BC Scope of Practice Update [EMR]

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)