Living Standard Project

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1 Living Standard Project Change Request Form v1.0 Emergency Health Services Branch Ministry of Health and Long-Term Care

2 Document Control Version Number (status) Date of Issue Brief Description of Change /12/2015 Finalized version

3 Table of Contents Form Instructions... 5 Change Request Form... 6 Appendix A.... 8

4 Living Standard Project Change Request Form

5 Form Instructions This Change Request Form is intended for exclusive use by a particular living document s Working Group. It is expected that if a Working Group member receives a request for change from his/her stakeholder group (OAPC, OBHG, etc.), they will follow the steps outlined in the Living Document Framework with respect to this form. Note that regardless of the outcome of the requested change, feedback should be provided back to the original requester, including the Working Group s final decision. In the form below: Requester refers to the Working Group member bringing the request forward. Working Group refers to the particular living document Working Group that the Requester is a part of. Stakeholder Group refers to the stakeholder group (OAPC, OBHG, etc.) which the Requester represents. Change Request Form v1.0 5

6 Change Request Form Living Document: Advanced Life Support Patient Care Standards Proposed Change: Revision of the Endotracheal Tube suctioning Medical Directive Rationale for the Change: Inclusion of accidental expungement of a tracheostomy tube to allow paramedics to reinsert. This was a situation that had not een previously considered Evidence for the Change: No need for further evidence Cost Implications for the Change: Training can easily be incorporated into the current training cycle Time Implications for the Change: ASAP Dependencies: Patient's with tracheostomies generally have extra supplies, ET tubes can be temporarily used as alternatives therefore there should be no impact on the Equipment standards. Change Request Form v1.0 6

7 Consultation Considerations for the Change: No further consultations are required, endorsed at Feb 2017 MAC both PCP and ACP versions Requester: Dr. Rudy Vandersluis Working Group: CEPCP Stakeholder Group: Medical Advisory Committee Date: March 10, 2017 Change Request Form v1.0 7

8 Appendix A. Alignment considerations for living documents. Document Advanced Life Support Patient Care Standards (ALS PCS) Ambulance Services Communicable Disease Standards Basic Life Support Patient Care Standards (BLS PCS) Ontario Ambulance Documentation Standards Patient Care and Transportation Standards Provincial Equipment Standards for Ontario Ambulance Services Training Bulletin, Issue Number 101 Influenza Educational Review Training Bulletin, Issue Number 114 Ebola Virus Disease and DPCI II Card Updates Ambulance Call Report Completion Manual CTAS Guide Infection Prevention and Control Best Practices Manual for Land Ambulance Paramedics Alignment Considerations AHA Guidelines; Provincial Equipment Standards for Ontario Ambulance Services; BLS PCS Canadian Immunization Guide; Patient Care and Transportation Standard Provincial Equipment Standards for Ontario Ambulance Services; ALS PCS; Ontario Ambulance Documentation Standards; ACR Completion Manual; CTAS Participant Package Ambulance Call Report Completion Manual; ACR Form Ambulance Services Communicable Disease Standards; Training Bulletin, Issue Number 101 Influenza Educational Review; Infection Prevention and Control Best Practices Manual for Land Ambulance Paramedics ALS PCS; BLS PCS National Advisory Committee on Immunization; Patient Care and Transportation Standards -- Ontario Ambulance Documentation Standards; ACR Form BLS PCS Patient Care and Transportation Standards Change Request Form v1.0 8

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