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Certification

In order to perform delegated medical acts in the province of Ontario, Paramedics must be certified by a Regional Base Hospital Program (RBHP). The Centre for Paramedic Education and Research (CPER) provides such certification for Paramedics at the Primary and Advanced Care levels for a total of 9 EMS Service Operators in the Western Region of the province.

In order to receive initial certification, Paramedics must have successfully completed all requirements of a recognized Paramedic Program, and be in receipt of supporting documentation. Each Paramedic must also successfully complete the provincial certification exam at their respective level of care, as well as successfully complete an initial certification event conducted by an RBHP.

Paramedics attending a CPER certification event can expect to be evaluated on their ability to apply the provincial Medical Directives safely and effectively. Evaluation methods may include, but are not limited to, high fidelity simulation scenarios, skills stations, candidate interviews, and/or written evaluations.

Service Operators

Brant / Brantford

Paramedic Service

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Dufferin

Paramedic Service

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Guelph-Wellington

Paramedic Service

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Haldimand

Paramedic Services

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Hamilton

Paramedic Service

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Niagara

Emergency Medical Services

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Norfolk

Paramedic Services

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Six Nations

Paramedic Service

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Waterloo

Paramedic Services

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Paramedic Services Week

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	Tip #1 Your login ID is your email address. This is typically your service email, if you are with multiple services all email addresses will work. If you have added a personal email to your profile in MedicNET that email address will also allow you to log on.
Tip #2 New users must click the link in the log on pop up that says "First time log-on or forgotten password?". This link is used to setup your log on password. When you click the link you will be directed to MedicNET. Enter your email address. If you see a green check mark, your email is valid in the system. When you click submit an email will be sent to the address you entered. The password reset link is only valid for two (2) hours. If you are unable to complete the password reset in that time you will need to repeat the process.
	Tip #3 The rules for your password will be shown to the right. As you enter your password and meet the various rules the corisponding rule will show a green check mark to show that you have met the requirement. Once all rules have been maked as met you can submit your password change.
Tip #4 If you have tried all email addresses and do not see a green check mark, please contact CPER so we can resolve the issue for you. If your email address was valid but you are not receiving the email, check your Junk, Spam, Trash and Deleted folders for the email account you entered when requesting a password reset. If no email is received with in 10 minutes please contact us so we can assist.

Advanced Care Medical Directives

2018-12-01 – VERSION 3 2018

Added Emergency Tracheostomy Reinsertion Medical Directive - page 53

Added Analgesia Medical Directive - page 127

·Added Spinal Motion Restriction Standard Prompt Card - page 165

Added NEMS Hospital Destination Policy - page 205

Added FAST Sepsis Pre-Alert tool - page 219

Updated Epinephrine Dosing Guide (version 3)

·Updated Analgesia Medical Directive Dosing Guide (version 3)

Updated Seizure Medical Directive Dosing Guide (version 3)

· Removed Pediatric Analgesia Medical Directive

· Removed Adult Analgesia Medical Directive

· Removed NEMS Destination Guidelines

Primary Care Medical Directives

2018-12-01 – VERSION 3 2018

·Added Emergency Tracheostomy Reinsertion Medical Directive - page 41

·Added Analgesia Medical Directive - page 83

Added Spinal Motion Restriction Standard Prompt Card - page 114

Added NEMS Hospital Destination Policy - page 156

·Added FAST Sepsis Pre-Alert tool - page 170

·Updated Epinephrine Dosing Guide (version 3)

·Updated Analgesia Medical Directive Dosing Guide (version 3)

Updated Seizure Medical Directive Dosing Guide (version 3)

· Removed Adult Analgesia Medical Directive

· Removed NEMS Destination Guidelines

Medical Directives

ALS PCS Version 4.8

CPER Medical Directives Last Revised November 23, 2020

ALS PCS v 4.8 Summary of Changes. Click Here

OBHG Education Subcommittee communication ALS PCS. Click Here

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About Us

Hamilton Health Sciences (HHS) is the designated Host Hospital for the Base Hospital Program in the West Region of Ontario. To provide Regional Base Hospital services, HHS formed the Centre for Paramedic Education and Research (CPER) in 2009. The Ministry of Health and Long-Term Care awarded Hamilton Health Sciences the privilege of providing Base Hospital services to the nine communities that make up the West Region of Ontario; County of Brant, Dufferin County, Guelph-Wellington, Haldimand County, City of Hamilton, Region of Niagara, Norfolk County, Six Nations and the Region of Waterloo.

The Centre for Paramedic Education and Research (CPER) is a strong advocate for the Paramedic profession and believes in advancement through education, quality and research. Partnered with our nine EMS Operators we are dedicated to leading the way to excellence in the pillars of our service; medical oversight, clinical education, quality improvement, and research.

There are over 400 Advanced Care Paramedics and over 1300 Primary Care Paramedics in our region who are certified to perform controlled medical acts and advanced skills listed in the Ontario Advanced Life Support Patient Care Standards. These Paramedics deliver a high standard of care to over 2 million citizens in the area and respond to over 200,000 ambulance calls annually with the support of our dedicated team.

The strength of the our program stems from the clinical connection that many CPER staff have from their background as Paramedics. In addition we believe strongly in maintaining peer Paramedic involvement in our education and quality programs as we look at ways to increase our support to the Paramedics in our region. CPER achieves a high level of service through innovative projects such as our on-site simulation lab, an on-site training room, our in house electronic audit system, a customized Learning Management System (MedicLEARN) and Paramedic information gateway (MedicNET).

In 2023 CPER was successful in passing the Ministry of Health Base Hospital review process. CPER was able to demonstrate that dedicated staff and innovative programming have not only fulfilled but in many cases exceeded the Ministry’s requirements of core service. At CPER we look forward to rising to new heights as we continue service to our partners and realize our vision to lead excellence in prehospital care.

Mission Statement

To promote outstanding prehospital care for the communities we serve through innovation and excellence in medical oversight, clinical education, quality improvement, and research.
Vision Statement

We will lead excellence in prehospital care.