In The Field​

Can PARAMEDICS take orders from medical professionals on scene (e.g., facility physicians or nurses, off-duty nurses or doctors, midwives, poison control)? NO

Back Of The Ambulance​

Can PARAMEDICS request OR take orders while transporting patients from the escorts (flight crews, doctors, nurses, PALS Teams)? ​NO

Work collaboratively with the health care provider while staying within the boundaries of the ALS PCS. ​

*For full details of interfacility transfer expectations, see the SWORBHP "Medical Directives" Policy

Enroute To PCI Centre ​

Can PARAMEDICS request OR take orders from a Cardiologist outside the ALS PCS Directives? ​NO

The Interventional Cardiologist may only direct whether the patient can be transported to the cath lab.

Offload Delay ​

While on offload delay in hospital (Transfer of Care [TOC] has not yet occurred), can PARAMEDICS request OR take orders from ER Physicians and Nursing Staff? NO​

 Should the patient require care outside the paramedic's scope of practice, consider engaging the triage​ nurse or your supervisor to facilitate a TOC. 

The Expectation​

Remember, medical direction (orders) can only come from a certified Base Hospital Physician.​

Complete a patch to the Base Hospital Physician for safe and appropriate advice while providing care within your scope of practice.​

No additional resources available for this #SWORBHPTip.