TABLE OF CONTENTS

Statewide SMOs

I. INFECTION CONTROL

Infectious Disease and Disinfection 1-5
Aids Precautions 6-7
Notification of Paramedic and Ambulance Personnel of Exposure to Communicable Disease 8-9

II. RESPONSE

Emergency Vehicle Response Greater Than Six Minutes 10
Scene Response by Ambulance 11
A.E.D. Requirements for Emergency Vehicles 12
911 Emergency Calls Initiated from Hospitals (35kb)

III. MEDICAL CONTROL

"Communications Etiquette" 13
Medical Control - Operational Control Point 14-15
Resource Hospital Medical Control "Overrides" 16-17
M.E.R.C.I. Radio Operations 18
Communications Tape Recording Procedures 19

IV. ON SCENE

Assistance by Non-System Personnel 20
Physician/Nurse On the Scene 21-22
In-Field Service Level Upgrades 23-24
Reporting on Suspected Crimes and Crime Scene Responsibilities 25 - (93kb)
Domestic Violence - Available Services 26-27
Interaction With Law Enforcement/Evidence 28-29 - (30kb)
Patient Abandonment vs. Prudent Use of EMS Personnel 30-31
Duty to Perform Services without Discrimination 32
Field Draw Blood Specimens 33

V. CONSENT

Patient Right of Refusal 34-36 (26kb)
Emotionally Disturbed Patient 40
Patient Restraints 41-42

VI. DEATH AT SCENE

Do Not Resuscitate (DNR) (Region 2 Policy)
Power of Attorney for Healthcare 49
Cardiac Resuscitation vs. Cease Effort and Coroner Notification 50-51
Coroner Notifications 52-53

VII. TRANSPORT/DESTINATION

Patient Hospital Preference 54-55
Field Triage of the Trauma Patient 56-59
BYPASS STATUS - DIVERSION
To a Hospital Other Than the Nearest Hospital or Trauma Center 60-61
Trauma Center Bypass 62-64
Prepardness To A System-Wide Crisis (Region 2 Policy)

VIII. DOCUMENTATION

Ambulance Report From Requirements 67-70
Patient Confidentiality/Release of Information 71-72

IX. QUALITY IMPROVEMENT

EMS Quality Improvement Council
EMS System Incident Report
EMS System Improvement Opportunity Report Form
EMS Systems Service Excellence Report Form

X. DISCIPLINARY

System Participation Suspensions 81-84

XI. AGENCY AND PERSONNEL

Agency Inspection 85
Vehicle Service Advertising 86
Abuse of Controlled Substances by System Personnel 87

XII. APPENDIX

Authority of the Alternate EMS Medical Director 91
Mutual Aid Services 92
EMS System Manual - Participant Education and Information Manual 93-94
EMT Testing Fees 95
EMS Supply Exchange at BRMC Emergency Department 96-98
EMT License Renewals - Use of Transaction Card 101-102
EMS Supply Exchange at OSF-JSMC Emergency Department 103-105

XIII. MISCELLANEOUS

School Bus Policy
Latex Policy
Interfacility/Interregional Transport Policy
MCAEMS Medication Replacement Policy