AGREEMENTS

Hospitals
Base Hospital Medical Control Agreement
EMT-II/P Receiving Hospital Agreement
Satellite Hospital Medical Control Agreement
EDAP Standards

Personnel
Prehospital Care Medical Director Agreement
Prehospital Care Nurse Coordinator Agreement

Programs
Quality Assurance Committee Participation
Quality Assurance Committee Participation – Employees/Contractors

Providers
AED Provider Agency Memorandum of Understanding
First Responder Provider Agency Memorandum of Understanding
Helicopter Service Provider Agency Memorandum of Understanding
Limited Advanced Life Support and/or Advanced Life Support Agreement
ETAD-AED Reporting Form
 

APPLICATIONS

EMT-I
(Re)Certification Application

EMT-II
(Re)Certification Application

EMT-P
Paramedic Accreditation
Paramedic REaccreditation
Paramedic Reaccreditation with LAPSE of less than two years

MICN
(Re)Authorization Application
MICN Field Observation Verification
MICN New Personnel Orientation Documentation
 

FORMS

Evaluation
EMT-I Skills Check Off Form
Field Care Audit Evaluation
MICN Tape Audit
Site Evaluation
Thrombolytic Therapy Pre-Alert Checklist

Problems
Humboldt County Hospital Diversion Log
North Coast EMS Agency CQI
PCR Notification Form
Radio Delay/Radio Failure Report