Forms & Protocols

OSF East Central Illinois EMS System Entry

• Process and Contact Information

• System Entry Application(PDF - 103.1 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 - 54.7 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 - 4.7 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)

• 汽车特许

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

  IDPH Aircraft Inspection(PDF - 155.5 KB)

  IDPH Ambulance Inspection(PDF - 845.7 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.

Protocols

• East Central Illinois EMS Protocols

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

  Inter-facility Transfers(PDF - 240.2 KB)

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