Community Paramedicine

Community Paramedicine is a non-emergent mobile response team with specialized training designed to work in collaboration with a patient’s primary care providers to provide a range of community-based primary care services in the comfort of a patient’s home.

Delegation of controlled acts is under the authorization of the Community Paramedicine Medical Director, Middlesex-London Paramedic Service, in conjunction with the patient’s primary care provider.

• Primary assessments inclusive of, but not limited to blood pressure, heart rate, respiratory rate, oxygen saturation, ETCO2, blood glucose, weight, temperature, 4 lead ECG, in-depth physical assessment;
• Advanced assessments inclusive of, but not limited to 12 &15 lead ECGs, Palliative Performance Scale, Edmonton Symptom Assessment System, Confusion Assessment Method, cognitive assessment;
• Remote monitoring inclusive of blood pressure, heart rate, oxygen saturation, blood glucose;
• Chronic condition management inclusive of, but not limited to: COPD, HF, DM, osteoporosis, shingles, falls, pain, febrile, nausea/vomiting;
• Palliative care acute pain and symptom management;
• Wound care management;
• Suture/staple removal;
• Point-of-care testing (HbA1c, CHEM 8, PT/INR, Lactate, Urinalysis, COVID-19 testing);
• Point-of-care ultrasound detection of: abdominal aortic aneurysms, pericardial effusion, global cardiac function, abdominal peritoneal free fluid, pneumothorax, pleural effusion, bladder volume (LTC Only);
• IV access and fluid therapy;
• IV antibiotic medication administration;
• Influenza vaccine administration;
• Rx medication administration;
• Motivational coaching, education, and self-management guidelines;
• Medication compliance;
• Collaborative care coordination with health care providers;
• Referrals to community resources and programs;
• Provide timely reports to support an informed clinical decision on patient management; AND
• 911 treatment and transport, if within the patient’s goals of care.

• Those on the wait list for Long-Term Care
• Those who have been assessed as eligible for Long-Term Care by a Home Community Care Support Service Care Coordinator
• Those who are soon to be eligible for Long-Term Care
• Those who are on the Long-Term Care crisis wait list
• Individuals with specific circumstances or conditions that would benefit from Community Paramedicine services
• Community Paramedicine Referral form available here – NOTE: The Community Paramedicine Referral Form is to be completed by or in consultation with the primary care provider. All referrals MUST be accompanied by a signed Provider Sign-Off Form.

Complete this Community Paramedicine Referral form and fax completed referral form to 226-270-5532

NOTE: The Community Paramedicine Referral Form is to be completed by or in consultation with the primary care provider.

All referrals MUST be accompanied by a signed Provider Sign-Off Form.

The MLPS Professional Practice, Clinical Excellence and System Oversight division ensures the comprehensive quality management in respect to various Acts, legislative requirements and best practice.

Learn about about maintenance of certification, annual re-certification, and performance improvement for the community paramedicine team.

Dustin Carter
Superintendent, Community Paramedicine
Office: 519-679-5466, ext. 1101
Email: [email protected]