Requires orders and prescription.

• B12
• Denosumab
• Aripiprazole
• Clopixol Depot
• Paliperidone

• Influenza
• COVID-19
• Shingrix
• Prevnar 20

• Congestive Heart Failure, CHF, and peripheral edema
• Chronic Obstructive Pulmonary Disease, COPD

• Lower urinary tract infections, cystitis
• Cellulitis
• Pneumonia
• Pharyngitis
• Chronic Obstructive Pulmonary Disease, COPD

• Oropharyngeal specimen collection and point-of-care testing
• Nasopharyngeal specimen collection and point-of-care testing
• Wound culture collection
• Sputum culture collection
• Phlebotomy and point-of-care blood analysis
• Urine sample collection and urinalysis point-of-care testing
• INR point-of-care testing
• Point-of-care ultrasound for bladder, subxiphoid cardiac, and lungs
• Glucometry point-of-care testing

• Minor abrasions
• Staple and suture removal
• Antiseptic and antimicrobial wound care
• Wound closure using cyanoacrylate tissue adhesive

• Initiation of intravenous access
• Ear irrigation
• Catheter flushing
• Application of continuous glucose monitoring, CGM, device
• Medication compliance and disposal
• 12-lead or 15-lead ECG administration

• Physical assessment
• Fall risk assessment
• Palliative Performance Scale, PPS, assessment
• Edmonton Symptom Assessment System, ESAS
• Mini Cognitive Assessment: Mini-Cog with clock drawing and three-word recall
• Mental Status Examination, MSE
• 60-second diabetic foot screen assessment
• Ankle Brachial Index, ABI, assessment
• Ear exam using otoscope
• Community Paramedic home safety scan

• Remote Patient Monitoring
• Virtual Care
• Seamless MD Program

• Salbutamol
• Ipratropium Bromide
• Prednisone
• Furosemide
• Fosfomycin
• Cephalexin
• Amoxicillin/Clavulanate
• Amoxicillin
• Azithromycin
• Acetaminophen
• Ibuprofen
• Ketorolac
• Diphenhydramine
• Dimenhydrinate
• Ondansetron
• Loperamide Hydrochloride

Referrals may come from primary care providers, nurse practitioners, hospitals, home care providers, specialists, allied health professionals, community agencies, mental health partners, and 911 paramedics.

Referrals should be for patients who would benefit from non-emergency Community Paramedicine support in the home, clinic, or community setting.

Please attach any documents that will help Community Paramedics understand the patient’s needs and safely provide care. This may include recent clinical notes, discharge summaries, medication lists, wound care instructions, lab requisitions, diagnostic results, care plans, or specific orders from the provider.

Yes. Lab requisitions can be attached through the referral or service request link. Requisitions are especially helpful when requesting bloodwork, urine culture, wound culture, sputum culture, or other specimen collection.

Community Paramedics will follow the requisition and ensure samples are labelled, collected, and transported according to program procedures.

Yes, when the patient meets program criteria and bloodwork has been ordered by a physician or nurse practitioner. This service is intended for patients who are homebound, have significant mobility barriers, are seen through a Community Paramedicine clinic or event, or when bloodwork is required to support an approved Community Paramedicine medical directive.

Community Paramedicine bloodwork is not meant to replace routine community lab services for patients who can safely access them.

Yes. Community Paramedics may perform point-of-care testing when it is appropriate, clinically indicated, and within approved medical directives.

This may include urinalysis, glucometry, INR testing, point-of-care blood analysis, rapid antigen testing, point-of-care ultrasound, and spirometry. Some testing requires an order, requisition, or provider consultation depending on the situation.

When Community Paramedics perform point-of-care testing, specimen collection, treatment, or a clinically significant assessment, results and documentation will be sent to the patient’s primary care provider or appropriate care team.

Urgent or abnormal results may require direct provider contact, medical oversight consultation, or escalation to 911 depending on the patient’s condition.

The Community Paramedicine Medical Director may be contacted when the patient does not have a primary care provider, when the primary care provider or most responsible provider is unavailable, when a medical directive requires medical oversight, or when clinical findings require additional direction.

Whenever possible, Community Paramedics will seek orders, prescriptions, and requisitions from the patient’s own primary care provider first.

Yes. Community Paramedicine may support unattached patients who meet program criteria. In these situations, Community Paramedics may work with the Community Paramedicine Medical Director or other appropriate health care partners to guide care, arrange follow-up, and support safe management in the community when appropriate.

Community Paramedicine does not replace primary care, but it can help bridge gaps for patients who are unattached and have difficulty accessing timely care.