Section 56 Class Exemption for Emergency Medical Technicians-Advanced and Emergency Medical Technicians-Paramedic in Saskatchewan


Pursuant to section 56 of the Controlled Drugs and Substances Act (CDSA), paramedics with the title of Emergency Medical Technician-Advanced or Emergency Medical Technician-Paramedic in the province of Saskatchewan and employed by an ambulance service/air ambulance service operator licensed under The Ambulance Act (Saskatchewan) are exempted for medical purposes from the application of the following provisions of the CDSA and its regulations:

  • Subsection 4(1) of the CDSA with respect to fentanyl, ketamine, morphine and pethidine
  • Subsections 5(1) and 5(2) of the CDSA with respect to diazepam, fentanyl, ketamine, lorazepam, midazolam, morphine and pethidine
  • Subsection 8(1) of the Narcotic Control Regulations (NCR) with respect to fentanyl, ketamine, morphine and pethidine

In respect of this exemption,

  • Controlled substance means one of the following substances: diazepam, fentanyl, ketamine, lorazepam, midazolam, morphine and pethidine
  • Paramedic means a person who is registered and entitled under The Paramedics Act (Saskatchewan) to practice as an Emergency Medical Technician-Advanced or Emergency Medical Technician-Paramedic in that province and to administer controlled substances as part of the practice of paramedicine, and who is employed by an ambulance service/air ambulance service operator licensed under The Ambulance Act (Saskatchewan).
  • Designated Administrator means a person who is in a managerial position and is ultimately responsible for ordering, transporting, storing and providing controlled substances for an ambulance service/air ambulance service operator licensed under The Ambulance Act (Saskatchewan).
  • Unserviceable controlled substance means a drug product containing a controlled substance that is expired, contaminated, damaged, or any residual controlled substance remaining in a multi-dose vial.

This exemption provides the aforementioned paramedics with the authority to possess, transport and administer controlled substances when providing pre-hospital care to patients within their scope of practice as set out in the Saskatchewan Emergency Treatment Protocol Manual established by the Ministry of Health of Saskatchewan, and subject to the terms and conditions of this exemption.

The exemption is only applicable if the following conditions are met. Paramedics must:

  1. Administer the controlled substances in accordance with the direction of a practitioner and/or the Saskatchewan Emergency Treatment Protocol Manual;
  2. Record all transactions involving controlled substances, i.e., date, name and quantity of controlled substances obtained, administered and returned, and provide such a record to the Designated Administrator for record-keeping purposes;
  3. Take necessary steps, in accordance with guidelines established by the Ministry of Health of Saskatchewan, to ensure the security of the controlled substances on their person and in their ambulance or aircraft;
  4. Report immediately when they become aware of any loss or theft of controlled substances in their possession or in their ambulance or aircraft;
  5. Return any unserviceable controlled substances to the Designated Administrator who supplies the controlled substances; and
  6. Obtain controlled substances only from the Designated Administrator of the ambulance service/air ambulance service with which they are affiliated.

This exemption will remain in effect until revoked. Failure to comply with the terms and conditions of this exemption may, among other things, result in immediate suspension of this exemption, and ultimately, in its revocation.

Signed for and on the behalf of the Minister of Health

Diane Allan, Director
Office of Controlled Substances
Controlled Substances and Tobacco Directorate
Healthy Environments and Consumer Safety Branch

Effective Date: April 30, 2010

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