Forms & Documents

2016 Norovirus Poster 1 21 | CE MATERIAL | PROCEDURE SKILL SHEETS

2016 System Memo # 357 CE Make ups and NREMT Clarification | SYSTEM MEMOS 2016

2016 System Memo # 358 | SYSTEM MEMOS 2016

2016 System Memo # 359 | SYSTEM MEMOS 2016
CARS Superusers

2017 Active Shooter Planning in a Heathcare Setting | EMERGENCY PREPAREDNESS
Updated active shooter planning information

2018 AGENDA State 4 23 18 | ILLINOIS EMS EDUCATION COMMITTEE

2018 Attendance Record Education Committee 4 18 | ILLINOIS EMS EDUCATION COMMITTEE

2018 Drug and Supply List for Ambulances 12 12 | SYSTEM MEMOS 2018
Updated to include igel

2018 EMS Summit 18 - Mattera | ILLINOIS EMS EDUCATION COMMITTEE

2018 EMSCs 4 18 | ILLINOIS EMS EDUCATION COMMITTEE

2018 FICEMS Strategic Plan March 2014 | ILLINOIS EMS EDUCATION COMMITTEE

2018 Glucometer Daily Checklist | DRUG AND SUPPLY LIST
For new glucometers

2018 HEMSC/Educators Committee Charter | HOSPITAL EMS COORDINATORS / EDUCATORS
2018 Update

2018 IDPH Final Strategic Plan 2010 | ILLINOIS EMS EDUCATION COMMITTEE

2018 PHRN Policy Approved on 4 23 18 | ILLINOIS EMS EDUCATION COMMITTEE

2019 Advisory Board Charter | CHARTER
Updated charter

2019 April Norovirus Factsheet | CE MATERIAL

2019 IDPH Ebola Health Alert 8 16 | EMERGENCY PREPAREDNESS
Updated health alert from IDPH

2019 Measles Information Sheet | EMERGENCY PREPAREDNESS | INFECTION CONTROL RESOURCES

2019 Peer Educator Process Letter 10 1 | PEER EDUCATOR

2019 Peer Educator Teaching Record | PEER EDUCATOR

2021 EMS Strategic Plan 2020 edition | STRATEGIC PLAN

2021 PBPI Plan | PROVIDER BASED PERFORMANCE IMPROVEMENT

2021 R and D Charter | RESEARCH & DEVELOPMENT
updated charter for the R & D Committee

2022 PBPI Charter | PROVIDER BASED PERFORMANCE IMPROVEMENT
Updated charter on 12 6 21

2023 2024 CPR CARD | CE MATERIAL

2023 Advisory Board Membership | MEMBERSHIP DIRECTORY
Updated list 3/24/23

2023 CARS Member Roster & Alternates REV 11-2023 | COMPUTER AIDED REPORTING SYSTEM

2023 Crisis and Hotline Numbers 8/23 | OUTSIDE COURSES-CLASSES
Created by Haper College

2023 ECRN Agenda S23 | ECRN

2023 ECRN Checklist | ECRN

2023 ECRN Field Experience Verification Form S23 | ECRN

2023 ECRN Student Policies S23 | ECRN

2023 Education Commitee Charter Approved 3 7 | EDUCATION COMMITTEE

2023 EMT Class Student Handbook | EMT-BASIC

2023 IDPH ALS Ambulance Inspection form 10 23 | POLICY MANUAL
Updated fillable pdf

2023 NAPEMSC Charter | PROVIDER EMS COORDINATORS

2023 NWCEMSS Directory 10 01 | DIRECTORY

2023 NWCEMSS Organizational Chart | ORGANIZATIONAL CHART

2023 NWCEMSS Standard Operating Procedures rev 10 5 23 | SOPS
Updated with new facility listing

2023 Policy Manual ToC 7 1 23 | POLICY MANUAL

2023 Procedure Manual 1 15 | PROCEDURE MANUAL
Annual update to the procedure manual

2023 Summative Evaluation S23 | ECRN

345 Paramedic Preceptor Class | SYSTEM MEMOS 2014

346 Adenosine Shortage | SYSTEM MEMOS 2014
System memo describing potential Adenosine shortage

378 Preceptror Courses 2020 | SYSTEM MEMOS 2019
Preceptor courses for 2020

393 System Memo regarding Covid 19 update 5 30 | SYSTEM MEMOS 2020

A1 Abandonment 2015 March Revision | POLICY MANUAL
Updated A1 Policy

A2 Aeromedical Transport 2023 | POLICY MANUAL
Updated policy 2023

A3 ALS EMR Services Service and police dogs 2023 | POLICY MANUAL
Updated policy

A3 ALS-BLS Scope of Practice 5 19 rev | POLICY MANUAL
Update of A3 policy

A4 AED Policy 8 1 19 rev | POLICY MANUAL

A4 AED Use in Children | POLICY MANUAL

A5 Abandoned Newborn rev 2023 | POLICY MANUAL
Updated policy

Active Shooter Guide | REGION IX POLICIES
Active Shooter Guide from USFA and IAFC

April 2011 Report to Provider EMDCs | PROVIDER EMS COORDINATORS

B1 Bypass Policy | POLICY MANUAL
Update to B1 Policy

Basic to EMT Transition | EDUCATION STANDARDS TRANSITION 2013 EDITION

Bouguie Assisted ETI Makeup Dates 2015 | CE CALENDARS

C1 Licensure as an EMT (B or P) 10 | POLICY MANUAL

C2 Continuing Education rev 2023 | POLICY MANUAL
Updated policy

C2 CPR Card 2023 | POLICY MANUAL
Current CPR certificate

C5 Commendation / Certificate of Merit | POLICY MANUAL

C5 Commendation / Certificate of Merit submission form | POLICY MANUAL

C6 Controlled Substance Log (CS) (Log Amb) 10-29-24 | POLICY MANUAL

C6 Controlled Substance Log (CS) (Log NT) 10-29-24 | POLICY MANUAL

C6 EMS Controlled Substance Program rev 8 1 23 | POLICY MANUAL

C6 Peer to Peer Exchange form rev 8 1 23 | POLICY MANUAL

C7 Confidentiality of Patient Records HIPAA rev 8 1 23 | POLICY MANUAL

C8 Communications | POLICY MANUAL
Updated 2023

C9 ECRN Communications log | POLICY MANUAL

Charter | ADVISORY BOARD
This is the Advisory Board Charter.

D1 Due Process Diciplinary Actions 3 22 | POLICY MANUAL

D1 Due Process Written Warning Doc File 1 16 Rev | POLICY MANUAL
Updated Written Warning for D1 updated on 1/16

D2 Drug Replacement Policy rev 81 23 | POLICY MANUAL

D3 Drug Pharmacologicl Management rev 8 1 23 | POLICY MANUAL

D4 Data Collection and submission rev 2023 | POLICY MANUAL
updated policy

D4 NWCEMSS Short Form | POLICY MANUAL
Acceptable Short Form Rev 8-1-2023

D4 QI Audit Short Form | POLICY MANUAL
For policy D4

D5 Illinois POLST Form rev 8 1 23 | POLICY MANUAL

D5 POA Healthcare 2016 Rev 12 1 | POLICY MANUAL

D5 POLST Form in English rev 8 24 23 | POLICY MANUAL

D5 POLST Form in Polish rev 8 24 23 | POLICY MANUAL

D5 POLST Form in Spanish rev 8 24 23 | POLICY MANUAL

D7 Dispatchers 10 | POLICY MANUAL

Directions to ICEP HQ | ILLINOIS EMS EDUCATION COMMITTEE

DNR Form 2013 Edition | POLICY MANUAL
Updated DNR Form from the state

Drug & Supply List REV 12-20-2023 | DRUG AND SUPPLY LIST

E-1 Use of Restraints Skill Sheet_2023-01 | POLICY MANUAL

E1 Emotional Illness Behavioral Health Emergencies | POLICY MANUAL

E1 Petition for Involuntary Judicial Admission 4 20 rev | POLICY MANUAL
Updated petition form

E1 Petitions and Police | POLICY MANUAL

E2 Equipment (nondisposable) Exchange 05 | POLICY MANUAL

E3 Entry Into System 04-01-2024 | POLICY MANUAL

E5 Code of Ethics Markup copy rev 5 13 21 | POLICY MANUAL
Marked up

E5 Code of Ethics rev 5 13 21 | POLICY MANUAL
Policy E5

E6 Episodic Mass Gatherings 01 | POLICY MANUAL

E6 NAEMSP Mass Gathering Manual 2018 ed | POLICY MANUAL
Guidlines for mass gatherings

E6 Special Events Request Application rev 8 1 23 | POLICY MANUAL

E6a Special Event BLS Log 2018 ed | POLICY MANUAL
Bls Log for mass gatherings