Practitioner’s Verification of Registration and Essential Competencies Comparison for Critical Care Paramedics

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Paramedic Verification of Registration & Competencies Comparison

Critical Care Paramedics 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 a Critical Care Paramedic (CCP) outside of Canada.

The listed National Occupational Competency Profile competencies reflect practice at the Critical Care Paramedic 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.b - Sched 1 4(k) - Conduct end-tidal carbon dioxide monitoring 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.d - Sched 2 3(a) - Conduct peripheral venipuncture.

YesNo

Missing or incorrect value

4.5.e - Sched 2 4(f) - Obtain arterial blood samples via radial artery puncture.

YesNo

Missing or incorrect value

4.5.f - Sched 2 4(g) - Obtain arterial blood samples via arterial line access.

YesNo

Missing or incorrect value

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

YesNo

Missing or incorrect value

4.5.h - Sched 2 4(d) - Conduct pulmonary artery catheter monitoring and interpret findings.

YesNo

Missing or incorrect value

4.5.i - Sched 2 4(d) - Conduct central venous pressure monitoring and interpret findings.

YesNo

Missing or incorrect value

4.5.j - Sched 2 4(k) - Central venous access

YesNo

Missing or incorrect value

4.5.k - Sched 2 4(d) - Conduct arterial line monitoring and interpret findings.

YesNo

Missing or incorrect value

4.5.l - Sched 2 4(h) - Interpret laboratory data as specified in Appendix 5.

YesNo

Missing or incorrect value

4.5.m - Sched 2 3(d) - Conduct 3-lead electrocardiogram (ECG) and interpret findings.

YesNo

Missing or incorrect value

4.5.n - Sched 1 4(b) - Obtain 12-lead electrocardiogram and interpret findings.

YesNo

Missing or incorrect value

4.5.o - Sched 2 4(h) - Interpret radiological data.

YesNo

Missing or incorrect value

4.5.p - Sched 2 4(h) - Interpret data from CT, ultrasound and MRI.

YesNo

Missing or incorrect value

4.5.q - Sched 2 4(h) - Conduct urinalysis by macroscopic method.

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.f - Sched 1 3(c) - Utilize airway devices not requiring visualization of vocal cords and not introduced endotracheally.

YesNo

Missing or incorrect value

5.1.g - Sched 1 4(j) - Utilize airway devices not requiring visualization of vocal cords and introduced endotracheally.

YesNo

Missing or incorrect value

5.1.h - Sched 1 4(j) - Utilize airway devices requiring visualization of vocal cords and introduced endotracheally.

YesNo

Missing or incorrect value

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

YesNo

Missing or incorrect value

5.1.j - Sched 1 4(g) - Remove foreign body by direct techniques.

YesNo

Missing or incorrect value

5.1.k - Sched 1 4(g) - Conduct percutaneous cricothyroidotomy.

YesNo

Missing or incorrect value

5.1.l - Sched 1 4(g) - Conduct surgical cricothyroidotomy.

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

5.4.a - Sched 2 1(a) - Provide oxygenation and ventilation using manual positive pressure devices.

YesNo

Missing or incorrect value

5.4.b - Sched 2 4(a) - Recognize indications for mechanical ventilation.

YesNo

Missing or incorrect value

5.4.c - Sched 2 4(a) - Prepare mechanical ventilation equipment.

YesNo

Missing or incorrect value

5.4.d - Sched 2 4(a) - Provide mechanical ventilation.

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.d - Sched 2 3(a) - Conduct peripheral intravenous cannulation.

YesNo

Missing or incorrect value

5.5.e - Sched 1 4(c) - Conduct intraosseous needle insertion.

YesNo

Missing or incorrect value

5.5.f - Sched 1 3(d) - Utilize direct pressure infusion devices with intravenous infusions.

YesNo

Missing or incorrect value

5.5.g - Sched 1 4(l) - Administer volume expanders (colloid and non-crystalloid).

YesNo

Missing or incorrect value

5.5 h - Sched 2 4(e) - Administer blood and/or blood products.

YesNo

Missing or incorrect value

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

YesNo

Missing or incorrect value

5.5.j - Sched 1 4(b) - Conduct manual defibrillation.

YesNo

Missing or incorrect value

5.5.k - Sched 1 4(b) - Conduct cardioversion.

YesNo

Missing or incorrect value

5.5.l - Sched 1 4(b) - Conduct transcutaneous pacing.

YesNo

Missing or incorrect value

5.5.m - Sched 2 4(m) - Maintain transvenous pacing.

YesNo

Missing or incorrect value

5.5.o - Sched 2 4(c) - Provide routine care for patient with urinary catheter.

YesNo

Missing or incorrect value

5.5.r - Sched 1 4(g) - Monitor chest tubes.

YesNo

Missing or incorrect value

5.5.s - Sched 1 4(c) - Conduct needle thoracostomy.

YesNo

Missing or incorrect value

5.5.t - Sched 1 4(h) - Conduct oral and nasal gastric tube insertion.

YesNo

Missing or incorrect value

5.5.u - Sched 2 4(c) - Conduct urinary catheterization.

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 c - Sched 1 3(b) - Administer medication via subcutaneous route.

YesNo

Missing or incorrect value

5.8.d - Sched 1 3(b) - Administer medication via intramuscular route

YesNo

Missing or incorrect value

5.8.e - Sched 1 3(b) - Administer medication via intravenous route.

YesNo

Missing or incorrect value

5.8.f - Sched 1 4(m) - Administer medication via intraosseous route.

YesNo

Missing or incorrect value

5.8.g - Sched 1 4(m) - Administer medication via endotracheal route.

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.l - Sched 1 4(m) - Administer medication via rectal 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

Schedule 2 4(b) - Administration of drug therapy on the direct order of a medical practitioner who is designated by an employer as a Transport Advisor

YesNo

Missing or incorrect value

Schedule 2 4(I) - Management of parenteral feeding lines and equipment

YesNo

Missing or incorrect value

CCP Schedule 1.5 (b) - Initiation of arterial lines

YesNo

Missing or incorrect value

CCP Schedule 1.5 (c) - Use of incubators for thermoregulation

YesNo

Missing or incorrect value

oral glucose

YesNo

anti-anginal

YesNo

anti-hypoglycemic agent

YesNo

analgesia

YesNo

platelet inhibitors

YesNo

narcotic antagonist

YesNo

bronchodilator

YesNo

anti-histaminic

YesNo

sympathomimetic agent

YesNo

procoagulant

YesNo

electrolyte — calcium therapy

YesNo

anti-emetic — anti-nauseant

YesNo

vitamins

YesNo

anti-arrhythmic

YesNo

anti-pyretic

YesNo

diuretic

YesNo

anti-coagulant

YesNo

narcotic

YesNo

alkalizer

YesNo

anti-cholinergic

YesNo

sedative

YesNo

histamine antagonist

YesNo

anti-convulsant

YesNo

Please add any additional information you feel is pertinent

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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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Practitioner’s Verification of Registration and Essential Competencies Comparison for Critical Care Paramedics

Paramedic Verification of Registration & Competencies Comparison

Instructions

Part A – Regulatory Authority and Applicant Information

Part B – Practitioner Competencies

Part C – Regulatory Body Affirmation

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Practitioner’s Verification of Registration and Essential Competencies Comparison for Critical Care Paramedics

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

5.4 Utilize ventilation equipment

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

BC EMA Regulation Specific Skills

Appendix A – Medications - CCP

Additional Information

Part C – Regulatory Body Affirmation

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