EMS Policies

These Region 11 Chicago EMS System Protocols, Policies, and Procedures for EMTs and Paramedics are prehospital medical guidelines for patient assessment, treatment, and transportation within the system.  They provide a framework for all patient encounters and Online Medical Control should be consulted in situations where there is not clear direction from the written documents.

Download Complete Region 11 EMS Policies

Please click on links below to access individual EMS Policies:


Professional Ethical Standards and Behavioral Expectations
Participating Hospital Responsibilities
Region 11 EMS Participating Hospital Map
Region 11 (Chicago) EMS Organizational Structure
Resource and Associate Hospitals
Region 11 Resource Hospital Geographical Map



Abandoned Newborn Infant Protection
Advanced Directives and POLST
ALS Upgrade of EMS Service
Call Disposition
Consent and Refusal of EMS Service
Controlled Substance Requirements
Conveyance of Patients
Determination of Death / Withholding of Resuscitative Measures
EMS Guidelines for Infection Control
EMS Staffing
Epinephrine Dilution For Shortage
Initiation of Patient Care
Interaction with an Independent Nurse/Physician on Scene
Interaction with Law Enforcement at a Crime Scene
Large Gatherings & Special Events
Management of Multiple Patient Incidents
Medication Administration Cross Check (MACC)
Notification of the Coroner/Medical Examiner
Region 11 Drug, Equipment and Supply (DES) List
Reporting Abused or Neglected Patients
Safe Transport of Children by EMS
School Incidents
Termination of Resuscitation
Use of Latex Free Supplies



Medical Records Documentation and Reporting
Patient Confidentiality and Release of of Information/Health Insurance Portability and Accountability Act (HIPAA)


EMS Competency Testing
EMS Continuing Education (CE) Requirements
EMS Lead Instructor
IDPH EMS Continuing Education Relincensure Recommendations



EMS System Quality Improvement/Quality Assurance (QI/QA) Plan
IDPH Waiver Provision
Medical Device Malfunction Reporting
Request for Clarification (RFC)/Complaint Investigation 
Resolving Regional or System Conflict