Regional Protocol

The Greater Miami Valley EMS Council publishes an annual protocol or "standing orders" that can be adopted by member agencies and implemented by the agency medical director.

2025 Protocol Materials
2025 GMVEMSC Standing Orders (updated 3/25/25)
2025 GMVEMSC Standing Orders Implementation Guide
2025 GMVEMSC Protocol Update with Dr. Marriott
2025 GMVEMSC Pediatric Dose Sheet

2025 GMVEMSC protocol test links
These tests have been created to be as fair as possible. Please email education@gmvemsc.org if you find any mistakes or have any problems or concerns. We will try to address these in a timely manner.

Skill Evaluator Quiz (May take as many times as needed to get 80%) https://quiz.questbase.com/#/4914-3072-3700

EMR https://quiz.questbase.com/#/1703-3275-5200
EMT https://quiz.questbase.com/#/4262-6852-8500
AEMT https://quiz.questbase.com/#/3524-1785-3500
Paramedic https://quiz.questbase.com/#/5427-0683-4600

2025 Testing Evaluation (please let us know your opinions) https://forms.office.com/r/yym9hEbNjv

Supplementary Protocol Materials
GMVEMSC JITSO - Dextrose 10% (D10)
GMVEMSC JITSO - Controlled Medication Waste
GMVEMSC JITSO - Afluria Influenza Vaccine, vers. 2.2
GMVEMSC JITSO - Fluzone Influenza Vaccine, vers. 2.2
GMVEMSC JITSO - Flu Version 1.7
GMVEMSC JITSO - Janssen Vaccinator Checklist, vers. 2.1
GMVEMSC JITSO - Janssen Vaccinator Checklist, vers. 2.1
GMVEMSC JITSO - Moderna Vaccinator Checklist, vers. 2.1
GMVEMSC JITSO - Pfizer Vaccinator Checklist, vers. 2.2
GMVEMSC JITSO - Sotrovimab Monoclonal Antibody Version 1.2
GMVEMSC JITSO - Non Initiation of Care
GMVEMSC JITSO - Ketamine Dosing
GMVEMSC JITSO - Patient Capacity, Consent, Psychiatric and Combative Patients
Hospital Capabilities Chart (8/6/20 update)

Click Here for Prior Year Protocol Training Materials

Standing Orders Database
Standing Orders Database (login required)
Standing Orders Database Guide
Standing Orders Database Tutorial PPT Download

Functional Needs Shelter Triage Protocol
Dayton MMRS, in collaboration with the American Red Cross, Public Health - Dayton and Montgomery County, Montgomery County Office of Emergency Management, the Region 2 Regional Physicians Advisory Board (RPAB), and other agencies, has developed this protocol. It is used to help determine whether individuals with functional needs can be safely sheltered in a Red Cross Shelter during a disaster.

This Shelter Triage Protocol is a pre-approved Just-In-Time Standing Order (JITSO), authorized by the RPAB for use by an agency assisting the Red Cross with shelter Triage. It will not become part of protocol books or protocol testing. It is intended to be printed and given to paramedics, nurses, and other healthcare personnel at the time of a shelter operation.

Download the full Functional Needs Shelter Protocol here

EMS agencies must be covered by a CLIA (Clinical Laboratory Improvement Amendments) Certificate of Waiver to perform blood glucose testing. Failure to meet this requirement could result in the forfeiture of EMS billing reimbursements and other penalties assessed by CMS (Centers for Medicare and Medicaid Services). The Greater Miami Valley EMS Council has obtained and will maintain a CLIA Certificate of Waiver for glucose testing, as a no cost benefit, which provides EMS member agencies with a group coverage opportunity. EMS member agencies may also opt to carry their own CLIA Certificate of Waiver, in lieu of participating in the GMVEMSC’s coverage.

CLIA Waiver Participation Requirements 2018-2020
CLIA Waiver Participation Form 2018-2020
FDA CLIA Waiver Database