Practitioner’s Verification of Registration and Essential Competencies Comparison for Emergency Medical Responders

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Paramedic Verification of Registration & Competencies Comparison

Emergency Medical Responders from outside Canada should have their regulating body complete this form to have their skills assessed for transfer to BC.

Instructions

This document is for practitioners applying for registration in British Columbia who are currently registered/licensed as an Emergency Medical Responders (EMR) outside of Canada.

The listed National Occupational Competency Profile competencies reflect practice at the Emergency Medical Responder level and are in accordance with the Paramedic Association of Canada (PAC), November 2011.

This form is to be completed by the regulating body and submitted electronically. A separate cover letter from the applicant’s current Medical Director must be also be submitted which attests to the competencies indicated before EMA Licensing will review the application.

Part A – Regulatory Authority and Applicant Information

Province/Territory/State/and CountryMissing or incorrect value

Regulatory Body NameMissing or incorrect value

Full Name of Registrant/LicenseeMissing or incorrect value

Registration/Licence NumberMissing or incorrect value

Current Practice Level

Registration/Licenced by: Missing or incorrect value

Is this applicant currently registered/licensed (if the registration/licence is temporary please provide details in additional comments)?

YesNo

Missing or incorrect value

Registration Expiry Date

Missing or incorrect value

Was this applicant a student in the previous year?

YesNo

Missing or incorrect value

Years of practice at current level. Missing or incorrect value

Additional Comments

Has the Applicant’s Registration or Certification been denied, revoked, restricted, suspended, or under review at any time?YesNoMissing or incorrect value

Part B – Practitioner Competencies

Please indicate if the registrant/licensee has met and is authorized to practice the competencies listed below.

4.1.a - Sched 1 1(a) - Rapidly assess a scene based on the principles of a triage system.

YesNo

Missing or incorrect value

4.1.b - Sched 1 1(a) - Assume different roles in a multiple- patient incident.

YesNo

Missing or incorrect value

4.1.c - Sched 1 1(a) - Manage a multiple-patient incident.

YesNo

Missing or incorrect value

4.2.a - Sched 1 1(c) - Obtain list of patient’s allergies.

YesNo

Missing or incorrect value

4.2.b - Sched 1 1(c) - Obtain list of patient's medication profile.

YesNo

Missing or incorrect value

4.2.c - Sched 1 1(c) - Obtain chief complaint and/or incident history from patient, family members and/or bystanders.

YesNo

Missing or incorrect value

4.2.d - Sched 1 1(c) - Obtain information regarding patients past medical history

YesNo

Missing or incorrect value

4.2.e - Sched 1 1(c) - Obtain information about patient’s last oral intake.

YesNo

Missing or incorrect value

4.2.f - Sched 1 1(a) - Obtain information regarding incident through accurate and complete scene assessment.

YesNo

Missing or incorrect value

4.3.a - Sched 1 1(b) - Conduct primary patient assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.b - Sched 1 1(b) - Conduct secondary patient assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.c - Sched 1 1(c & d) & 1 2(e) - Conduct cardiovascular system assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.d - Sched 1 1(b & c) - Conduct neurological system assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.e - Sched 1 1(b) - Conduct respiratory system assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.f - Sched 1 1(c) - Conduct obstetrical assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.g - Sched 1 1(c) - Conduct gastrointestinal system assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.h - Sched 1 1(c) - Conduct genitourinary system assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.i - Sched 1 1(c) - Conduct integumentary system assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.j - Sched 1 1(c) - Conduct musculoskeletal assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.k - Sched 1 1(c) - Conduct assessment of the ears, eyes, nose and throat and interpret findings.

YesNo

Missing or incorrect value

4.3.l - Sched 1 1 1(c) - Conduct neonatal assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.m - Sched 1 1(c) - Conduct psychiatric assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.n - Sched 1 1(c) - Conduct pediatric assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.o - Sched 1 1(c) - Conduct geriatric assessment and interpret findings.

YesNo

Missing or incorrect value

4.3.p - Sched 1 1(c) - Conduct bariatric assessment and interpret findings.

YesNo

Missing or incorrect value

4.4.a - Sched 1 1(b) - Assess pulse.

YesNo

Missing or incorrect value

4.4.b - Sched 1 1(b) - Assess respiration.

YesNo

Missing or incorrect value

4.4.c - Sched 1 1(b) - Conduct non-invasive temperature monitoring.

YesNo

Missing or incorrect value

4.4.d - Sched 1 2(e) - Measure blood pressure by auscultation.

YesNo

Missing or incorrect value

4.4.e - Sched 1 2(e) - Measure blood pressure by palpation.

YesNo

Missing or incorrect value

4.4.f - Sched 1 2(e) - Measure blood pressure with non-invasive blood pressure monitor.

YesNo

Missing or incorrect value

4.4.g - Sched 1 1(b) - Assess skin condition.

YesNo

Missing or incorrect value

4.4.h - Sched 1 1(c) - Assess pupils.

YesNo

Missing or incorrect value

4.4.i - Sched 1 1(b) - Assess level of consciousness.

YesNo

Missing or incorrect value

4.5.a - Sched 2 2(b) - Conduct oximetry testing and interpret findings.

YesNo

Missing or incorrect value

4.5.c - Sched 2 2(d) - Conduct glucometric testing and interpret findings.

YesNo

Missing or incorrect value

4.5.g - Sched1(b) - Conduct invasive core temperature monitoring and interpret findings.

YesNo

Missing or incorrect value

5.1.a - Sched 2 1(a) - Use manual manoeuvres and positioning to maintain airway patency.

YesNo

Missing or incorrect value

5.1.b - Sched 2 1(a) - Suction oropharynx.

YesNo

Missing or incorrect value

5.1.c - Sched 1 4(h) - Suction beyond oropharynx.

YesNo

Missing or incorrect value

5.1 d - Sched 1 1(f) - Utilize oropharyngeal airway.

YesNo

Missing or incorrect value

5.1.e - Sched 2 2(f) - Utilize nasopharyngeal airway.

YesNo

Missing or incorrect value

5.1.i - Sched 1 1(c) - Remove airway foreign bodies (AFB).

YesNo

Missing or incorrect value

5.2.a - Sched 1 1(f) - Prepare oxygen delivery devices.

YesNo

Missing or incorrect value

5.2.b - Sched 1 2(h) - Utilize portable oxygen delivery systems.

YesNo

Missing or incorrect value

5.3.a - Sched 1 2(h) - Administer oxygen using nasal cannula.

YesNo

Missing or incorrect value

5.3.b - Sched 1 2(h) - Administer oxygen using low concentration mask.

YesNo

Missing or incorrect value

5.3.c – Sched 1 2(h) & Sched 2 3(e)- Administer oxygen using controlled concentration mask.

YesNo

Missing or incorrect value

5.3.d - Sched 1 1 (f) - Administer oxygen using high concentration mask.

YesNo

Missing or incorrect value

5.3.e - Sched 2 1(a) - Administer oxygen using pocket mask.

YesNo

Missing or incorrect value

5.5.a - Sched 1 1(d) - Conduct cardiopulmonary resuscitation (CPR).

YesNo

Missing or incorrect value

5.5.b - Sched 1 1(e) - Control external hemorrhage through the use of direct pressure and patient positioning.

YesNo

Missing or incorrect value

5.5 c - Sched 2.2 (a) & 2 3 (b) - Maintain peripheral intravenous (IV) access devices and infusions of crystalloid solutions without additives.

YesNo

Missing or incorrect value

5.5.i - Sched 2 1(b) - Conduct automated external defibrillation.

YesNo

Missing or incorrect value

5.6.a - Sched 1 1(e) - Treat soft tissue injuries.

YesNo

Missing or incorrect value

5.6.b - Sched 1 1(e) - Treat burn.

YesNo

Missing or incorrect value

5.6 c - Sched 1 1(c) - Treat eye injury.

YesNo

Missing or incorrect value

5.6.d - Sched 1 1(e) - Treat penetration wound.

YesNo

Missing or incorrect value

5.6.e - Sched 1 1(c) - Treat local cold injury.

YesNo

Missing or incorrect value

5.6.f - Sched 1 1(e) - Provide routine wound care.

YesNo

Missing or incorrect value

5.7.a - Sched 1 1(e) - Immobilize suspected fractures involving appendicular skeleton.

YesNo

Missing or incorrect value

5.7.b - Sched 1 1(e) - Immobilize suspected fractures involving axial skeleton

YesNo

Missing or incorrect value

5.7.c - Sched 1 2(f) - Reduce fractures and dislocations.

YesNo

Missing or incorrect value

5.8.a - Sched 1 3(b) - Recognize principles of pharmacology as applied to the medications listed in Appendix 5.

YesNo

Missing or incorrect value

5.8.b - Sched 1 3(b) - Follow safe process for responsible medication administration.

YesNo

Missing or incorrect value

5.8.h - Sched 1 4(m) - Administer medication via sublingual route.

YesNo

Missing or incorrect value

5.8.i - Sched 1 4(m) 2 1 (e) - Administer medication via buccal route.

YesNo

Missing or incorrect value

5.8.k - Sched 1 3(b) - Administer medication via oral route.

YesNo

Missing or incorrect value

5.8.m - Sched 1 3(b) - Administer medication via inhalation route.

YesNo

Missing or incorrect value

5.8.n – Sched 1.3(b) - Administer medication via intranasal route.

YesNo

Missing or incorrect value

5.8.o Provide patient assist according to provincial list of medications See (Appendix A).

YesNo

Missing or incorrect value

6.1.a - Sched 1(c) - Provide care to patient experiencing signs and symptoms involving cardiovascular system.

YesNo

Missing or incorrect value

6.1.b- Sched 1(c) - Provide care to patient experiencing signs and symptoms involving neurological system.

YesNo

Missing or incorrect value

6.1 c- Sched 1(c) - Provide care to patient experiencing signs and symptoms involving respiratory system.

YesNo

Missing or incorrect value

6.1.d- Sched 1(c) - Provide care to patient experiencing signs and symptoms involving genitourinary / reproductive systems.

YesNo

Missing or incorrect value

6.1.e- Sched 1(c) - Provide care to patient experiencing signs and symptoms involving gastrointestinal system.

YesNo

Missing or incorrect value

6.1.f- Sched 1(c) - Provide care to patient experiencing signs and symptoms involving integumentary system.

YesNo

Missing or incorrect value

6.1.g- Sched 1(c) - Provide care to patient experiencing signs and symptoms involving musculoskeletal system.

YesNo

Missing or incorrect value

6.1.h- Sched 1(c) - Provide care to patient experiencing signs and symptoms involving immunological system.

YesNo

Missing or incorrect value

6.1.i- Sched 1(c) - Provide care to patient experiencing signs and symptoms involving endocrine system.

YesNo

Missing or incorrect value

6.1.j- Sched 1(c) - Provide care to patient experiencing signs and symptoms involving the eyes, ears, nose or throat.

YesNo

Missing or incorrect value

6.1.k- Sched 1(c) - Provide care to patient experiencing toxicologic syndromes.

YesNo

Missing or incorrect value

6.1.l- Sched 1(c) - Provide care to patient experiencing non-urgent problem.

YesNo

Missing or incorrect value

6.1.m- Sched 1(c) -Provide care to a palliative patient.

YesNo

Missing or incorrect value

6.1.n- Sched 1(c) - Provide care to patient experiencing signs and symptoms due to exposure to adverse environments.

YesNo

Missing or incorrect value

6.1.o- Sched 1(c) - Provide care to trauma patient.

YesNo

Missing or incorrect value

6.1.p- Sched 1(c) - Provide care to psychiatric patient.

YesNo

Missing or incorrect value

6.1.q - Sched 1(c) - Provide care to obstetrical patient.

YesNo

Missing or incorrect value

6.2.a - Sched 1(c) - Provide care for neonatal patient.

YesNo

Missing or incorrect value

6.2.b - Sched 1(c) - Provide care for pediatric patient.

YesNo

Missing or incorrect value

6.2 c - Sched 1(c) - Provide care for geriatric patient.

YesNo

Missing or incorrect value

6.2.d - Sched 1(c) - Provide care for physically impaired patient.

YesNo

Missing or incorrect value

6.2.e - Sched 1(c) - Provide care for mentally impaired patient

YesNo

Missing or incorrect value

6.2.f - Sched 1(c) - Provide care for bariatric patient.

YesNo

Missing or incorrect value

6.3.a - Sched 1(c) - Conduct ongoing assessments based on patient presentation and interpret findings.

YesNo

Missing or incorrect value

6.3.b - Sched 1(c) - Re-direct priorities based on assessment findings.

YesNo

Missing or incorrect value

oral glucose

YesNo

anti-anginal

YesNo

anti-hypoglycemic agent

YesNo

analgesia

YesNo

platelet inhibitors

YesNo

Additional Information

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Part C – Regulatory Body Affirmation

Regulator NameMissing or incorrect value

Regulator TitleMissing or incorrect value

Regulator Email AddressMissing or incorrect value

Regulator Phone Number (please include country code)Missing or incorrect value

I hereby acknowledge that the information I have provided is true and valid. I also acknowledge and agree that by submitting this document electronically and typing/inserting my name below it is equivalent to my original ink signature.

Regulator Signature

Missing or incorrect value

Please attach any relevent files.

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Missing or incorrect value

HLTH 3474 Rev 2023/01/23

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Practitioner’s Verification of Registration and Essential Competencies Comparison for Emergency Medical Responders

Paramedic Verification of Registration & Competencies Comparison

Instructions

Part A – Regulatory Authority and Applicant Information

Part B – Practitioner Competencies

Additional Information

Part C – Regulatory Body Affirmation

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Practitioner’s Verification of Registration and Essential Competencies Comparison for Emergency Medical Responders

Paramedic Verification of Registration & Competencies Comparison

Instructions

Part A – Regulatory Authority and Applicant Information

Part B – Practitioner Competencies

4.1 Conduct triage in a multiple-patient incident

4.2 Obtain patient history

4.3 Conduct complete physical assessment demonstrating appropriate use of inspection, palpation, percussion and auscultation, and interpret findings

4.4 Assess vital signs

4.5 Utilize diagnostic tests

5.1 Maintain patency of upper airway and trachea

5.2 Prepare oxygen delivery devices

5.3 Deliver oxygen and administer manual ventilation

5.5 Implement measures to maintain hemodynamic stability

5.6 Provide basic care for soft tissue injuries

5.7 Immobilize actual and suspected fractures

5.8 Administer medications (see also reference to specific medications on page 34 - 36)

6.1 Utilize differential diagnosis skills, decision-making skills and psychomotor skills in providing care to patients

6.2 Provide care to meet the needs of unique patient groups

6.3 Conduct ongoing assessments and provide care

Appendix A – Medications - CCP

Additional Information

Part C – Regulatory Body Affirmation

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