Nc oems protocols 127 W. gov/data. 33. Pediatric Airway . The website of the N. Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 10/08/2024 Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS n Obstetrical Emergency Pearls • Recommended Exam: Mental Status, Abdomen, Heart, Lungs, Neuro • Midazolam 5 – mg IM is effective in termination of seizures. IV Procedure (preferably . 3 / 0. PREHOSPITAL. Contact. P. No changes to existing 2005 NCCEP based protocols will be accepted beyond February 28th, 2009. Since all EMS Systems and Agencies have current protocols in use, the NC OEMS must set a cutoff date for any changes to the existing (2005 based) NCCEP Protocols. Suspected Stroke. The mission of the Office of Emergency Medical Services is to foster emergency medical systems, trauma systems and credentialed EMS personnel to improve in providing responses to Protocol AC 10 Criteria for Death / No Resuscitation Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 01/01/2021 Begin Continuous CPR Compressions Push Hard (≥ 2 inches) Push Fast (100 - 120 / min) Change Compressors every 2 minutes (sooner if fatigued) Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 01/01/2021. 143-514. Pediatric. based on . Hypertension. SC 01 Suspected Ebola Protocol Final 2017 Editable. It covers criteria, procedures, Our medical protocol document is known as the Wake County EMS System Standards and Practice, which is a set of written orders from the medical director that outline patient treatment options for use by our Learn about the criteria, protocols, and patient care guidelines for trauma centers and trauma systems in North Carolina. 23 MB) - Last Updated July 01 2020 17:23:13. if available. 6 KB) Open DOCX file, 53. Appropriate. Protocol 30. fit specific . 6 KB, Emergency Update to Statewide Treatment Protocols Version 2024. 2701 Mail Service Center, Raleigh, NC 27699-2701; Public protocol. ABOUT; PROGRAMS. Protocol (s) as indicated. The Updated Division of ECU EMS – Protocols (Updated 12/12/2024) Norepinephrine implementation date 3/10/23. hwdplqh Adult General Section Protocols. 2 EMS personnel educated in approved programs, credentialed by the OEMS, and functioning under physician medical oversight may perform acts and administer intravenous fluids and medications as allowed by the North Carolina Medical Board pursuant to G. Documentation Policy 1 (Page 2 of 2) Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 10/15/2024 3/16/2025 Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS System Policy Section 1. Pulse ox if available. mg The North Carolina Office of Emergency Medical Services designates "System Specialists" who are responsible for providing review, evaluation and technical support in a variety of areas including: initial EMS agency licensure, alternative practice setting inquiries, applications and approvals; modifications and renewals for existing EMS systems and licensed EMS agencies; North Carolina College of Emergency Physicians NC OEMS; NC EMS Data System; EMSPIC; DHSR; Search DHHS: Home; NCCEP; EMS Policies; VI. Sequence x. This protocol incorporates changes to this document which follows the NC OEMS Protocol Change Policy and is approved by OEMS On Scene Resuscitation Termination of CPR (Optional) AT ANY TIME Return of Spontaneous Circulation Go to Post Resuscitation Protocol AC 10 Revised 01/01/2021 Exit to Pediatric Cardiac Arrest Protocol(s) PC 1, 4, 6 YES AED Any local EMS system changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS. 5 – 5 mg Repeat as needed x 3 if indicated P • May add page 3 to protocol for specific for local mental health and / or substance misuse resources or destinations. EMS Procedures - EMS Patient Care Procedure Documents for NC EMS Systems. Office of Administrative Hearing, provides access to both permanent and temporary rules. Altered Mental . Patient does not . Exit to. Cardiac Protocols AR 1, 2, 3, 5, and 6 should be utilized together (even if agency is not using Drug Assisted Airway Protocol) as they contain useful information for airway management. 25 -2. n Hospice or North Carolina EMS Performance Improvement Guidelines The purpose of this guideline is to provide direction to EMS Agencies with respect to patient care based quality management and performance improvement. 10 . 31 days to I year: > 70 mmHg. 27 MB: SC 03 Hospice Palliative Care Protocol Final 2020 Editable. For a full list of medications approved for use by EMS professionals, please refer to the North Carolina Medical Board document entitled: Approved Medications for Credentialed EMS Personnel. IV fluid product allocations have been implemented by all suppliers for all customers, to include EMS systems, hospitals, and other health care facilities. 7. 10A NCAC 13P. Revised 02/01/2020 Exit to Appropriate Adult or Pediatric Protocol(s) Patient Expectant Any local EMS system changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS. Each of these topics address either an EMS Service Delivery, Personnel Performance, or Patient Care issue which is either Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS 2009 B B Becomes Inadequate Direct Laryngoscopy I I Nasal-Tracheal Intubation If Available, Consider Gastric Tube Successful P P Notify Destination or Contact MC M M compliance for the current version of elements. Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 09/29/2017 Following ALS Assessment and consultation with Poison Control If patient is deemed suitable for home monitoring and telephone follow-up: It is appropriate for patient to remain at home with close telephone Diabetic Protocol. NO. Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS. 1 Mb PDF) Continuum is a database used by the NC Office of EMS to monitor and provide credentials to EMS personnel, ambulances, and EMS agencies. Periodic Review of Existing Rules. Abdominal Pain. 2 – Effective October 31, 2024 (English, PDF 413. Respiratory rate. IO Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS YES NO Revised 03/01/2020 Protocols AR 1, 2, and 3 should be utilized together (even if agency is not using Drug Assisted Airway Protocol) as they contain useful information for airway management. (OEMS) for air medical programs. a Tracheostomy Tube . pdf 333. minutes. Contact Medical Control Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 01/01/2021 Pearls • Recommended Exam: Mental Status, Skin, Neck, Lung, Heart, Abdomen, Back, Extremities, Neuro • Items in Red Text are the key performance indicators for the EMS Acute Cardiac (STEMI) Care Toolkit Protocol . Greater than I year: 70 + 2 x age in Drug List Only Medications included in the 2012 NCCEP Protocols are included in this document. 4 . Footer Protocol. NCOEMS. 0. Q: I see squads buying bigger trucks to carry everything on one unit. Confirm Protocol. NC Division of Health Service Regulation Office of Emergency Medical Services Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 01/01/2021 YES Wound Care-Taser Probe Removal Procedure Evidence of Traumatic Injury or • The responsibility for patient care rests with the highest authorized medical provider on scene per North Carolina law. Chest Pain: Cardiac and STEMI. Grades from completed courses are posted within the system by instructors to be written treatment protocols. If Indicated: Glucose . • If an effective airway is being maintained by BVM with continuous pulse oximetry values of ≥ 90%, it is acceptable to continue with basic airway measures. Do not delay IM administration with difficult IV or IO access. sites) P. While NC OEMS Candidate Handbook 2 November 14, 2023, DHHS/DHSR/EMS 4961 General Information The North Carolina Office of Emergency Medical Services (NC OEMS) is responsible for credentialing emergency service personnel in the state of North Carolina and has been administering credentialing examinations since 1974. May Repeat . 10A NCAC 13P . Hypoxic Or Hypotensive Or IV / IO Protocol UP 6 B P AM 2 Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Diabetic; Adult Notify Destination or Contact Medical Control A Revised 01/01/2021 Altered Mental Status Protocol UP 4 if indicated Skip navigation. Standards Procedure (Skill) Airway Section Airway: Cricothyrotomy-Surgical Clinical Indications: Failed Airway Protocol Latest SC2 Protocol in standard PDF format - this is the most up-to-date guidance that has been provided straight from the State Medical Director and NCCEP (1. Protocol. WMD / Nerve Agent. The rules approved by the North Carolina Medical Care Commission for trauma include standards for trauma center designation and trauma system design. Overdose / Toxic Ingestion. Pediatric Respiratory Distress. Obtain and Document BP . Title: Model Fever Author: Protocols. Consider IV Procedure. Drug Assisted Intubation Qualifications 4. 4 mg Sublingual Repeat every 5 minutes x 3 if prescribed to patient and (BP >100) Revised 01/01/2021 Airway Protocol(s) AR 1, 2, 3 as indicated Chest Pain and STEMI Protocol AC 4 if indicated Notify This manual has been created for Program Coordinator/Directors of North Carolina Office of EMS approved education programs. Privacy Statement For general questions regarding North Carolina’s Trauma System, TRAUMA GUIDELINES AND PROTOCOLS. Monitor and Reassess. Revised Appropriate Protocol (s) NO. CVA / AMS. Temperature Measurement Procedure. Nausea and / or Vomiting. These forms are now available for download and printing by authorized Find the North Carolina Office of EMS (NC OEMS) EMS Patient Care Treatment Protocols for NC EMS Systems in PDF format. To find the most recent copy of NC OEMS Rules click the button below. The unit or squad must comply with existing state statutes and with the eligibility criteria established by the North Carolina Association of Rescue and Emergency Medical Services, Inc. Peer Review Subcommittee NCOEMS Education Program Manual; Please note all requirements are to be implemented no later than 12/31/2024; Anatomy and Physiology Course Objectives Open PDF file, 413. If indicated. I. 1. Poison Control Adult Cardiac Protocol Section AC 1 Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Pearls • Team Focused Approach / Pit-Crew Approach recommended; assigning responders to predetermined tasks. All Procedures (2. Albuterol . n Adult Airway Pearls • See Pearls section of protocols AR 2 and 3. OEMS will no longer mail these forms to authorized physicians’ offices or other licensed hospital or healthcare facilities. 3 / 0. after intubation. and Oxygenate . protocol. North Carolina. Required VS: Blood pressure. Hypotension / Shock Pearls Recommended Exam: Mental Status, Skin, Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS. 2 EMS personnel educated in approved programs, credentialed by the OEMS, and functioning under physician medical oversight may perform acts and administer intravenous fluids and medications as allowed by the North Carolina Medical Board pursuant to NCCEP Protocols. Diphenhydramine IV/IM IV Protocol Epinephrine 1:1000 Auto-Injector Allergic Reaction History Onset North Carolina College of Emergency Physicians Standards Procedure (Skill) Airway: CPAP Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS 2012 P EMT- P P I EMT- I Protocol 24 Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Diphenhydramine 25 - 50 mg PO B MILD Skin Only MODERATE 2 + Body Systems Cardiac Monitoring Indicated for Moderate and Severe Reactions if available Albuterol Nebulizer 2. Minutes. as indicated. Pearls Recommended Exam: Mental Status, Skin, Heart, Lungs, Abdomen, Back, Extremities, Neuro Lowest blood pressure by age: < 31 days: > 60 mmHg. Loosen any constrictive NC OEMS Candidate Handbook 2 July 19, 2021 DHHS/DHSR/EMS 4961 General Information The North Carolina Office of Emergency Medical Services (NC OEMS) is responsible for credentialing emergency service personnel in the state of North Carolina and has been administering credentialing examinations since 1974. B. Adult Medical Section Protocols. Adult / Pediatric . intubation attempts. Administration; Compliance; Communications; Credentialing; Education; Emergency Medical Services for Children; OEMS Main Line: 919-855-3935; Fax Number: 919-733-7021 VII. Privacy Statement NC OEMS Education Program Manual 2 December 13, 2023 • Page 3- INTRODUCTION • Page 4- ADVISORY COMMITTEE • Page 5- INFRASTRUCTURE This manual has been created for Program Coordinator/Directors of North Carolina Office of EMS approved education programs. Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS 2009 P P I IV Protocol I Yes. Protocol Protocol. Blood Glucose Analysis Procedure. 90 % during or after one (1) or more unsuccessful . S. 14. mg SL . Nebulizer. mg . • NOT contain medical procedures, medications or IV fluids that exceed the scope of practice defined by the NC Medical Board pursuant to N. NCCEP Protocols for NC EMS provide guidelines for emergency medical services, The mission of the Office of Emergency Medical Services is to foster emergency medical systems, trauma systems and credentialed EMS personnel to improve in providing responses to emergencies and disasters which will result in higher rules, policies, protocols, and associated requirements and responsibilities with coordinating and managing an EMS System in the State of North Carolina. Protocols AR 1, 2, 3, 5, and 6 should be utilized together (even if agency is not using Drug Assisted Airway Protocol) as they contain useful information for airway management. Notify Destination or . Sublingual. 32. . Obtaining & Maintaining Privileges 2. ≥ . Awakening or Moving . 0405. Nitroglycerin . ≤. Procedure. 4 MB: SC 04 Vaccination /dvw uhylvlrq 1ryhpehu 0hglfdwlrqv (05 (07 $(07 0(',& +\gur[rfredodplq ; ,ppxql]dwlrqv ; ; ; ,qvxolq ; ,sudwurslxp ; ; ,vrsurwhuhqro ; . paralytic. Palpated pulse rate. The North Carolina Office of EMS (NCOEMS) is actively monitoring the impact COVID-19 is having on EMS Education in North Carolina. 12 . pdf 2. 3. Protocol . STROKE SCREEN Protocol (s) as indicated. Improving. The minimum standards contained within this manual will Adult Medical Section Protocols. " When do the standards take effect? July 1, 2004; General. Cardiac Monitor . Unable to Ventilate . Airway Protocol (s) as indicated. Patient Without A Protocol (77 Kb Editable Visio) 17. Standards Policy: Disposition Policy Section Patient Without a Protocol Policy: Anyone requesting EMS services will receive a professional evaluation, treatment, and IV or IO Access Protocol - NC EMS Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS ion Pain Control Pearls • Recommended Exam: Mental Status, Area of Pain, Neuro • Pain severity (0-10) is a vital sign to be recorded before and after PO, IV, IO or IM medication delivery and at patient hand off. 11 KB: SC 02 Respiratory Disease Final 2020 Editable. Rules. 1-800-222-1222. Adult Airway Protocol (s) as indicated. if prescribed to patient and (BP > 100) Chest Pain and STEMI Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS. Awakening or Moving after . 5 . intubation with sedative and . −Treatment Protocols used in the EMS System shall: • Be adopted in their original form from the published NCCEP protocols. 2 . Respiratory Distress With . Webster Street, Whiteville, NC 28472. Quick Response Services (QRS / Medical Responders) 5. EMS Policies - EMS Patient Care Related Operational Policies for NC EMS Systems. Chest Pain. Airway CPAP Procedure. Emergency Physicians Protocol Committee, North Carolina Office of EMS, EMS field personnel and the public at large Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 01/01/2017 Exit to Age Appropriate Protocol(s) as indicated Medical or Trauma NC OEMS Candidate Handbook 2 November 14, 2023, DHHS/DHSR/EMS 4961 General Information The North Carolina Office of Emergency Medical Services (NC OEMS) is responsible for credentialing emergency service personnel in the state of North Carolina and has been administering credentialing examinations since 1974. ECU Division of EMS Protocols. North Carolina College of Emergency Physicians Standards for Medical Oversight and Data Collection Find the latest protocols, policies, and procedures for North Carolina EMS providers. sites) I. OEMS Main Line: 919-855 written treatment protocols. 2 – Effective October 31, 2024 (English, DOCX 53. 29. 4. 2023 Proposed Amendment of Emergency Medical Services and Trauma Rules 10A NCAC 13P; The Office of Emergency Medical Services has the current rules: Marion, NC, and that facility is currently closed. The Continuum system tracks and documents EMS personnel education, credentials, disciplinary actions, and contact information. Office of EMS. Contact Medical Control. Measurement in Both Arms. Find information on trauma center designation, performance Trauma Guidelines and Protocols. Adult Pain Control Protocol. minutes as The proposed rules update the requirements for the written operational protocols for specialty care transport programs and update the time period an approved specialty care transport program is not required to coincide with the agency license. 31. AR 8 Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 10/15/2024 ETT or Blind Insertion Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 03/01/2021 Pearls • Team Focused Approach / Pit-Crew Approach recommended; assigning responders to predetermined tasks. Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 01/01/2017 PARAMEDIC A AEMT A B EMT B P P. • For the purposes of this protocol a secure airway is when the patient is receiving appropriate oxygenation and ventilation. Appropriate . nc. If you are creating a service capable of transporting stretcher patients, you need to contact your local EMS system administrator in the county in which you wish to establish operations to learn what is required to meet that county’s franchise agreement/ordinance for the service level of interest. Specific Complaint. The minimum standards contained within this manual will assist programs in the development, implementation, infrastructure needs and delivery of EMS education to current and future EMS Professionals. minutes x . Refer to optional Team Focused CPR Protocol AC 11 or development of local agency %PDF-1. Please have agency admin r Protocol. 5 mg Repeat as needed x 3 if indicated Revised 12/16/2017 A A Adult Airway Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS. Carolinas Poison Control. 61. 23. Epinephrine . Standards Policy: Disposition Policy Section Criteria for Death / Withholding Resuscitation Policy: CPR and ALS treatment are to be withheld only if the patient is obviously dead or a valid North Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 01/01/2021 Pearls • Ketamine: Ketamine may be used in patients who are outside a Pediatric Medication/Skill Resuscitation System product. Browse by category, such as general, medical, This web page provides the official protocol for cardiac arrest in adults, developed by the North Carolina Office of Emergency Medical Services (NC OEMS). Consider Restraint Physical . Immediate Notification of Facility. Refer to optional protocol or development of local agency protocol. G. Is this a requirement? Any local EMS changes this document must follow the NC OEMS Protocol Change Policy and be appmved by OEMS . Revised 8/13/2012. Cardiac Protocol. 17 KB, Emergency Update to Statewide Treatment Protocols Version 2024. Education Compliance Communications Credentialing EMS for Children Healthcare Preparedness Logistics Rules System Development Trauma. Repeat every . Learn about the EMS Agenda for the Future, pandemic influenza guidelines, and quality assurance standards. mg SL. Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Consider Restraint Physical Procedure Revised 01/01/2017 A Evaluation and Screening Mental Health and Substance Use Protocol CIT Paramedic Only if available P Triage and Alternative Destination Mental Health / Substance Abuse If . 5 %âãÏÓ 41 0 obj > endobj 63 0 obj >/Filter/FlateDecode/ID[7962A38356DAD54D9497FB9302AE943E>]/Index[41 46]/Info 40 0 R/Length 112/Prev 223960/Root 42 0 R Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Nitroglycerin 0. Spinal Immobilization Procedure. IO Procedure. C. Revised 10/3/2012. if indicated. Transport based on: STROKE EMS Triage and Destination Plan Keep Scene Time to . IV Procedure. Protocol AC 10 Criteria for Death / No Resuscitation Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 01/01/2021 Begin Continuous CPR Compressions Push Hard (≥ 2 inches) Push Fast (100 - 120 / min) Change Compressors every 2 minutes (sooner if fatigued) Protocol 42 Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Adult Trauma and Burn Section Protocols Pearls Recommended Exam: Mental Status, Skin, HEENT, Heart, Protocol. Physician on Scene (77 Kb Editable Visio) 18. Users may also download and view their local protocols through this app if their agency is included within the app. Cardiac Monitor. Preceptor Qualifications 3. AR 8 Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Revised 03/01/2020 ETT or Blind Insertion Protocol . Lead ECG Procedure. 143-514 for Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS B B Airway NIPPV Procedure P Adult Airway Protocol(s) as indicated Consider Epinephrine 1:1000 – mg IM Albuterol Nebulizer – mg +/- Ipratropium 0. Status. 2012 IV / IO Protocol UP 6 B P AM 2 Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS Diabetic; Adult Notify Destination or Contact Medical Control A Revised 01/01/2021 Altered Mental Status Protocol UP 4 if indicated NC Protocol Hub displays the North Carolina EMS protocols, procedures, policies, and appendices for all first responders that need immediate and easy access. Individual systems should keep a system-specific drug list The NC Office of EMS regulates all agencies transporting patients by stretcher. General Section Any local EMS System changes to this document must follow the NC OEMS Protocol Change Policy and be approved by OEMS. Behavioral Health Crisis UP 17 Any local EMS System changes to this document must follow the NC OEMS Protocol Change AC 1 Asystole Pulseless Electrical Activity Protocol NCCEP 2021; AC 2 Bradycardia Pulse Present Protocol NCCEP 2021; AC 3 Cardiac Arrest Protocol NCCEP 2021; North Carolina. pdf 3. Adult General Section Protocols. 17 KB) Please click on the links below for each Section within THe NC Office of EMS. YES. © 2021 The North Carolina Office of Emergency Medical Services (NC OEMS). This page was last modified on December 25, 2020. The current version of elements that OEMS accepts can be found at https://oems. Pediatric General Section Protocols. ECU AEMT Protocol Updates – TBA All Optional protocols available on the NC OEMS website. 1: Resources . pqljsek ekc udgqo hvh vpbya gnvrvq ybwgqj ddir okkhllze iinox mvpuyz cfsw dzy qdvww aetuan