Regional Documents/Forms

Admin	2023 Calendar of Meetings (REV 01/05/2023)
Air Medical	Regional Air Medical Guidelines ODEMSA IV TPA Transfer Sheet
Annual Reports	Form – 2023 Annual Agency Update FY 2022 Annual Report FY 2021 Annual Report FY 2020 Annual Report FY 2019 Annual Report FY 2018 Annual Report
EMS Patient Destination (formerly Hospital Diversion)	EMS Patient Transport Destination Plan (Formerly Known as the Regional Diversion Plan) PDC/Triage Quick Reference (full page) PDC/Triage Quick Reference (half page x2)
EMS Plan	Regional EMS Plan
Exposure Report	Infectious Disease Exposure Report
Financial Statements	FY2022 Annual Audit FY2022 IRS 990
MCI	MCI Plan
Patient Field Report	Patient Field Report (MIVT) Patient Field Report (MIVT)- Editable Version
Performance Improvement	ODEMSA Regional Trauma Triage Plan ODEMSA Regional Performance Improvement (PI) Plan
Pharmacy	Drug Box and Ambulance Restocking Policy ODEMSA 2nd and 3rd Tier Medication Alternatives Drug Box Content and Schematic [Color] (REV 01/2023) Drug Box Schematic [Black & White] (REV 01/2023) Medication References (REV 01/2023) Regional OMD Protocol Signature Form – Discrepancy Report Form – Pharmacy Supply Request Form – Drug Box Repair Request Form – Drug Box Quarterly Inventory
Protocols	Section 1- Introduction Section 2- Cardiovascular Emergencies Section 3- Medical Section 4- Trauma Section 5- Environmental Section 6- OB/GYN Section 7- Toxicological Section 8- Ped. Cardiovascular Emergencies Section 9- Ped. Medical (REV 12/2022) Section 10- Ped. Trauma Section 11- Clinical Procedures Section 12- Administration Section 13- Medication Reference (REV 01/05/2023) Section 14- Appendices For Racemic Epinephrine refer to “Epinephrine” (13-15)
PTAP	Preceptor Training for Accredited Programs – EMS Preceptors Preceptor Training for Accredited Programs – Hospital Preceptors
STEMI	STEMI Steering Guidelines
Stroke	ODEMSA Stroke Plan ODEMSA IV TPA Transfer Sheet
Regional Preception Manual	Introduction – Regional Preception Manual Chapter 1: Introduction, Purpose, and Policies * Chapter 1A: Introduction Chapter 2: Adult Cardiovascular Emergencies – ALS Chapter 2: Adult Cardiovascular Emergencies – BLS Chapter 3: Adult Medical – ALS Chapter 3: Adult Medical – BLS Chapter 4: Adult Trauma – ALS Chapter 4: Adult Trauma – BLS Chapter 5: Environmental – ALS Chapter 5: Environmental – BLS Chapter 6: OB-GYN – ALS Chapter 6: OB-GYN – BLS Chapter 7: Toxicological – ALS Chapter 7: Toxicological – BLS Chapter 8: Pediatric Cardiovascular Emergencies – ALS Chapter 8: Pediatric Cardiovascular Emergencies – BLS Chapter 9: Pediatric Medical – ALS Chapter 9: Pediatric Medical – BLS Chapter 10: Pediatric Trauma – ALS Chapter 10: Pediatric Trauma – BLS Chapter 11: Clinical Procedures * REV 02/2021 for Diversion Suspension

Page Last Updated 04/30/2023