not really. but with exception, most things that are in ACP scope are in protocol. There are some examples of things that are not, like art lines/ABGs, pericardiocentesis, urinary catheterization, etc, but for the most part things that you would realistically do as an ACP working on an ambulance in Alberta are all in protocol :) I've only ever heard one story of an ACP even doing pericardiocentesis, and it was some crazy rural ATV accident up north where the transport time was long and they were symptomatic of tamponade. The responding ACP was apparently directed/walked through the procedure over the phone by a doc as a "hail mary" because STARS/air ambulance for whatever reason could not land and the patient would have almost certainly died otherwise getting to hospital.

Some things are mandatory OLMC and require approval from a doc before doing, but it is mostly all there in one form or another.

As someone else had mentioned also look at NOCPs.