Forms & Protocols

COVID-19 Response and Resources

ECIEMS is dedicated to providing current and accurate information to our agencies in response to their calls and protecting their personnell. Please review the information below for guidance during this fluid time.

If you or somone you know are suspected to have novel coronavirus (COVID-19) and it is not an emergency, DO NOT go to a hospital or doctor’s office.

Click Here to learn about the care options to best fit your needs.

• EMS Agency Resources Related to Novel Coronavirus (COVID-19)

• • Memo: COVID-19 Pandemic 11/13/20 (PDF - 916.9 KB)
  • Memo: COVID-19 Aerosol-Generating Procedures and Corticosteroids (PDF - 611.3 KB)
  • Memo: Personal Protective Equipment during COVID-19 Pandemic (PDF - 335.8 KB)
  • ECIEMS Emerging Infectious Disease Protocol (COVID-19) (PDF - 1.4 MB)
  • COVID-19: Recommendations for 911 Public Safety Answering Points (PDF - 579.2 KB)
  • ECIEMS COVID-19 Expsosure Policy (PDF - 734.8 KB)
  • ECIEMS COVID-19 Patient Handout (PDF - 1.0 MB)
  • ECIEMS Donning and Doffing of PPE (PDF - 696.1 KB)
  • ECIEMS Re-Use of N95 Masks (PDF - 751.8 KB)
  • ECIEMS Re-Use of Surgical Facemasks and Eye Protection (PDF - 731.1 KB)
  • ECIEMS Symptom Monitoring Form (PDF - 577.9 KB)
  • Patient Agreement for Non-Transport during COVID-19 Pandemic (PDF - 656.6 KB)

• IDPH and CDC Resources Related to Novel Coronavirus (COVID-19)

• • IDPH Infection Control Guidance for EMS during COVID-19 (PDF - 358.6 KB)
  • IDPH/CDC EMS Guidance COVID-19 updated 7/15/20 (PDF - 594.4 KB)
  • MIS-C and EMS Fact Sheet 7/2/20 (PDF - 114.0 KB)
  • CDC Stop Spreading The Germs (PDF - 81.0 KB)
  • CDC COVID-19 PPE (PDF - 68.7 KB)
  • Donning and Doffing the N95 (PDF - 5.6 MB)
  • Sequencing for PPE (PDF - 1.6 MB)
  • Surgical Mask vs N95 (PDF - 227.0 KB)
  • ASPR EMS Infectious Disease Playbook (PDF - 1.1 MB)
  • Recommended Guidance for Preventing Spread of COVID-19 in Large Businesses (PDF - 164.6 KB)
  • Recommended Motorola radio and accessory cleaning and disinfecting guidelines in response to COVID-19 (PDF - 131.2 KB)
  • What Firefighters and EMS Need To Know About COVID-19 (PDF - 402.6 KB)

OSF East Central Illinois EMS

• System Forms

• EMS Risk Screen (PDF - 426.1 KB)

  EMR Medication Order Form (PDF - 202.2 KB)

  BLS Medication Order Form (PDF - 202.4 KB)

  ILS Non-Transport Medication Order Form (PDF - 299.5 KB)

  ALS Non-Transport Medication Request Form (PDF - 304.9 KB)

  ALS Transport Medication Order Form (PDF - 304.7 KB)

• Controlled Substance Forms

• ALS Controlled Substance Monthly Inventory Log (PDF - 508.6 KB)

  ILS Controlled Substance Monthly Inventory Log (PDF - 507.1 KB)

  Controlled Substance Daily Security Log (PDF - 577.5 KB)

  Controlled Substance Administration Log (PDF - 569.0 KB)

  Controlled Substance Risk Screen (PDF - 310.8 KB)

  Controlled Substance Risk Screen - Fillable PDF (PDF - 320.2 KB)

Policies

• East Central Illinois EMS System Policies

• East Central Illinois EMS System Policies (PDF - 4.9 MB)

Licensure

• Provider Licensure

• Fee Waiver Request (PDF - 99.3 KB)

  License Extension Request (PDF - 812.5 KB)

  Inactive Request (PDF - 274.0 KB)

  NREMT EMT Handbook (PDF - 281.3 KB)

  NREMT Paramedic Handbook (PDF - 381.1 KB)

  IDPH EMS CE Recommendations (PDF - 388.2 KB)

• Vehicle Licensure

• All Levels System Inspection/Minimum Equipment List (PDF - 737.8 KB)

  IDPH Aircraft Inspection (PDF - 155.5 KB)

  IDPH Ambulance Inspection (PDF - 141.8 KB)

  IDPH Non-Transport Inspection (PDF - 880.9 KB)

  If you need a level specific inspection form or minimum equipment list, please contact our office.

Agency System Entry

• Process and Contact Information 

• System Entry Application  (PDF - 33.0 KB)

Protocols

• East Central Illinois EMS Protocols

• ECIEMS Protocols Effective 5/1/2020 (PDF - 16.1 MB)

  Inter-facility Transfers (PDF - 240.2 KB)

• Download our free app!

• Android

  Apple