Protocol Education

Statewide Protocol Summary for Emergency Department Staff
PowerPoint presentation with narrative notes that can be used to provide an overview of the new Vermont Statewide EMS Protocols to emergency department staff. The presentation also addresses the following objectives:

Vermont EMS Quick Reference Guide - provided to hospital and emergency department staff in printed form and is available here for downloading.

Vermont EMS Statewide Protocols Version 1.4 released 3/17/14

Intranasal Naloxone for Suspected Opioid Overdose
Enhancement of EMR scope of practice to include use of intranasal naloxone for suspected opioid overdose with severe respiratory depression

Protocol Implementation and Transitions to New Scope of Practice Model

These protocols are written for the new Scope of Practice Model levels (EMR, EMT, AEMT and Paramedic), which include skills, medications and other interventions not allowed at the previous National Standard Curriculum levels (FR-ECA, EMT-B, EMT-I and EMT-Paramedic). When an entire agency has completed training on these protocols, they may begin to use these new protocols after 0001 hrs January 1st, 2014 regardless of the transition status of their personnel.

All agencies must begin to use these protocols no later than 2359 hrs on March 31, 2014. From April 1, 2014 forward, these are the only statewide EMS protocols and must be followed by all providers, regardless of transition status. However, EMS providers who have not completed the appropriate transition course are ONLY authorized to function within the scope of their previous scope of practice (FR-ECA, EMT-B, EMT-I and EMT-Paramedic). Appendix 3 contains the scope of practice matrix which lists the skills that each provider level, both old and new, can perform.

Statewide Protocol Resource Kit

Statewide Protocol Resource Kit - Created as a guide for both EMS providers and EMS Services to complete the education modules for the Vermont Statewide EMS Protocols.  This training is required for any level of licensure and does not require the provider to be transitioned to the new education standards.  Thus, a provider that has not transitioned and completes this training will be authorized to use these new skills, but will still have to complete a transition course within their recertification period as outlined by the National Registry (see previously published guidance and FAQs on the VT EMS website).  This training will also be required within all initial EMR, EMT, AEMT, and Paramedic courses commencing after October 15, 2013.

Protocol Education

The education modules below are available only on this website. Other modules referenced in the Statewide Protocol Resource Kit above are available through CentreLearn or through practical education at the service level. The Quick Reference Chart, located in the Statewide Protocol Resource Kit, gives information about the topic/skill, methods of presentation, and the scope of practice levels to which the training applies.

Instructions for opening the PowerPoint Presentations and the Exerpt Documents below:

Excerpts from the Statewide Protocol Resource Kit


Stroke Alert Screening Tool

Archival History

Previous Vermont EMS Protocols - Effective dates 2007 t0 March 31, 2014

Intranasal Naloxone for Suspected Opioid Overdose

Enhancement of EMR scope of practice to include use of intranasal naloxone for suspected opioid overdose with severe respiratory depression. Vermont EMS deems this enhancement appropriate in response to widespread public access to Naloxone for this purpose.

Questions about Protocol Education

Jessica Freire, State EMS Training Coordinator
Tel. 802-863-7310

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