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In order to work as a full-time or part-time paramedic, one must successfully complete a college course and successfully pass the Ontario Provincial Advanced Emergency Medical Care Assistant (AEMCA) exam as developed by the Ministry of Health & Long-Term Care.

There are four levels of staff qualifications

  • An Emergency Medical Assistant (EMA) – volunteer position usually in remote communities.
  • Primary Care Paramedic (PCP) is qualified to perform two delegated acts, Defibrillation and Symptom Relief (5 drugs).
  • Advanced Care Paramedic (ACP) is qualified to perform Defibrillation/Pacing, IV’s and administer Advanced Drugs.
  • Critical Care Paramedic (CCP) is qualified to perform Defibrillation/Pacing/Cardioversion, IV’s and are able to administer Advanced Drugs which covers 9 delegated acts.

What is a Paramedic?

A Paramedic provides pre-hospital care to ill and injured people. Paramedics are governed by the Ambulance Act, Regulations, Standards and local Policy & Procedures.

The Province of Ontario currently has three levels of Paramedics. This includes Primary Care Paramedics (PCP), Advanced Care Paramedics (ACP), and Critical Care Paramedics (CCP). In Northwestern Ontario land ambulances are staffed by either Primary Care or Advanced Care Paramedics. Currently, the only Critical Care Paramedics in the northwest are working on air ambulances. A Primary Care Paramedic must complete a two year college diploma program prior to gaining employment. An advanced care paramedic must complete an additional year of education and training to work at the advanced level.

All Paramedics are certified by a physician to perform at least one Delegated Controlled Act. Controlled Acts that are within the Paramedic scope of practice include defibrillation, symptom relief medication administration, and endo-tracheal intubation.

All paramedics are qualified to perform, patient assessments, oxygen administration, trauma care, immobilization & traction, basic airway management and cardio-pulmonary resuscitation.

Rainy River District EMS employs Primary Care Paramedics throughout the District of Rainy River.

Controlled Medical Acts

Primary Care ParamedicAdvanced Care Paramedic
Administration of: Glucagon Nitroglycerin Epinephrine Salbutamol ASA Administration of: Glucagon Nitroglycerin Epinephrine Salbutamol ASA Other cardiac and narcotic medications (furosemide, morphine, narcan, etc)
Semi-automated external cardiac defibrillation Non-automated external cardiac defibrillation and monitoring Peripheral intravenous therapy Endotracheal intubation