This page contains information on EMS operations including commonly used Forms and contact information for our IDPH Regional EMS Coordinator.
SYSTEM APPROVED LIST OF ABBREVIATIONS:
Per the request of our providers, we have a list of System approved ABBREVIATIONS. Please feel free to view or print for training.
PATIENT MEDICATION DROP-OFF:
Fire departments should not accept unused/unwanted medications for disposal, but instead direct families to the following websites to locate appropriate facilities that will take unwanted prescriptions.
https://www.deadiversion.usdoj.gov/drug_disposal/takeback/index.html Then click on the link “Find a collection site near you ” they can type in their zip code and find a nearby location that accepts medications. Some local pharmacies and police stations take unused medications, but call first to ask if they do and how.
I have included here another web site with information on where people can drop-off medication and other medicated products except DEA listed narcotics. http://www.willcountygreen.com/greenguide/pharm.aspx
Pharmacies recommend to dispose of DEA narcotics by emptying capsules or disposing of tablets and liquids into damp kitty litter or coffee grounds, then discarding in the trash, if you are unable to find a drop-off location.
PATIENT SHARPS/NEEDLE DISPOSAL:
Please direct families looking to drop off “sharps” (used needles) to a nearby Walgreens for a sharps disposal kit or perhaps visit www.sharpsdisposal.com (or other sharps disposal site of their choice) for a medical waste return kit. Local hospitals will not take in outside sharps for return/waste.
PATIENT CARE REPORTING:
SCEMSS transitioned to electronic data collection 12/31/15. All SCEMSS agencies are now required to be fully electronic in their data collection and submission.
KEY-DATA WEB SOFTWARE USERS:
Anyone using the IDPH created web based system called KeyData Web will receive NEMSIS 3 updates directly from IDPH regarding the software. This software is free to users. Obviously it does NOT have the same capabilities as a third party software vendor such as Zoll or ImageTrend for QA purposes, but is the free alternative for electronic data collection.
IDPH KeyData Web Website
KeyData Web Administrator Manual
KeyData Web User Manual
KeyData Web Start-Up Instructions
ZOLL SOFTWARE USERS:
Agencies using Zoll have been meeting regularly regarding the NEMSIS 3 conversion and are already working with Zoll and IDPH to be ready.
FIREHOUSE SOFTWARE USERS:
Agencies using Firehouse EDC will need to transition away from the System’s 1-page face sheet on paper for the narrative and begin inputting their narrative directly into Firehouse. Agencies will also need to follow-up with Firehouse to ensure NEMSIS 3 compliance.
IMAGE TREND AND OTHER SOFTWARE USERS:
Agencies will need to follow-up with their respective software vendors to ensure NEMSIS 3 compliance.
For ambulance inspections allow enough notice for scheduling prior to new rig arrival and expirations. Inspection forms should be printed from the IDPH website to ensure the most recent form is used for reference. When authorized to self-inspect, print and send the completed form to the System (we will sign and forward to IDPH). All self-inspections are subject to System spot-checks. IDPH should contact Agency Coordinators to schedule vehicle inspections. If you do not hear anything within 30 days prior to your vehicle license expiration send an email to the State Inspectors Louise.Roberts@Illinois.gov and Emily.Doering@Illinois.gov as well as firstname.lastname@example.org. Once the inspection is scheduled, email email@example.com the date and time of your inspection for ALS equipment/medications.
Pay your vehicle renewal fees early so once the inspections are logged in the IDPH database your licenses will renew and print. You may pay your vehicle renewal fees online at the IDPH WEBSITE.
ROUTINE SYSTEM OPERATIONS:
The Operations Coordinator handles the daily routine operations in the System such as ambulance inspections, supplies, pyxis, system entry, licensure, events, website maintenance, and data collection.
VERY IMPORTANT INFO REGARDING IDPH FORMS:
The IDPH EMS WEBSITE is the ONLY location where IDPH forms should be printed. Visit the website to find commonly used forms for Inspections, Vehicle changes “Sys-Mod” forms, Provider Renewal Notices and Vehicle Licensing forms. IDPH updates these forms without notice and will not accept old/outdated forms.
Most forms used in daily EMS operations are located on the POLICY PAGE, however some of the more frequently requested forms may be found below:
PRINT THESE IDPH FORMS FROM THE IDPH WEBSITE:
IDPH Ambulance Inspection Form
IDPH Non-transport Vehicle Inspection Form
IDPH EMS System Plan Modification Form Commonly referred to as “Sys-Mod” Form
IDPH Equipment/Vehicle Waiver Request Form
IDPH Special Events Request Application
IDPH SITE CODE APPLICATION FORM
COMMONLY ACCESSED SYSTEM POLICIES LINKED TO POLICY PAGE:
Ambulance Requirements Policy 300-39
BLS Required Equipment Policy 300-4
ALS Required Equipment Policy 300-6
Non-Transport Policy 300-9
Medication Policy 300-37
Pharmacy Order Form
Monthly Controlled Substance Inventory Log
PYXIS Policy & Instructions Policy 300-69
DNR/POLST Policy 300-50 Link to Instructions and DNR FORM
Multiple Patient Refusal/Release Policy 300-65
Refusal Policy 300-55 with Release Form
Reserve Vehicle Policy 300-36
Out-of-Service Ambulance Form Policy 300-13
Link to Illinois ADULT petition:
Link to Illinois MINOR petition:
Contact firstname.lastname@example.org for questions regarding SCEMSS Operations.