Wisconsin Sample
EMS
Patient Care Guidelines
Through administrative rule, the EMS
office has been tasked with approval of protocols. Since Wisconsin
enjoys local medical direction and every physician has his or her own view of
patient care, the EMS
office receives a variety of patient care guidelines. Review of these many
varied and unique protocols takes a significant amount of time. Since this
is a time consuming process, we have, in cooperation with the Physician
Advisory Committee and the EMS Advisory Board, produced “model/sample
protocols” for use by all services.
These are not mandated to be used, but it gives our office and the
services a common starting point. If the medical director and service
choose to accept them “as is,” then all that needs to be done is
submission of a signed Guideline
Use/Medical Director Approval form (Word, 85 KB). Should your service wish to add or
modify a protocol, we ask that you use the “track changes” feature of
MS Word and submit those protocols with the
Guideline
Use/Medical Director Approval form
(Word, 85 KB). All modified protocols should be
sent electronically, with track changes, so we can easily identify the
changes and expedite review of the changes for approval.
Pediatric Specific Guidelines | Adult/General
Guidelines | Pediatric Specific ACLS
Guidelines | ACLS Guidelines
All protocols must be reviewed and
approved by our office before they are implemented.
These sample protocols use the new national scope name
identifiers. It is the intent of the upcoming administrative rule revision
to adopt only national scope of practice names. The
comparison is as follows:
| Old Name |
New Name |
| First Responder |
Emergency Medical Responder (EMR) |
| EMT Basic |
Emergency Medical Technician (EMT) |
| EMT Intermediate Technician |
Advanced Emergency Medical Technician
(AEMT) |
| EMT Intermediate |
Intermediate |
| EMT Paramedic |
Paramedic |
DHS 110.35(2)(e) Required Policy Samples
Pediatric Specific Guidelines
Adult/General Guidelines
- Agitated and
Combative Patients (Word, 61 KB)
- Allergy and Anaphylaxis
(Word, 61 KB)
- Altered Level of Consciousness
(Word, KB)
- Asthma and COPD
(Word, 58 KB)
- Burns (Word, 53 KB)
- Cardiac Arrest
(Word, 64 KB)
- Chest Pain (Word, 56 KB)
- Congestive Heart Failure
(Word, 50 KB)
- Delivery of Newborn
(Word, 79 KB)
- Eclampsia (Word, 54 KB)
- Female in Labor (Word,
55 KB)
- Heat Emergencies
(Word, 55 KB)
- Hyperglycemia
(Word, 48 KB)
- Hypoglycemia
(Word, 48 KB)
- Hypothermia and Frostbite
(Word, 59 KB)
- Hypovolemia and Shock
(Word, 52 KB)
- Injection
Preparation and Administration (Word, KB)
- Latex Sensitivity or Allergy
(Word, 44 KB)
- Nausea and Vomiting
(Word, 45 KB)
- Pain Management
(Word, 56 KB)
- Respiratory Distress
(Word, 60 KB)
- Routine Trauma Care
(Word, 76 KB)
- Seizure (Word, 52 KB)
- Stroke (Word, 43 KB)
- Submersion (Word,
48 KB)
- Syncope (Word, 48 KB)
- Toxic Exposure and Overdose
(Word, 61 KB)
- Vaginal Bleeding After Delivery
(Word, 41 KB)
- Vaginal Bleeding Before Delivery
(Word, 46 KB)
- Vertigo (Word, 46 KB)
Pediatric Specific ACLS Guidelines
ACLS Guidelines
Seasonal Influenza Vaccination Administration
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Last Revised:
October 15, 2012 |