Southwest Ontario Regional Base Hospital Program

Date: Friday January 27, 2012

Presented by: Dr. Adam Dukelow, Local Medical Director and Dr. Sameer Mal, PGY-4 Emergency Medicine and EMS Fellow, Southwest Ontario Regional Base Hospital Program

Brief Description:

The topic of delegation is one that is not often addressed by EMS, yet is one that holds true to the reason paramedics are able to administer medications and perform certain skills. Have you ever really thought about why Regional and Local Medical Directors exist, or perhaps how they are able to maintain your paramedic certification?  Consider the following scenario:   During a patch to a BHP, you are directed to perform an intervention that exceeds your scope of practice. You should:

1. Complete the intervention as directed
2. Ask for directions and complete the intervention as directed
3. Advise the BHP that the intervention exceeds your scope of practice but that you will comply
4. Advise the BHP that the intervention exceeds your scope of practice and cannot comply

What would you do?  Why would you act in the way that you chose?  Is your decision supported by your Medical Directors? Tune in to the Webinar and find out!

Consider this one too: You’ve just been informed by SWORBHP or by your service that you’ve been deactivated; let the flurry of thoughts and emotions fly! Why am I deactivated?  Did I do something wrong?  What does this mean for me?  How do I become reactivated?

Paramedics of all levels will benefit from attending this Webinar and will be able to:

• Explain the concept of delegation in various settings (ED, Hospital, Nursing Home, EMS) and the role of the CPSO (College of Physicians and Surgeons of Ontario).

• Describe the difference between online, offline, and direct  / on scene medical control.
• Discuss the meaning and implications of Scope of Practice, Deactivation, and Decertification.
• Correctly apply the principles of delegation to a variety of pre-hospital scenarios.