the day of January 31 each year.
For more details, see the RPPEO Certification Policy below.
Paramedic Re-Certification is required each year for continuing practice.
At the RPPEO, the annual certification period begins on February 1 at 00:00hrs.
Paramedics must meet minimum annual requirements, as set out in the Provincial Maintenance of Certification Standards (MoCS) outlined in Appendix 6 of the Ontario Advanced Life Support Patient Care Standards (ALS PCS) (see below).
The RPPEO examines each paramedic’s record to be sure that they’ve completed the minimum requirements for re-certification. If minimum requirements are met, the paramedic receives a certification letter on February 1 indicating their authorized scope of practice for the coming certification year.
If the minimum requirements are not met, the paramedic is deactivated and receives such notice. Deactivation for any reason means that the paramedic is not authorized to practice until the issues identified are corrected.
Paramedics who fail to meet the minimum requirements for annual recertification at the end of the annual certification period will be deactivated at the beginning of the next certification period, the 1st of February at 00:00hrs.
Provincial Maintenance of Certification Standards
From Appendix 6 of the Ontario Advanced Life Support Patient Care Standards:
The Paramedic shall demonstrate competency in the performance of Controlled Acts and other advanced medical procedures, compliance with the ALS PCS, and the provision of patient care at the Paramedic’s level of Certification. Competency and compliance shall be determined by the Medical Director and may include chart audits, field evaluations, and RBHP patch communication review.
The Paramedic shall not have an absence from providing patient care that exceeds ninety (90) consecutive days.
The Paramedic shall either, a. provide patient care to a minimum of ten (10) patients per year whose care requires assessment and management at the Paramedic’s level of Certification, or b. where a Paramedic is unable to assess and manage the minimum of ten (10) patients per year, demonstrate alternate experience, as approved by the Medical Director, that may involve 1 or more of the following: i. other patient care activities; ii. additional CME; iii. simulated patient encounters; and iv. clinical placements.
The Paramedic shall complete at least 1 evaluation per year at the appropriate level of Certification, which may include: an assessment of knowledge and evaluation of skills; scenarios; and on-line learning and evaluation.
The Paramedic shall complete a minimum of CME hours per year as follows: eight (8) hours for PCPs, twelve (12) hours for PCP Flight, twenty-four (24) hours for ACPs, and seventy-two (72) hours for ACP Flight and CCP. CME hours include electives from our approved elective calendar, as well as CME hours, include hours completed as part of an evaluation required by paragraph 4.
The My OBH Collaboration is a technology working group that's created three platforms to support the key functions of a base hospital: MedicASK to support the delegation of controlled medical acts, MedicLEARN for continuing education, and MedicNET for certification. These platforms are secure, password protected and are accessible by not only the individual base hospital, but to their respective paramedic services, their paramedics and their Ministry of Health representative.
We've also developed other behind-the-scenes tools that contribute to continuous quality improvement.
In January 2019, we began a renewed formal information technology collaboration among the four collaborating base hospitals: Hamilton Health Sciences Centre for Paramedic Education and Research, Lakeridge Health Central East Prehospital Care Program, Ottawa Hospital Regional Paramedic Program for Eastern Ontario, and Thunder Bay Regional Health Sciences Centre Northwest Region Prehospital Care Program. We share the vision that better data tools will help our base hospitals improve paramedic care. With better tools, we will be able to better collect, analyze, report and use data in our programs. Our partners and stakeholders will be able to see that data is contributing to better-informed decisions for patient safety and quality.
MedicX
The MedicX suite of services provides online password protected access to tools for paramedics in the RPPEO catchment. These tools enable self-access for paramedics managing their clinical portfolios and engaging with the RPPEO.
Manage Your Certification
MedicNET
MedicNET is your portal to manage and review current status as a certified Paramedic under the RPPEO.
MedicASK is your opportunity to share your questions about clinical issues and get answers. We take your questions seriously as they often help us shape and improve existing practices and procedures.
Engage with the latest RPPEO paramedicine news, be the first to know about upcoming training, and more get insight behinf the scenes. The RPPEO releases paramedic news and info in electronic newsletters 10 times a year.
The Regional Paramedic Program for Eastern Ontario maintains a dedicated toll-free telephone line for our paramedics calledMedicLINE. This service provides paramedics within the region the opportunity to ask questions and discuss issues with an RPPEO coordinator in a timely way.MedicLINE is for those who are looking for advice on more complex issues or pressing situations, as well as those who wish to speak with someone rather than emailing.
When calling, we ask paramedics to leave a detailed voicemail with your name, OASIS number, a callback number, and a brief reason for your call. If we are unable to answer your call right away, a coordinator will contact you promptly, often within a few minutes and always by the next business day.
MedicX Suite of Purpose Built Software for Paramedics
Since 2009, the RPPEO in collaboration with our partner services and regional bases hospitals across Ontario, has developed the MedicX suite of applications. MedicX apps enable paramedics to have easier access to useful tools and information.
Medical Advisories are used to notify paramedics in our region of safety concerns or evolving clinical situations that require rapid information from the regional Medical Director.
Medical Advisories are used to notify paramedics in our region of safety concerns or evolving clinical situations that require rapid information or guidance from the regional Medical Director.
Medical direction is an essential aspect of paramedic care in Ontario. We find it in a number of written forms. We find our foundational medical ‘standing orders” in provincial Paramedic Standards of Care. We also find medical direction in the timely written guidance issued for specific issues.
Medical direction also comes in the form of orders from base hospital physicians. This “online medical direction” provides in the moment consultation, advice and orders for paramedics patching with approved base hospital emergency medical physicians.
The Medical Director
One of the great attributes of paramedic care is the paramedic’s use of skills that they are uniquely able to perform. This ability comes through training, practice, continuing education, safety and quality improvement programming and the authorization to perform certain medical acts.
Paramedic care is regulated under theAmbulance Act.It outlines what medically controlled acts may be performed by a paramedic if that person is authorized to perform the act.
Authorization to perform controlled medical acts may be granted to a paramedic by the the regional Medical Director. The Medical Director is bound by the standards of their college, the College of Physicians and Surgeons of Ontario, which include a policy forDelegation of Controlled Acts.
In order to delegate controlled medical acts to paramedics, the College of Physicians and Surgeons of Ontario requires physicians to
Write Medical Directives that the paramedics will use.
Ensure that each delegated paramedic has the appropriate knowledge, skill and judgment to perform the delegated act.
Provide supervision, monitoring and evaluation of the delegated acts.
The accountability and responsibility for the act that has been delegated remain with the delegating physician.
Under the authority of their licence to practice medicine, the regional Medical Director authorizes specific paramedics to perform controlled medical acts. Authorization happens within a system of delegation and quality assurance.
At the RPPEO, paramedic authorization to perform controlled medical acts begins with initial (Certification). Each paramedic’s specific authorizations are outlined in their Certification Letter, issued by the RPPEO and attached to the Paramedic file in (MedicNet). Certification is the mechanism for ensuring that each paramedic has the appropriate knowledge, skill and judgment to perform the delegated act.
The delegating Medical Director is responsible for the quality of the care provided by those they have authorized. The RPPEO monitors the quality of care for each paramedic and for all of the controlled medical acts on an annual cycle. This quality assurance cycle is an important part of a paramedic’s annual (re-Certification).
Written Medical Directives
The (Patient Care Standards) set the expectations for paramedic care across Ontario. Standards guide many aspects of paramedic practice including assessment, transport, treatment and documentation. Medical directives within the standards refer to the assessment, treatment and patient management expected for patients presenting with certain, defined conditions or signs and symptoms.
Within Eastern Ontario, local hospital programs such as Trauma Bypass and STEMI Bypass specify system capabilities that may alter certain aspects of paramedic practice such as destination planning. Occasionally, special or temporary emergency measures may also impact care. In this case, the Ministry of Health may distribute training bulletins or the medical director may issue (Medical Advisories).
When questions about Patient Care Standards, medical directives or regional protocols come up outside of an active care situation, paramedics can use the (MedicAsk) tool for answers. MedicAsk is a forum where paramedics can expect well-considered medical direction for challenging situations.
Many medical directives include the option or direction to patch to a physician for advice or direct orders. The RPPEO Base Hospital Physician program trains and authorizes physicians in emergency rooms across the region to act as patch physicians. We monitor the quality of all patches on an annual basis.
