TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER f: EMERGENCY SERVICES AND HIGHWAY SAFETY
PART 515 EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE
SECTION 515.APPENDIX D ADMINISTRATIVE, LEGAL AND EMS PROTOCOLS AND GUIDELINES



 

Section 515.APPENDIX D Administrative, Legal and EMS Protocols and Guidelines

 

Administrative, Legal and EMS Protocols and Guidelines shall include, but not be limited to the following:

 

1) Administrative and Legal:

 

Patient disposition/selection of receiving facility

Patient choice and refusal regarding treatment, transport or destination

Patient abandonment

Do Not Resuscitate (DNR)/Practitioner Orders for Life Sustaining Treatment (POLST)/Advance Directives/Health Care Power of Attorney (POA) status

When and how to notify a coroner or medical examiner

Appropriate interaction with law enforcement on the scene

The duty to perform all services without unlawful discrimination

Patient confidentiality and release of information/Health Insurance Portability and Accountability Act (HIPAA)

Appropriate interaction with an independent physician/nurse on the scene

Offering immediate and adequate information regarding services available to victims of abuse, for any person suspected to be a victim of domestic abuse

Mandated reporting policy

Relinquished newborn

Consent for treatment of minors

A policy that addresses the EMS System Participant safety, disinfection of EMS vehicles and equipment, and assessment, treatment, transport and follow-up of patients with suspected or diagnosed infectious diseases

Significant or high risk occupational exposure of EMS System Participants to an infectious disease, including notification to the designated infection control officer of the EMS provider agency following exposure

A policy concerning the use of latex-free supplies

Medical records documentation and reporting policy

Incident reporting/equipment malfunction/sentinel event reporting

Crisis response and medical surge policy/multiple patient incidents

Professional ethical standards and behavioral expectations

Any procedures regarding disciplinary or suspension decisions and the review of those decisions that the System has elected to follow in addition to those required by the Act

A policy for notifying another EMS System of an EMT, AEMT, Paramedic, PHRN, APRN, PHPA system suspension when that EMT, AEMT, Paramedic, PHRN, APRN, PHPA is known to have dual participation with another EMS System.

Resource Hospital overrides (situations in which Associate Hospital orders are overruled by the Resource Hospital)

Protocols for ILS/AEMT and ALS personnel to assess the condition of a patient being initially treated in the field by BLS personnel, for the purpose of determining whether a higher level of care is warranted and transfer of care of the patient to the ILS or ALS personnel is appropriate; the protocols shall include a requirement that neither the assessment nor the transfer of care can be initiated if it appears to jeopardize the patient's condition, and shall require that the activities of the System personnel be under the immediate direction of the EMS MD or designee

A policy on treatment and transport of law enforcement animals

A policy on transport of a service/support animal

Any System policies regarding abuse of controlled substances or conviction of a felony crime by EMS Personnel, whether on or off duty

A Drug and Equipment Exchange Policy for System Participants

A policy for use of PPE during patient encounters

A policy on securing a weapon prior to transport of a patient

A policy on waste of controlled substance

Procedure/policy for provider notification when leaving the state for an EMAC or NAC response

A policy on additional healthcare personnel assisting in the transport of a patient in an ambulance, including but not limited to an RN, Physician or C.T. tech.

Requirements for EMS personnel who have identified an EMS system as secondary

Crisis response and medical surge policy/multiple patient incidents

Complaint investigation including suspension

Storage and security of medication

A policy on identification of type of EMS run reports, including who fills them out for transport and non-transport EMS personnel and submission of data

CME policy for in system, out of system allowed and types of programs

Replacement of drugs and equipment for inter and intra facility transports

Notification of IDPH Division of EMS when an EMS crew member is killed in the line of duty

Patient disposition for transporting to licensed mental health care facilities

Patient disposition for transportation to urgent or immediate care facilities

 

2) EMS Standing Medical Orders/Standard Operating Guidelines/Procedures

 

Cardiovascular:

Adult and Pediatric Syncope and Pre-syncope

Chest Pain/Acute Coronary Syndrome (ACS)/ST-segment Elevation Myocardial Infarction (STEMI)

Tachycardia with a Pulse

Bradycardia with a Pulse

Heart Failure/Pulmonary Edema/Cardiogenic Shock

 

Resuscitation:

Cardiac Arrest (VF/VT/Asystole/PEA)

Adult Post-ROSC (Return of Spontaneous Circulation) Care

Determination of Death/Withholding or Termination of Resuscitative Efforts

 

Respiratory:

Airway/Ventilatory Management

Acute Respiratory Conditions

Chronic Respiratory Conditions

 

Medical:

Agitated or Violent Patient/Behavioral Emergency; Use of Restraints

Anaphylaxis and Allergic Reaction

Altered Mental Status

Hypoglycemia/Hyperglycemia

Pain Management

Seizures

Shock

Suspected Stroke/Transient Ischemic Attack

Nausea/Vomiting

Functional Needs/Special Needs Populations

 

Pediatric Prehospital Protocols (BLS, ILS and ALS):

Initial Medical Care/Assessment

Neonatal Resuscitation

Pediatric AED

Pediatric Allergic Reaction/Anaphylaxis

Pediatric Altered Mental Status

Pediatric Brief Resolved Unexplained Event (BRUE)

Pediatric Bradycardia

Pediatric Burns

Pediatric Drowning

Pediatric Environmental Hyperthermia

Pediatric Hypothermia

Pediatric Nerve Agent/Organophosphate Antidote Guidelines

Pediatric Pulseless Arrest

BLS Pediatric Pulseless Arrest

ALS/ILS Asystole/PEA Pathway

ALS/ILS VF/VT Pathway

Pediatric Respiratory Distress

Pediatric Respiratory Distress with a Tracheostomy Tube

Pediatric Respiratory Distress with a Ventilator

Pediatric Respiratory Failure

Pediatric Seizures

Pediatric Shock

Pediatric Tachycardia

BLS Pediatric Tachycardia

ALS/ILS Narrow QRS Pathway

ALS/ILS Wide QRS Pathway

Pediatric Toxic Exposures/Ingestions

Pediatric Trauma (with Head Trauma Addendum)

Suspected Child Abuse and Neglect

 

GI/GU/Gyne:

Childbirth/Complicated and Uncomplicated Delivery

Newborn Care

OB Complications/All Trimesters

Obstetrical/Gynecological Conditions

 

Trauma:

General Trauma Assessment/Management

Blast Injuries

Head/Facial/Neck Injury

Thoracic

Abdominal/Pelvic

Musculoskeletal Trauma/External Hemorrhage Management

Acute Spine Trauma and Selective Spine Precautions

Conducted Electrical Weapon (e.g., TASER)

Blunt, Penetrating and Perforating Injuries

 

Environmental:

Hyperthermia/Heat Exposure

Hypothermia/Cold Exposure

Submersion Incidents

SCUBA Injury/Accidents

Altitude Illness

 

Burns:

Electrical

Lightening/Lightening Strike Injury

Radiation Exposure

Thermal

Chemical

Inhalation

 

Toxins:

Bites and Envenomation

Poisoning/Overdose Universal Care

Acetylcholinesterase Inhibitors (Carbamates, Nerve Agents,

Organophosphates) Exposure

Stimulant Poisoning/Overdose

Central Nervous System Depressant Poisoning/Overdose

Cyanide Exposure

Hallucinogenic

Beta Blocker Poisoning

Calcium Channel Blocker Poisoning/Overdose

Carbon Monoxide/Smoke Inhalation

Biological Agents

 

(Source: Amended at 46 Ill. Reg. 20898, effective December 16, 2022)