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Medical Directives

  • ALS PCS 4.6

    The purpose of the Advanced Life Support Patient Care Standards (ALS PCS) is to guide the specifics of patient care that are to be undertaken consistent with the scope of practice of the three occupational levels of paramedics.

     

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  • ALS Companion Doc

    This companion document should be used as a reference tool to further understand the applicability of the Medical Directives as per the ALS PCS.

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  • BLS PCS 3.2

    The BLS Patient Care Standards are the Ministry of Heath and Long-Term Care expectations with respent to how paramedics will interact with their patients.

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  • BLS PCS 3.1 ONTARIO DESIGNATED STROKE CENTRES

    Emergency Health Regulatory and Accountability Branch, Ontario Ministry of Health and Long-Term Care

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ACP & PCP Medical Directives Pocket Books

Version 4.6.1

ALS PCS Pocket Books are now available for you to download as a PDF.

Download to your mobile device for access offline.

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Return to Clinical Practice (Service Form)

Return to Clinical Practice

Service Form

Please complete this form to submit a Return to Clinical Practice on behalf of a paramedic. Once submitted, an RPPEO staff member will be in contact with you to follow up with a plan.

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Returning to work

Returning to clinical practice after a leave

When a paramedic is inactive for more than 90 days, we undertake a Return to Clinical Practice (RTCP) assessment before they return to practice.

​Each paramedic's individual needs will be evaluated by our education department to determine the return to practice plan. A learning plan will be developed and the paramedic will work through it. Following this, the paramedic participates in assessment scenarios to evaluate practice readiness.

Paramedics who are returning to clinical work must also complete any Core Continuing Medical Education that they have missed during their absence.

The process begins when your paramedic service completes the Return to Clinical Practice form.

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RPPEO

Improving the quality and safety of paramedicine in Eastern Ontario

PSIR

Submit a Patient Safety Incident Report

Submit a report

MedicLEARN

Continuing Medical Education available online

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MedicNET

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Open MedicNET

My MedicNET

Online access to your records:

[Coming soon]

Open MedicNET

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    Post a question for our Medical Team

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Improving the quality and safety of paramedicine in Eastern Ontario

Recent News and Updates

Ontario Paramedic Clinical Guide

Web app available

Available for Apple and Android devices.

Please use the link below to provide us with your feedback regarding this guide.

Feedback

A dedicated toll-free telephone line for our paramedics

Upcoming Education Events

Latest MedicASK Questions

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Vehicle Request Booking

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

RPPEO Vehicle Procedure

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RPPEO Medical Team

RPPEO MedicASK provides paramedics the opportunity to ask questions to our Medical Directors regarding ALS PCS medical directives or other related patient care opportunities.

All questions will be reviewed and answered by staff within the RPPEO. Please browse through our questions and answers, as well as the latest ALS or BLS Patient Care Standards or Companion Document for the Advanced Life Support Patient Care Standards.

MedicASK

Upcoming Education Events

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RPPEO Forms Page

Online Forms

The RPPEO provides paramedics with forms to help share specific information. Browse the forms below or use the site search function to locate a specific form. If you are a paramedic who is unable to find a specific form, please contact the RPPEO by phone or email.

Information that you provide to the RPPEO may be shared with paramedic services. This is consistent with the RPPEO's practices to improve transparency.

Do not include Personal Health Information when completing forms unless a form specifically asks for such information.

forms

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RPPEO Physicians

Base Hospital Physicians

The RPPEO authorizes Base Hospital Physicians to provide advice, orders, or consultation in real time to paramedics. Through calls to these emergency medicine physicians or “patching,” ​paramedics may receive support during patient care.

The patches are all recorded and are reviewed as part of an (audit of paramedic care and physician compliance with the Ministry of Health’s Advanced Life Support Patient Care Standards (ALS PCS) and their other paramedic care standards documents.

Base Hospital physicians are available 24/7 at two sites: Ottawa and Kingston.

Excellence Highlight

Providing base hospital physician education

The University of Ottawa and Queens University Emergency Residency Programs collaborate with the RPPEO to prepare the emergency physicians of the future. Third year residents are introduced to Emergency Medical Services (EMS) and paramedicine during EMS Month and its popular EMS Bootcamp where they interact with subject matter experts in paramedicine on wide-ranging topics.

​During EMS Month, residents are trained to participate in online medical support. After this, they can give real time phone advice to paramedics. By becoming intimately familiar with the environments paramedics function in during EMS Bootcamp, the residents are better able to understand the complexities in which paramedics practice, making the advice they provide safer.

The University of Ottawa and Queens University Emergency Residency Programs collaborate with the RPPEO to prepare the emergency physicians of the future. Residents are invited annually to apply to the RPPEO EMS Fellowship.

An EMS Fellowship gives up to 5 emergency medicine residents the opportunity to work within the RPPEO, participating in developing new tools for medical support and learning about the paramedic's clinical scope. Residents who complete an EMS fellowship have an intimate understanding of paramedic care and the out-of-hospital environment, preparing them with the experience in ambulance systems and paramedicine that will help them become future leaders in emergency medicine.

Meet the team

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