Statewide Protocol Summary for Emergency Department Staff
PowerPoint presentation with narrative notes that can be used to provide an overview of the new Vermont Statewide EMS Protocols to emergency department staff. The presentation also addresses the following objectives:
- Build an understanding of the scope of practice of prehospital providers;
- Review protocols that may require on-line medical direction; and
- Review key protocols that may influence current practice in the Emergency Department.
Vermont EMS Quick Reference Guide - provided to hospital and emergency department staff in printed form and is available here for downloading.
- Required changes (Excel spreadsheet)
- Extract of changed pages (PDF), as well as the reverse page if applicable, to assist with double-sided printing.
Intranasal Naloxone for Suspected Opioid Overdose
Enhancement of EMR scope of practice to include use of intranasal naloxone for suspected opioid overdose with severe respiratory depression
Protocol Implementation and Transitions to New Scope of Practice Model
These protocols are written for the new Scope of Practice Model levels (EMR, EMT, AEMT and Paramedic), which include skills, medications and other interventions not allowed at the previous National Standard Curriculum levels (FR-ECA, EMT-B, EMT-I and EMT-Paramedic). When an entire agency has completed training on these protocols, they may begin to use these new protocols after 0001 hrs January 1st, 2014 regardless of the transition status of their personnel.
All agencies must begin to use these protocols no later than 2359 hrs on March 31, 2014. From April 1, 2014 forward, these are the only statewide EMS protocols and must be followed by all providers, regardless of transition status. However, EMS providers who have not completed the appropriate transition course are ONLY authorized to function within the scope of their previous scope of practice (FR-ECA, EMT-B, EMT-I and EMT-Paramedic). Appendix 3 contains the scope of practice matrix which lists the skills that each provider level, both old and new, can perform.
Statewide Protocol Resource Kit
Statewide Protocol Resource Kit - Created as a guide for both EMS providers and EMS Services to complete the education modules for the Vermont Statewide EMS Protocols. This training is required for any level of licensure and does not require the provider to be transitioned to the new education standards. Thus, a provider that has not transitioned and completes this training will be authorized to use these new skills, but will still have to complete a transition course within their recertification period as outlined by the National Registry (see previously published guidance and FAQs on the VT EMS website). This training is also required within all initial EMR, EMT, AEMT, and Paramedic courses.
Excerpts from the Statewide Protocol Resource Kit
- Advanced Spinal Assessment Practical Chart
- Class Roster for Record Keeping
- CPAP Training Chart
- Tracking Documents:
- Epinephrine 1:10,000 for AEMT Use Practical Chart
- Induced Mild Hypothermia Practical Chart
The education modules below are available only on this website. Other modules referenced in the Statewide Protocol Resource Kit are available through CentreLearn or through practical education at the service level. The Quick Reference Chart, located in the Statewide Protocol Resource Kit, gives information about the topic/skill, methods of presentation, and the scope of practice levels to which the training applies.
- Advanced Spinal Assessment
- AEMT Introduction to CPAP
- BLS Intranasal Naloxone
- Epinephrine for AEMT Use
- Induced Mild Hypothermia
- Resuscitation Initiation and Termination
- Systems of Care
Instructions for opening the Presentations and Documents
- Click on the link for the presentation
- Choose Open. 'Save' or 'Save as' depending on your situation.
- At the Password screen, choose "Read Only." It is not possible to modify presentations.
Stroke Alert Screening Tool
Enhancement of EMR scope of practice to include use of intranasal naloxone for suspected opioid overdose with severe respiratory depression. Vermont EMS deems this enhancement appropriate in response to widespread public access to Naloxone for this purpose.
- EMR use of Naloxone
Memo from VT State EMS Medical Director Daniel Wolfson, MD to Vermont EMRs and VT District Medical Advisors outlining the education component
- EMR Intranasal Naloxone
As with past protocol education, the presentation can also be found on LearnEMS under the title 'EMR Intranasal Naloxone.'
Previous Vermont EMS Protocols - Effective dates 2007 - March 31, 2014
- Part I - Cover, TOC and Introductions
- Part Ii - Clinicals
- Part III - Non-Clinicals
- Part IV - Medications List
Jessica Freire, State EMS Training Coordinator