 There is considerable degree of inter-provincial variation in the Canadian paramedic practice.Although a national consensus (by way of the National Occupational Competency Profile) identifies certain knowledge, skills, and abilities as being most synonymous with a given level of Paramedic practice, each province retains ultimate authority in legislating the actual administration and delivery of emergency medical services within its own borders.For this reason, any discussion of "Paramedic Practice" in Canada is necessarily broad, and general.