Publications & Forms

Index:

Boards and Committees Minutes

License Applications - Service Applications and Forms

Comfort Care/Do Not Resuscitate

Medical Direction and Practices - Protocols

Education and Training - Continuing Education, & Specialty Programs

Medical Direction and Practices Board - White Papers

Education and Training - Training Centers

Miscellaneous

Emergency Medical Dispatch

Quality Assurance

Law, Rules and Functional Position Descriptions

Quality Assurance - Cardiac Arrest Study

License Applications - Provider License Applications

Testing

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Boards & Committees Minutes

Board of Emergency Medical Services
Medical Directions and Practice Board
Data Committee
Education Committee
Emergency Medical Dispatch Committee
Exam Committee
Investigations Committee
Trauma Advisory Committee

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Comfort Care/Do Not Resuscitate

Comfort Care/DNR Directive (PDF)
Comfort Care/DNR Order (PDF)
Comfort Care/DNR Physician Instructions (PDF)

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Education and Training - Continuing Education, & Specialty Programs

Continuing Education (CEH):

Specialty Programs:

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Education and Training - Training Centers

Authorized Training Centers List (link)

Training Center Standards (PDF)
Training Center Application Form (PDF)
Training Center Self Evaluation Directions (PDF)
Training Center Frequently Asked Questions (FAQs)

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Emergency Medical Dispatch

EMD Priority Reference System (PDF)

9-1-1 Response to Health Care Facilities Brochure (PDF)
9-1-1 Response to Health Care Facilities Brochure (PUB)
EMD Determinant Codes vs. Response Handbook (PDF)
Priority Dispatch Implementation Guide (PDF)

EMD Field Feedback Form for EMS Providers (PDF)

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License Applications - Provider Licenses Applications

"New" License Application for EMS, EMD & IC (PDF)
"Renewal" License Application for EMS, EMD & IC(PDF)
"Reciprocity" License Application (PDF)
"Reciprocity" License Verification Form (PDF)
"Flight Nurse" Application (PDF)

EMD License - New Provider Information (PDF)
EMD License - Renewal Information (PDF)

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License Applications - Service Applications and Forms

"New" EMS Service License Application (PDF)
"Renewal" EMS Service License Application (PDF)
"PIFT" Service Application (PDF)

Change in Service Administration (PDF)
EMS Vehicle Authorization (PDF)

Approved Equipment List (PDF)

CLIA Waiver Application Instructions (PDF)
CLIA Waiver Application (Link)

Epinephrine Autoinjector Application (PDF)

Maine EMS Out-of-Drugbox Standards
Sample SOP for Out-of-Drugbox Medication Storage (PDF)
Sample SOP for Out-of-Drugbox Medication Storage (MS Word)

Maine EMS Inspection Form - Updated April 7, 2014 (PDF)

Maine EMS Missing Controlled Substance Reporting Form (PDF)
Maine EMS Missing Controlled Substance Reporting Form (MS Word)

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Medical Direction and Practices - Protocols

Maine EMS Treatment Protocols - Effective December 1, 2013

2013 Protocol Update Training Materials (ZIP)
2011 Maine EMS Treatment Protocols (PDF)

Shortage Protocol - Fentanyl
Shortage Protocol - Fentanyl & Morphine Sulphate
Shortage Protocol - Metoprolol
Shortage Protocol - Midazolam

Special Circumstances Protocol Request Form with Cover Letter (PDF)
Special Circumstances Protocol Request Form (MS Word)

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Medical Direction & Practices Board (MDPB) White Papers

Apparent Life-Threatening Event (PDF)
Drowning (PDF)
High-Threat Treatment (Active Shooter) (PDF)
Infusion Pumps (PDF)
Out-of-Hospital Traumatic Cardiac Arrest (PDF)
Overdose Treatment (PDF)
Pediatric Pain Management (PDF)
Post Resuscitation Care - Therapeutic Hypothermia (PDF)
Pressors (PDF)
Seizure Management (PDF)

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Law, Rules & Functional Position Descriptions

Maine EMS Act of 1982: M.R.S.A. Title 32 Chapter 2-B
Maine EMS Rules, Effective May 1, 2013 (PDF)
Rules Change Summary (PDF)

Functional Position Description - Emergency Medical Dispatchers (PDF)
Functional Position Description - EMS Providers (PDF)

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Miscellaneous

EMSSTAR Report 2004 (PDF)

Emergency Guidelines for Maine Schools - Revised January 30, 2014 (PDF)

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Testing

Exam Administration Manual (PDF)

Psychomotor Exam Coordinator Manuals (Link)

PSE Scheduling Form (MS Word)
Maine EMS Test Authorization Form (MS Word)
EMT PSE Roster (Excel)
EMR PSE Roster (Excel)

New PSE Paperwork Process - Updated March 12, 2014

Practical Skills Evaluation (PSE) Reporting Form
PSE Incident Report
PSEA Reimbursement Form

Skill Sheets - Emergency Medical Responder (EMR)
Skill Sheets - Emergency Medical Technician (EMT)
Skill Sheets - AEMT & Paramedic

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Quality Assurance

Maine Quality Improvement Program manual - January 2012(PDF)

Airway Management Data Form (PDF)
Airway Quality Improvement Form (PDF)
12 Lead Electrocardiogram (EKG) Quality Improvement Form (PDF)

PIFT QA Form (PDF)
Spinal Assessment Training Quality Assurance Form (PDF)

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     Quality Assurance - Cardiac Arrest Study

     Cardiac Arrest QA Worksheet (XLS)
     Cardiac Arrest Instructional Video

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