CSA Z1660:24

1 Scope 1.1 General This Standard identifies the professional activities and supporting competencies required of paramedics in Canada. It reflects current and emerging practice in Canada. This Standard also provides guidance and supporting details to aid with understanding and using the Standard, including an overview of the role description, significance of the roles, information about practice settings, and delegation, as well as inclusion, diversity, equity, and accessibility. 1.2 Exclusions This Standard does not include the role and practice of emergency medical responders (EMRs). EMR competencies are outlined in the PAC Emergency Medical Responder Competency Profile (2015). This Standard does not specify the clinical scope of practice for the primary care paramedic (PCP), advanced care paramedic (ACP), critical care paramedic (CCP), or community paramedic (CP). Scope of practice varies significantly across the country, and this Standard acknowledges the same competencies are required of paramedics regardless of scope of practice or clinical designation. National model scopes of practice for PCPs, ACPs, CCPs, and CPs are detailed in the PAC document Education and Practice Guidance, and individual scope is based on provincial or territorial regulations. 1.3 Terminology In this Standard, “shall” is used to express a requirement, i.e., a provision that the user is obliged to satisfy in order to comply with the standard; “should” is used to express a recommendation or that which is advised but not required; and “may” is used to express an option or that which is permissible within the limits of the Standard. Notes accompanying clauses do not include requirements or alternative requirements; the purpose of a note accompanying a clause is to separate from the text explanatory or informative material. Notes to tables and figures are considered part of the table or figure and may be written as requirements. Annexes are designated normative (mandatory) or informative (non-mandatory) to define their application.