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BC Scope of Practice Update [EMR]

BC Scope of Practice Update [EMR]

This comprehensive BC Scope of Practice Update for EMRs is designed for licensed Emergency Medical Assistants (EMAs) working within the 911 system in British Columbia. It was created to meet the requirements set by the Emergency Medical Assistants Licensing Board (EMALB) for current license holders to update their scope of practice in accordance with the new legal changes effective from September 23, 2022, and approved by EMALB.

To successfully complete this Scope of Practice Update, you must:

  • Provide proof of current EMR license and EMR course certificate
  • Successfully complete the online learning portion of this course before you attend the in-person
  • Attend 100% of the in-person course
  • Demonstrate competency in skill and scenario practice
Full Course Length 8 hours online, 16 hours in-class

Course Details

What is in the new scope of practice?

Amendments to the new scope of practice include:

First Responder Schedule 1 - Core Services

  • Nasopharyngeal Airways (NPA)
  • Wound management not requiring tissue perforation or indentation (including wound packing)
  • Fracture management and immobilization (including pelvic binding)
  • Lifting / Loading and Extrication / Evacuation


First Responder Schedule 2 - Vital Signs Endorsement

  • Use and interpretation of pulse oximetry (SP02)
  • Use and interpretation of CO oximetry 
  • Use and interpretation of non invasive blood pressure measurement
  • Use and interpretation of glucometers


First Responder Schedule 2 - Medications Endorsement

  • Assist patients with their own prescribed medication
  • Administer Epinephrine by intramuscular auto-injector or intranasal or sublingual preparations
  • Intramuscular and intranasal administration of opioid antagonists (i.e. Naloxone)
  • Intramuscular and intranasal administration or anti-hypoglycemic agents (i.e. Glucagon)
  • Administration of oral analgesics
  • Administration of Acetylsalicylic Acid (ASA)
  • Topical administration of pro-coagulants and anti-fibrinolytics


EMR Schedule 1 - Core Services

  • All services specified in Schedule 1 and Schedule 2 for the category of First Responder will now be considered core content in the EMR license level


EMR Schedule 2 - Medications Endorsement

  • Intramuscular administration of Epinephrine
  • Administration of bronchodilators by inhalation and nebulization (i.e. Salbutamol)


Do I need to submit anything to EMALB after this course?

No, you don't need to connect with EMALB after you complete the update course. Alert First-Aid will submit your course results to EMALB.

I have my EMR certificate, but I'm not licensed yet. Can I take the update?

No, you will have to have a current and valid EMR license with EMALB in order to register for and complete this update.


Please note, this is not a CRC recertification course. Attendance at this training will not alter existing Red Cross certification dates. However, it is a crucial step for EMAs in BC to remain compliant with the latest legal standards and practice requirements.

BC EMALB Scope of Practice Update certification is valid until March 31, 2025.

Training Schedules & Locations
There are no certification classes at this time. Please check back.


First Aid Course Materials for BC Scope of Practice Update [EMR]

The Emergency Medical Responder course includes the following materials:

  • Canadian Red Cross Emergency Care for Professional Responders Reference Text (virtual)
  • Canadian Red Cross Emergency Medical Responder Workbook (virtual)

A hard copy of the Canadian Red Cross Emergency Care for Professional Responders Reference Text is available to purchase for an additional $178.57 + tax.

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Looking for a group class?

If you have a group of people and would like us to come to you to teach a
BC Scope of Practice Update [EMR] course, we offer this course in the following locations:

Victoria | Langford | Esquimalt | Sooke | Cobble Hill | Mill Bay | Duncan | Lake Cowichan | Cedar | Ladysmith | Nanaimo | Parksville | Qualicum Beach | Port Alberni | Coombs | Parksville | Campbell River | Saltspring Island | Pender Island | Powell River | Gabriola Isand | Burnaby | Coquitlam | Delta | Langley | Maple Ridge | New Westminster | North Vancouver | Pitt Meadows | Port Moody | Richmond | Surrey | Vancouver | West Vancouver | White Rock | Langley |

Give us a call at 1.866.282.5378, or send us an email at to arrange a group course.

"Jason's teaching style was fantastic and I feel it helped with information retention."

Blue Orchard Emergency First-Aid and CPR-C, Victoria, B.C. More Testimonials

I have always done St. John Ambulance first aid training. This course was taught differently but was more effective due to more hands on training. I will definitely return to Alert First Aid for my re-certification. Thank you!!

Rene Cyr Standard First Aid, Nanaimo, BC More Testimonials

Best first aid class I've taken before. I learned lots and improved on my knowledge of CPR.

Sarina Tryon Emergency Childcare First Aid, Nanaimo, BC More Testimonials

I learned a lot during this course! The hands on scenarios were very helpful. Chris did a fabulous job - thanks!

Dayle Robinson Standard First Aid, Victoria, BC More Testimonials

Super job. Love the rhymes/acronyms and general mnemonic devices. 

Tony Goodman Basic First Aid, Victoria, BC More Testimonials

Great job! Done this course a lot and Chris kept it both fun and informative.

Mike Watts CPR C, Victoria, BC More Testimonials

Great course, fabulous to do activities with props. Nicely interactive. Great space. Personable trainer with gentle sense of humour makes the day lovely. Thank you.

Paula Hopkins Emergency Childcare First Aid, Nanaimo, BC More Testimonials

Chris was amazing. He engaged the group well, and had us laughing often. He kept the class interesting and was very clear in his lesson.

Christine Porter Emergency First Aid, Victoria, BC More Testimonials

Chris was a fantastic teacher. He was patient with us and with all of our questions. I learned so much and was never bored! Thank you Chris and Alert First Aid.

Thea Cunningham Emergency First Aid, Victoria, BC More Testimonials

Mike did great interactive demonstrations which definitely helped me learn. I really enjoyed this course and feel secure that I have learned this information in case of future emergencies. Mike was very enthusiastic, which also made this course enjoyable.

Anna Stylianides Standard First Aid, Victoria, BC More Testimonials
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