Provided by the Middlesex-London Paramedic Service
Medical Directives Update – effective July 1, 2022
On July 1, 2022, an updated version of the Middlesex-London Paramedic Service (MLPS) Community Paramedicine Patient Care Standards (CPPCS) is scheduled to be introduced to align with current best practices, and expand patient care delivery.
The CPPCS Version 2.0 Medical Directives apply to paramedics who are authorized to operate as a MLPS CPLTC Community Paramedic and provide patient care. Delegation of these Medical Directives is under the authorization of the Community Paramedicine Medical Advisor, Middlesex-London Paramedic Service, in conjunction with the patient’s primary care provider.
Note: Existing primary care provider sign-offs will be applied to the updated version unless the MLPS CPLTC program is informed otherwise by the authorizing primary care provider.
To request a copy of the complete Community Paramedicine Patient Care Standards Version 2.0, please contact Dustin Carter (firstname.lastname@example.org), Superintendent, Community Paramedicine or Hayley Jackson (email@example.com), Deputy Superintendent.
About Community Paramedicine and how to refer
What is Community Paramedicine?
Community paramedicine is a non-emergent mobile response team with specialized training designed to work in collaboration with a patient’s primary care providers to provide a range of community-based primary care services in the comfort of a patient’s home. Delegation of controlled acts is under the authorization of the Community Paramedicine Medical Advisor, Middlesex-London Paramedic Service, in conjunction with the patient’s primary care provider.
Criteria for referral
- Those on the wait list for Long-Term Care
- Those who have been assessed as eligible for Long-Term Care by a Home Community Care Support Service Care Coordinator
- Those who are soon to be eligible for Long-Term Care
- Those who are on the Long-Term Care crisis wait list
- Individuals with specific circumstances or conditions that would benefit from community paramedicine services
- Community Paramedicine Referral form available here – NOTE: The Community Paramedicine Referral Form is to be completed by or in consultation with the primary care provider. All referrals MUST be accompanied by a signed Primary Care Provider Sign-Off form.
What can community paramedics do?
- Routine-based monitoring of patients to prevent exacerbations of chronic disease inclusive of: blood pressure, heart rate, respiratory rate, oxygen saturation, ETCO2, blood glucose, weight, temperature, 3 lead ECG, in-depth physical assessment, home safety scan, medication compliance;
- Use of advanced assessment tools inclusive of, but not limited to: 12 &15 lead ECGs, Palliative Performance Scale, Edmonton Symptom Assessment System, Confusion Assessment Method, cognitive assessment;
- Use of remote monitoring devices inclusive of: blood pressure, heart rate, oxygen saturation, blood glucose;
- Chronic condition management inclusive of, but not limited to: COPD, HF, DM, Osteoporosis, falls;
- Palliative care acute pain and symptom management;
- Wound care management;
- Point-of-care testing (i-STAT Chem8, Urinalysis, COVID-19 testing)
- Influenza vaccine administration
- Motivational coaching, education, and self-management guidelines
- Collaborative care coordination with health care providers
- Referrals to community resources and programs
- Provide timely reports to support an informed clinical decision on patient management
- 911 treatment and transport, if within the patient goals of care
How to refer?
- Complete this Community Paramedicine Referral form and fax completed referral form to 226-270-5532
NOTE: The Community Paramedicine Referral Form is to be completed by or in consultation with the primary care provider.
All referrals MUST be accompanied by a signed Primary Care Provider Sign-Off form.
Superintendent, Community Paramedicine
Office: 519-679-5466, ext. 1101