Forms & Protocols
Education
Forms
Provider Licensure
- CE Tracking Sheet (XLSX - 59.2 KB)
- 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
- EMR Minimum Equipment List (PDF - 10.8 KB)
- BLS Minimum Equipment List (PDF - 11.7 KB)
- ILS ALS Transport Minimum Equipment List (PDF - 168.0 KB)
- ILS ALS Non-Transport Minimum Equipment List (PDF - 172.1 KB)
- IDPH Aircraft Inspection (PDF - 155.5 KB)
- IDPH Ambulance Inspection (PDF - 141.8 KB)
- IDPH Non-Transport Inspection (PDF - 880.9 KB)
- In Field Service Level Upgrade Application (PDF - 83.3 KB)
OSF East Central Illinois EMS
- System Entry Application (PDF - 33.0 KB)
- EMS Risk Screen (PDF - 116.6 KB)
- EMR Medication Order Form (PDF - 165.1 KB)
- BLS Medication Order Form (PDF - 166.7 KB)
- ILS ALS Non-Transport Medication Order Form (PDF - 273.6 KB)
- ILS ALS Transport Medication Order Form (PDF - 272.5 KB)
- Controlled Substance Security Log (PDF - 485.0 KB)
- Controlled Substance Monthly Inventory Log (PDF - 469.1 KB)
- Controlled Substance Administration Log (PDF - 497.1 KB)
- Controlled Substance Risk Screen (PDF - 277.0 KB)
Protocols
- 12 Lead EKG (PDF - 124.9 KB)
- Adult Cardiac Emergencies (PDF - 781.2 KB)
- Adult Medical Emergencies (PDF - 772.6 KB)
- Adult Trauma Emergencies (PDF - 543.3 KB)
- Dopamine Drip Chart (PDF - 168.1 KB)
- General Protocols (PDF - 725.3 KB)
- LVAD Field Guide (PDF - 7.7 MB)
- OB Emergencies (PDF - 600.2 KB)
- Pediatric Medical Emergencies (PDF - 412.3 KB)
- Pediatric Trauma Emergencies (PDF - 378.6 KB)
- Refusal Protocol (PDF - 74.3 KB)
- Special Situations (PDF - 100.7 KB)
- Table of Contents (PDF - 124.1 KB)
- Inter-facility Transfers (PDF - 99.6 KB)