5 types of Law?
- Legislative: made by legislative branches of gov like city councils and school boards
- Administrative: made by gov agency like paramedic licensing
- Common: Case or judge made
- Criminal: laws designed to protect society
- Civil: private complaints brought against a defendant by a plaintiff wanting damages
16 regulations affecting EMS
- Health Disciplines Act - EMR Regulation
- Ambulance Services Act
- Health Professions Act - Paramedic Regulation
- Highway Traffic Act
- Child Welfare Act
- Persons in Care Act
- Fatality Inquiries Act
- Transportation of Dangerous Goods Act
- Health Information Act
- Freedom of Information & Privacy Act
- Controlled Drugs & Substances Act
- Emergency Medical Aid Act
- Limitations Act
- Mental Health Act
- Personal Directives Act
- Occupational Health & Safety Act
Health Disciplines Act?
- To regulate scope of practice, registration requirements, use of professional title, and required duties for all prehospital care staff in the province
- Includes: Section 9 - EMR Scope of Practice
Section 9: EMR Scope of Practice?
- An EMR may, under medical control and with an ongoing medical audit, provide the
- following health services:
- 1. conduct primary and secondary surveys, including scene assessments
- 2. use basic methods of managing medical, traumatic and obstetrical emergencies
- 3. use airway management techniques, including oropharyngeal airways, oral suction devices and oxygen-supplemented mask devices to assist ventilation
- 4. administer oxygen using basic delivery devices including masks and nasal canula
- 5. basic bandaging
- 6. CPR
- 7. patient extrication
- 8. use basic splinting techniques, including spinal immobilization with long spine boards and cervical collars
- 9. automated and semi-automated defibrillation
Ambulance Services Act?
- To ensure public safety and ambulance service reliability by providing the
- regulation of...
- Staff, vehicle and equipment on an ambulance
- Confidentiality requirements
- Licensing of ambulance services
- Maintenance schedule for all ambulances
Health Professions Act?
- This act will deal with processes such as:
- continuing competence,
- professional conduct,
- restricted activities,
- investigation & discipline
Traffic Safety Act?
To license drivers, ensure the safe operation of vehicles on highways, to explain steps to take in the event of a collision, and to provide clear regulations when operating motor vehicles
Relevant portions of the Traffic Safety Act for EMS?
- Requirements if involved in an accident:
- Remain at the scene
- Render all reasonable assistance
- Produce the following information to any witnesses and/or law enforcement:
- Name and address (and name/address of the vehicle’s owner)
- Driver’s license number
- Insurance card
- License plate number
- Speed Limit in school and playground zones
- Is 30 km/h unless otherwise posted for all vehicles
- This includes emergency vehicles, even while responding “lights & sirens” to a call
- Obey all rules of the road except when instructed by
- A peace officer or traffic control device
- If requested by a peace officer, bring the vehicle to a stop, furnish any information respecting the driver or the vehicle, and remain stopped until permitted by the peace officer to leave
- Requirements of non-emergency vehicles when approached by emergency vehicles
- Yielding the right-of-way to the emergency vehicle at all intersections and on highways by:
- Stopping / not proceeding through the intersection
- Moving to the left/right of the road to allow the emergency vehicle to pass
- Right-of-way is a privilege, not a guarantee
- Always assume that other drivers are not paying attention and drive appropriately
- A collision involving an emergency vehicle is usually the emergency vehicle’s fault
- Responding to a call with lights and sirens does not give you the right to break any traffic regulation
Child, Youth And Family Enhancement Act?
- To ensure the safety, security and development of children, many of whom are unable to seek help themselves for abusive behaviour
- Any person who has reasonable and probable grounds to believe that a child is in need of intervention shall forthwith report the matter
Persons in Care Act?
To report suspected elder/person in care abuse to law enforcement and to protect the employment of the person reporting
Fatality Inquiries Act?
Specifies which deaths must be investigated, which deaths must be reported and who is able to investigate them
Transportation of Dangerous Goods Act?
To ensure the safe handling, transport and receiving of dangerous goods through Canada via a training and certification program
Health Information Act?
- To establish strong and effective mechanisms to protect the privacy of individuals with respect to their health information
- To enable health information to be shared and accessed to provide health service and to manage the health system
- To provide access to information for the patient about their own records
Freedom of Information & Privacy Act (FOIP)?
- to allow any person a right of access to the records under certain circumstances
- to control the manner in which information is collected about an individual
- to control how personal information is used
- to allow individuals, subject to limited and specific exceptions as set out in this Act, a right of access to personal information about themselves that is held
Controlled Drugs & Substances Act/
- Defines which drugs are considered illegal, the rights individuals and law enforcement as it relates to the creation, possession, selling, transport and administration of controlled drugs
- Unless you are a registered paramedic with ACP, do not touch, carry, deliver, transport, administer, or even look at many of the paramedic-level medications (especially opioids)
Emergency Medical Aid Act?
To protect trained and untrained individuals from rendering emergency medical care or first aid to someone who is hurt when they do not have a duty of care
- To provide a reasonable period of time for individuals who were injured due to a breach of duty or negligent conduct to initiate law suit proceedings
- To provide a reasonable period of time after which an individual has immunity from the above lawsuits
Mental Health Act?
- To ensure the safety of the public and the patient in circumstances where a patient is deemed dangerous to themselves or the public
- Occasionally EMS may request assistance from law enforcement to utilize this act in order to treat an uncooperative patient
Personal Directives Act?
- To provide the ability to Albertans to provide advance personal instructions regarding their own personal matters
- AKA: DNR Orders
Requirements for a DNR?
- Be in writing
- Be dated
- Be signed at the end by the maker in the presence of a witness
- Be signed at the end by the witness in the presence of the maker
Occupational Health & Safety Act?
- To provide a safe and healthy working environment for all Albertans by defining:
- Obligations of employers, workers, etc
- Regulation of a safe working environment
- What protection is required for a worker
- What safety procedures are required for varying worksites