In This Section:
Examination Accommodations: This policy describes the process for requesting an accommodation on an EMS psychomotor examination
Course Medical Director Qualifications
Substantiated Report of Abuse (Adult Abuse Registry and Child Protection Registry): This policy describes how the Vermont Department of Health addresses substantiated reports of abuse by EMS licensees and applicants
False Answers on License Applications: This policy addresses cases where an EMS licensee or applicant provides false answers to the self-disclosure questionnaire on license applications
Impaired or Negligent Vehicle Operation: This policy describes how crime convictions for impaired or negligent driving convictions affect a person's eligibility for EMS licensure
Pending Criminal Charges: This policy describes EMS licensees' and applicants' obligation to disclose criminal charges and convictions
Challenging the NREMT Exams - RN/PA/Military Medics: This policy describes the process that allows a Registered Nurse, Physician Assistant or Military medic to obtain a National Registry certification and state license without taking an initial course.
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Vermont Statewide EMS Protocols - 2020 Version (Effective May 15, 2020)
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Agency License Level Change Application: Log into the LIGHTS Public Portal (Applications > Service Applications)
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First Response Agency Recommended Equipment Lists
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Vermont Ambulance Equipment List (Updated July 5, 2022): This list is based on the National Equipment List for Ambulances and modified to adhere to Vermont’s Statewide EMS Protocols.
- GSA Ambulance Design Specifications (KKK-1822F): This document describes the required specifications for all Vermont licensed ambulances. See GSA Change Notices for new requirements issued by the GSA since publication of this document
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SIREN Downtime Run Form: Use this form to record EMS incidents in the event that the SIREN system is not available.
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Rule or Regulation Waiver Request - General: Log into the LIGHTS Public Portal (Applications > My Applications) if you would like to obtain a waiver of any section of the EMS Rule.
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Rule or Regulation Waiver Request - Research: Log into the LIGHTS Public Portal (Applications > My Applications) if, as part of a research project, you would like to obtain a waiver of any section of the EMS Rule.
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Agency License Application - Sample Operational Letter of Agreement: This is a template for an Operational Letter of Agreement, which is a requirement for obtaining an EMS agency license.
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Agency License Application - Sample Public Notice & Instructions: This is a template for posting a public notice in local newspapers when applying for a new EMS agency license.
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Ryan White CARE Act Provision: This document provides guidelines for exposure to infectious diseases.
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AEMT Testing and Licensing Information: This document guides AEMT instructors on course completion requirements, preparing students for National AEMT testing and applying for Vermont AEMT licensure.
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EMS Student Manual: This manual provides important information to students in initial EMS courses about course logistics and prepares them for examinations and licensure.
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Peer Mentor Evaluation Form - Presentation (I/C Bridge Course): Use this form if you are an existing Instructor/Coordinator who is mentoring/evaluating a student in an I/C Bridge Course. A separate form must be completed for each presentation the I/C Bridge candidate leads.
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Peer Mentor Evaluation Form - Comprehensive (I/C Bridge Course): Use this form if you are an existing Instructor/Coordinator who is mentoring/evaluating a student in an I/C Bridge Course. This form is to be completed as an overall assessment of the candidate after he or she has delivered all presentations.
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Instructor/Coordinator Administrative Guide: NOTE: This guide is currently being revised. If you have questions, please contact State Training Administrator Bambi Dame
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Vermont EMS Rapid Sequence Intubation Course Manual: This manual outlines the RSI education and CQI program requirements for both RSI paramedics and RSI assistants.
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Exam Coordinator Guide: This manual provides comprehensive information to help exam coordinators plan and execute a successful EMS practical exam site. NOTE: This guide is currently being revised. If you have questions, please contact State Training Administrator Bambi Dame.
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National Registry Practical Exam Score Sheets - EMR, EMT, AEMT and Paramedic: These are the practical exam scoring sheets used at all Vermont EMS practical exam sites.
Refer to the documents in this section to apply to become a Heart Safe Community:
Please send completed HEARTSafe applications to the Vermont EMS Office by emailing [email protected] or by mailing to Vermont EMS, PO Box 70, Burlington 05402-0070.
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PAD Registration Form: Use this form to notify the Vermont Department of Health that a public access defibrillator has been placed at your location.
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PAD Legislation: This is the text of legislation that created the Public Access Defibrillation program and provides instructions for registering defibrillators with the Vermont Department of Health.
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