Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Appendix D - Administrative, Legal and EMS Protocols and Guidelines

Current through Register Vol. 48, No. 28, July 12, 2024
Administrative, Legal and EMS Protocols and Guidelines shall
				  include, but not be limited to the following:
1) Administrative and Legal:
* Patient disposition/selection of receiving
				  facility
* Patient choice and refusal regarding treatment,
				  transport or destination
* Patient abandonment
* Do Not Resuscitate (DNR)/Practitioner Orders for
				  Life Sustaining Treatment (POLST)/Advance Directives/Health Care Power of
				  Attorney (POA) status
* When and how to notify a coroner or medical
				  examiner
* Appropriate interaction with law enforcement on
				  the scene
* The duty to perform all services without
				  unlawful discrimination
* Patient confidentiality and release of
				  information/Health Insurance Portability and Accountability Act (HIPAA)
* Appropriate interaction with an independent
				  physician/nurse on the scene
* Offering immediate and adequate information
				  regarding services available to victims of abuse, for any person suspected to
				  be a victim of domestic abuse
* Mandated reporting policy
* Relinquished newborn
* Consent for treatment of minors
* A policy that addresses the EMS System
				  Participant safety, disinfection of EMS vehicles and equipment, and assessment,
				  treatment, transport and follow-up of patients with suspected or diagnosed
				  infectious diseases
* Significant or high risk occupational exposure
				  of EMS System Participants to an infectious disease, including notification to
				  the designated infection control officer of the EMS provider agency following
				  exposure
* A policy concerning the use of latex-free
				  supplies
* Medical records documentation and reporting
				  policy
* Incident reporting/equipment
				  malfunction/sentinel event reporting
* Crisis response and medical surge
				  policy/multiple patient incidents
* Professional ethical standards and behavioral
				  expectations
* Any procedures regarding disciplinary or
				  suspension decisions and the review of those decisions that the System has
				  elected to follow in addition to those required by the Act
* A policy for notifying another EMS System of an
				  EMT, AEMT, Paramedic, PHRN, APRN, PHPA system suspension when that EMT, AEMT,
				  Paramedic, PHRN, APRN, PHPA is known to have dual participation with another
				  EMS System.
* Resource Hospital overrides (situations in which
				  Associate Hospital orders are overruled by the Resource Hospital)
* Protocols for ILS/AEMT and ALS personnel to
				  assess the condition of a patient being initially treated in the field by BLS
				  personnel, for the purpose of determining whether a higher level of care is
				  warranted and transfer of care of the patient to the ILS or ALS personnel is
				  appropriate; the protocols shall include a requirement that neither the
				  assessment nor the transfer of care can be initiated if it appears to
				  jeopardize the patient's condition, and shall require that the activities of
				  the System personnel be under the immediate direction of the EMS MD or
				  designee
* A policy on treatment and transport of law
				  enforcement animals
* A policy on transport of a service/support
				  animal
* Any System policies regarding abuse of
				  controlled substances or conviction of a felony crime by EMS Personnel, whether
				  on or off duty
* A Drug and Equipment Exchange Policy for System
				  Participants
* A policy for use of PPE during patient
				  encounters
* A policy on securing a weapon prior to transport
				  of a patient
* A policy on waste of controlled substance
* Procedure/policy for provider notification when
				  leaving the state for an EMAC or NAC response
* A policy on additional healthcare personnel
				  assisting in the transport of a patient in an ambulance, including but not
				  limited to an RN, Physician or C.T. tech.
* Requirements for EMS personnel who have
				  identified an EMS system as secondary
* Crisis response and medical surge
				  policy/multiple patient incidents
* Complaint investigation including
				  suspension
* Storage and security of medication
* A policy on identification of type of EMS run
				  reports, including who fills them out for transport and non-transport EMS
				  personnel and submission of data
* CME policy for in system, out of system allowed
				  and types of programs
* Replacement of drugs and equipment for inter and
				  intra facility transports
* Notification of IDPH Division of EMS when an EMS
				  crew member is killed in the line of duty
* Patient disposition for transporting to licensed
				  mental health care facilities
* Patient disposition for transportation to urgent
				  or immediate care facilities
2) EMS Standing Medical Orders/Standard Operating
				  Guidelines/Procedures
*
Cardiovascular:
* Adult and Pediatric Syncope and
				  Pre-syncope
* Chest Pain/Acute Coronary Syndrome
				  (ACS)/ST-segment Elevation Myocardial Infarction (STEMI)
* Tachycardia with a Pulse
* Bradycardia with a Pulse
* Heart Failure/Pulmonary Edema/Cardiogenic
				  Shock
*
Resuscitation:
* Cardiac Arrest (VF/VT/Asystole/PEA)
* Adult Post-ROSC (Return of Spontaneous
				  Circulation) Care
* Determination of Death/Withholding or
				  Termination of Resuscitative Efforts
*
Respiratory:
* Airway/Ventilatory Management
* Acute Respiratory Conditions
* Chronic Respiratory Conditions
*
Medical:
* Agitated or Violent Patient/Behavioral
				  Emergency; Use of Restraints
* Anaphylaxis and Allergic Reaction
* Altered Mental Status
* Hypoglycemia/Hyperglycemia
* Pain Management
* Seizures
* Shock
* Suspected Stroke/Transient Ischemic
				  Attack
* Nausea/Vomiting
* Functional Needs/Special Needs
				  Populations
*
Pediatric Prehospital Protocols (BLS, ILS
				  and ALS):
* Initial Medical Care/Assessment
* Neonatal Resuscitation
* Pediatric AED
* Pediatric Allergic Reaction/Anaphylaxis
* Pediatric Altered Mental Status
* Pediatric Brief Resolved Unexplained Event
				  (BRUE)
* Pediatric Bradycardia
* Pediatric Burns
* Pediatric Drowning
* Pediatric Environmental Hyperthermia
* Pediatric Hypothermia
* Pediatric Nerve Agent/Organophosphate Antidote
				  Guidelines
* Pediatric Pulseless Arrest
* BLS Pediatric Pulseless Arrest
* ALS/ILS Asystole/PEA Pathway
* ALS/ILS VF/VT Pathway
* Pediatric Respiratory Distress
* Pediatric Respiratory Distress with a
				  Tracheostomy Tube
* Pediatric Respiratory Distress with a
				  Ventilator
* Pediatric Respiratory Failure
* Pediatric Seizures
* Pediatric Shock
* Pediatric Tachycardia
* BLS Pediatric Tachycardia
* ALS/ILS Narrow QRS Pathway
* ALS/ILS Wide QRS Pathway
* Pediatric Toxic Exposures/Ingestions
* Pediatric Trauma (with Head Trauma
				  Addendum)
* Suspected Child Abuse and Neglect
*
GI/GU/Gyne:
* Childbirth/Complicated and Uncomplicated
				  Delivery
* Newborn Care
* OB Complications/All Trimesters
* Obstetrical/Gynecological Conditions
*
Trauma:
* General Trauma Assessment/Management
* Blast Injuries
* Head/Facial/Neck Injury
* Thoracic
* Abdominal/Pelvic
* Musculoskeletal Trauma/External Hemorrhage
				  Management
* Acute Spine Trauma and Selective Spine
				  Precautions
* Conducted Electrical Weapon (e.g., TASER)
* Blunt, Penetrating and Perforating
				  Injuries
*
Environmental:
* Hyperthermia/Heat Exposure
* Hypothermia/Cold Exposure
* Submersion Incidents
* SCUBA Injury/Accidents
* Altitude Illness
*
Burns:
* Electrical
* Lightening/Lightening Strike Injury
* Radiation Exposure
* Thermal
* Chemical
* Inhalation
*
Toxins:
* Bites and Envenomation
* Poisoning/Overdose Universal Care
* Acetylcholinesterase Inhibitors (Carbamates,
				  Nerve Agents, Organophosphates) Exposure
* Stimulant Poisoning/Overdose
* Central Nervous System Depressant
				  Poisoning/Overdose
* Cyanide Exposure
* Hallucinogenic
* Beta Blocker Poisoning
* Calcium Channel Blocker
				  Poisoning/Overdose
* Carbon Monoxide/Smoke Inhalation
* Biological Agents