Level of Care
In Alberta the OCCUPATIONAL HEALTH AND SAFETY ACT, OCCUPATIONAL HEALTH AND SAFETY CODE provide legislative requirements for first aid on job sites.
First aid Level 1 to level 3 with transportation endorsement. Phoenix provides level 3 attendants as a minimum standard.
In this schedule they recommend a number of different levels of care, following are the descriptions of these levels. They are all very basic training and in remote sites often a more advanced level of training and ability is requested by the employer to better protect their workers.
Alberta requires the following levels of care:
- Emergency First Aid
- Standard First Aid
- Advanced First Aid
- And in special circumstances
- Nurse or EMT-P
Phoenix provides OFA level 3 attendants as a minimum standard. This meets the requirements of Advanced First Aid. An EMR will also meet these requirements
There are slight differences between BC and Alberta EMR so the medic must be licenced in the province they work in.
…. see COURSE DESCRIPTIONS, ALBERTA
Level 3 First Aid Certificate
Level 3 certification requires participation in a 70-hour training course and passing an examination acceptable to WorkSafeBC. Renewal is normally accomplished by retaking the 70-hour course, or a 35-hour refresher course, before taking the exam; however, the candidate may elect to take the exam without additional training.
OFA training and the EMR course have essentially the same focus. OFA training is classified higher than regular first aid, and can perform basic life support.
- Perform primary & secondary surveys of injured workers
- Control bleeding
- Administer Oxygen
- Perform CPR & basic airway support
- Use of an Automated External Defibrillator (AED) With an additional course.
A Transportation Endorsement for a Level 1 or Level 2 first aid certificate requires the certificate holder to successfully complete a 7-hour Occupational First Aid Transportation Endorsement training course.
Emergency Medical Responders – EMR’s
- Perform an enhanced standardized patient assessment
- Assess and manage a broader range of life-threatening traumatic emergencies
- Assess and manage a broader range of life-threatening medical emergencies
- Conduct an enhanced secondary assessment consisting of:
- Patient History
- Assessment of Vital Signs (including blood pressures and pulse oximetry)
- A physical examination (including chest auscultation)
- Perform CPR (Adult, Child, Infant) and use an Automated External Defibrillation (AED)
- Perform enhanced Airway management; oropharyngeal/nasopharyngeal airways, suction, Perform enhanced Breathing management; pocket mask, and Bag-Valve-Mask (BVM)
- Perform enhanced wound and fracture management; including the application of a Sager Splint
- Perform emergency childbirth and neonatal care.
- Maintain intravenous lines (qualifies candidates for ‘IV Maintenance Endorsement’ on license)
- Administer the following medications; Nitroglycerin, Glucogel, Nitrous Oxide, ASA Aspirin, Salbutamol and Ventolin (metered-dose-inhaler), Epinephrine via auto-injector.
- Perform Glucometric testing and management of endocrine emergencies
- Conduct the lifting, loading, extrication and preparation of patients for transport
Advanced Primary Care Paramedic – PCP
Skills mastered by paramedics with this level of training include that of the EMR and: Intravenous therapy, extraglottic airway devices (KING Airway), nasopharyngeal airways, automatic external defibrillation, Entonox for pain control, diabetic treatments (D10, Thiamine, and Glucagon), Narcan (for unconscious overdoses), epinephrine and Benadryl (for anaphylaxis and allergic reactions), nebulized Ventolin (for acute short of breath asthma or COPD), CPR, extrication techniques, patient assessment and triage, communicable diseases and isolation techniques, obstetrics, emergency driving, lifting techniques, equipment familiarity and preservation of evidence.
Advanced – Advanced Care Paramedic – ACP
Career PCP with three years of full time service, who have demonstrated exceptional related abilities may become eligible for Advanced Care Paramedic (ACP) training. The candidate must first pass a rigorous examination and screening by medical and BCAS authorities and score a passing grade on their pre-entrance written and general exams. Skills include: Cardiac monitoring, arrhythmia recognition, manual defibrillation, endotracheal intubation, intravenous and drug therapy.