10.05.09

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Westchester REMAC
PROTOCOLS, POLICIES & ADVISORIES

• REMAC Protocols

  • Paramedic

    • 2012 Update Training Materials

  • EMT-Intermediate (EMT-I)

  • BLS Special Procedures

• NYSDOH Protocols

  •  NYS BLS Treatment Protocols 
        (For EMT and AEMT ONLY)

  •  NYS CFR Treatment Protocols

• REMAC Policies

• NYS Policies
  (Albuterol, Epi-Pen, Glucometers)

• Advisories

  •  REMAC

  •  NYSDOH

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PROTOCOLS   PARAMEDIC 2012 PARAMEDIC UPDATE PROTOCOLS - (23 pgs)  - 515 KB To replace previous versions of the same numbered pages in 2008 protocols Two (2) new protocols to be added to 2008 protocols ALSO SEE ROLLOUT MATERIALS BELOW ___________________________________________________________________________ PARAMEDIC PROTOCOLS - 2008 Version - Complete Document (127 pgs) - 598 KB Cover / Table of Contents / Introduction (10 pgs) - 80 KB Medical - Protocol M-1 to Protocol M-12 (30 pgs) - 166 KB Pediatric - Protocol P-1 to Protocol P-11 (22 pgs) - 130 KB Trauma Protocol T-1 / Special Protocol S-1 to Protocol S-3 (12 pgs) - 100 KB Appendices - Appendix A-1 to Appendix A-4.0 (11 pgs) - 104 KB Appendix A-4.1 - Drug Formulary (42 pgs) - 165 KB NOTE: These Standard Operating Procedures are to be used in conjunction with the 2008 Paramedic Protocols ALS STANDARD OPERATING PROCEDURES (SOP) - complete document (5 pgs) - 55 KB ALS SOP 1.0 - Advanced Airway Management (Dec 2008) ALS SOP 1.1 - Tension Pnemothorax (Dec 2008) ALS SOP 2.0 - Intravenous Access  (Dec 2008)   PARAMEDIC PROTOCOLS UPDATE TRAINING MATERIALS (for 2012 Rollout)   Paramedic Protocol Updates (FINAL) (23 pgs)  - 515 KB Overview Presentation - - 1.9 MB   FORMS 2012 Protocol Rollout Attendance Sheet (fillable PDF)   Problems Printing a Document?  Please Click Here For More Information about Adobe Acrobat and PDFs.   MS PowerPoint documents may be used with a FREE copy of MS PowerPoint Reader     Top  INTERMEDIATE   EMT- Intermediate Protocols 2002 - Version 2 Full text (19 pages) - 89KB   Table of Contents and Introduction (Pg 1-11) - 54KB Protocol 1 to Protocol 5 (Pg 12-16) - 31KB Appendix A - Equipment (Pg 17-19) - 30KB   Top  BASIC (Regional)   BLS Special Procedures  -  2004 - Version 3 Full text (11 Pages) - 155KB   Top  NYS DOH BLS (EMT / AEMT)   NYS EMT / AEMT BLS Treatment Protocols - 2008   - Links to NYSDOH Bureau of EMS Website NYS DOH Protocol Updates: Suspected Spinal Injury (December 2008)   Top  NYS DOH CFR   NYS Certified First Responder (CFR) Treatment Protocols - 2006   - Links to NYSDOH Bureau of EMS Website NYSDOH Protocol Updates:     NOTE: Anyone interested in taking the written Westchester REMAC Protocol exam for EMT-P or EMT-I, please contact the EMS Office at 914-231-1616.  See the Credentialing Page for more information on applying for Westchester REMAC credentialing.     NYS DOH Policies - Link to NYSDOH Bureau of EMS Website NYS DOH Policy Regional Attachments ALBUTEROL / BLOOD GLUCOMETRY 12-01 Blood Glucometry and Nebulized Albuterol See REMAC Policy 04-02 below for Albuterol Information   The REMAC DOES NOT authorize blood glucometry by BLS agencies at this time. Glucometers & NYS Clinical Laboratory Evaluation Program (CLEP) Registration Important reminder to all Regional ALS Agencies: The law requires that any EMS service testing blood glucose, whether by electronic glucometer or chemstrip, be required to possess a Limited Laboratory Registration. In order to obtain the Registration, EMS agencies must complete and submit the following documents. - Limited Service Laboratory Registration (DOH-4081) - Disclosure of Ownership and Controlling Interest Statement (DOH-3486) Additional information regarding CLEP (as well as Quality Assurance requirements related to this registration) is available on line,  www.wadsworth.org/labcert/clep/Administrative/ChangeForms.htm , and in the  CLEP Guide   EPINEPHRINE AUTO-INJECTORS 10-01 Defibrillators and Epinephrine Requirements (FOR EMS) 11-08 Epinephrine Auto-Injectors (epi-pen) (FOR EMS and CAMPS) DOH 4188 Notice of Intent to Posses Epinephrine Auto-Injectors (Click here for a fillable version of DOH 4188)Fillable PDF     EMS: Epi Pen Instructions for EMS (CFR/EMT)   Epi-Pen Collaborative Agreement (EMS) - Fillable PDF Epi-Pen Report Form (EMS) -   Fillable PDF   CAMPS: Epi-Pen Collaborative Agreement (CAMPS) - Fillable PDF Epi-Pen Report Form (CAMPS) - Fillable PDF         Top   REMAC POLICIES  Documents in pdf unless noted otherwise.  Policy Attachments 11-03 Advanced Life Support Complaint Procedures New as of 5/16/2011     11-02 EMS System Resource Utilization New as of 2/8/2011 (Note - in conjunction with REMSCO)   Air Medical Services Guidelines 11-01 Quality Improvement (QI) Guidelines Updated as of 1/27/2011 REMAC Memo Regarding Updated QI Program QI Committee Meeting Report Form Amended as of 11/15/04 Collaborative Committee Supplemental Form New as of 11/15/04  PCR QI Review Form   04-04  BLS Administration of Mark I Kits  (NOTE: Regional EMS agencies should contact the Regional EMS Office for more information regarding program applications, distribution or ordering.) Mark I Kit Program Application Mark I Kit Program (BLS) Collaborative Agreement BLS Special Procedure Protocols (V-3 2004)   04-03  Use of Hemostatic Agents     04-02  EMT-B Administration of Nebulized Albuterol Application for BLS Administration of Nebulized Albuterol Collaborative Agreement for BLS Administration of Nebulized Albuterol Westchester REMAC Approved Curriculum for BLS Administration of Nebulized Albuterol   04-01  EMT-B Assisted Medications   03-01 Mark I Kits  (ALS) - (NOTE: Regional ALS agencies should contact the Regional EMS Office for more information regarding program applications) Mark I Kit Advisory (3/2003) NYS DOH Policy 03-05 (link) Mark I Kit Program Application Mark I Kit Program (ALS) Collaborative Agreement   01-01 Pronouncement of Death Guide to Reporting Deaths to the Medical Examiner (link - 2003) [top]   REMAC ADVISORIES * Denotes advisories released by the Hudson Valley REMAC and endorsed by the Westchester REMAC prior to Westchester REMAC assuming oversight of the Regional Medical Control in May 2002.  Date Type Topic March 2013 Medication Shortage Dextrose Supply October 2011 Medication Update Benzodiazepine Supply July 2010 Medication Shortage Pharmaceutical Shortage June 2010 Medication Shortage Pharmaceutical Shortage February 2010 System Update STEMI Transport Program Letter Re STEMI from REMAC Chair (2/3/10) August 2009 Medication Update Clarification of Dobutamine Concentration April 2009 Hospital Status Change Dobbs Ferry Pavilion of St. John's Riverside Hospital October 2007 Specialty Care Centers Stroke Centers - Update Attachments NOTE: For national drug shortage information, check the website of the American Society of Health-System Pharmacists Top   NYSDOH ADVISORIES Bureau of EMS Policies and SEMAC Advisories   Any questions regarding the protocols, policies and advisories posted here may be directed to the Regional EMS Office by calling 914-231-1616 or by emailing wremsco@wremsco.org .