Paramedics Regulations

t REGULATED HEALTH PROFESSIONS ACT PARAMEDICS REGULATIONS PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to April 1, 2024. It is intended for information and reference purposes only. This document is not the official version of these regulations. The regulations and the amendments printed in the Royal Gazette should be consulted on the Prince Edward Island Government web site to determine the authoritative text of these regulations. For more information concerning the history of these regulations, please see the Table of Regulations on the Prince Edward Island Government web site (www.princeedwardisland.ca). If you find any errors or omissions in this consolidation, please contact: Legislative Counsel Office Tel: (902) 368-4292 Email: legislation@gov.pe.ca Paramedics Regulations Table of Contents PARAMEDICS REGULATIONS Table of Contents Section Page PART 1 – INTERPRETATION AND ADMINISTRATION 5 1. Definitions................................................................................................................................................ 5 2. Designation .............................................................................................................................................. 5 3. College ..................................................................................................................................................... 6 4. Register .................................................................................................................................................... 6 PART 2 – PRIMARY CARE PARAMEDIC 6 REGISTRATION 6 5. General registration .................................................................................................................................. 6 6. Provisional registration ............................................................................................................................ 6 7. Special registration ................................................................................................................................... 7 PRESCRIBED REQUIREMENTS 7 8. Education ................................................................................................................................................. 7 9. Examination ............................................................................................................................................. 7 10. Currency of knowledge and skills ............................................................................................................ 7 11. Insurance .................................................................................................................................................. 8 12. Other requirements ................................................................................................................................... 8 DESIGNATIONS AND RESERVED ACTIVITIES 8 13. Designations ............................................................................................................................................. 8 14. Reserved activities ................................................................................................................................... 8 PART 3 – INTERMEDIATE CARE PARAMEDIC 9 REGISTRATION 9 15. Transitional registration ........................................................................................................................... 9 DESIGNATIONS AND RESERVED ACTIVITIES 9 16. Designations ............................................................................................................................................. 9 17. Reserved activities ................................................................................................................................. 10 PART 4 – ADVANCED CARE PARAMEDIC 10 REGISTRATION 10 18. General registration ................................................................................................................................ 10 19. Provisional registration .......................................................................................................................... 11 20. Special registration ................................................................................................................................. 11 PRESCRIBED REQUIREMENTS 11 21. Education ............................................................................................................................................... 11 22. Examination ........................................................................................................................................... 11 23. Currency of knowledge and skills .......................................................................................................... 12 24. Insurance ................................................................................................................................................ 12 c t Current to: April 1, 2024 Page 3 Table of Contents Paramedics Regulations 25. Other requirements ................................................................................................................................. 12 DESIGNATIONS AND RESERVED ACTIVITIES 12 26. Designations ........................................................................................................................................... 12 27. Reserved activities .................................................................................................................................. 12 28. Application for special authorization ..................................................................................................... 13 PART 5 – CRITICAL CARE PARAMEDIC 14 REGISTRATION 14 29. General registration ................................................................................................................................ 14 30. Provisional registration ........................................................................................................................... 15 31. Special registration ................................................................................................................................. 15 PRESCRIBED REQUIREMENTS 15 32. Education ................................................................................................................................................ 15 33. Examination............................................................................................................................................ 15 34. Currency of knowledge and skills .......................................................................................................... 15 35. Insurance ................................................................................................................................................ 16 36. Other requirements ................................................................................................................................. 16 DESIGNATIONS AND RESERVED ACTIVITIES 16 37. Designations ........................................................................................................................................... 16 38. Reserved activities .................................................................................................................................. 16 PART 6 - GENERAL 17 39. Name of corporation ............................................................................................................................... 17 40. Exception, corporation ........................................................................................................................... 17 41. Transitional, EMT license ...................................................................................................................... 18 SCHEDULE 1 – DRUGS ADMINISTERED INDEPENDENTLY 19 ALL PARAMEDICS 19 INTERMEDIATE, ADVANCED OR CRITICAL CARE PARAMEDICS 19 ADVANCED OR CRITICAL CARE PARAMEDICS 19 CRITICAL CARE PARAMEDICS 20 SCHEDULE 2 – DRUGS ADMINISTERED ON ORDER 22 PRIMARY OR INTERMEDIATE CARE PARAMEDICS 22 INTERMEDIATE CARE PARAMEDICS 22 Page 4 Current to: April 1, 2024 t c PART 1 – INTERPRETATION AND ADMINISTRATION Paramedics Regulations Section 1 REGULATED HEALTH PROFESSIONS ACT CHAPTER R-10.1 PARAMEDICS REGULATIONS Pursuant to sections 2 and 96 of the Regulated Health Professions Act R.S.P.E.I. 1988, Cap. R-10.1, Council made the following regulations: PART 1 – INTERPRETATION AND ADMINISTRATION 1. Definitions In these regulations, (a) “Act” means the Regulated Health Professions Act R.S.P.E.I. 1988, Cap. R-10.1, except where otherwise indicated; (b) “Council” means the Council of the College of Paramedicine of Prince Edward Island, established under section 3; (c) “former Act” means the Emergency Medical Technicians Act R.S.P.E.I. 1988, Cap. E-6.11; (d) “paramedic” means a person who is registered in the register for paramedicine; (e) “paramedicine” means the health profession in which a person applies particular knowledge, skills and judgment in (i) the assessment, management and treatment of injury or illness in emergency, primary care and community care settings, and (ii) conducting research, education, management or administrative activities incidental to those described in subclause (i); (f) “refresher program” means a refresher program in paramedicine consisting of a formal curriculum, a set of individualized assignments of studies and experiences, a set of continuing education credits, a practicum or a combination of these elements. (EC218/24) 2. Designation Paramedicine is designated as a regulated health profession. (EC218/24) c t Current to: April 1, 2024 Page 5 PART 2 – PRIMARY CARE PARAMEDIC Section 3 Paramedics Regulations 3. College The College of Paramedicine of Prince Edward Island is hereby established as the college for paramedicine. (EC218/24) 4. Register The register for paramedicine is divided into the following sub-registers and parts: (a) primary care paramedic (i) general registration, (ii) provisional registration, (iii) special registration; (b) intermediate care paramedic; (c) advanced care paramedic; (i) general registration, (ii) provisional registration, (iii) special registration; (d) critical care paramedic (i) general registration, (ii) provisional registration, (iii) special registration. (EC218/24) PART 2 – PRIMARY CARE PARAMEDIC Registration 5. General registration (1) The registrar shall register an applicant in the general registration part of the primary care paramedic register where (a) the registrar is satisfied that the applicant meets all the requirements for registration set out in subsection 12(2) of the Act and this Part and registers the applicant pursuant to subsection 12(3) of the Act; or (b) the Council directs the registrar to register the applicant pursuant to subsection 12(6) of the Act or reinstate the registration of the applicant pursuant to subsection 24(4) of the Act. Reinstatement period (2) For the purpose of subsection 24(1) of the Act, a former member may apply for reinstatement of general registration in the primary care paramedic register within three years after a lapse in the registration. (EC218/24) 6. Provisional registration (1) Where an applicant for general registration under this Part has not successfully completed an examination set out in section 9, the Council may direct the registrar to register the applicant in the provisional registration part of the primary care paramedic register, subject to the term Page 6 Current to: April 1, 2024 t c PART 2 – PRIMARY CARE PARAMEDIC Paramedics Regulations Section 7 or condition that the applicant successfully completes an examination set out in section 9 within a specified time period. Satisfaction of term or condition (2) Where a primary care paramedic with provisional registration satisfies the term or condition imposed under subsection (1), the registrar shall register the primary care paramedic in the general registration part of the primary care paramedic register. Subject to supervision (3) A primary care paramedic with provisional registration shall be supervised in practising paramedicine by a paramedic with general registration, approved by the Council. No reinstatement (4) Provisional registration may not be reinstated. (EC218/24) 7. Special registration (1) Where the Council directs the registrar to register an applicant under this Part pursuant to subsection 13(3) of the Act, the registrar shall register the applicant in the special registration part of the primary care paramedic register. No renewal or reinstatement (2) Special registration may not be renewed or reinstated. (EC218/24) Prescribed Requirements 8. Education For the purpose of clause 12(2)(c) of the Act, an applicant shall have successfully completed (a) a post-secondary program in primary care paramedicine accredited by Accreditation Canada; or (b) an education program that the Council considers to be substantially equivalent to the one referred to in clause (a). (EC218/24) 9. Examination For the purpose of clause 12(2)(d) of the Act, an applicant shall have successfully completed (a) the Entry to Practice Examination for Primary Care Paramedics administered by the Canadian Organization of Paramedic Regulators; or (b) an examination the Council considers to be substantially equivalent to the one referred to in clause (a). (EC218/24) 10. Currency of knowledge and skills For the purpose of clause 12(2)(f), subclause 22(2)(a)(ii) and clause 24(4)(c) of the Act, to demonstrate currency of professional knowledge and skills, an applicant shall have done one of the following within the three years immediately before the application: (a) successfully completed the education requirement under section 8; (b) actively practised paramedicine in the province or in another jurisdiction recognized by the Council for at least 1,125 hours; c t Current to: April 1, 2024 Page 7 PART 2 – PRIMARY CARE PARAMEDIC Section 11 Paramedics Regulations (c) successfully completed a refresher program approved by the Council. (EC218/24) 11. Insurance For the purpose of clause 12(2)(j), subclause 22(2)(a)(v) and clauses 24(4)(f) and 25(3)(c) of the Act, an applicant or a primary care paramedic, as the case may be, shall hold or be covered by professional liability insurance under a policy that provides coverage of not less than $5,000,000 per claim or occurrence and an aggregate limit of not less than $5,000,000, excluding legal or court costs. (EC218/24) 12. Other requirements For the purpose of clause 12(2)(k), subclause 22(2)(a)(v.1) and clause 24(4)(g) of the Act, an applicant shall be certified in basic life support. (EC218/24) Designations and Reserved Activities 13. Designations For the purpose of subsection 89(1) of the Act, the designations of a primary care paramedic include (a) paramedic; and (b) primary care paramedic or PCP. (EC218/24) 14. Reserved activities Subject to any terms or conditions on the primary care paramedic’s registration, a primary care paramedic is authorized to perform the following reserved activities: (a) diagnosing a disease, disorder or condition and communicating the diagnosis in circumstances in which it is reasonably foreseeable that it will be relied on in health care decisions; (b) performing the following procedures on tissue below the dermis or surface of a mucous membrane: (i) venipuncture or skin prick to obtain a blood sample, (ii) intravenous cannulation, (iii) wound packing; (c) administering a substance by injection, inhalation, mechanical ventilation (manual), irrigation, or enteral or parenteral instillation; (d) putting an instrument, hand or finger (i) beyond the point in the nasal passages where they normally narrow to collect swabs for diagnostic testing, to control bleeding or for airway management, (ii) beyond the pharynx for airway management, (iii) beyond the labia majora in obstetrical emergencies, or (iv) into an artificial opening into the body to suction a tracheostomy; (e) applying electrical energy for the purpose of defibrillation; (f) administering, by any means, a drug listed in Schedule 1 that may be administered by all paramedics; Page 8 Current to: April 1, 2024 t c PART 3 – INTERMEDIATE CARE PARAMEDIC Paramedics Regulations Section 15 (g) administering, by any means, a drug listed in Schedule 2, that may be administered by a primary care paramedic on the order of a medical practitioner or nurse practitioner or pursuant to a Health PEI protocol; (h) dispensing a drug that a primary care paramedic is authorized to administer; (i) administering, by any means, a vaccine on the order of a medical practitioner or nurse practitioner, pursuant to a Health PEI protocol or prescribed by a pharmacist; (j) managing labour or conducting the delivery of a baby in an obstetrical emergency; (k) removing a superficial foreign body from the human eye or its adnexa. (EC218/24) PART 3 – INTERMEDIATE CARE PARAMEDIC Registration 15. Transitional registration (1) A person who, immediately before the coming into force of these regulations, held a valid EMT Level II license under the former Act is deemed to be registered in the intermediate care paramedic register on the coming into force of these regulations. Renewal of registration (2) An applicant for the renewal of registration under this Part shall (a) for the purpose of subclause 22(2)(a)(ii) of the Act, demonstrate currency of professional knowledge and skills by having done one of the following within the three years immediately before the application: (i) successfully completed the training required for an EMT Level II license under the former Act; (ii) actively practised paramedicine in the province or in another jurisdiction recognized by the Council for at least 1,125 hours; (iii) successfully completed a refresher program approved by the Council; (b) for the purpose of subclause 22(2)(a)(v) of the Act, hold or be covered by professional liability insurance under a policy that provides coverage of not less than $5,000,000 per claim or occurrence and an aggregate limit of not less than $5,000,000, excluding legal or court costs; and (c) for the purpose of subclause 22(2)(a)(v.1) of the Act, be certified in basic life support. No reinstatement (3) Registration in the intermediate care paramedic register may not be reinstated. (EC218/24) Designations and Reserved Activities 16. Designations For the purpose of subsection 89(1) of the Act, the designations of an intermediate care paramedic include (a) paramedic; and (b) intermediate care paramedic or ICP. (EC218/24) c t Current to: April 1, 2024 Page 9 PART 4 – ADVANCED CARE PARAMEDIC Section 17 Paramedics Regulations 17. Reserved activities Subject to any terms or conditions on the intermediate care paramedic’s registration, an intermediate care paramedic is authorized to perform the following reserved activities: (a) diagnosing a disease, disorder or condition and communicating the diagnosis in circumstances in which it is reasonably foreseeable that it will be relied on in health care decisions; (b) performing the following procedures on tissue below the dermis or surface of a mucous membrane: (i) venipuncture or skin prick to obtain a blood sample, (ii) intravenous cannulation, (iii) wound packing; (c) administering a substance by injection, inhalation, mechanical ventilation (manual), irrigation, or enteral or parenteral instillation; (d) putting an instrument, hand or finger (i) beyond the point in the nasal passages where they normally narrow to collect swabs for diagnostic testing, to control bleeding or for airway management, (ii) beyond the pharynx or larynx for airway management, (iii) beyond the labia majora in obstetrical emergencies, or (iv) into an artificial opening into the body for airway management; (e) applying electrical energy for the purpose of defibrillation; (f) administering, by any means, a drug listed in Schedule 1 that may be administered by all paramedics or immediate care paramedics; (g) administering, by any means, a drug listed in Schedule 2 that may be administered by an intermediate care paramedic on the order of a medical practitioner or nurse practitioner or pursuant to a Health PEI protocol; (h) dispensing a drug that the intermediate care paramedic is authorized to administer; (i) administering, by any means, a vaccine on the order of a medical practitioner or nurse practitioner, pursuant to a Health PEI protocol or prescribed by a pharmacist; (j) managing labour or conducting the delivery of a baby in an obstetrical emergency; (k) removing a superficial foreign body from the human eye or its adnexa. (EC218/24) PART 4 – ADVANCED CARE PARAMEDIC Registration 18. General registration (1) The registrar shall register an applicant in the general registration part of the advanced care paramedic register where (a) the registrar is satisfied that the applicant meets all the requirements for registration set out in subsection 12(2) of the Act and this Part and registers the applicant pursuant to subsection 12(3) of the Act; or (b) the Council directs the registrar to register the applicant pursuant to subsection 12(6) of the Act or reinstate the registration of the applicant pursuant to subsection 24(4) of the Act. Page 10 Current to: April 1, 2024 t c PART 4 – ADVANCED CARE PARAMEDIC Paramedics Regulations Section 19 Reinstatement period (2) For the purpose of subsection 24(1) of the Act, a former member may apply for reinstatement of general registration in the advanced care paramedic register within three years after a lapse in the registration. (EC218/24) 19. Provisional registration (1) Where an applicant for general registration under this Part has not successfully completed an examination set out in section 22, the Council may direct the registrar to register the applicant in the provisional registration part of the advanced care paramedic register, subject to the term or condition that the applicant successfully completes an examination set out in section 22 within a specified time period. Satisfaction of term or condition (2) Where an advanced care paramedic with provisional registration satisfies the term or condition imposed under subsection (1), the registrar shall register the advanced care paramedic in the general registration part of the advanced care paramedic register. Subject to supervision (3) An advanced care paramedic with provisional registration shall be supervised in practising paramedicine by an advanced care paramedic or a critical care paramedic with general registration, approved by the Council. No reinstatement (4) Provisional registration may not be reinstated. (EC218/24) 20. Special registration (1) Where the Council directs the registrar to register an applicant under this Part pursuant to subsection 13(3) of the Act, the registrar shall register the applicant in the special registration part of the advanced care paramedic register. No renewal or reinstatement (2) Special registration may not be renewed or reinstated. (EC218/24) Prescribed Requirements 21. Education For the purpose of clause 12(2)(c) of the Act, an applicant shall have successfully completed (a) a post-secondary program in advanced care paramedicine accredited by Accreditation Canada; or (b) an education program that the Council considers to be substantially equivalent to the one referred to clause (a). (EC218/24) 22. Examination For the purpose of clause 12(2)(d) of the Act, an applicant shall have successfully completed (a) the Entry to Practice Examination for Advanced Care Paramedics administered by the Canadian Organization of Paramedic Regulators; or c t Current to: April 1, 2024 Page 11 PART 4 – ADVANCED CARE PARAMEDIC Section 23 Paramedics Regulations (b) an examination the Council considers to be substantially equivalent to the one referred to in clause (a). (EC218/24) 23. Currency of knowledge and skills For the purpose of clause 12(2)(f), subclause 22(2)(a)(ii) and clause 24(4)(c) of the Act, to demonstrate currency of professional knowledge and skills, an applicant shall have done one of the following within the three years immediately before the application: (a) successfully completed the education requirement under section 21; (b) actively practised paramedicine in the province or in another jurisdiction recognized by the Council for at least 1,125 hours; (c) successfully completed a refresher program approved by the Council. (EC218/24) 24. Insurance For the purpose of clause 12(2)(j), subclause 22(2)(a)(v) and clauses 24(4)(f) and 25(3)(c) of the Act, an applicant or an advanced care paramedic, as the case may be, shall hold or be covered by professional liability insurance under a policy that provides coverage of not less than $5,000,000 per claim or occurrence and an aggregate limit of not less than $5,000,000, excluding legal or court costs. (EC218/24) 25. Other requirements For the purpose of clause 12(2)(k), subclause 22(2)(a)(v.1) and clause 24(4)(g) of the Act, an applicant shall be certified in basic life support. (EC218/24) Designations and Reserved Activities 26. Designations For the purpose of subsection 89(1) of the Act, the designations of an advanced care paramedic include (a) paramedic; and (b) advanced care paramedic or ACP. (EC218/24) 27. Reserved activities Subject to any terms or conditions on the advance care paramedic’s registration, an advanced care paramedic is authorized to perform the following reserved activities: (a) diagnosing a disease, disorder or condition and communicating the diagnosis in circumstances in which it is reasonably foreseeable that it will be relied on in health care decisions; (b) performing the following procedures on tissue below the dermis or surface of a mucous membrane: (i) venipuncture or skin prick to obtain a blood sample, (ii) radial artery puncture to obtain a blood sample, (iii) intravenous cannulation, (iv) intraosseous needle insertion, (v) creating an artificial opening for a cricothyrotomy, Page 12 Current to: April 1, 2024 t c PART 4 – ADVANCED CARE PARAMEDIC Paramedics Regulations Section 28 (vi) needle thoracostomy for airway management, (vii) wound packing; (c) setting or casting a fracture of a bone or a dislocation of a joint; (d) administering a substance by injection, inhalation, mechanical ventilation (manual or ventilator), irrigation, or enteral or parenteral instillation; (e) putting an instrument, hand or finger, (i) beyond the point in the nasal passages where they normally narrow to collect swabs for diagnostic testing, to control bleeding, to insert a nasogastric tube or for airway management, (ii) beyond the pharynx or larynx for airway management, (iii) beyond the pharynx for orogastric tube insertion, (iv) beyond the opening of the urethra for bladder catheterization, (v) beyond the labia majora in obstetrical emergencies, (vi) beyond the anal verge to monitor core temperature or collect a rectal swab for culture, or (vii) into an artificial opening into the body for airway management; (f) applying electrical energy for the purpose of defibrillation and cardiac stability; (g) administering, by any means, a drug listed in Schedule 1 that may be administered by all paramedics or advanced care paramedics; (h) administering, by any means, any drug on the order of a medical practitioner, nurse practitioner or midwife, or pursuant to a Health PEI protocol; (i) dispensing a drug the advanced care paramedic is authorized to administer; (j) administering, by any means, a vaccine on the order of a medical practitioner or nurse practitioner, pursuant to a Health PEI protocol or prescribed by a pharmacist; (k) managing labour or conducting the delivery of a baby in an obstetrical emergency; (l) removing a superficial foreign body from the human eye or its adnexa; (m) ordering and interpreting screening and diagnostic tests that do not use prescribed forms of energy. (EC218/24) 28. Application for special authorization (1) An advanced care paramedic may apply to the registrar, in the form approved by the Council, for special authorization to perform one or both of the following reserved activities: (a) performing simple suturing and wound closure on tissue below the dermis to close a wound; (b) applying sound energy for diagnostic testing or the insertion of an invasive line. Eligibility (2) An applicant is eligible for special authorization to perform a reserved activity referred to in subsection (1), if the applicant has successfully completed an advanced training program in the reserved activity, approved by the Council. Granting of special authorization (3) On receipt and review of an application made in accordance with subsection (1), the registrar may, if the registrar is satisfied the applicant is eligible in accordance with subsection (2), (a) grant the applicant special authorization to perform the reserved activity; and c t Current to: April 1, 2024 Page 13 PART 5 – CRITICAL CARE PARAMEDIC Section 29 Paramedics Regulations (b) note the special authorization in the register in relation to the advanced care paramedic and on the advanced care paramedic’s certificate of registration. Referral to the Council (4) Where the registrar is not satisfied that the applicant is eligible in accordance with subsection (2), the registrar shall refer the application to the Council. Review by the Council (5) On receipt of an application referred by the registrar, the Council shall review the application and may (a) direct the registrar to (i) grant the applicant special authorization to perform the reserved activity, and (ii) note the special authorization in the register in relation to the advanced care paramedic and on the advanced care paramedic’s certificate of registration; and (b) impose any terms and conditions on the special authorization that the Council considers appropriate. Notice (6) Where the Council refuses to grant a special authorization, the Council shall serve on the applicant written notice of, and reasons for, the refusal. Suspension, cancellation, expiration, renewal (7) A special authorization granted under this section is suspended or cancelled, or expires, on the suspension, cancellation or expiration of the advanced care paramedic’s registration, as the case may be, and may be renewed on renewal of the advanced care paramedic’s registration. (EC218/24) PART 5 – CRITICAL CARE PARAMEDIC Registration 29. General registration (1) The registrar shall register an applicant in the general registration part of the critical care paramedic register where (a) the registrar is satisfied that the applicant meets all the requirements for registration set out in subsection 12(2) of the Act and this Part and registers the applicant pursuant to subsection 12(3) of the Act; or (b) the Council directs the registrar to register the applicant pursuant to subsection 12(6) of the Act or reinstate the registration of the applicant pursuant to subsection 24(4) of the Act. Reinstatement period (2) For the purpose of subsection 24(1) of the Act, a former member may apply for reinstatement of general registration in the critical care paramedic register within three years after a lapse in the registration. (EC218/24) Page 14 Current to: April 1, 2024 t c PART 5 – CRITICAL CARE PARAMEDIC Paramedics Regulations Section 30 30. Provisional registration (1) Where an applicant for general registration under this Part has not successfully completed an examination set out in section 33, the Council may direct the registrar to register the applicant in the provisional registration part of the critical care paramedic register, subject to the term or condition that the applicant successfully completes an examination set out in section 33 within a specified time period. Satisfaction of term or condition (2) Where a critical care paramedic with provisional registration satisfies the term or condition imposed under subsection (1), the registrar shall register the critical care paramedic in the general registration part of the critical care paramedic register. Subject to supervision (3) A critical care paramedic with provisional registration shall be supervised in practising paramedicine by a critical care paramedic with general registration, approved by the Council. No reinstatement (4) Provisional registration may not be reinstated. (EC218/24) 31. Special registration (1) Where the Council directs the registrar to register an applicant under this Part pursuant to subsection 13(3) of the Act, the registrar shall register the applicant in the special registration part of the critical care paramedic register. No renewal or reinstatement (2) Special registration may not be renewed or reinstated. (EC218/24) Prescribed Requirements 32. Education For the purpose of clause 12(2)(c) of the Act, an applicant shall have successfully completed (a) a post-secondary program in critical care paramedicine accredited by Accreditation Canada; or (b) an education program that the Council considers to be substantially equivalent to the one referred to in clause (a). (EC218/24) 33. Examination For the purpose of clause 12(2)(d) of the Act, an applicant shall have successfully completed (a) the Certified Critical Care Paramedic (CCP-C) Examination administered by the International Board of Specialty Certification; or (b) an examination the Council considers to be substantially equivalent to the one referred to in clause (a). (EC218/24) 34. Currency of knowledge and skills For the purpose of clause 12(2)(f), subclause 22(2)(a)(ii) and clause 24(4)(c) of the Act, to demonstrate currency of professional knowledge and skills, an applicant shall have done one of the following within the three years immediately before the application: c t Current to: April 1, 2024 Page 15 PART 5 – CRITICAL CARE PARAMEDIC Section 35 Paramedics Regulations (a) successfully completed the education requirement under section 32; (b) actively practised paramedicine in the province or in another jurisdiction recognized by the Council for at least 1,125 hours; (c) successfully completed a refresher program approved by the Council. (EC218/24) 35. Insurance For the purpose of clause 12(2)(j), subclause 22(2)(a)(v) and clauses 24(4)(f) and 25(3)(c) of the Act, an applicant or a critical care paramedic, as the case may be, shall hold or be covered by professional liability insurance under a policy that provides coverage of not less than $5,000,000 per claim or occurrence and an aggregate limit of not less than $5,000,000, excluding legal or court costs. (EC218/24) 36. Other requirements For the purpose of clause 12(2)(k), subclause 22(2)(a)(v.1) and clause 24(4)(g) of the Act, an applicant shall be certified in basic life support. (EC218/24) Designations and Reserved Activities 37. Designations For the purpose of subsection 89(1) of the Act, the designations of a critical care paramedic include (a) paramedic; and (b) critical care paramedic or CCP. (EC218/24) 38. Reserved activities Subject to any terms or conditions on the critical care paramedic’s registration, a critical care paramedic is authorized to perform the following reserved activities: (a) diagnosing a disease, disorder or condition and communicating the diagnosis in circumstances in which it is reasonably foreseeable that it will be relied on in health care decisions; (b) performing the following procedures on tissue below the dermis or surface of a mucous membrane: (i) venipuncture or skin prick to obtain a blood sample, (ii) radial artery puncture to obtain a blood sample, (iii) intravenous cannulation, (iv) intraosseous needle insertion, (v) arterial line insertion, (vi) creating an artificial opening for a cricothyrotomy, (vii) needle, finger or tube thoracostomy for airway management, (viii) wound packing, (ix) simple suturing and wound closure; (c) setting or casting a fracture of a bone or a dislocation of a joint; (d) administering a substance by injection, inhalation, mechanical ventilation (manual or ventilator), irrigation, or enteral or parenteral instillation; Page 16 Current to: April 1, 2024 t c PART 6 - GENERAL Paramedics Regulations Section 39 (e) putting an instrument, hand or finger (i) beyond the point in the nasal passages where they normally narrow to collect swabs for diagnostic testing or insert a nasogastric tube or for airway management or bleeding control, (ii) beyond the pharynx or larynx for airway management, (iii) beyond the pharynx for orogastric tube insertion, (iv) beyond the opening of the urethra for bladder catheterization, (v) beyond the labia majora in obstetrical emergencies, (vi) beyond the anal verge to monitor core temperature or collect a rectal swab for culture, or (vii) into an artificial opening into the body for airway management; (f) applying electrical energy for the purpose of defibrillation and cardiac stability; (g) applying sound energy for the purpose of diagnostic testing or the insertion of an invasive line; (h) administering, by any means, a drug listed in Schedule 1 that may be administered by all paramedics or critical care paramedics; (i) administering, by any means, any drug on the order of a medical practitioner, nurse practitioner, dentist or midwife, or pursuant to a Health PEI protocol; (j) dispensing a drug the critical care paramedic is authorized to administer; (k) administering, by any means, a vaccine on the order of a medical practitioner or nurse practitioner, pursuant to a Health PEI protocol or prescribed by a pharmacist; (l) managing labour or conducting the delivery of a baby in an obstetrical emergency; (m) removing a superficial foreign body from the human eye or its adnexa; (n) ordering and interpreting screening and diagnostic tests that do not use prescribed forms of energy; (o) ordering the application of electrical energy in the form of ionizing radiation for the purpose of verifying placement of an endotracheal or gastric tube. (EC218/24) PART 6 - GENERAL 39. Name of corporation (1) For the purpose of clause 15(2)(d) of the Act, the name of a corporation applying for a permit to carry on the business of providing the professional services of a paramedic shall be, in the opinion of the registrar, in good taste, dignified and professional. Change of name (2) Before changing its name, a health profession corporation shall obtain written confirmation from the registrar that the proposed name meets the requirements of subsection (1). (EC218/24) 40. Exception, corporation The prohibition in subsection 90(1) of the Act does not apply in respect of a corporation other than a health profession corporation carrying on the business of providing the professional services of a paramedic. (EC218/24) c t Current to: April 1, 2024 Page 17 PART 6 - GENERAL Section 41 Paramedics Regulations 41. Transitional, EMT license (1) For the purpose of section 98 of the Act, a person who, immediately before the coming into force of these regulations, held a valid emergency medical technician license under the former Act at a level listed in the first column of the table below, is, on the coming into force of these regulations, deemed to be registered in the general registration part of the register listed opposite in the second column of the table below. License Register EMT, Level I Primary Care Paramedic EMT, Level III Advanced Care Paramedic Exception, examination (2) Notwithstanding subsection (1), where the person’s emergency medical technician license was subject to the condition that the person successfully complete a required examination within a specified time period, the person is deemed to be registered in the provisional registration part of the applicable register. (EC218/24) Page 18 Current to: April 1, 2024 t c SCHEDULE 1 – DRUGS ADMINISTERED INDEPENDENTLY Paramedics Regulations Section 41 SCHEDULE 1 – DRUGS ADMINISTERED INDEPENDENTLY ALL PARAMEDICS 1. Acetaminophen 2. Acetylsalicylic Acid 3. Activated Charcoal 4. Cetirizine 5. Clopidogrel 6. Crystalloid Intravenous Fluid 7. Dexamethasone 8. Dextrose 9. Dimenhydrinate 10. Diphenhydramine 11. Epinephrine 12. Fentanyl 13. Glucagon 14. Glucose 15. Hydrocortisone 16. Ibuprofen 17. Ipratropium 18. Ketorolac 19. Methoxyflurane 20. Metoclopramide 21. Naloxone 22. Nitroglycerin 23. Nitrous Oxide 24. Ondansetron 25. Oxygen 26. Oxytocin 27. Salbutamol 28. Tetracaine INTERMEDIATE, ADVANCED OR CRITICAL CARE PARAMEDICS 1. Amiodarone 2. Diazepam 3. Lidocaine 4. Midazolam 5. Morphine ADVANCED OR CRITICAL CARE PARAMEDICS 1. Adenosine 2. Atropine 3. Calcium Chloride 4. Calcium Gluconate c t Current to: April 1, 2024 Page 19 SCHEDULE 1 – DRUGS ADMINISTERED INDEPENDENTLY Section 41 Paramedics Regulations 5. Colloid Intravenous Fluid 6. Dopamine 7. Furosemide 8. Haloperidol 9. Heparin 10. Hydromorphone 11. Ketamine 12. Lorazepam 13. Magnesium Sulphate 14. Methotrimeprazine 15. Methylprednisolone 16. Metoprolol 17. Norepinephrine 18. Olanzapine 19. Phenylephrine 20. Scopolamine 21. Sodium Bicarbonate 22. Thiamine 23. Tranexamic Acid 24. Xylometazoline CRITICAL CARE PARAMEDICS 1. N-acetylcysteine 2. Antibiotics 3. Cisatracurium 4. Dexmedetomidine 5. Dobutamine 6. Diltiazem 7. Enoxaparin 8. Esmolol 9. Etomidate 10. Flumazenil 11. Fomepizole 12. Hydralazine 13. Hydromorphone 14. Insulin 15. Labetalol 16. Levetiracetam 17. Mannitol 18. Metoprolol 19. Nifedipine 20. Nitroprusside 21. Pancuronium 22. Phenylephrine 23. Phenytoin 24. Potassium Chloride Page 20 Current to: April 1, 2024 t c SCHEDULE 1 – DRUGS ADMINISTERED INDEPENDENTLY Paramedics Regulations Section 41 25. Prednisone 26. Propofol 27. Rocuronium 28. Succinylcholine 29. Tenecteplase 30. Ticagrelor 31. Vasopressin 32. Vecuronium 33. Vitamin K 34. Xylometazoline (EC218/24) c t Current to: April 1, 2024 Page 21 SCHEDULE 2 – DRUGS ADMINISTERED ON ORDER Section 41 Paramedics Regulations SCHEDULE 2 – DRUGS ADMINISTERED ON ORDER PRIMARY OR INTERMEDIATE CARE PARAMEDICS 1. Antibiotics 2. Pantoprazole 3. Potassium Chloride 4. Parenteral Nutrition INTERMEDIATE CARE PARAMEDICS 1. Atropine 2. Heparin 3. Octreotide 4. Sodium Bicarbonate Note: An advanced care paramedic or critical care paramedic may administer any drug on the order of a medical practitioner, nurse practitioner, dentist or midwife, or pursuant to a Health PEI protocol. (EC218/24) Page 22 Current to: April 1, 2024 t c