Policies, Documents, Forms and Meeting Minutes

EMS Policies and Protocols

Course Medical Director Qualifications

Examination Accommodations: This policy describes the process for requesting an accommodation on an EMS psychomotor examination.

Exam Accommodations Questionnaire

Hearings and Appeals Policy

Senior Instructor Qualifications for Licensure

Substantiated Report of Abuse (Adult Abuse Registry and Child Protection Registry): This policy describes how the Vermont Department of Health addresses substantiated reports of abuse by EMS licensees and applicants

EMS Student Background Checks

False Answers on License Applications: This policy addresses cases where an EMS licensee or applicant provides false answers to the self-disclosure questionnaire on license applications

Impaired or Negligent Vehicle Operation: This policy describes how crime convictions for impaired or negligent driving convictions affect a person's eligibility for EMS licensure

Pending Criminal Charges: This policy describes EMS licensees' and applicants' obligation to disclose criminal charges and convictions

Challenging the NREMT Exams - RN/PA/Military Medics: This policy describes the process that allows a Registered Nurse, Physician Assistant or Military medic to obtain a National Registry certification and state license without taking an initial course.

License or Certification Extension

EMS Agency Administration

EMS Rule (effective February 1, 2022)
Vermont Statewide EMS Protocols - 2023 Version
Vermont Statewide EMS Protocols - 2020 Version (Effective May 15, 2020)
Vermont EMS District Map
Agency License Level Change Application: Log into the LIGHTS Public Portal (Applications > Service Applications)
First Response Agency Required Equipment Lists
Vermont Ambulance Equipment List (Updated August 23, 2024): This list is based on the National Equipment List for Ambulances and modified to adhere to Vermont’s Statewide EMS Protocols.
GSA Ambulance Design Specifications (KKK-1822F): This document describes the required specifications for all Vermont licensed ambulances. See GSA Change Notices for new requirements issued by the GSA since publication of this document
SIREN Downtime Run Form: Use this form to record EMS incidents in the event that the SIREN system is not available.
Vermont EMS Stroke Alert Screening Tool
Rule or Regulation Waiver Request - General: Log into the LIGHTS Public Portal (Applications > My Applications) if you would like to obtain a waiver of any section of the EMS Rule.
Rule or Regulation Waiver Request - Research: Log into the LIGHTS Public Portal (Applications > My Applications) if, as part of a research project, you would like to obtain a waiver of any section of the EMS Rule.
Agency License Application - Sample Operational Letter of Agreement: This is a template for an Operational Letter of Agreement, which is a requirement for obtaining an EMS agency license.
Agency License Application - Sample Public Notice & Instructions: This is a template for posting a public notice in local newspapers when applying for a new EMS agency license.
Ryan White CARE Act Provision: This document provides guidelines for exposure to infectious diseases.

Instructor/Coordinator Resources

AEMT Testing and Licensing Information: This document guides AEMT instructors on course completion requirements, preparing students for National AEMT testing and applying for Vermont AEMT licensure.
NASEMSO Advanced Emergency Medical Technician Student Minimum Competency Model Guideline: Additional information about AEMT Competency Guidelines.
EMS Student Manual: This manual provides important information to students in initial EMS courses about course logistics and prepares them for examinations and licensure.
Course Medical Director Qualifications
Peer Mentor Evaluation Form - Presentation (I/C Bridge Course): Use this form if you are an existing Instructor/Coordinator who is mentoring/evaluating a student in an I/C Bridge Course. A separate form must be completed for each presentation the I/C Bridge candidate leads.
Peer Mentor Evaluation Form - Comprehensive (I/C Bridge Course): Use this form if you are an existing Instructor/Coordinator who is mentoring/evaluating a student in an I/C Bridge Course. This form is to be completed as an overall assessment of the candidate after he or she has delivered all presentations.
Instructor/Coordinator Administrative Guide: NOTE: This guide is currently being revised.
Vermont EMS Rapid Sequence Intubation Course Manual: This manual outlines the RSI education and CQI program requirements for both RSI paramedics and RSI assistants.

Practical Exam Site Resources

Exam Coordinator Guide: This manual provides comprehensive information to help exam coordinators plan and execute a successful EMS practical exam site. NOTE: This guide is currently being revised.
National Registry Practical Exam Score Sheets - EMR, EMT, AEMT and Paramedic: These are the practical exam scoring sheets used at all Vermont EMS practical exam sites.

Become a HEARTSafe Community

Refer to the documents in this section to apply to become a Heart Safe Community:

Please send completed HEARTSafe applications to the Vermont EMS Office by emailing vtems@vermont.gov or by mailing to Vermont EMS, PO Box 70, Burlington 05402-0070.

Automated External Defibrillator (AED) Registration

Automated External Defibrillator (AED) Locator: This user-friendly platform allows the public to locate AEDs in their vicinity. It also ensures those who have registered an AED location previously that their data is accurate in the registry.
- If an AED needs to be registered, please use the Registry tool below to submit data to the Vermont Department of Health.
- If an AED has been previously registered but the information needs to be updated, please email vtems@vermont.gov and our staff will work with you to make the necessary adjustments.
Automated External Defibrillator (AED) Registration Tool: Use this tool to notify the Vermont Department of Health that a public access defibrillator has been placed at your location.
- Generate one entry per physical 9-1-1 address - the system will allow you to enter up to 10 placement locations for that specific address.
  - Example: XYZ Enterprises, 7 Cyclone Street, Anytown, VT: Location 1: Gymnasium, Location 2: Lunch room; Location 3: Manager's office wall, etc.
  - For entities with AEDs located at more than one physical 9-1-1 address, create entries sufficient to cover all locations.
PAD Legislation: This is the text of legislation that created the Public Access Defibrillation program and provides instructions for registering defibrillators with the Vermont Department of Health.

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Meeting Minutes

EMS Advisory Committee

Monthly EMS Leadership Conference Calls

Topics:

Emergency Response

Last Updated: November 1, 2024

Emergency Medical Services