EMALB Scope of Practice Update

EMR & FR
Scope of Practice
BCEHS Schedule 1 & 2
Restriction Removal
Online Modules
Self-Paced
In-person Classroom
16 hours

Emergency Medical Responder and First Responder Licensing Restriction Removal

Scope of Practice Update Training Summary

This BC EMALB approved Scope of Practice Update training facilitates removal of restrictions from your Emergency Medical Responder or First Responder License and allows you to practice and provide patient care at the most current 2024 BCEHS Scope of Practice as outlined in Schedule 1 and Schedule 2 of the Emergency Health Services Act. Note that this Scope of Practice training course is designed and intended for those who already hold a current Emergency Medical Responder or First Responder license with EMALB.

Upon completion of the Scope of Practice Update training, including both the online modules and in-person classroom components, your name will be submitted to BC EMALB as confirmation. No further steps are required on your end. You will subsequently receive a communication from EMALB directly, confirming your completion of the Scope of Practice training and the corresponding removal of Schedule 1 and 2 restrictions from your existing EMR license or First Responder license.

Expanded First Responder Scope
The expanded First Responder Scope of Practice skills include the use of a blood glucometer, non-invasive measurement of blood pressure, use and interpretation of a pulse oximeter, intramuscular/subcutaneous Glucagon administration, wound packing, use of anti-clotting agents, administration of Epinephrine with auto-injector, parenteral administration of acetylsalicylic acid (ASA) for cardiac related chest pains, and unified administration of Naloxone/NARCAN.

Expanded Emergency Medical Responder Scope
The expanded Emergency Medical Responder Scope of Practice skills include everything already covered at the First Responder level, as well as inhaled analgesics such as Methoxyfluorane/Penthrox, weight-based administration of Epinephrine by intra-muscular injection, and administration of Salbutamol/Ventolin by nebulizing mask or metered dose inhaler with a spacer device.

Blended Course Format
This EMALB Scope of Practice Update training course is delivered in a "Blended" format with a mix of self-directed online modules and instructor-led classroom sessions. The online modules normally take about 2-8 hours to complete, are self-paced, and must be completed prior to attending the first classroom session. The training also includes two 8 hour classroom sessions which provide you with the opportunity for hands on practice and application of the skills, as well as clarification and discussion of the principles with your instructor.

Professional Responder Cheat Sheet

EMR Cheat Sheet — *Medical Responder Cheat Sheet*

Cheat Sheet for Emergency Medical Responder and First Responder courses, with BC EMALB Licensing eligibility in Kelowna and Vancouver, BC. Medi-Pro First Aid's Professional Medical Responder (EMR & First Responder) Cheat Sheet will provide you with quick and easy access to some of the most critical and frequently referred to information throughout your Kelowna Emergency Medical Responder or First Responder course. This includes the most current (2024) BCEHS Scope of Practice for Schedule 1 and Schedule 2 Emergency Medical Responder and First Responder license holders as outlined in the Emergency Health Services Act.

The visually compelling charts and summaries can simplify the more complex principles and procedures you'll need to be familiar with as an EMALB licensed Emergency Medical Responder or First Responder operating in British Columbia. While most of the Medical Responder Cheat Sheet is based on information extrapolated from the Canadian Red Cross Emergency Care for Professional Responders, some of the information is based on the BC specific policies and guidelines stipulated by the British Columbia Emergency Medical Assistant's Licensing Board (BC EMALB) and BC Emergency Health Services (BCEHS).

Medical Responder Cheat Sheet contents include...

EMR Patient Assessment Model
CPR Compression to Ventilation Ratios
High Performance "Pit Crew" CPR
CPR in Transport (Treatable CPR)
Oxygen Cylinder Calculations
Oxygen Flow Rates
Glasgow Coma Scale
APGAR Assessment for Newborn Infants
Adminitration of Medications vs Assisting with Medications
The 6-Rights of Medication
Urgent Transport Critical Interventions that require History and/or Vital Signs
Common Units of Measurement
Assisted Ventilations
Weight Estimation for Pediatric Patients
ATMIST AMBO Patient Care Hand-Off
BCEHS Treatment Guidelines Compared to National Occupational Competency Profiles
Critical Findings
Epinephrine Administration by Auto-Injector
Acetaminophen Administration
Ipbuprofen Administration
Glucagon Administration by Intra-Muscular Injection
Glucagon Administration by Intra-Nasal Spray
Glucogel Administration (Parenteral)
T-Pod Pelvic Binder Application
Kendrick Extrication Device (KED) Strapping Sequence
Entonox Indications/Contraindications Mnemonics
Entonox Administration Procedures
Sager Traction Splint Procedures
Glucogel Administration Guidelines
Head-to-Toe Assessment Mnemonics
Average Vital Signs
Hypotension (Low Blood Pressure)
Relevant SAMPLE and Mechanism of Injury Data
Intravenous Drip Set Calculations
Common IV Solutions
Common IV Complications
Common Medical Terms
F-A-S-T V-A-N Stroke Assessment Mnemonics
NEXUS Spinal Motion Restriction Decision Matrix
Naloxone (Narcan) Administration Protocols

Online Course Modules

BC EMALB Scope of Practice Course Modules — *Online Modules*

You will access and complete the BC EMALB Scope of Practice modules through the Canadian Red Cross online learning platform. As you near the completion of your Emergency Medical Responder course, you will recieve a course activation email from the Canadian Red Cross MyRC elearning platform. From there, you can access and complete your online Scope of Practice course modules through your Canadian Red Cross MyRC Profile.

Once you have completed the profile creation process, accessed your Canadian Red Cross MyRC profile, and successfully activated the British Columbia Emergency Medical Responder Scope of Practice Update modules in the "My Online Courses" section, you will be able to move through the individual modules at your own pace. You can start and stop as often as you like, and you can pick up where you left off later.

You can review and re-complete any of the chapters as many times as you like, regardless of whether or not you were successful on the first try. The course will remain accessible to you, through your MyRC profile, at any time. You can review any of the information and learning outcomes whenever you want to brush up on your Standard First Aid knowledge and understanding.

Once you have successfully completed all the modules you can access, download and print your certificate of completion for the online portion (note that this is different from the actual Emergency Medical Responder certificate you will receive after completing the in-person classroom sessions). Although you can always download the certificate again later, through your MyRC profile, Medi-Pro recommends that you store a pdf copy of your certificate on your hard-drive/cloud storage server for quick reference and proof of completion.

Step-by-Step Instructions...

Sign in to your MyRC profile at myrc.redcross.ca
(Click here for instructions on setting up your MyRC Profile for the first time, if you haven't done so already)
Click the "My Profile" tab, then select "My Online Courses"
Click "Activate" next to the British Columbia Emergency Medical Responder Scope of Practice Update module
Verify your preferred language
Click "Enter Course"

Contact the Canadian Red Cross Contact Center for assistance, if you have technical difficulties accessing your MyRC Profile or the EMALB EMR Scope of Practice modules.

email: myrcsupport@redcross.ca
tel: 1-877-356-3226

Scope of Practice Modules

Introduction
Section 1: Anatomy of an EMS Call
Section 2: First Responder Schedule One (Core Licence Services) Gap Module
Section 3: First Responder Schedule Two - Vital Signs Endorsement Module
Section 4: First Responder Schedule Two - Medications Endorsement Module
Section 5: Emergency Medical Responder Schedule Two - Medications Endorsement Module
Conclusion

Introduction

Navigation
Introduction: Module Overview
Background
Development Process
Educational Approach
Evaluation Strategy and Course Completion Requirements
References
Summary

Section One: Anatomy of an EMS Call

Anatomy of an EMS Call: Module Overview
Scene Survey/Rescue Scene Evaluation
Primary Survey
Transport Decision
Secondary Survey
Ongoing Survey/Protocols/Treatments/Reporting
Summary

Module Two: First Responder Schedule One (Core Licence Services) Gap Module

First Responder Schedule One (Core Licence Services): Module Overview
Introduction
Nasopharyngeal Airways (NPA)
Serious Hemorrhage Management/Wound Packing
Fracture Management/Pelvic Binding
Lifting/Loading and Extrication/Evacuation
Knowledge Evaluation
Summary

Module Three: First Responder Schedule Two - Vital Signs Endorsement Module

First Responder Schedule Two - Vital Signs Endorsement: Module Overview
Introduction
Pulse Oximetry
Blood Pressure Assessment
Glucometry
Knowledge Evaluation
Summary

Section Four: First Responder Schedule Two - Medications Endorsement Module

First Responder Schedule Two - Medications Endorsement: Module Overview
Introduction
Assisting Patients Their Own Prescribed Medications
Administering Epinephrine Via Auto-Injector to a Patient in Anaphylaxis
Administering Opioid Antagonists to a Patient in Opioid Poisoning
Administering an Anti-Hypoglycemic Agent to a Hypoglycemic Patient
ASA/Oral Analgesia/Topical Pro-Coagulant Agents
Knowledge Evaluation
Summary

Section Five: Emergency Medical Responder Schedule Two - Medications Endorsement Module

Emergency Medical Responder Schedule Two - Medications Endorsement: Module Overview
Introduction
Intramuscular Administration of Epinephrine
Administration of Brochodilators by Inhalation and Nebulization
Knowledge Evaluation
Summary

Section Six: Conclusion

Next Steps
Quick Recap
Reflection

Downloads & Resources

EMR and First Responder Downloads — *Downloads & Resources*

Downloads and online, web-based resources for Emergency Medical Responder and First Responder courses with BC EMALB Licensing eligibility in Kelowna and Vancouver, BC. Emergency Medical Responder and First Responder certification training, EMALB Licensing preparation, and the provision of emergency medical care as a professional responder all involve far more that simply learning something once in the classroom. The paramedic profession is extremely dynamic and requires a lifetime committment to remaining up to date on the most current EMR protocols, guidelines, science, and practices.

This means that you will need to learn how to find the documented information and guidelines related to your Emergency Medical Responder or First Repsonder training and verify that what you remember learning is still considered a current practice. In addition to the documents and textbooks already outlined above, you will need to access and refer to several other online resources as you prepare to be successful throughout your Emergency Medical Responder or First Responder training and BC EMALB Licensing requirements.

Many of these resources can be downloaded and printed or saved, and some are only available online, through a desktop computer, laptop, or mobile web browser. Although you may find it convenient to download many of these documents and print them for easy reference, you should make a habit of frequently revisiting the source material online to make sure you are utilizing the most current materials.

Completion Requirements

In addition to the self-directed online elearning modules, which must be completed prior to the first in-person session, the Scope of Practice Update training includes 16 hours of instructor facilitated classroom sessions which are generally delivered over the course of two days.

Medi-Pro First Aid's Medical Responder courses are facilitated in a friendly, learner-centered environment, with the skills and principles presented in a simple and straight forward manner. Your EMALB Scope of Practice Update course Instructor will do everything possible to ensure that you meet national Canadian Red Cross, and provincial BC EMALB benchmarks for Scope of Practice certification and removal of Schedule 1 and Schedule restrictions from you provincial license.

Key Emergency Medical Responder and First Responder Scope of Practice topics are presented in a distilled and relevant context, which makes them easy to understand and remember. A mix of interactive group activities and self-application make the paramedical principles easy to understand and fun to learn. As much as possible, the Scope of Practice Update classroom sessions are dedicated to physical skills and hands-on learning which involve clear demonstrations immediately followed by opportunities to apply, practice, repeat and reinforce the Emergency Medical Responder and First Responder skills.

In order to receive BC EMALB approved Emergency Medical Responder or First Responder Scope of Practice Update certification, and have the corresponding restrictions removed from your license, you must meet the following course attendance, performance and participation requirements.

Completion of the online modules prior to the first classroom session.
Attendance in 100% of the classroom sessions(this includes arriving, and returning from all breaks, on time).
Earnest and mindful participation in all activities, skills, and scenarios.
Respectful behaviour towards the Instructor all other participants.
Adherence to all classroom/facility health and safety guidelines.
Legible, accurate submission of your full name, your current EMALB license number, and your preferred email address

What to Bring

Scope of Practice Update training Personal Items — *What to Bring*

Bringing a few essential items with you to class can make the entire BC EMALB Scope of Practice course more enjoyable. This added level of comfort can also help ensure you learn and retain the EMR and First Responder skills, as well as meeting all the certification requirements as you participate.

Making sure you can see and hear your instructor, classmates and multi-media presentations is important. Although our Instructors will speak clearly and our video/projector screens are large enough to ensure full classroom visibility, you must bring any corrective eyewear or hearing aides (with fresh batteries) that you might need with you in your first aid course. In some cases you might need reading glasses for your EMR or First Responder text book and reading-based activities, or you may need corrective lenses to clearly view the videos, slideshows and instructor-led Medical Responder skill demonstrations.

If you normally require daily medications, you should definitely bring them with you to class, and adhere to your normal schedule. You might also find that your active participation in the first aid skills and activities throughout the day can increase your metabolic demands and the corresponding medication amounts. Basically, bring extra medications in case your needs increase throughout the day. It's better to have these with you and not end up needing them, rather than leaving them at home and wishing you had brought them. A few other suggestions include...

All relevant books and printed resources
Clean indoor footwear
Reusable mug
Refillable water bottle
Food for meals and snacks through the duration of the course
Clothing which allows for modesty, professionalism and comfort during physical activity
Spare shirt and sweater in case of temperature changes or excessive sweating
Medications that you might need throughout the day
Glasses or contact lenses if required for reading
Pen and notepad
Kneepads if prolonged and repeated physical activities in a kneeling position may cause you discomfort.
Lightly scented deodorant

Breaks & Lunch

EMALB Scope of Practice Update training Breaks and Lunch — *Breaks & Lunch*

Your Emergency Medical Responder or First Responder Scope of Practice Update course will be conducted in an "Adult Learning" context, which means that you will be free to excuse yourself from the classroom at any time, if you need to use the washroom, answer an urgent phone call/text, or attend to any other emergent matter that can't wait until the next scheduled break.

Medi-Pro administration and Instructors recognize that unanticipated circumstances may occur outside the classroom which require your immediate attention, but will ask that you limit these distractions to only those that are essential, and to minimize the disruption to other participants.

If you become thirsty or hungry, you are encouraged to keep yourself nourished and hydrated in the classroom, provided this does not interrupt hands-on activities or interfere with others' safety, participation and learning. There will also be formal breaks scheduled throughout the day, which can be utilized for communications, snacks, lunch and beverages.

There will be a 15 minute break approximately every 2 hours, depending on classroom progress and participant pacing.
You will need to arrive with enough food and drinks to remain hydrated and nourished for the duration of each session
There will be one 30-minute Lunch break every day at or around noon.
Access to local stores and restaurants may be limited.
Use of electronics is discouraged except during breaks or when the Instructor specifically deems it appropriate
Smoking is prohibited except for designated times and areas
The use of vaporization products and devices is prohibited except for designated times and areas
Consumption of alcohol in the classroom and grounds is prohibited
Consumption of cannabis in the classroom and grounds is prohibited, except where medically required
Impairment, as observed or presumed by the Instructor, will preclude you from participation and certification, regardless of the legality of any substances involved

Hygeine and Attire

Participating in your Canadian Red Cross Emergency Medical Responder or First Responder Scope of Practice Update course in Kelowna or Vancouver, BC will involve working in close proximity with your classmates. Respectful physical contact is an unavoidable component of hands-on First Aid training. Out of consideration for your classmates, please arrive with hygeine, professionalism, and the comfort of others in mind.

Although it is impossible to define the term "appropriate" when it comes to clothing choices, there are few universal considerations. Slogans, logos, or images that could reasonably be categorized as objectively offensive or controversial must not be worn or displayed. Clothing which is soiled to the point that incidental contact may contaminate other clothing, equipment or furnishings are not acceptable in the classroom. Cothing or hygeine products which emit a strong odor may make it difficult for other participants to concentrate or enjoy the lessons and activities.

The health of all participants and staff is of paramount importance, so if you are feeling sick, or suspect that you may be contagious of any viral or bacterial infection, you must not attend the classroom. In cases of last minute cancellations related to unpredicted illness, Medi-Pro will make reasonable efforts to reschedule your course for a later date, when you are no longer sick/contagious.

Hygeine and beauty products should be unscented or lightly-scented only
Jewellery or accessories that could cause injury or entanglement may need to be removed (please do not bring expensive jewellery or irreplaceable heirlooms)
Longer hair needs to be secured in a way that prevents it from getting into others mouths and eyes
Your clothing should allow you to participate with comfort and consideration for others
Slogans or images that might be considered controversial, disrespectful or confrontational should be avoided
Some types of clothing may restrict your ability to participate or compromise your classmates' comfort.
Although it is impossible to define every aspect of the term "inappropriate" ahead of time, we ask that you take this into consideration when making your choices

Physical Requirements

Participating in your EMALB approved Emergency Medical Responder or First Responder Scope of Practice Update course in Kelowna and Vancouver, BC will involve significant physical activity. If you have medical conditions, physical injuries or limitations that might compromise your ability to safely participate in these physical activities, you must notify your Instructor at the start of your course. Your Scope of Practice Update Instructor will make reasonable efforts to adapt and accomodate your limitations, but it is your responsibility to decide whether or not you can safely complete any particular task.

Your EMALB Scope of Practice Update course Instructor will balance the classroom between interactive theory components and hands-on physical activities, and you must actively participate in all the sections to successfully complete your Scope of Practice Update course. The physical requirements are not objectively intensive or difficult, but they do involve specific and repetitive movements. If you have any significant restrictions on your movement or exertion capacity, you should contact Medi-Pro well in advance of your scheduled course date to ensure that we can accommodate your limitations and provide the greatest opportunities for successful participation. Physical activities typical of Canadian Red Cross Emergency Medical Responder courses include...

Kneeling on the ground
Laying face-down on the ground
Laying face-up on the ground
Walking up and down stairs
Rolling and lifting an adult sized classmate
Performing CPR chest compressions on a CPR mannequin
Using a pocket mask with a one-way valve to inflate the lungs of a CPR mannequin
Sitting for 15-30 minutes at at time
Standing for 15-30 minutes at a time
Tying simple knots
Tearing medical tape

Code of Conduct

As a participant in an EMALB approved Emergency Medical Responder or First Responder Scope of Practice Update course, you will need to work with and show respectful behaviour towards all of your classmates. Regardless of any personal, philosophical, religious or political differences, you must support each other's learning throughout the course.

Respect is particularly important when learning, practicing or performing skills that involve physical contact with another participant. Physical contact is an unavoidable component of many core professional medical responder skills, so participants must be as respectful and professional as possible during these segments.

Each participant will bring their own unique experiences, backgrounds and perspectives to your Emergency Medical Responder course, which will make the course more interesting and relevant for everyone, provided mutual respect is consistently demonstrated. Language or actions which impinge on every participants' right to a physically and psychologically safe learning learning environment will not be tolerated, and will result in expulsion from the program. You are not expected to agree with every aspect of your classmates' lifestyles and opinions, however you are expected to demonstrate respectful behaviour towards each other at all times.

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