Publications & Forms

Index:

Boards and Committees Minutes Maine EMS Run Reporting System (MEMSRR)
Comfort Care/Do Not Resuscitate Medical Direction and Practices
Community Paramedicine Medical Direction and Practices Board - White Papers
Education and Training - Continuing Education, & Specialty Programs Miscellaneous
Education and Training - Training Centers Quality Assurance
Emergency Medical Dispatch Quality Assurance - Cardiac Arrest Study
Law, Rules and Functional Position Descriptions Testing
License Applications - Provider License Applications  
License Applications - Service Applications and Forms  

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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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Community Paramedicine

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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

State EMS Medical Director Authorization - Version 13 EMD Protocols

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

Effective November 1, 2016, all provider license applications (EMS, EMD, & I/C) must be submitted using the Maine EMS eLicensing system available at the link below.

Maine EMS eLicensing System - Click Here

EMS Verification form for Reciprocity Applicants

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License Applications - Service Applications and Forms

Effective April 1, 2017, all service license renewals must be submitted using the Maine EMS eLicensing system available at the link below.

Maine EMS eLicensing System - Click Here

"New" EMS Service License Application (PDF)
"PIFT" Service Application (PDF)
Change in Service Administration (PDF)
EMS Vehicle Authorization (PDF)

Approved Equipment List (PDF)
2017 Service Inspection Form (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 Missing Controlled Substance Reporting Form (PDF)
Maine EMS Missing Controlled Substance Reporting Form (MS Word)

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Maine EMS Run Reporting System (MEMSRR)

MEMSRR Annual Report - 2015 (PDF)
MEMSRR Annual Report - 2014 (PDF)
MEMSRR Annual Report - 2013 (PDF)

Medical Direction and Practices

2017 Maine EMS Treatment Protocol Training (PPT)

2015 Maine EMS Treatment Protocols - Effective December 1, 2015 (PDF)

EMS Medical Director Guidebook

Archived Protocols

Special Circumstance Protocols

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

Anaphylaxis (PDF)
Airway Managment & FAQ Oct. 2017 (PDF)
Apparent Life-Threatening Event (PDF)
Brief Resolved Unexplained Events Oct. 2017 (PDF)
Drowning (PDF)
High-Threat Treatment (Active Shooter) (PDF)
Infusion Pumps (PDF)
Ketamine Oct. 2017 (PDF)
Ketamine for the Patient with Excited Delirum Oct. 2017 (PDF)
Out-of-Hospital Traumatic Cardiac Arrest (PDF)
Overdose Treatment (PDF)
Pediatric Pain Management (PDF)
Pediatric Evidence Based Guidelines: Assessment of EMS System Utilization in States (PEGASUS) (PDF)
Pulmonary Hypertension and Ventricular Assist Device Management Oct. 2017 (PDF)
Post Resuscitation Care - Therapeutic Hypothermia (PDF)
Pressors (PDF)
Refractory Ventricular Fibrillation/Pulseless Ventricular Tachycardia Double-Sequential Defibrillation Oct. 2017 (PDF)
Seizure Management (PDF)
Spinal Management (PDF)
Spine Management Update Oct. 2017 (PDF)
Termination of Resucitation Oct. 2017 (PDF)
Tranexamic Acid (TXA) Oct. 2017 (PDF)
Unknown Substance PPE Recommendation (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 & February 1, 2015 (PDF)
Functional Position Description - Emergency Medical Dispatchers (PDF)
Functional Position Description - EMS Providers (PDF)

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Miscellaneous

ASMI Report 2016 (PDF)

EMSSTAR Report 2004 (PDF)

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

Maine EMS Licensed Service Mailing List - Updated April 6, 2016 (XLS)

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Testing

Exam Administration Manual (PDF)

Maine Revised EMT Psychomotor Exam Users Guide May 12, 2016

Revision Information for EMT Psychomotor Exam Users Guide - May 12, 2016

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)
PIFT QA Form (PDF)

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     Quality Assurance - No Transport Review

No Transport QA Worksheet (XLS)
State QA&I Committee No Transport Letter

     Quality Assurance - Cardiac Arrest Study

Cardiac Arrest QA Worksheet (XLS)
Cardiac Arrest Instructional Video

State QA&I Committee OHCA Letter
Public Health Initiative
Team Focused CPR

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