Vermont Emergency Medical Services

District #3 WebPage 

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Click on a choice below.  If you are not sure what category to pick, use the "Find in/on Page" function under the "Edit" pull-down menu of your browser and type in a key word to locate a possible document.  Please note that not all district documents are contained on this web page and is still under construction.

Forms Checklists\
Worksheets
Guidelines\
Procedures
MCI Policies\
Protocols
Other 
Documents
Training & Certification
Related Forms/Files 
(applications, course approval, evaluations, VT EMS forms & more)
   

Most documents are available in Adobe PDF (PDF), to download your free Adobe Acrobat Reader, click on the icon below:

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Pencil.jpg (1483 bytes)  Forms
 

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Pencil.jpg (1483 bytes) Checklists \ Worksheets
 
  • AED Federal Grant Forms: Guidance to Districts (Word or PDF) - Worksheet (Excel or PDF)

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Pencil.jpg (1483 bytes) Guidelines \ Procedures
 
  • Advanced EMT Perogatives - HTML or PDF

  • Aircraft Disaster Procedures at Airport (Burlington International) - PDF

  • Conflict Resolution Guideline - HTML or PDF

  • Instructor Coordinator Course Request Procedure - PDF

  • Medical Direction Signing EMT Continuing Education Paperwork - HTML

  • Radio Communication Guideline Overview - HTML or PDF

  • Radio Communication Guideline Update and Summary - PDF

  • Rescuer of the Month Guidelines - HTML or PDF

  • Training Coordinator Roles and Responsibilities Guidelines - HTML or PDF

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Pencil.jpg (1483 bytes) MCI
 
  • Aircraft Disaster Procedures at Airport (see Guidelines \ Procedures above)

  • Ambulance Back-up Policy (see Policies \ Protocols below)

  • Drill Response Policy - (see Policies \ Protocols below)

  • MCI EMS Control Worksheet - PDF

  • MCI ID Tag Template - Word

  • MCI Officer Roles (based on the NECEMS) - PDF

  • MCI Secondary Triage Worksheet - PDF

  • MCI Treatment Area Worksheet - PDF

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Policies \ Protocols
 
  • AED Protocol Clarification (Age of patient - May, 2004) - PDF - Word

  • AED Protocol Clarification (Analysis of patient once determination of transport made) - PDF

  • Acquisition and Implementation of Defibrillation Equipment - PDF

  • Ambulance Back-up Policy (revised May, 2004) - PDF (for Response List see "Other Documents" below)

  • Ambulance Dispatch Policy (revised November, 2003) - PDF

  • Cardiac Arrest Transport Policy - HTML or PDF

  • Cardiac Arrest Trauma - Medical Transport Clarification - Adobe (October, 2005)

  • Defibrillation Communication Policy - PDF

  • DNR (Do Not Resuscitate) Protocol - District 3 - PDF

  • DNR (Do Not Resuscitate) Protocol - VT EMS - PDF

  • Drill Response Policy - HTML or PDF

  • Drug and Alcohol Policy - HTML or PDF

  • First Responder Course Policy - PDF (January, 2007)

  • Intermediate: ALS Intervention Report - PDF (October, 2005)

  • Intermediate: Combitube ® Protocol (May, 2004) - PDF - Word

  • Intermediate: Diabetic Emergency Protocol (May, 2004) - PDF - Word

  • Intermediate: Difficulty Breathing Protocol (May, 2004) - PDF - Word

  • Intermediate: Intravenous Protocol Clarification -  PDF (revised July, 2006)

  • Intermediate: Medication Storage and Administration Error Policy - PDF (October, 2005)

  • Intermediate: Pulse Oximetry Policy - PDF

  • Intermediate: Spinal Immobilization Clarification Protocol (July, 2004) - PDF - Word

  • License Review Policy - HTML

  • Requirements for District Approved Courses - HTML or PDF

  • Vermont Department of EMS (adopted in full by VTEMSD#3) - Statewide Protocols download from VTEMS or PDF

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Pencil.jpg (1483 bytes) Other Documents
 
  • Ambulance Response List (November 2005) - PDF

  • By-Laws for VTEMSD#3 (November, 2006) - PDF

  • Heavy Rescue Response Plan (February 2005) - HTML

  • Public Access Defibrillation (PAD) Service Packet Version 1 - PDF

  • Recruitment Training VTEMSD#3 Recommendations - HTML or PDF

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Pencil.jpg (1483 bytes) Training & Certification Related Forms/Files (applications, course approval, evaluations)
 
  • Approved VTEMSD#3 First Responder Course Coordinators - HTML

  • Cardiac Arrest Annual Report - PDF

  • Combitube SA ® PowerPoint Presentation by Brian Longe - PowerPoint (download file) - PDF (non-interactive slides)

  • CPR Guidelines - Major 2005 Changes - Word or PDF

  • CPR Guidelines - Major 2005 Healthcare Provider Changes - Word or PDF

  • CPR Guidelines - Major 2005 Lay Person Changes - Word or PDF

  • District Approved Course Evaluation Form - PDF

  • EMT Basic Course Application  - Word or PDF  

  • EMT Intermediate 03 Initial Course Application  - Word or PDF  

  • First Responder Instructor Candidate Checklist- HTML or PDF

  • First Responder Course Policy - PDF (January, 2007)

  • Instructor Coordinator Course Request Procedure - PDF

  • Pulse Oximetry Training Materials for EMT-Basic - Presentation Powerpoint or PDF Handout (June 2007)

  • Pulse Oximetry Training Materials for EMT-Basic - Quiz Word or PDF (June 2007)

  • Recruitment Training VTEMSD#3 Recommendations - HTML or PDF

  • Requirements for District Approved Courses - HTML or PDF

  • Training Coordinator Roles and Responsibilities Guidelines - HTML or PDF

  • Vermont EMS Documents for Continuing Education, Recertification, Reciprocity and more.

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Last updated - June 29, 2007