Bureau of EMS Policy Statements and SEMAC Advisories
To update your agencies Policies and Procedures, protocol manuals, operations guides, or other official documentation please download and printout the PDF versions of the Policy Statements.
2024
- 24-10 Automated External Defibrillator (AED) Requirements for Youth Sports Leagues
- 24-09 Health Advisory: EMS Supply Chain Disruption and Conservation Strategies Following Closure of Baxter Plant (PDF)
- 24-08 10 NYCRR Part 800.3 through 800.20; Education Change Log Effective 06.05.2024 V 1.1 (PDF)
- 24-07 Advanced EMS Practitioner Courses Practical Skills Evaluation (supersedes 22-07) (PDF)
- 24-06 Requirements for the Possession and Production of NYS Department of Health Issued EMS Certification (supersedes 12-05) (PDF)
- 24-05 2nd Protocol Change Logs V.24.1 Effective 07.01.2024 (PDF)
- 24-04 EMS Instructor Certification Requirements and Process (PDF)
- 24-03 EMS Course Requirements for Hazmat Response Education (PDF)
- 24-02 Collaborative Protocol Change Log from v23.1 to v24.0 (PDF)
- 24-01 BLS Protocol Change Log from v23.1 to v24.0 (PDF)
2023
- 23-12 Medical Orders for Life Sustaining Treatment (MOLST) (PDF)
- 23-11 Provisional Trauma Center Designation Process (PDF)
- 23-10 Interim Policy on the Use of Face Masks and Face Coverings in EMS Settings (PDF)
- 23-09 Education Funding Policy (PDF)
- 23-09.B Education Funding Policy (PDF)
- 23-08.B New Pilot Educational Programs (PDF)
- 23-07 Scope of Practice by Level of EMS Provider (PDF)
- 23-06 Oxygen Tank Compliance for EMS Agencies (PDF)
- 23-05 Removal of Endotracheal Intubation from AEMT Level (PDF)
- 23-04 Collaborative Protocols Changelog | Version 23. 1 (PDF)
- 23-03 BLS Protocols Changelog | Version 23.1 (PDF)
- 23-02 EMS Instructor Training Requirements (supersedes 22-02) (PDF)
- 23-01 BLS iGel Pilot Program Policy Statement (PDF)
2022
- 22-14 Health Advisory: Outbreak of Ebola Virus Disease (Sudan Ebolavirus) In Central Uganda (PDF)
- 22-13 EMS Passenger Restraining Devices (PDF)
- 22-12 Polio EMS Vaccinator Guidance Policy (PDF)
- 22-11 2022 Health Commerce System EMS Provider Search and EMS Provider Online Certification (PDF)
- 22-10 Health Advisory - Guidance for EMS Professionals on Suspected Cases of Monkeypox (PDF)
- 22-09 2022 Extension of Certification for Military Personnel (PDF)
- 22-08 2022 Required CPR Education for EMS Providers (PDF)
- 22-07 Superseded by 24-07 Advanced EMS Practitioner Courses Practical Skills Evaluation
- 22-06 2022 CME Recertification for Extended Certifications (PDF)
- 22-05 2022 Extensions of EMS Provider Certification Under EO #4 (PDF)
- 22-04 Viral Pandemic Triage Protocol V1.1 (Updated 04.12.22) (PDF)
- 22-03 ADA Accommodations Requests for NY State EMS Certifying Exam (PDF)
- 22-02 EMS Instructor Training Requirements & Certification Process (PDF)
- 22-01 BLS First Response Agency Information for CME Program Requirements (PDF)
2021
- 21-08 EMS Education Distance Learning Policy Statement (PDF)
- 21-07 EMT Course Clinical Rotation Policy Statement (PDF)
- 21-06 EMS Vaccine Administration (PDF)
- 21-05 EMS Providers for Vaccination & COVID Testing (PDF)
- 21-04 Submission of Patient Care Reports as of July 1st, 2021 (PDF)
- 21-03 2nd Interim Guidance for EMS Education Courses (PDF)
- 21-02 Prevention and Control of Ebola Virus Disease (EVD) (PDF)
- 21-01 Community Paramedicine Vaccination Program Application Process (PDF)
2020
- 20-09 Guidance for Emergency Medical Services Personnel to Receive COVID-19 Vaccination (PDF)
- 20-08 Guidance for Emergency Medical Services Personnel to Receive COVID-19 Vaccination (PDF)
- 20-07 Interim Guidance for EMS Education Courses (PDF)
- 20-06 Viral Pandemic Triage Protocol Patient Form (updated 03/25/20) (PDF)
- 20-05 COVID-19 Response to Respiratory Emergencies (PDF)
- 20-04 COVID-19 EMS Provider Exposure (V.01) (PDF)
- 20-03 COVID-19 County Emergency Manager, County EMS Coordinator, and PSAP Guidance V1.0 (PDF)
- 20-02 COIVD-19 EMS Practitioner Guidance V3.0 (PDF)
- 20-01 Course Funding – Course Sponsors and EMS Agencies (PDF)
2019
- DAL: 19-04 Implementation of Updated CME Program (PDF)
- 19-03 EMS Measles Response Guidance (PDF)
- DAL: 19-02 Implementation of Statewide Basic Life Support Adult and Pediatric Treatment Protocols (PDF)
- 19-01 Superseded by 22-02 EMS Instructor Training Requirements & Certification Process
2018
2017
- 17-07 EMT-Critical Care Certification Sunset/Transition (PDF)
- 17-06 Syringe Epinephrine for EMTs (PDF)
- 17-05 Certified Athletic Trainers (PDF)
- 17-04 Fentanyl for Prehospital EMS Services (PDF)
- 17-03 Ketamine for Prehospital EMS Services (PDF)
- 17-02 Epinephrine Auto-Injectors (EpiPen®) (PDF)
- 17-01 Advanced Standing in EMS Certification Programs (PDF)
2016
- 16-02 Superseded by 19-01 Instructor Certification
- 16-01 Basic Life Support Acquisition and Transmission of 12 Lead ECGs (PDF)
2015
- 15-06 Transporting Patients with Blood/Blood Products (PDF)
- 15-05 EMS Certification Exam ADA Accommodation Requests (PDF)
- 15-04 Superseded by 18-01 Certification of Individuals with Criminal Convictions
- 15-03 Recommended Pediatric Equipment for Certified EMS Response Vehicles (PDF)
- 15-02 Continuous Positive Airway Pressure (CPAP) for BLS EMS Agencies (PDF)
- 15-01 EMS Student Field and/or Clinical Rotations (PDF)
2014
- 14-03 EMS Vehicle Signage and Labeling (PDF)
- 14-02 Superseded by 17-02 Epinephrine Auto-Injectors (EpiPen®)
- 14-01 EMS Provider Patient Care Restriction (PDF)
2013
- 13-10 Intranasal Naloxone (Narcan®) for Basic Life Support EMS Agencies (PDF)
- 13-09 Closure Planning for Ambulance or Advanced Life Support First Response Service Operating Certificate (PDF)
- 13-08 EMS Response Planning to a Suspected Biological/Infectious Disease Incident (PDF)
- 13-06 Superseded by 16-02 Instructor Certification
- 13-05 Respiratory Disease Precautions (PDF)
- 13-04 Alternative Medication Formulary For Prehospital Drug Shortages (PDF)
- 13-03 Superseded by 20-01 Course Funding
- 13-02 Recommendation for Health and Safety Officer (HSO) (PDF)
- 13-01 Paramedic Program Accreditation (PDF)
2012
- 12-06 EMS Mutual Aid (PDF)
- 12-05 Superseded by 24-06 Requirements for the Possession and Production of NYS Department of Health Issued EMS Certification
- 12-04 Advisory on Patient Care in a Moving Ambulance (PDF)
- 12-03 Electronic PCR Data Submission (PDF)
- 12-02 Prehospital Care Reports (PDF)
- 12-01 Blood Glucometry and Nebulized Albuterol (PDF)
2011
- 11-09 Superseded by 13-06 Instructor Certification
- 11-08 Superseded by 14-02 Epinephrine Auto-Injectors
- 11-07 Required CPR Testing (PDF)
- 11-06 Clarification of Operating Territory (COT) (PDF)
- 11-05 Medical Control and Oversight (PDF)
- 11-04 Superseded by 17-04 Fentanyl for Prehospital EMS Services
- 11-03 Providing Medical Direction (PDF)
- 11-02 Superseded by 23-12 Medical Orders for Life Sustaining Treatment (MOLST)
- 11-01 Blood Draws for Law Enforcement (PDF)
2010
- 10-07 Superseded by 11-03 Providing Medical Direction
- 10-06 Superseded by 15-03 Recommended Pediatric Equipment for Certified EMS Response Vehicles
- 10-05 Superseded by 11-02 DNR and Medical Orders for Life- Sustaining Treatment (MOLST)
- 10-04 Superseded by 17-03 Ketamine for Prehospital EMS Services
- 10-03 EMS Agency and Vehicle Surveillance and Inspections (PDF)
- 10-02 Distributive Learning EMS Certification Courses (PDF)
- 10-01 Defibrillators and Epinephrine Requirements - Deactivated to be superseded
2009
- 09-13 Superseded by 12-01 Blood Glucometry and Nebulized Albuterol for EMS Agencies
- 09-12 Storage and Integrity of Prehospital Medications and Intravenous Fluids (PDF)
- 09-11 Storage and Safe Guarding of Medications Administered by EMT-Bs. (PDF)
- 09-10 Superseded by 11-03 Providing Medical Direction
- 09-09 Superseded by 11-04 Fentanyl for Prehospital EMS Services
- 09-08 Reporting Incidents, Injuries and Crashes (PDF)
- 09-07 Security and Safety of EMS Response Vehicles (PDF)
- 09-06 Superseded by 13-03 Course Funding - Course Sponsors and EMS Agencies
- 09-05 Superseded by 15-04 Certification of Individuals with Criminal Convictions
- 09-04 Instructor Course Program Coordinator (PDF)
- 09-03 Public Access Defibrillation (PDF)
- 09-02 Extension of Certification for Military Personnel (PDF)
- 09-01 Municipal Certificate of Need "Muni-CON" (PDF)
2008
- 08-07 Superseded by 10-05 DNR and Medical Orders for Life- Sustaining Treatment (MOLST)
- 08-06 Federal Worker Visibility Act (PDF)
- 08-05 Superseded by 11-09 Instructor Certification
- 08-04 Passenger Restraint Devices in Emergency Response Vehicles (PDF)
- 08-03 Records Retention (PDF)
- 08-02 Prehospital Patient Confidentiality (PDF)
- 08-01 Superseded by 12-03 Electronic PCR Data Submission
2007
- 07-02 Superseded by 09-09 Fentanyl for Prehospital EMS Services
- 07-01 Service Animals (PDF)
2006
- 06-06 EMS Operating Certificate Application Process (PDF)
- 06-05 The National Incident Management System - NIMS (PDF)
- 06-04 BLS-FR Services Information (PDF)
- 06-02 Superseded by 11-07 Required CPR Testing
- 06-01 Emergency Patient Destinations and Hospital Diversion (PDF)
2005
- 05-05 Guidelines for Helicopter Utilization Criteria for Scene Response (PDF)
- 05-04 Blood Glucometry for Basic Life Support EMS Agencies (PDF)
- 05-03 Air Medical Services Protocol Approval and Credentialing of Flight Personnel (PDF)
- 05-02 Amendment to 10NYCRR Part800.26 Emergency Ambulance Service Vehicles (PDF)
- 05-01 Idling of Emergency Vehicles (PDF)
2004
- 04-07 EMT-Basic Assisted Medication Administration (PDF)
- 04-04 Internship Requirements for Instructor Certification (PDF)
- 04-02 Maintenance of IVs by EMTs (PDF)
- 04-01 SARS Advisory (PDF)
2003
- 03-11 Superseded by 13-05 Respiratory Disease Precautions
- 03-08 Superseded by 12-05 EMS Provider Certification and Identification
- 03-07 Superseded by 11-03 Providing Medical Direction
- 03-06 Radiological Terrorism Response Card (PDF)
- 03-05 Mark I Kits (PDF,)
- 03-04 Chemical Terrorism Preparedness and Response Card (PDF)
- 03-03 Instructions for completing a Version 5, NYS PCR (PDF)
- 03-02 Superseded by 13-08 EMS Response Planning to a Suspected Biological/Infectious Disease Incident
- 03-01 Ambulance & Advanced Life Support First Response Service Certificates (PDF)
2002
- 02-11 Preventive Maintenance of EMS Vehicles and Equipment (PDF)
- 02-10 Superseded by 09-06 Course Funding - Course Sponsors and EMS Agencies
- 02-09 Needlesticks and Sharps Injuries (PDF)
- 02-05 Superseded by 12-02 Prehospital Care Reports
- 02-03 Superseded by 10-03 Re: EMS Agency and Vehicle Surveillance and Inspections
- 02-02 Superseded by 09-05 Certification for Individuals with Criminal Convictions
- Guidance letter regarding the Mandatory Reporting of Suspected Child Abuse or Neglect by EMTs (PDF)
- 02-01 Requirement to report instances of suspected child abuse or maltreatment (PDF)
2001
- 01-08 Unknown Dry Substance / Suspected Anthrax Response Advisory (PDF)
- 01-07 Guidelines to follow in case of an EMS Vehicle Collision (PDF)
- 01-05 Abandoned Infant Protection Act (PDF)
- 01-04 EMT Staffing Standard for Voluntary Ambulance Services (PDF)
- 01-03 Superseded by 11-01 Blood Draws for Law Enforcement
- 01-02 EMS Use of the Incident Command System (PDF)
- 01-01 Authorizing Private Vehicles as EASVs (Use of Red Lights and Sirens) (PDF)
2000
- 00-15 Superseded by 09-11 Storage and Safe Guarding of Medications Administered by EMT-Bs
- 00-14 Superseded by 09-12 Storage and Integrity of Prehospital Medications and Intravenous Fluids
- 00-13 The Operation Of Emergency Medical Services Vehicles (PDF)
- 00-11 Sexual Harassment (PDF)
- 00-10 Functional Position Description EMT/AEMT (PDF)
- 00-09 Functional Position Description Certified First Responder (PDF)
- 00-08 Use of Bicycles as EASVs (PDF)
- 00-07 No Smoking (PDF)
- 00-06 Security of Drug Boxes (PDF)
- 00-03 Transition of Care (PDF)
- 00-02 Superseded by 11-08 Use of Epinepherine Auto Injectors
- 00-01 Superseded by 11-08 Use of Epinepherine Auto Injectors
1999
- 99-11 EMS Response to School Incidents (PDF)
- 99-10 Superseded by 23-12 Medical Orders for Life Sustaining Treatment (MOLST)
- 99-09 Patients Care and Consent for Minors (PDF)
- 99-08 Medical Transportation (PDF)
- 99-06 Exposure to Blood and/or Body Fluids (PDF)
- 99-03 Paramedic Curriculum (PDF)
1998
- 98-18 Management Kits for MCI Field Response (PDF)
- 98-17 Superseded by 13-01 Paramedic Program Accreditation
- 98-16 Equipment Update (PDF)
- 98-11 EMS Service Incident Reporting Requirements (PDF)
- 98-09 ALS Intercepts (PDF)
- 98-08 Superseded by 14-03 EMS Vehicle Signage and Labeling
- 98-06 Ambulance Oxygen Systems & Equipment (PDF)
- 98-05 Superseded by 01-02 EMS Use of the Incident Command System and 06-05 The National Incident Management System - NIMS
- 98-04 Equipment Update (PDF,)
- 98-03 Personal Equipment on Ambulance Vehicles (PDF)
- 98-02 Radio Communications Systems for EMS Services (PDF)
1996
1995
- 95-09 Developing EMS Agency Policies and Procedures (PDF)
- 95-08 AED Training in EMS Courses (PDF)
- 95-06 Interim Policy of AED Training (PDF,)
- 95-04 EMS Mutual Aid (PDF)
- 95-03 ALSFR Service Requirements (PDF)
- 95-01 Superseded by 11-05 Medical Control and Oversight
1992
- 92-02 Tuberculosis (PDF)
1989
- 89-14 Out-of-Service Vehicles (PDF)
- 89-11 Field Internship Requirement for EMT-I Original and EMT-P Original Courses (PDF)
- 89-06 Part 18 (PDF)
- 89-04 Sample Standard Operating Procedure to Follow in Respect to Backing and Parking the Ambulance (PDF)
- 89-02 EMS Mutual Aid Planning Guidelines (PDF)
1988
- 88-22 Barrier Precautions and Reprocessing Recommendations for Prehospital Providers (PDF)
- 88-01 Patient Carrying Devices (PDF)
1987
1986
Bureau of EMS Advisories
SEMAC Advisories
These guidelines are issued under the authority of Article 30 of the Public Health Law, Section 3002-a(2) and with the Commissioner of Health's approval. While these guidelines do not have the weight of law, the issuance of guidelines are statutorily authorized and approved by the department as appropriate guidance for prehospital patient care. They should be followed in the same manner as the statewide or regional patient care protocols.
