Advanced Life Support

2011 Patient Care Protocols
Paramedic Re-entry
Clinical Practice Inquiry Form

Annual Awards

The 2011 nominations will be open for submissions between December 1, 2010 and June 1, 2011. Please fill out and submit the 2011 Nomination form for consideration by the 2011 EMS Annual Award Committee. The awards are presented at the Fire and EMS Committee of Merit ceremony held in the fall at the Capitol Center for the Arts in Concord, NH.
Please note the new deadline is June 1, 2011.

Bound Tree Corporation EMS Unit of the Year Award
David F. Dow Memorial EMS Provider of the Year Award
David J. Connor Memorial EMS Appreciation Award - "The Connor Honor"
EMS Educator of the Year Award
Pamela Mitchell/Richard Connolly Memorial EMS Achievement Award
Lawrence A. Volz EMS Heroism Award

Automated External Defibrillators (AED)

AED Incident Report Form
AED Registry Form
AED Vendor Listings
Frequently Asked Questions
HeartSafe Communities
Public Access Defibrillation in New Hampshire Schools
Resource for AED Materials

Licensing

Brochure: Licensing Laws and Rules
Change of Providers Unit Affiliation Application
EMS Instructor/Coordinator License Initial Application
EMS Instructor/Coordinator License Renewal Application
EMS Provider License Application
EMS License Waiver Requirements
EMS Unit License Application
EMS Vehicle License Application
Ambulance Equipment/Inspection Sheets
-Wheelchair Van-For-Hire Company Application
-Wheelchair Van-For-Hire Van Application
-Wheelchair Van-For-Hire Van Inspection Sheet
Protocol Exam Instructions
SAMPLE Apprentice Provider Affiliation Forms

Preparedness Topics

Avian Influenza (Bird Flu) Facts
EMS Mitigation and Planning Resources
EMS Response and Recovery Resources
Hospital Driving Directions
Meningitis Fact Sheet
Mutual Aid Assessment
NH Influenza Pandemic Health Preparedness & Response Plan
NH Public Health Emergency Preparedness & Response Plan
National Incident Management System (NIMS) Training Synopsis
Sample EMS Unit Mutual Aid Agreement
Swine Influenza (H1N1) Facts
USFA Fire and Emergency Services Preparedness Guide for the Homeland Security Advisory System

Research and Quality Improvement

TEMSIS Data Dictionary-updated 2011
TEMSIS Security Internet Explorer
TEMSIS Security Mozilla Firefox

NEMSIS Data Dictionary Version 2.2.1
NEMSIS Version 2.2.1 Extended Data Definitions

Field Bridge License Request and Agreement

Internet Best Practices Expert
Sample Drop Off and Refusal Forms - Provided by Pam Drewniak, District C-5 and Dick Cooper, Portsmouth Regional Hospital. The Division of Fire Standards and Training & Emergency Medical Services neither endorses nor recommends these forms but provides them as a sample for your use.

Training, Education and Practical Exams

ALS Exam Registration & Information (NH Residents and/or NH-based Programs require registration)
ALS Training Equipment Request Form
Authority to Establish Courses
BLS Equipment Request
BLS Practical Examination Evaluator Application - Initial
BLS Practical Examination Evaluator Application - Renewal
Clinical/Field Internship Affiliation Form
Course Completion Roster
Course Completion Roster Addendum
Emergency Medical Technician - Basic (Practical Exam Sheets)
EMS Reciprocity Information
Exam-In-Lieu Refresher Process
First Responder (Practical Exam Sheets)
I/C Resource: Guide for Borrowing BLS and ALS Equipment
I/C Resource: RTP Authorization Approval Process
I/C Resource: Skills Assessment-Personnel/Equipment
Medical Professional Challenge: First Responder
Medical Professional Challenge: Basic
Medical Professional Challenge: Intermediate
Medical Professional Challenge: Paramedic
NHFA General Admissions Application Form
Practical Examination Coduct & Removal
Practical Examination Dress Code
Request for Examination
Request for Duplicate Certification
Synopsis of Bureau Approved Training Programs

Trauma System

Trauma Hospital Assignment Application
Trauma Hospital Application Worksheet
Trauma System FAQ's
Current NH Trauma System Plan
NH Guidelines for the Imaging of the Trauma Patient
NH Trauma System Map