Forms & Documents

E6b Special Event ALS PCR 2018 ed | POLICY MANUAL
PCR for mass gatherings

E7 ECRN Recognition rev 2 1 23 | POLICY MANUAL

Emergency Patient Care Report During a Declared Emergency | PROCEDURE MANUAL
To be used during a declared emergency

EMPTY | CRITICAL CARE EMS

EMS Instructor Qualifications | EDUCATION STANDARDS TRANSITION 2013 EDITION

EMT-B to EMT Transition Module I and EMT-B to EMT Transition Module I | CE MATERIAL

EMT-B to EMT Transition Module I and EMT-B to EMT Transition Module II | CE MATERIAL

Explanation of Data change for TOR | COMPUTER AIDED REPORTING SYSTEM
New data choice for disposition of termination of resuscitation

F1 First Responder (EMR) 10 | POLICY MANUAL

Fabsits EMS Task Force Testimony12-11 | ILLINOIS EMS EDUCATION COMMITTEE

Fall 2024 EMT Class Schedule | EMT-BASIC

Fall 2025 EMT Class Schedule | EMT-BASIC

Final Education Agenda | ILLINOIS EMS EDUCATION COMMITTEE

G1 Complaint Investigation Form 2024-01 FILLABLE | POLICY MANUAL

G1 Investigation Form in pdf 1 24 | POLICY MANUAL

G2 System Review Board and List rev 1 24 | POLICY MANUAL

G3 State Disciplinary Review Board rev 1 24 | POLICY MANUAL

HEPA Filter on BVM Slides | DRUG AND SUPPLY LIST
Powerpoint slide in pdf format

I-2 Infection Control Guidance for Healthcare Professionals | POLICY MANUAL

I-3 Invalid Assist | POLICY MANUAL
Invalid Assist Policy 2012 version

I1 Inactive Status application | POLICY MANUAL

I1 Inactive Status rev 1 24 | POLICY MANUAL

I1 Reactivation Application | POLICY MANUAL

I2 410 ILCS 305 Aids Confidentiality Act | POLICY MANUAL

I2 Appendix Final 1 16 Rev | POLICY MANUAL

I2 Inf Ctrl Policy 1 16 Rev | POLICY MANUAL

I2 Inf Ctrl Policy Marked with changes 1 16 Rev | POLICY MANUAL

I2 Infection Control Guidance for EMS Providers 2013 edition | POLICY MANUAL
Infection Control Guidance

I2 Infection Control Nurse handout & Factsheet 2013 edition | POLICY MANUAL

I2 Infectious Disease Playbook 2017 | POLICY MANUAL
Infection Control Document

I2 Request For Exposure Determination 1 16 Rev | POLICY MANUAL

I2 Request for Source Patient Testing Revised 3 13 | POLICY MANUAL
Updated request for source patient testing revised 3 2013

I2a Dico List rev 3 23 | INFECTION CONTROL RESOURCES

I2a Dico List rev 3 28 23 | POLICY MANUAL
Updated list for 2023

I3 Invalid Assists rev 2 19 | POLICY MANUAL
Update to policy I3

I4 IMPAIRED BEHAVIOR and Fitness for Duty (rev 9/9/21) | POLICY MANUAL
Revision to the policy

IAFC Ryan White Release | POLICY MANUAL

IDPH Cover Letter approving MIH programs 2024 | MOBILE INTEGRATED HEALTHCARE
2024 MIH program approval letter from IDPH

IDPH Q A DNR 2013 Edition | SYSTEM MEMOS 2013
Q & A About the new DNR Form

ILL EMS Education Committee Report 7 14 | ILLINOIS EMS EDUCATION COMMITTEE
Report of the State EMS Education Committee

Illinois Child Passenger Protection Act July 2003 | POLICY MANUAL

Infection Control Annual Update 2011 | OUTSIDE COURSES-CLASSES

Infection Control Course 2011 | OUTSIDE COURSES-CLASSES

L1 Patient in Law Enforcement Custody 10 1 ver | POLICY MANUAL

L2 Lights and Siren Policy Markup rev 12 1 23 | POLICY MANUAL

L2 Lights and Siren Policy rev 12 1 23 | POLICY MANUAL

M-9 Med-Engine Drug & Supply List April 2012 | POLICY MANUAL
2012 version of D & S for Med-engines

M2 Mandatory Reviews 05 | POLICY MANUAL

M4 MEDICAL EXAMINER/CORONER GUIDELINES rev 8 1 23 | POLICY MANUAL

M5 ALS BLS Manpower 06 | POLICY MANUAL

M6 MD and ECRN Backup 2023 | POLICY MANUAL
updated 2023

M8 Medical Device Failure FDA Report Form 3500 | POLICY MANUAL

M8 Medical Device Failure rev 4 18 | POLICY MANUAL

M9 MedEngine | DRUG AND SUPPLY LIST | POLICY MANUAL
Includes the Drug and Supply list

M9 NT ALS Supplemental Inspection Form Fillable | POLICY MANUAL

M9 NT Med Engine Instructions for The Inspection Form 8 1 23 | POLICY MANUAL

Map for Quick Drop Off of Documents | TNS

Mattera CV | MISSION, VISION AND VALUES

Mattera EMS Task Force Testimony 12-11 | ILLINOIS EMS EDUCATION COMMITTEE

MIH Assessment Tool S24 | MOBILE INTEGRATED HEALTHCARE

MIH Brochure 2024-05-30 | MOBILE INTEGRATED HEALTHCARE

MIH CP Agreement Form Fillable | MOBILE INTEGRATED HEALTHCARE

MIH-CP Job Description | MOBILE INTEGRATED HEALTHCARE

NASEMSO - Where can I Find It | EDUCATION STANDARDS TRANSITION 2013 EDITION

NASEMSO FAQs | EDUCATION STANDARDS TRANSITION 2013 EDITION

NCH Campus Map Auditorium and Parking | TNS

NCH Hospital First Floor Map | TNS

NEMSIS 3 Tables Released on 12 12 13 | COMPUTER AIDED REPORTING SYSTEM
The data elements Illinois requires under NEMSIS 3

NFPA1581 | POLICY MANUAL

NREMT Transition Policy | EDUCATION STANDARDS TRANSITION 2013 EDITION

NWC EMSS MIH CP Application | MOBILE INTEGRATED HEALTHCARE

NWC NLC MIH SOP | MOBILE INTEGRATED HEALTHCARE

O1 Override Policy and Form rev 8 1 23 | POLICY MANUAL

OSHA Rapid Testing Requirement | POLICY MANUAL

P1 Preceptor Agreement rev 2020 | POLICY MANUAL
update

P1 Preceptor Application rev 2020 | POLICY MANUAL
update

P1 Preceptor Policy 2019 Edition | POLICY MANUAL
Updated preceptor policy

P2 Physician Nurse on scene rev 8 1 23 | POLICY MANUAL

P3 Interaction with Police on scene rev 8 1 23 | POLICY MANUAL

P4 PHRN 10 | POLICY MANUAL

P5 AMB INSP Renewal Notice | POLICY MANUAL

P5 Ambulance Inspection Criteria 4-1-10 | POLICY MANUAL

P5 Initial Ambulance Inspection (Triple K) Template 10 | POLICY MANUAL

P5 Non-transport provider application form | POLICY MANUAL

P5 System Plan Agreements Vehicle Service Providers Ambulnce Licensure Operations | POLICY MANUAL

P5 Transport Provider Application IDPH | POLICY MANUAL

P5_IDPH_Ambulance_Inspection_Form_8_12.pdf | POLICY MANUAL
IDPH inspection form for ambulances

P6 Plan Amendment 05 | POLICY MANUAL

P6 System Modification Form | POLICY MANUAL

P7 Peer Ed Application 2024 Fillable | PEER EDUCATOR

P7 Peer Educator Application | POLICY MANUAL

P7 Peer Educator I IV 2023 | POLICY MANUAL

P7 Peer Educator I IV 2023 | PEER EDUCATOR

P7 Peer Educator Table 2003 | PEER EDUCATOR

P7 Peer Table 2019 | POLICY MANUAL

Parkland College Map | ILLINOIS EMS EDUCATION COMMITTEE

Pillars of Excellence 2018 update | MISSION, VISION AND VALUES
Revised Pillars of Excellence for Mission Statement

Policy Manual Table of Contents 3 10 22 | POLICY MANUAL

Policy Manual Table of Contents rev 8 1 23 | POLICY MANUAL

Procedure for Entering an Electronic Refusal of Service | COMPUTER AIDED REPORTING SYSTEM