EMS Provider Manual

EMS Provider Manual. Click on the link and protocol/guideline will open in a separate window as a PDF: (Last operational Plan updated August 1, 2008).

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1. Department Structure

1.1 Forward and Purpose

1.2 Medical Director

1.4 Department Philosophy

1.5 BLS Position Description

1.6 ALS Position Description

1.12 Privacy Officer

 

2. Department Policies

2.0 Application & Background Check

2.1 Student or Civilian Ride along

2.2 Ride Along & Confidentiality

2.3 EMT Trainee

2.4 Introductory Employee

2.5 Orientation & Probationary Booklet

2.6 Run Evaluation Form

2.7 Training Requirements

2.8 Excuse from Training Form

2.10 Active Employee Requirements

2.11 Scheduling & Release of Monthly Hrs Req.

2.12 Leave of Absence

2.13 Payroll & EEO Employment

2.14 Performance Feedback & Review

2.15 Unlawful Harassment & Conduct

2.16 Substance Use & Abuse

2.17 Conflict Resolution & Problem Solving

2.18 Progressive Discipline & Corrective Action

2.19 Village Benefits Part Time Employees & LOSAP

2.20 Felony Conviction & General Compliance

2.21 Injuries on the Job, Workplace Safety

2.22 Facilities, Property, Firearms, Searches

2.23 Uniforms

2.24 CQI

2.25 CQI Audit Form

2.26 Customer Service Survey

2.27 Lets Do It Better form

2.28 Court & Depositions

2.29 Contract for Education

2.30 Pagers & Radios

2.31 Computer & Internet usage

2.32 Separation from Employment

2.33 Mobile Phones

2.34 Duties at Hospital

2.35 Severe Weather

2.36 CISM

2.37 POV

2.38 POV Permit

2.39 LODD

2.40 LODD definitions

2.41 Bicycles

2.42 Gator/ATV operations
2.43 Photgraphic Guidelines            NEW 8/8/2009

2.44 NIMS

2.45 Safe Haven for Newborns

2.46 Safe Haven for Newborns Form

2.47 Exposure Control

2.48 Hazardous Materials Policy

2.49 Employee Health & Immunization

2.50 HIPAA Confidentiality Policy

2.51 HIPAA NPP Brochure

2.52 HIPAA Privacy Training

2.53 HIPAA Security Levels

2.54 HIPAA Computer Information

2.55 HIPAA Patient Access Amend Restrictions

2.56 HIPAA Patient Request Access form

2.57 HIPAA Patient Request to Amend PHI

2.58 HIPAA Access Accounting Form

2.59 HIPAA Patient Request to Restrict

2.60 HIPAA Designated Records Set

2.61 HIPAA Procedure for filing Complaint

2.62 HIPAA Employee Records

2.63 HIPAA Destruction of Records
2.65 Red Flag Detection & Reporting       
2.66 Identy Theft Protection                    

3. Response and Scene Guidelines by Medical Director 

3.0 ALS / BLS Response

3.1 Legal Crew & Use of RN on Ambulance

3.2 Responding to calls

3.3 Responding to Inter-facility Transfers

3.4 Responding with Police ERU

3.5 Responding to a Crime Scene

3.6 Responding to Working Fire

3.7 Responding to non working fire

3.8 Responding to an MCI

3.9 MCI Patient Tracking form

3.10 Responding to Possible Terrorist Call

3.11 Emergency Vehicle Operations

3.12 Disabled Ambulance Procedure

3.13 Mutual Aid

3.14 Helicopters

3.15 Helicopter safe landing zone

3.16 Min. Equipment brought into a scene

3.17 Forced Entry

3.18 Handling Patient Valuables

3.19 Patient Transports

3.20 Insurance Guidelines

3.21 Firefighter rehab

3.22 Firefighter rehab log

3.23 Standby Events

3.24 Event Standby Treatment Log

3.25 Physician at Scene

3.26 Family Members Riding in Amb.

3.30 Duty Officer handbook

4. Patient Care Guidelines by Medical Direction

4.0 Patient Assessment

4.1 Patient Destination

4.2 Air Medical Intercept

4.3 Lights & Siren Transport

4.4 Inter-facility Transports

4.5 Non-Transport

4.6 Glasgow & Pain Scales

4.7 Normal Vital Signs Adult

4.8 Normal Vital Signs Pediatric

4.9 Lab Value

4.10 Common Prescription Medications

4.11 Communicating with Medical Control

4.12 PCR Charting

4.13 Acceptable Abbreviations

4.14 DNR/DNI

4.15 Abruptio Placetae

4.16 Airway Obstruction

4.17 Altered LOC 

4.18 Anaphylaxis

4.19 Breech Delivery & Cord Complications

4.20 Burns

4.21 Cardiac Signs & Symptoms

4.22 Cardiac Arrest

4.23 Cardiac Arrest Pediatric

4.24 Cardiac Arrest Data Form

4.25 Combative Patient

4.26 Conscious Sedation

4.27 Croup

4.28 Domestic Violence

4.29 Emergency Detention

4.30 Epiglottits

4.31 Firefighter Rehab

4.32 Hazardous Materials Contamination

4.33 Heat Related Injuries

4.34 Hydrofluoric Acid & Fluorine Gas

4.35 Hypoglycemia

4.36 Hypothermia & Frostbite

4.37 Mass Gatherings/Standbys

4.38 Meconium Aspiration Syndrome

4.39 MRSA

4.40 Neurologic Signs & Symptoms

4.41 Neurologic Pre-Hospital Stroke Scale

4.42 Obstetrical Delivery

4.43 Obvious Death

4.44 Overdose

4.45 Pain Management

4.46 Placenta Previa

4.47 Postpartum Hemorrhage

4.48 Pre Eclampsia & Eclampisa

4.49 Public Access Defib

4.50 Radioactive Contaminated Patients

4.51 Rattlesnake Bite

4.52 Respiratory Signs & Symptoms

4.53 SARS

4.54 Seizures

4.55 Spinal Immobilization & Helmet Removal

4.56 Exclusion of Spinal Pre-cautions

4.57 Taser Removal

4.58 Tracheostomy

4.59 Trauma Signs & Symptoms

4.60 Trauma Team Activation

4.61 Tuberculosis

4.62 Ventilators

4.63 Smoke Inhalation/Carbon Monoxide Poisoning
4.64 Near Drowning
4.65 Air Embolism
4.66 Nausea & Vomiting

 

 

5. Medication Administration Guidelines

5.0 Medication Administration

5.0 Controlled Substance Usage Report

5.0 Controlled Substance Medications

5.0 IV Access

5.0 Medication Accountability

5.1 Adenosine

5.2 Albuterol

5.3 Amiodarone

5.4 Aspirin

5.5 Atropine Sulfate

5.6 Atrovent

5.7 Benadryl (Diphenhydramine)

5.8 Calcium Chloride

5.9 Dextrose Oral

5.10 Dextrose 50%

5.11 Diazeoam (Valium)

5.12 Dilaudid

5.13 Dopamine Drip

5.14 Epi 1:1,000

5.15 Epinephrine 1:10,000

5.16 Etomidate

5.17 Fentanyl 

5.18 Glucagon

5.19 Haldol

5.20 Heparin

5.21 Lorazepam (Ativan)

5.22 Magnesium  Sulfate 50%

5.23 Mark I Kits

5.24 Metered Dose Inhalers

5.25 Metoprolol (Lopressor)

5.26 Morphine Sulfate

5.27 Narcan

5.28 Nitro BLS

5.29 Nitro ALS

5.30 Nitroglycerin Drip

5.31 oxygen

5.32 Proparacaine (Alcaine)

5.33 Phenergan

5.34 Racemis Epinephrine

5.35 Sodium Bicarbonate

5.36 Succinylcholine (Anactine)

5.37 Terbutaline Sulfate (Brethine)

5.38 Toradol (Ketorolac)

5.39 Vasopressin

5.40 Vecuronium (Norcuron)

5.41 Versed (Midazolam)

5.42 Zofran
5.43 Furosemide

6. Procedures and Equipment

6.1 Blood Glucose Testing

6.2 CombiTube

6.3 Pneumatic Compression Trousers

6.4 Pulse Oximetry

6.5 Continuous Positive Airway Pressure Device

6.6 CPAP Resp. Distress Score Form

6.7 RES Q POD Resuscitation Device

6.8 Asherman Chest Seal

6.9 Demand Valve Resuscitator

6.10 End Tidal Carbon Dioxide Detector

6.11 Auto Transport Vent

6.12 Endotrachel Intubation

6.13 ET Introducer

6.14 Rapid Sequence intubation - RSI

6.15 ET Blub Check

6.16 EZ I/O Adult        EZ I/O Guide

6.17 EX I/O Peds

6.18 Pediatric I/O

6.19 12 lead Monitoring

6.20 Needle Chest Decompression

6.21 Transcutaneous Pacing

6.22 Cardioversion

6.23 Pericardiocentesis

6.24 Needle Cricothyrotomy

 

7. Forms and Reference Materials

7.0 Employment Application

7.1 Acknowledgement of Policies Form

7.2 Employee ACH Form

7.3 Federal I-9 Form

7.4 W4

7.5 WI Care Giver background Check

7.6 Wisconsin WT-4

7.7 New Employee Checkoff

7.8

7.9

7.10 Employee Immunization Form

7.11 Employee Annual Mantoux

7.12 Employee Exposure Form

7.13 Employee Health Form

7.14 Employee Incident Form

7.15 Employee Influenza

7.16 Employee Injury Report

7.17 Employee Review FT

7.20 EMT Sponsorship for Education Form

7.49 East Metro QI Improvement Form

7.50 Paid On call 2008

7.51 LOSAP

7.52 Hire dates

7.75 Non-Transport Form

7.76 Charge Form

7.77 Incident Report Form

7.78 Medical Records Custodian Form

7.79 Medicaid Authorization

7.80 Medicare Waiver Form

7.81 Inter-facility Form 

7.82 Nursing Home Transports 

7.83 Run Notes/Hand off Form

7.84 PCS Form

7.85 Patient Signature Form

7.86 Billing Authorization & PPB

7.98 Fees Charged for Special Events

7.99 Regulations Table

 

State Reference Forms

1. Medical First Responder Scope of Practice

2. Basic Scope of Practice                NREMT Brochure

3. Intermediate Technician Scope of Practice   

4. Intermediate Scope of Practice     NREMT Brochure

5. Paramedic Scope of practice        NREMT Brochure

6. Wisconsin FR/EMT License Application

7. Wisconsin License Verification

8.Wisconsin EMT Renewal Form

9. HFS110

10. HFS111

11. HFS112

12. HFS113

Employees are responsible for checking the website for updates.