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Procedures, Forms, Applications & Resource Documents
Procedures, Forms, Applications & Resource Documents
The Department of Community Health (DCH) establishes the authority in policy that grants the Office of Emergency Medical Services (OEMS) to create procedures that follows and interprets state statutes and Rules and Regulations. OEMS procedures are issued by an appropriate official in the department, usually the Director of the State Office of EMS. Consequently, due to the ever changing system of emergency services, procedures must be easily changed, unlike statutes or Rules and Regulations, which require action by the General Assembly or the Board of Community Health. For the reason procedures can be adjusted quickly to reflect changes or advances in emergency medical services.
Special effort on your part will be required to adhere to the most current publication of procedures from the OEMS. As necessary, the OEMS will maintain updates to procedures through this procedure registry.
For information regarding EMS Procedures, Forms and Resource Documents contact the State Office of EMS at (404) 679-0547 or your Regional EMS Office.
PROCEDURES
LICENSING OF PERSONNEL
PRO C-01 - Biennial License Renewal
C-02 EMS Initial License Examinations
v14-2009
C-04 CPR and ACLS Requirements v7-2009
C-05 Suspension of License of EMS Personnel
for Default of Payment v3-2009 Revised
C-06 Reinstatement of Georgia EMS Personnel
License v9-2009
C-08 Licensing of EMS Personnel
Revised 11/16/10
C-09 Voluntary Surrender of an EMS License
v6-2009
Revised
C-10 Reciprocity for Out-of-State EMS
Instructors v1-2009 Revised
C-12 Audits of Licensed EMS personnel
v2-2009 Revised
PHARMACEUTICALS
D-01 Procurement, Control, Handling and
Accountability of Pharmaceuticals Related to
Emergency Medical
Services v5-2009 Revised
EQUIPMENT
E-01 Approved Equipment for Licensed EMS
Providers v1-2006 Revised
LICENSING OF EMS PROVIDERS
L-01 EMS Vehicles Additions and Deletions
v2-2009
Revised
L-02 Filing a Complaint v5-2009
Revised
L-03 EMS Provider License Procedure v6-2006
L-04 AED Program License Application
Procedure v6-2009
Revised
L-06 Records Required During Inspection of
Licensed EMS Providers v2-2009
Revised
L-08 Base Station Designation v2-2009
Revised
L-09 Disciplinary Action v2-2009
Revised
L-10 Waivers and Variances
L-11 Georgia Patient Care Report Data
Conformity Process
PRACTICE
P-01 Scope of Practice for Licensed EMS
Personnel - All levels
P-01 Scope of Practice for Licensed EMS
Personnel - AEMT Only
P-01 Scope of Practice for Licensed EMS
Personnel - EMT Only
P-01 Scope of Practice for Licensed EMS
Personnel - Paramedic Only
P-01 Scope of Practice for Licensed EMS
Personnel - CT Only
P-01 Scope of Practice for Licensed EMS
Personnel - EMT Intermediate Only
TRAINING NREMT Basic Testing Policy & Report Form
T-02 Clinical Preceptors for EMT and
Paramedic Students in a Pre-hospital
Clinical Setting v7-2009
T-04 Course Approval Initial Education for
Licensure
T-05 Course Approval Continuing Education
v8-2009
T-06 Request for EMS Program Site Code
PROCEDURE FORMS
C-02-A Student File Review EMT Basic
C-02-B Student File Review Intermediate
C-02-C Student File Review Paramedic
C-02-D Student File Review - Combined Course
C-08-A In-State License Request
C-08-B Reciprocity License Request
Personnel Information Change / Duplicate Card Request Form
C-09-A Voluntary Surrender Form
C-11-A EMS Instructor Application
C-11-B EMS Instructor License Renewal Form
C-11-C Emergency Medical Service Level I
Instructor Application Check-off Sheet
C-11-D Emergency Medical Service Level II
Instructor Application Check-off Sheet
C-11-E Emergency Medical Service Level III
Instructor Application Check-off Sheet
L-03-A Application for an Emergency Medical
Service License (GA EMS 1000) (revised 3/2012)
GA EMS 1000 Supplemental Form
Addendum A: Personnel Information
Addendum B: Vehicle Information
Addendum C: Insurance Information
License Application Verification
L-04-A AED Program License Application
L-04-B AED Patient Care Reporting Form
L-10-A Waivers and Variances Request Form
T-02-A Clinical Preceptor Training Course
Guidelines
T-02-B Clinical Preceptor Training Record
T-04-A Application for Course Approval
Initial Education
T-04-B FERPA Release Form
T-05-A Application for Course Approval
Continuing Education
T-06-A Program Site Code Request
PROCEDURE RESOURCE DOCUMENTS
R-C-02-A EMT Basic Skills Verification and
Examinations
R-E-01-A Required Equipment for Licensed EMS
Providers-Ambulance
R-E-01-A(1) Safe Transport for Pediatric
Patients
R-E-01-B Required Equipment for Licensed EMS
Providers-Neonatal Unit
R-E-01-C Required Equipment for Licensed EMS
Providers-Medical First Responder Unit R-E-01-D - Vehicle Inspection Form - Air Ambulance (revised 06-01-2010)
R-L-11-A Georgia Patient Care Report Data
Conformity Process
R-P-01-A Scope of Practice for Emergency
Medical Services Personnel
R-T-04-B Minimal Equipment List for EMS
Programs
R-T-04-C EMS Curricula Standards for EMS
Programs
R-T-05-A Continuing Education Approval
Request Outline
R-T-05-B Assignment of Continuing Education
for Distributive Education
R-T-05-C EMS Curricula Standards for
Refresher Courses
Georgia Stroke Assessment Form - v.1 - 11-02-2011
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