Serving EMS providers in Suffolk, NY
Suffolk County
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Downloads & Forms

 

Animal Bite Cover Page  

BLS Academic Policies and Procedures Manual

Town Animal Control Officers   ALS Academic Policies and Procedures Manual
Public Health Form Bite Complaints   Suffolk County EMS BLS Policies
Animal Bite Registry Form  

Suffolk County Preceptor List

Endotracheal Intubation QI Form  

ALS Team Leader

RMA worksheet and release           

ALS Student Rotation Time Sheet

Emergency Medical Dispatch Intake Form  

NYS Written Exam Scheduling Request Form

CPAP Audit Form   EMT-Basic Ambulance & Hospital Time Clinical Form
EMT's as Mandated Child Abuse Reporters  

EMS 1 Form

Child Abuse Form  

EMS 2 Form

Elderly Abuse and Additional Resources   Verification Form
DNR/MOLST 11-02 NYS Policy Statement     
2011 MOLST Form                                    
                                                            

 CME Program Information

 NYS Bureau of EMS CME Registration Form  Suffolk County CME Class Registration Form
 NYS BLS Tracking Form (DOH-5065 6/12)  EMT-Basic Skills Sheets
 Supplemental Form (DOH-5064 6/12)  
 NYS CC Tracking Form   EMT-Critical Care Skills Sheets
 NYS Paramedic Tracking Form  
 CME Information Packet  
 Non Core Categories Breakdown NYS FAQs for the National Standards
   

 

 

 

 

 

 

 

 

TRAINING OFFICERS TOOL BOX

BLS Narcan and Blood Glucometry Information

 

The links listed below contain all necessary information to initiate inhalation narcan and blood glucometry by BLS providers.  Details are provided in the Narcan/Blood Glucometry Letter which outlines the responsibilities of agency leadership, training officers, service medical directors, CFRs, and EMT-Bs.  

 

Narcan/Blood Glucometry Letter

 

Notice of Affirmation for Compliance

 

NYS Policy Statement

 

CFR/EMT Protocol

 

BLS Drug Information Sheet - Narcan

 

Glucometry Powerpoint

 

Skills Affirmation - Glucometry

 

Online Narcan Video

 

Skills Affirmation - Narcan

 

Inhalation Narcan Post Report Form

 

Agency Training Attendance Sheet

 

Individual Affirmation of Training Form

 

BLS Agencies Only - CLIA Form

 

BLS Narcan FAQs

 

END OF BLS NARCAN AND BLOOD GLUCOMETRY RESOURCES

 

Training Officers are required to fax completed copies of the attendance sheet to 631-852-5028.  Records must be submitted within ten (10) business day from date of class.  If you have materials you would like to share please email them to tom.lateulere@suffolkcountyny.gov or call at 631-852-4409.

Agency Attendance Sheet

NYS/Suffolk County Region - Trauma Triage Protocol

 

Active Shooter Class Powerpoint

 

 Preparatory Updated 10/07  

Safety - You Could Get Hurt Without It!

Personal Safety Awareness for EMS Personnel

Safety check list drill

Duty and Responsiblity To Act Safe

Bloodborne Pathogen Refresher Training How is Your Public Image?
Bloodborne Pathogen Pre-test  
Bloodborne Pathogen Post-test  
   
 Operational Training  
 Emergency Response Guide Book  Hazardous Material Operations Refresher Training
 SMART Triage Review  
   

 

 

 

 

 

 

 

 

 

 

 

Suffolk County REMSCO | 360 Yaphank Ave, Suite 1B | Yaphank, NY 11980
Tel: 631-852-5080 | Fax: 631-852-5028