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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
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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
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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
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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
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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
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Health Professions Act?
- This act will deal with processes such as:
- registration,
- continuing competence,
- professional conduct,
- restricted activities,
- investigation & discipline
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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
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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
- Warning:
- 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
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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
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Persons in Care Act?
To report suspected elder/person in care abuse to law enforcement and to protect the employment of the person reporting
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Fatality Inquiries Act?
Specifies which deaths must be investigated, which deaths must be reported and who is able to investigate them
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Transportation of Dangerous Goods Act?
To ensure the safe handling, transport and receiving of dangerous goods through Canada via a training and certification program
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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
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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
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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)
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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
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Limitations Act?
- 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
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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
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Personal Directives Act?
- To provide the ability to Albertans to provide advance personal instructions regarding their own personal matters
- AKA: DNR Orders
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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
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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
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