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LINKS
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OTHER EMS
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LOCAL GOVERNMENT
·Albemarle County
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VIRGINIA GOVERNMENT
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·Governor Mark R. Warner


STAFF

EXECUTIVE DIRECTOR
·Mary Kathryn Allen, EMT-I

TRAINING SPECIALIST
·Linda G. Johnson, NREMT-P

PROGRAM COORDINATOR
·Diana "Cookie" Conrad, EMT-C

ADMINISTRATIVE ASSISTANT
·Donna Evatt, EMT-ST



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2205 Fontaine Avenue, Suite 302
Charlottesville, Virginia 22903
(434) 295-6146 Office
(434) 295-2009 Fax

FORMS AND DOCUMENTS FOR DOWNLOADING

Below you will find a list of all TJEMS forms and documents available for download.  Unless otherwise noted, these forms are in pdf format and require Adobe Acrobat.


Durable Do Not Resuscitate News Release
TJEMS Guidelines
   REVISED 2004
Advanced Airway Management
Advanced Airway Management Form
Advanced Life Support Guidelines
AED Defibrillation
AED Utilization Form
Allergic Reaction Report
Area Hospital Communications
   REVISED 2004
Biphasic Guidelines
CISM Activation CFD
CISM Activation ECC
Contaminated Drug Box
Drug Listing
   REVISED 2004
Durable DNR
Helicopter Operations
Hospital Transport Classifications
Immobilization Decision Matrix
Infection Control
MEDCOM Communications
   REVISED 2004
Pediatric Immobilization
Prehospital Skills Delineation
   REVISED 2004
Provider Clearance Process
Recertification Testing Waiver
Refusals and Documentation
Regional Ambulance Restocking Agreement
Regional EMS Mass Casualty Plan
   REVISED 2005
Resource Cancellation
RSI Protocol
Scene Authority For Patient Care
Skills Drill Requirements - ALS
Skills Drill Requirements - BLS
Start Triage
Treatment for Patients Under 18
Points Summary Form
ALS Evaluation Preceptor Form
August 2002 ALS Meeting Handout
January 2003 ALS Meeting Handout
February 2003 ALS Meeting Handout
April 2003 ALS Meeting Handout
June - July ALS Meeting Handout
August ALS Meeting Handout
Regional EMS Plan
Regional Training Plan
February 2003 BLS Notes
Drug Diversion Report Form
OMD Contract
   Word Document Format
Regional OMD Template
August 2004 BLS Notes
EMT-J Drug Data Sheet
   NEW
EMSAT Fall 2005 Schedule




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