In 2014, The Regulated Health Professions Act (RHPA) was proclaimed into force and Manitoba began to change the way health professions are regulated. The RHPA is umbrella legislation that sets out consistent rules and processes for governance, registration, complaints, discipline, regulation and by-law making authority of health profession regulatory colleges.
The RHPA will replace all profession-specific legislation governing regulated health professions. Professions are being transitioned to the RHPA in phases.
Currently, paramedicine is not a self-regulating profession like other regulated health professions in Manitoba. Rather, paramedics are licensed by Manitoba Health, Seniors and Active Living (MHSAL) under The Emergency Medical Response and Stretcher Transportation Act.
The Paramedic Association of Manitoba applied for paramedicine to become a self-regulating profession regulated under the RHPA.
On June 1, 2018, the Practice of Paramedicine Regulation was enacted. This regulation designates the profession of paramedicine as a regulated health profession, establishes the College of Paramedics of Manitoba (the college) and sets out the scope of practice of paramedicine.
The proposed new College of Paramedics of Manitoba General Regulation has been developed by the Council of the College. This proposed new regulation and proposed amendments to the Practice of Paramedicine Regulation will enable the college to become fully operational and assume responsibility for the regulation of paramedicine in Manitoba.
Reason for General Regulation:
The College of Paramedics of Manitoba General Regulation is required for the college to assume responsibility for the regulation of the profession. The regulation sets out the membership classes of the College and the registration requirements for each class. It also sets out requirements for issuing and renewing certificates of practice, standards of practice for the profession, continuing competency requirements, requirements for professional incorporation by members of the profession and the terms and conditions on the performance of reserved acts authorized for the profession under the Practice of Paramedicine Regulation as well as the requirements respecting delegation of the performance of reserved acts to and by paramedics.
The RHPA sets out a new way of regulating who does what in the provision of health services. This is based on the concept of controlling specific health care services or procedures. These health care services, or procedures are known as “reserved acts”. There are 21 categories of reserved acts, including such activities as performing a procedure on the tissue, administering a drug or vaccine, among others. The profession of paramedicine is seeking authority to perform 14 categories of reserved acts.
Schedule “A” of the General Regulation identifies the individual reserved acts and specifies which sub-register and class of paramedic can perform each skill.
Some reserved acts have a notation that the paramedic can only perform the skill if they have received “additional training”. This notation means that approved training for the reserved act is beyond the training received in the foundational educational program required to be completed for a specific class of paramedic.
The General Regulation will also enable paramedics to delegate the performance of reserved acts to other paramedics and to accept the delegation of the performance of reserved acts subject to specific conditions and limitations.
Public consultation will occur for 60 days from May 1, 2020 – June 29, 2020. It serves to provide a forum for all members of the public, including those who have a vested interest in the College of Paramedics of Manitoba, to provide feedback to the college. Any feedback or comments regarding the General Regulation can be submitted to email@example.com.
The proposed amendments to the Practice of Paramedicine Regulation are posted on the Manitoba Regulatory Consultation portal: https://reg.gov.mb.ca/home. Please take the opportunity to visit this website to review the document and provide feedback to the government.