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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 View Locations

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
Victoria-TILLICUMVictoria - Tillicum Centre


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.

The amount of activities made the course interactive and enjoyable, while also being extremely informative. The course is set up well and flows nicely.

Amy Martin Standard First Aid, Victoria, BC More Testimonials

"I enjoyed myself and feel I learned a lot. Thank you very much for your humour and passion."

Jessica CPR-C, Victoria, B.C. More Testimonials

Very educative program and the teacher was awesome, patient and answered all questions effectively.

Clara Laryea Standard First Aid, Victoria, BC More Testimonials

Mike was an incredibly good instructor. He was engaging, clear and informative. He answered all questions and allowed us time to learn anything not strictly covered in the course. Resources were useful and interesting.

Kendra Radford-Hall Emergency First Aid, Victoria, BC More Testimonials

Very lively method of instruction. Recommend Alert Frist Aid. Keeps you aware of real case scenarios. 

Amy Apolonio Standard First Aid, Victoria, BC More Testimonials

I thoroughly enjoyed this course and feel like in emergency situations I will be able to respond and help in a well-educated manner, and make informed decisions related to first aid.

Courtney Campbell Standard First Aid, Victoria, BC More Testimonials

Loved the enthusiasm. Great teacher and lots of fun! It was helpful to have a lot of hands-on

Jennifer McNevin Emergency First Aid, Nanaimo, BC More Testimonials

Andrew I think you are one of the better teachers I have had in my lifetime- keep up the positivity! I think you are very clear and make the class fun. Rock on dude!

Nicole Standard First Aid, Victoria BC More Testimonials

It was an excellent course. Very hands-on and engaging. The instructor was energetic, enthusiastic and knowledgeable. I learned a lot today, and even though it was 8 hours it flew by.

Rob Ohly Standard First Aid, Nanaimo, BC More Testimonials

A very engagin class that I, surprisingly, really enjoyed. Straightforward and easy to understand. Jason made the material seem a bit less scary and gave me more confidence. Thank you!

Christl Bradley Emergency Childcare First Aid, Victoria, BC More Testimonials
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