Category Archives: Miscellaneous

Question: This question is regarding cardiac arrest documentation expectations. Is it a requirement to document vital signs every 2 minutes or would it be sufficient to document one set with a comment: Patient remained pulseless throughout? As well, CPR charted once, with a similar comment: CPR performed throughout. In my opinion, this would be more efficient and concise.

As well, if in a position where we are transporting a VSA patient, as an ACP I have always performed a rhythm interpretation even while the vehicle is moving. I have never really noticed artifact as an issue, and cannot find any documentation relating to ACP practice stating I must pull over. I have not had any feedback from base hospital regarding this practice, but my supervisor has mentioned some serious concerns.

Thanks again for this forum that helps our practice.

Question: Do we have an idea when the iPhone app for our medical directives will be released. The majority of paramedics I know use iPhones and are anxiously waiting for this new tool. Any idea when?

Question: To what extent am I allowed to take orders from a physician who is riding out with me? Are there any set guidelines to direct us and the physicians in this aspect? A recent resident riding with me said they had no issue with providing the order if it seemed reasonable. Narcan administration was used as an example as something that seemed reasonable. However the resident felt (and I agreed) something like a TOR order warranted a call to a BHP. Discussion of this subject would be appreciated.

Question: I work out of a first response vehicle. If I start an IV to deliver a med such as gravol, and the patient will not require anymore treatment via IV and I am handing the patient over to a crew that is not IV certified what is my responsibility? Do I have to accompany the patient? Or can I lock the IV or can they monitor the IV TKVO?

Question: Can an off duty medic who stops to assist an on duty crew the care (in the area for which he works and is certified) at an accident scene or medical event provide advanced care i.e. IV, med administration injections etc.?

Question: I'm an ACP in my primary service, but I am working as a PCP in a different service. Does my IV certification status automatically transfer directly to the service in which I am working as a PCP? If so, I have not been trained on the equipment being used in my PCP service and would prefer not to use my IV skills there. Am I obliged to?

Question: I am an A-EMCA certified paramedic (PCP) who opted to work in Ottawa full time for a full year after graduation in 2009. After returning to London to apply, I am now advised that my IV certification issued by RPPEO is not eligible for SWORBH. Are there IV certification courses I can take in London to become "IV Autonomous Certified" without going back to Fanshawe College to repeat my entire second year of school? Please let me know so that I may increase my eligibility to someday secure work here in my home town.

Question: I was just wondering when the smart phone app is going to be released with medical directives?

Question: At a meeting with Dr. Lewell in the past, he stated that there is no time set for the administration of medication. Some medics are directed by their services to deliver the medication within 5 minutes and yet the Base Hospital directive asks to have the monitor on in 5 minutes. Medication cannot be delivered without the monitor being applied, so is it correct to say that the time limit is not 5 minutes, but ASAP after the monitor is applied?

Question: I have heard paramedics inquiring amongst fellow paramedics about the use of epi without a cardiac monitor applied or a full set of vitals when dealing with a patient who is suffering from anaphylaxis. My stance is that all meds (except ASA) require a full set of vitals and the cardiac monitor applied. Please clarify.

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