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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