F30.04 - Communications

SIGNIFICANCE AND USE
5.1 This practice is intended to promote the use of trained telecommunicators in the role of emergency medical dispatcher. It defines the basic skills and medical knowledge to permit understanding and resolution of the problems that constitute their daily routine. To use trained telecommunicators fully as functioning members of the emergency medical team, it is deemed necessary to upgrade the telecommunicators' training by the addition of the concept of emergency medical dispatch priorities.  
5.2 All agencies or individuals who routinely accept calls for emergency medical assistance from the public and dispatch emergency medical personnel shall have in effect an emergency medical dispatcher program in accordance with this practice. The program shall include medical direction and oversight and an emergency medical dispatch priority reference system.  
5.3 The successful use of the EMD concept depends on the medical community's awareness of the “prearrival” state of EMS affairs and their willingness to provide medical direction in dispatch.  
5.4 This practice may assist in overcoming some of the misconceptions regarding emergency medical dispatching. These include the uncontrollable nature of the caller's hysteria, lack of time of the dispatcher, potential danger and liability to the EMD, lack of recognition of the benefits of dispatch prearrival instructions, and misconceptions that red lights, siren, and maximal response are always necessary.  
5.5 The EMD is the member of the EMS response team with the broadest view of the entire emergency system's current status and capabilities. The EMD has immediate lifesaving capability in converting the caller into an effective first responder. This practice recognizes the EMD's role as including:  
5.5.1 Interrogation techniques,  
5.5.2 Triage decisions,  
5.5.3 Information transmission,  
5.5.4 Telephone medical intervention, and  
5.5.5 Logistics and resource coordination during the event.  
5.6 For the EMD, th...
SCOPE
1.1 This practice covers the definition of responsibilities, knowledge, practices, and organizational support required to implement, perform, and effectively manage the emergency medical dispatch function.  
1.2 This practice is useful for planning and evaluating the training, implementation, and organizational support to satisfy the functional needs of emergency medical dispatching.  
1.3 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety, health, and environmental practices and determine the applicability of regulatory limitations prior to use.  
1.4 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.

SIGNIFICANCE AND USE
5.1 In situations in which the coordination of EMSS communications among political subdivisions affects the health and safety of the state’s population, it is appropriate for state government to take a coordinating role. Statewide planning for coordinated use of radio frequencies for EMSS communications is specifically needed.  
5.2 The state is the logical unit to formulate the statutory and regulatory framework for EMSS planning. State planning for area-wide EMSS communications provides authority to accomplish coordination in the use of available radio frequencies, thus promoting multiagency cooperation to best serve the public needs.  
5.3 With statewide planning, communities, counties, and multicounty EMSS regions are provided with guidance to achieve the performance goals and objectives of their EMSS communications systems.  
5.4 The statewide EMSS communications performance goals and objectives in Sections 10 – 15 address specific roles of state governments in EMSS communications systems planning. These performance goals and objectives should be considered by states for evaluating, planning, and implementing of acceptable EMSS communications statewide.
SCOPE
1.1 This guide covers telecommunications practices and performance standards required to support all of the functions of community EMSS on a statewide basis. It defines state planning goals and objectives for EMSS communications.  
1.2 This guide is for planning, coordinating, integrating, and evaluating telecommunications resources statewide to satisfy the functional needs of comprehensive community EMSS systems.  
1.3 To facilitate a two-tiered planning approach recommended for EMSS communications, this guide identifies those communications system features that should be coordinated on a statewide basis and defined in statewide (first tier) EMSS communications planning guidelines. Local (second tier) EMSS communications plans prepared in accordance with the statewide guidelines should then be tailored to satisfy local EMSS needs while providing compatibility and interoperability of communications with other EMSS.  
1.4 The sections in this guide appear in the following sequence:    
Section  
Scope  
1  
Referenced Documents  
2  
Terminology  
3  
Summary of Guide  
4  
Significance and Use  
5  
Functions and Categories of EMSS Communications  
6  
Telecommunications Functions  
6.1  
Telecommunications Categories  
6.2  
EMSS Functional Communications Requirements  
7  
General Information  
7.1  
Citizen Access  
7.2  
EMSS Vehicle Dispatch and Coordination  
7.3  
Medical Coordination/Direction  
7.4  
Interservice Communications  
7.5  
Radio Frequency Spectrum and Service Requirements  
8  
Radio Frequencies  
8.1  
EMSS Radio Service Coverage  
8.2  
Operational Considerations  
8.3  
Goals and Objectives for EMSS Communications  
9  
Goal 1—State EMSS Communication Should Meet Recognized Standards for Functional Performance  
10  
Goal 2—Local EMSS Communications Should Be Compatible with, and Should Not Interfere with, EMSS Communications in Neighboring Area  
11  
Goal 3—Local EMSS Communications Systems Should Be Compatible with, and Should Not Interfere with, Other Types of Communications Systems  
12  
Goal 4—EMSS Communications Systems Should Make Maximum Use of State and Common Resources Where Appropriate, Cost Effective, and Authorized  
13  
Goal 5—The State Should Act as the Representative of Local EMSS in Dealing with Federal Agencies and National Organizations  
14  
Goal 6—The State Should Have a Program for Positive Management of Its EMSS Communications Activities  
15  
Emergency Medical Radio Services (EMRS) Radio Frequencies (MHz)  
Appendix X1  
Acronyms and Glossary for EMSS Communications  
Appendix X2  
References  
1.5 This standard does not purport to address all of the safety co...

SIGNIFICANCE AND USE
4.1 This practice establishes the national standard for training the EMT in communicating pertinent patient information to the receiving medical facility.  
4.2 Appropriate physiological data and patient assessment information should be collected from the scene or while en route to the receiving medical facility or medical command site.  
4.3 This practice is based on the information needs of a receiving medical facility to assist them in medical triage, ED resource management, and the provision of medical direction.  
4.4 This practice should be used by those who develop curricula, provide continuing medical education, or desire a needs-based reporting approach.  
4.5 This practice should be used to develop documentation aids such as EMS notepads and medical command documentation sheets.  
4.6 The communication format in each PISA subsection in this practice are not necessarily in sequential order. The report may vary dependent upon patient presentation.
SCOPE
1.1 This practice establishes the EMS standard for communications entailing a patient radio (phone) report to a receiving medical facility.  
1.1.1 This report is based on receiving facility needs and is generic for medical, traumatic (ALS), and (BLS) patients.  
1.1.2 This report standard is based on the hierarchical information needs of an average medical receiving facility.  
1.2 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.

SIGNIFICANCE AND USE
4.1 This guide has been developed to facilitate communications between agencies involved in the delivery of emergency medical services. This guide is intended to be applied by agencies providing emergency medical services to improve their communications with EMS support agencies. It recommends necessary communication before, during, and after an EMS event.
SCOPE
1.1 This guide covers the planning, operations, and evaluation phases of interagency communications as part of a comprehensive EMS system.  
1.2 This is a guide for interagency communications within an EMS system. Interagency communications involves the EMS responder and support agencies whose primary mission is not  to deliver prehospital emergency medical care.  
1.3 The primary focus of this guide is to address interagency communications necessary for ongoing EMS responses.  
1.4 The guide also addresses interagency communications in any major EMS incident, including man-made or natural disasters.  
1.5 The recommendations for drills/exercises for the evaluation of interagency communications during an EMS event are also incorporated into this guide.  
1.6 Additional information can be found in Guide F1220 and Refs (1-5).2  
1.7 The sections in this guide appear in the following sequence:    
Section  
Introduction  
Scope  
1  
Referenced Documents  
2  
Terminology  
3  
Significance and Use  
4  
Procedure  
5  
Rationale  
Appendix X1  
Keywords  
6  
References  
1.8 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety, health, and environmental practices and determine the applicability of regulatory limitations prior to use.  
1.9 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.

SIGNIFICANCE AND USE
5.1 The emergency medical dispatcher should be a specially trained telecommunicator with specific emergency medical knowledge. Many of these personnel still perform in this role without the benefits of dispatch specific medical training and medically sound protocols. The majority perform their duties without appropriate medical management provided through a structured quality assurance/improvement environment. Training only prepares a new EMD for correct use of the EMDPRS. It cannot ensure that the EMDPRS is used as intended. Since the EMD is clearly defined as a prehospital medical professional, it is necessary to establish sound medical management processes through a multi-component QA/QI program administered by the EMD's agency in conjunction with the physician medical director. Prompt, correct, and appropriate patient care can be enhanced through the use of a standardized approach to quality assurance, especially the component of EMD performance assessment. This practice is intended for use by agencies, organizations, and jurisdictions having the responsibility for providing such services and assurances to the public through the correct management of the nation's emergency medical dispatchers.
SCOPE
1.1 This practice covers the function of the emergency medical dispatcher (EMD). This function is the prompt and accurate processing of calls for emergency medical assistance. The training and practice through the use of a written or automated medical dispatch protocol is not sufficient in itself to ensure continued medically correct functioning of the EMD. Their dispatch-specific medical training and focal role in EMS has developed to such a complexity that only through a correctly structured and appropriately managed quality assurance environment can the benefits of their practice be fully realized. The philosophies of emergency medical dispatch have established new duties to which the emergency medical dispatch agency must respond. It is important that their quality assurance/quality improvement (QA/QI) activities, including initial hiring, orientation, training and certification, continuing dispatch education, recertification, and performance evaluation be given appropriate managerial attention to help ensure the ongoing safety in the performance of the EMD. This practice establishes functional guidelines for these managerial, administrative, and supervisory functions.  
1.2 The scope of this practice includes:  
1.2.1 The entry level selection criteria for hiring emergency medical dispatchers;  
1.2.2 The orientation of new emergency medical dispatchers;  
1.2.3 Development of QA/QI mechanisms, management strategies, and organizational structures for use within a comprehensive emergency medical dispatch system;  
1.2.4 Performance evaluation as a component of a comprehensive and ongoing quality assurance and risk management program for an emergency medical dispatch system;  
1.2.5 Development and provision of continuing dispatch education activities for the emergency medical dispatcher;  
1.2.6 Requirements for initial certification and recertification of the emergency medical dispatcher;  
1.2.7 Provision for comparative analysis between different EMD program approaches available to the EMS community that conform to established EMD practice standards prior to implementation of an emergency medical dispatch program; and  
1.2.8 Guidelines for implementation of an emergency medical dispatch program.  
1.3 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety, health, and environmental practices and determine the applicability of regulatory limitations prior to use.  
1.4 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Developme...

SIGNIFICANCE AND USE
5.1 The emergency medical dispatcher should be a specially trained telecommunicator with specific emergency medical knowledge. Many of these personnel still perform in this role without the benefits of dispatch specific medical training and medically sound protocols. The majority perform their duties without appropriate medical management provided through a structured quality assurance/improvement environment. Training only prepares a new EMD for correct use of the EMDPRS. It cannot ensure that the EMDPRS is used as intended. Since the EMD is clearly defined as a pre-hospital medical professional, it is necessary to establish sound medical management processes through a multi-component QA/QI program administered by the EMD's agency in conjunction with the physician medical director. Prompt, correct, and appropriate patient care can be enhanced through the use of a standardized approach to quality assurance, especially the component of EMD performance assessment. This practice is intended for use by agencies, organizations, and jurisdictions having the responsibility for providing such services and assurances to the public through the correct management of the nation's emergency medical dispatchers.
SCOPE
1.1 This practice covers the function of the emergency medical dispatcher (EMD). This function is the prompt and accurate processing of calls for emergency medical assistance. The training and practice through the use of a written or automated medical dispatch protocol is not sufficient in itself to ensure continued medically correct functioning of the EMD. Their dispatch-specific medical training and focal role in EMS has developed to such a complexity that only through a correctly structured and appropriately managed quality assurance environment can the benefits of their practice be fully realized. The philosophies of emergency medical dispatch have established new duties to which the emergency medical dispatch agency must respond. It is important that their quality assurance/quality improvement (QA/QI) activities, including initial hiring, orientation, training and certification, continuing dispatch education, recertification, and performance evaluation be given appropriate managerial attention to help ensure the ongoing safety in the performance of the EMD. This practice establishes functional guidelines for these managerial, administrative and supervisory functions.  
1.2 The scope of this practice includes:  
1.2.1 The entry level selection criteria for hiring emergency medical dispatchers;  
1.2.2 The orientation of new emergency medical dispatchers;  
1.2.3 Development of QA/QI mechanisms, management strategies and organizational structures for use within a comprehensive emergency medical dispatch system;  
1.2.4 Performance evaluation as a component of a comprehensive and ongoing quality assurance and risk management program for an emergency medical dispatch system;  
1.2.5 Development and provision of continuing dispatch education activities for the emergency medical dispatcher;  
1.2.6 Requirements for initial certification and recertification of the emergency medical dispatcher;  
1.2.7 Provision for comparative analysis between different EMD program approaches available to the EMS community that conform to established EMD practice standards prior to implementation of an emergency medical dispatch program; and  
1.2.8 Guidelines for implementation of an emergency medical dispatch program.  
1.3 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SIGNIFICANCE AND USE
5.1 This practice is intended to promote the use of trained telecommunicators in the role of emergency medical dispatcher. It defines the basic skills and medical knowledge to permit understanding and resolution of the problems that constitute their daily routine. To use trained telecommunicators fully as functioning members of the emergency medical team, it is deemed necessary to upgrade the telecommunicators' training by the addition of the concept of emergency medical dispatch priorities.  
5.2 All agencies or individuals who routinely accept calls for emergency medical assistance from the public and dispatch emergency medical personnel shall have in effect an emergency medical dispatcher program in accordance with this practice. The program shall include medical direction and oversight and an emergency medical dispatch priority reference system.  
5.3 The successful use of the EMD concept depends on the medical community's awareness of the “prearrival” state of EMS affairs and their willingness to provide medical direction in dispatch.  
5.4 This practice may assist in overcoming some of the misconceptions regarding emergency medical dispatching. These include the uncontrollable nature of the caller's hysteria, lack of time of the dispatcher, potential danger and liability to the EMD, lack of recognition of the benefits of dispatch prearrival instructions, and misconceptions that red lights, siren, and maximal response are always necessary.  
5.5 The EMD is the member of the EMS response team with the broadest view of the entire emergency system's current status and capabilities. The EMD has immediate lifesaving capability in converting the caller into an effective first responder. This practice recognizes the EMD's role as including:  
5.5.1 Interrogation techniques,  
5.5.2 Triage decisions,  
5.5.3 Information transmission,  
5.5.4 Telephone medical intervention, and  
5.5.5 Logistics and resource coordination during the event.  
5.6 For the EMD, ...
SCOPE
1.1 This practice covers the definition of responsibilities, knowledge, practices, and organizational support required to implement, perform, and manage effectively the emergency medical dispatch function.  
1.2 This practice is useful for planning and evaluating the training, implementation, and organizational support to satisfy the functional needs of emergency medical dispatching.  
1.3 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SIGNIFICANCE AND USE
5.1 In situations in which the coordination of EMSS communications among political subdivisions affects the health and safety of the state’s population, it is appropriate for state government to take a coordinating role. Statewide planning for coordinated use of radio frequencies for EMSS communications is specifically needed.  
5.2 The state is the logical unit to formulate the statutory and regulatory framework for EMSS planning. State planning for area-wide EMSS communications provides authority to accomplish coordination in the use of available radio frequencies, thus promoting multiagency cooperation to best serve the public needs.  
5.3 With statewide planning, communities, counties, and multicounty EMSS regions are provided with guidance to achieve the performance goals and objectives of their EMSS communications systems.  
5.4 The statewide EMSS communications performance goals and objectives in Sections 10 – 15 address specific roles of state governments in EMSS communications systems planning. These performance goals and objectives should be considered by states for evaluating, planning, and implementing of acceptable EMSS communications statewide.
SCOPE
1.1 This guide covers telecommunications practices and performance standards required to support all of the functions of community EMSS on a statewide basis. It defines state planning goals and objectives for EMSS communications.  
1.2 This guide is for planning, coordinating, integrating, and evaluating telecommunications resources statewide to satisfy the functional needs of comprehensive community EMSS systems.  
1.3 To facilitate a two-tiered planning approach recommended for EMSS communications, this guide identifies those communications system features that should be coordinated on a statewide basis and defined in statewide (first tier) EMSS communications planning guidelines. Local (second tier) EMSS communications plans prepared in accordance with the statewide guidelines should then be tailored to satisfy local EMSS needs while providing compatibility and interoperability of communications with other EMSS.  
1.4 The sections in this guide appear in the following sequence:    
Section  
Scope  
1  
Referenced Documents  
2  
Terminology  
3  
Summary of Guide  
4  
Significance and Use  
5  
Functions and Categories of EMSS Communications  
6  
Telecommunications Functions  
6.1  
Telecommunications Categories  
6.2  
EMSS Functional Communications Requirements  
7  
General Information  
7.1  
Citizen Access  
7.2  
EMSS Vehicle Dispatch and Coordination  
7.3  
Medical Coordination/Direction  
7.4  
Interservice Communications  
7.5  
Radio Frequency Spectrum and Service Requirements  
8  
Radio Frequencies  
8.1  
EMSS Radio Service Coverage  
8.2  
Operational Considerations  
8.3  
Goals and Objectives for EMSS Communications  
9  
Goal 1—State EMSS Communication Should Meet Recognized Standards for Functional Performance  
10  
Goal 2—Local EMSS Communications Should be Compatible with, and Should Not Interfere with, EMSS Communications in Neighboring Area  
11  
Goal 3—Local EMSS Communications Systems Should be Compatible with, and Should Not Interfere with, Other Types of Communications Systems  
12  
Goal 4—EMSS Communications Systems Should Make Maximum Use of State and Common Resources Where Appropriate, Cost Effective, and Authorized  
13  
Goal 5—The State Should Act as the Representative of Local EMSS in Dealing with Federal Agencies and National Organizations  
14  
Goal 6—The State Should Have a Program for Positive Management of Its EMSS Communications Activities  
15  
Emergency Medical Radio Services (EMRS) Radio Frequencies (MHz)  
Appendix X1  
Acronyms and Glossary for EMSS Communications  
Appendix X2  
References  
1.5 This standard does not purport to address all of ...

SIGNIFICANCE AND USE
4.1 This guide has been developed to facilitate communications between agencies involved in the delivery of emergency medical services. This guide is intended to be applied by agencies providing emergency medical services to improve their communications with EMS support agencies. It recommends necessary communication before, during, and after an EMS event.
SCOPE
1.1 This guide covers the planning, operations, and evaluation phases of interagency communications as part of a comprehensive EMS system.  
1.2 This is a guide for interagency communications within an EMS system. Interagency communications involves the EMS responder and support agencies whose primary mission is not  to deliver prehospital emergency medical care.  
1.3 The primary focus of this guide is to address interagency communications necessary for ongoing EMS responses.  
1.4 The guide also addresses interagency communications in any major EMS incident, including man-made or natural disasters.  
1.5 The recommendations for drills/exercises for the evaluation of interagency communications during an EMS event are also incorporated into this guide.  
1.6 Additional information can be found in Guide F1220 and Refs 1-5.2  
1.7 The sections in this guide appear in the following sequence:    
Section  
Introduction  
Scope  
1  
Referenced Document  
2  
Terminology  
3  
Significance and Use  
4  
Procedure  
5  
Rationale  
Appendix X1  
Keywords  
6  
References  
1.8 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SIGNIFICANCE AND USE
4.1 This practice establishes the national standard for training the EMT in communicating pertinent patient information to the receiving medical facility.  
4.2 Appropriate physiological data and patient assessment information should be collected from the scene or while en route to the receiving medical facility or medical command site.  
4.3 This practice is based on the information needs of a receiving medical facility to assist them in medical triage, ED resource management, and the provision of medical direction.  
4.4 This practice should be used by those who develop curricula, provide continuing medical education, or desire a needs-based reporting approach.  
4.5 This practice should be used to develop documentation aids such as EMS note pads and medical command documentation sheets.  
4.6 The communication format in each PISA subsection in the practice are not necessary in sequential order. The report may vary dependent upon patient presentation.
SCOPE
1.1 This practice establishes the EMS standard for communications entailing a patient radio (phone) report to a receiving medical facility.  
1.1.1 This report is based on receiving facility needs and is generic for medical, traumatic, (ALS), and (BLS) patients.  
1.1.2 This report standard is based on the hierarchical information needs of an average medical receiving facility.

SCOPE
1.1 This guide covers telecommunications practices and performance standards required to support all of the functions of community EMSS on a statewide basis. It defines state planning goals and objectives for EMSS communications.
1.2 This guide is for planning, coordinating, integrating, and evaluating telecommunications resources statewide to satisfy the functional needs of comprehensive community EMSS systems.
1.3 To facilitate a two-tiered planning approach recommended for EMSS communications, this guide identifies those communications system features that should be coordinated on a statewide basis and defined in statewide (first tier) EMSS communications planning guidelines. Local (second tier) EMSS communications plans prepared in accordance with the statewide guidelines should then be tailored to satisfy local EMSS needs while providing compatibility and interoperability of communications with other EMSS.
1.4 The sections in this guide appear in the following sequence: SectionScope1Referenced Documents2Terminology3Summary of Guide4Significance and Use5Functions and Categories of EMSS Communications6Telecommunications Functions6.1Telecommunications Categories6.2EMSS Functional Communications Requirements7General Information7.1Citizen Access7.2EMSS Vehicle Dispatch and Coordination7.3Medical Coordination/Direction7.4Interservice Communications7.5Radio Frequency Spectrum and Service Requirements8Radio Frequencies8.1EMSS Radio Service Coverage8.2Operational Considerations8.3Goals and Objectives for EMSS Communications9Goal 1-State EMSS Communication Should Meet Recog-nized Standards for Functional Performance10Goal 2-Local EMSS Communications Should be Compatible with, and Should Not Interfere with, EMSS Communications
in Neighboring Areas11Goal 3-Local EMSS Communications Systems Should be Compatible
with, and Should Not Interfere with, OtherTypes of
Communications Systems12Goal 4-EMSS Communications Systems Should Make Maximum Use
of State and Common Resources Where Appropriate, Cost Effective,
and Authorized13Goal 5-The State Should Act as the Representative of Local EMSS
in Dealing with Federal Agencies and National Organizations14Goal 6-The State Should Have a Program for Positive Management
of Its EMSS Communications Activities15Emergency Medical Radio Services (EMRS)
Radio Frequencies (MHz)Appendix X1Acronyms and Glossary for EMSS CommunicationsAppendix X2References
1.5 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SCOPE
1.1 This guide covers the planning, operations, and evaluation phases of interagency communications as part of a comprehensive EMS system.
1.2 This is a guide for interagency communications within an EMS system. Interagency communications involves the EMS responder and support agencies whose primary mission is not  to deliver prehospital emergency medical care.
1.3 The primary focus of this guide is to address interagency communications necessary for ongoing EMS responses.
1.4 The guide also addresses interagency communications in any major EMS incident, including man-made or natural disasters.
1.5 The recommendations for drills/exercises for the evaluation of interagency communications during an EMS event are also incorporated into this guide.
1.6 Additional information can be found in Guide F 1220 and Refs 1-5.
1.7 The sections in this guide appear in the following sequence:
1.8 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SCOPE
1.1 This practice establishes the EMS standard for communications entailing a patient radio (phone) report to a receiving medical facility.
1.1.1 This report is based on receiving facility needs and is generic for medical, traumatic, (ALS), and (BLS) patients.
1.1.2 This report standard is based on the hierarchical information needs of an average medical receiving facility.

SCOPE
1.1 This practice covers the function of the emergency medical dispatcher (EMD). This function is the prompt and accurate processing of calls for emergency medical assistance. The training and practice through the use of a written or automated medical dispatch protocol is not sufficient in itself to ensure continued medically correct functioning of the EMD. Their dispatch-specific medical training and focal role in EMS has developed to such a complexity that only through a correctly structured and appropriately managed quality assurance environment can the benefits of their practice be fully realized. The philosophies of emergency medical dispatch have established new duties to which the emergency medical dispatch agency must respond. It is important that their quality assurance/quality improvement (QA/QI) activities, including initial hiring, orientation, training and certification, continuing dispatch education, recertification, and performance evaluation be given appropriate managerial attention to help ensure the ongoing safety in the performance of the EMD. This practice establishes functional guidelines for these managerial, administrative and supervisory functions.
1.2 The scope of this practice includes:
1.2.1 The entry level selection criteria for hiring emergency medical dispatchers;
1.2.2 The orientation of new emergency medical dispatchers;
1.2.3 Development of QA/QI mechanisms, management strategies and organizational structures for use within a comprehensive emergency medical dispatch system;
1.2.4 Performance evaluation as a component of a comprehensive and ongoing quality assurance and risk management program for an emergency medical dispatch system;
1.2.5 Development and provision of continuing dispatch education activities for the emergency medical dispatcher;
1.2.6 Requirements for initial certification and recertification of the emergency medical dispatcher;
1.2.7 Provision for comparative analysis between different EMD program approaches available to the EMS community that conform to established EMD practice standards prior to implementation of an emergency medical dispatch program; and
1.2.8 Guidelines for implementation of an emergency medical dispatch program.
1.3 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SCOPE
1.1 This practice covers the definition of responsibilities, knowledge, practices, and organizational support required to effectively implement, perform, and manage the emergency medical dispatch function.  
1.2 This practice is useful for planning and evaluating the training, implementation, and organizational support to satisfy the functional needs of emergency medical dispatching.  
1.3  This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SCOPE
1.1 This practice establishes the EMS standard for communications entailing a patient radio (phone) report to a receiving medical facility.
1.1.1 This report is based on receiving facility needs and is generic for medical, traumatic, (ALS), and (BLS) patients.
1.1.2 This report standard is based on the hierarchical information needs of an average medical receiving facility.

SCOPE
1.1 This guide covers telecommunications practices and performance standards required to support all of the functions of community EMSS on a statewide basis. It defines state planning goals and objectives for EMSS communications.
1.2 This guide is for planning, coordinating, integrating, and evaluating telecommunications resources statewide to satisfy the functional needs of comprehensive community EMSS systems.
1.3 To facilitate a two-tiered planning approach recommended for EMSS communications, this guide identifies those communications system features that should be coordinated on a statewide basis and defined in statewide (first tier) EMSS communications planning guidelines. Local (second tier) EMSS communications plans prepared in accordance with the statewide guidelines should then be tailored to satisfy local EMSS needs while providing compatibility and interoperability of communications with other EMSS.
1.4 The sections in this guide appear in the following sequence: SectionScope1Referenced Documents2Terminology3Summary of Guide4Significance and Use5Functions and Categories of EMSS Communications6Telecommunications Functions6.1Telecommunications Categories6.2EMSS Functional Communications Requirements7General Information7.1Citizen Access7.2EMSS Vehicle Dispatch and Coordination7.3Medical Coordination/Direction7.4Interservice Communications7.5Radio Frequency Spectrum and Service Requirements8Radio Frequencies8.1EMSS Radio Service Coverage8.2Operational Considerations8.3Goals and Objectives for EMSS Communications9Goal 1-State EMSS Communication Should Meet Recog-nized Standards for Functional Performance10Goal 2-Local EMSS Communications Should be Compatible with, and Should Not Interfere with, EMSS Communications
in Neighboring Areas11Goal 3-Local EMSS Communications Systems Should be Compatible
with, and Should Not Interfere with, OtherTypes of
Communications Systems12Goal 4-EMSS Communications Systems Should Make Maximum Use
of State and Common Resources Where Appropriate, Cost Effective,
and Authorized13Goal 5-The State Should Act as the Representative of Local EMSS
in Dealing with Federal Agencies and National Organizations14Goal 6-The State Should Have a Program for Positive Management
of Its EMSS Communications Activities15Emergency Medical Radio Services (EMRS)
Radio Frequencies (MHz)Appendix X1Acronyms and Glossary for EMSS CommunicationsAppendix X2References
1.5 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SCOPE
1.1 This guide covers the planning, operations, and evaluation phases of interagency communications as part of a comprehensive EMS system.
1.2 This is a guide for interagency communications within an EMS system. Interagency communications involves the EMS responder and support agencies whose primary mission is not  to deliver prehospital emergency medical care.
1.3 The primary focus of this guide is to address interagency communications necessary for ongoing EMS responses.
1.4 The guide also addresses interagency communications in any major EMS incident, including man-made or natural disasters.
1.5 The recommendations for drills/exercises for the evaluation of interagency communications during an EMS event are also incorporated into this guide.
1.6 Additional information can be found in Guide F1220 and Refs 1-5.
1.7 The sections in this guide appear in the following sequence: SectionIntroductionScope1Referenced Document2Terminology3Significance and Use4Procedure5RationaleAppendix X1Keywords6References
1.8 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SCOPE
1.1 This practice covers the definition of responsibilities, knowledge, practices, and organizational support required to effectively implement, perform, and manage the emergency medical dispatch function.  
1.2 This practice is useful for planning and evaluating the training, implementation, and organizational support to satisfy the functional needs of emergency medical dispatching.  
1.3  This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SCOPE
1.1 This practice covers the definition of responsibilities, knowledge, practices, and organizational support required to effectively implement, perform, and manage the emergency medical dispatch function.  
1.2 This practice is useful for planning and evaluating the training, implementation, and organizational support to satisfy the functional needs of emergency medical dispatching.  
1.3  This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SCOPE
1.1 This guide covers telecommunications practices and performance standards required to support all of the functions of community EMSS on a statewide basis. It defines state planning goals and objectives for EMSS communications.
1.2 This guide is for planning, coordinating, integrating, and evaluating telecommunications resources statewide to satisfy the functional needs of comprehensive community EMSS systems.
1.3 To facilitate a two-tiered planning approach recommended for EMSS communications, this guide identifies those communications system features that should be coordinated on a statewide basis and defined in statewide (first tier) EMSS communications planning guidelines. Local (second tier) EMSS communications plans prepared in accordance with the statewide guidelines should then be tailored to satisfy local EMSS needs while providing compatibility and interoperability of communications with other EMSS.
1.4 The sections in this guide appear in the following sequence: SectionScope1Referenced Documents2Terminology3Summary of Guide4Significance and Use5Functions and Categories of EMSS Communications6Telecommunications Functions6.1Telecommunications Categories6.2EMSS Functional Communications Requirements7General Information7.1Citizen Access7.2EMSS Vehicle Dispatch and Coordination7.3Medical Coordination/Direction7.4Interservice Communications7.5Radio Frequency Spectrum and Service Requirements8Radio Frequencies8.1EMSS Radio Service Coverage8.2Operational Considerations8.3Goals and Objectives for EMSS Communications9Goal 1-State EMSS Communication Should Meet Recog-nized Standards for Functional Performance10Goal 2-Local EMSS Communications Should be Compatible with, and Should Not Interfere with, EMSS Communications
in Neighboring Areas11Goal 3-Local EMSS Communications Systems Should be Compatible
with, and Should Not Interfere with, OtherTypes of
Communications Systems12Goal 4-EMSS Communications Systems Should Make Maximum Use
of State and Common Resources Where Appropriate, Cost Effective,
and Authorized13Goal 5-The State Should Act as the Representative of Local EMSS
in Dealing with Federal Agencies and National Organizations14Goal 6-The State Should Have a Program for Positive Management
of Its EMSS Communications Activities15Emergency Medical Radio Services (EMRS)
Radio Frequencies (MHz)Appendix X1Acronyms and Glossary for EMSS CommunicationsAppendix X2References
1.5 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SCOPE
1.1 This guide covers the planning, operations, and evaluation phases of interagency communications as part of a comprehensive EMS system.
1.2 This is a guide for interagency communications within an EMS system. Interagency communications involves the EMS responder and support agencies whose primary mission is not  to deliver prehospital emergency medical care.
1.3 The primary focus of this guide is to address interagency communications necessary for ongoing EMS responses.
1.4 The guide also addresses interagency communications in any major EMS incident, including man-made or natural disasters.
1.5 The recommendations for drills/exercises for the evaluation of interagency communications during an EMS event are also incorporated into this guide.
1.6 Additional information can be found in Guide F1220 and Refs 1-5.
1.7 The sections in this guide appear in the following sequence: SectionIntroductionScope1Referenced Document2Terminology3Significance and Use4Procedure5RationaleAppendix X1Keywords6References
1.8 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SCOPE
1.1 This practice covers the function of the emergency medical dispatcher (EMD). This function is the prompt and accurate processing of calls for emergency medical assistance. The training and practice through the use of a written or automated medical dispatch protocol is not sufficient in itself to ensure continued medically correct functioning of the EMD. Their dispatch-specific medical training and focal role in EMS has developed to such a complexity that only through a correctly structured and appropriately managed quality assurance environment can the benefits of their practice be fully realized. The philosophies of emergency medical dispatch have established new duties to which the emergency medical dispatch agency must respond. It is important that their quality assurance/quality improvement (QA/QI) activities, including initial hiring, orientation, training and certification, continuing dispatch education, recertification, and performance evaluation be given appropriate managerial attention to help ensure the ongoing safety in the performance of the EMD. This practice establishes functional guidelines for these managerial, administrative and supervisory functions.
1.2 The scope of this practice includes:
1.2.1 The entry level selection criteria for hiring emergency medical dispatchers;
1.2.2 The orientation of new emergency medical dispatchers;
1.2.3 Development of QA/QI mechanisms, management strategies and organizational structures for use within a comprehensive emergency medical dispatch system;
1.2.4 Performance evaluation as a component of a comprehensive and ongoing quality assurance and risk management program for an emergency medical dispatch system;
1.2.5 Development and provision of continuing dispatch education activities for the emergency medical dispatcher;
1.2.6 Requirements for initial certification and recertification of the emergency medical dispatcher;
1.2.7 Provision for comparative analysis between different EMD program approaches available to the EMS community that conform to established EMD practice standards prior to implementation of an emergency medical dispatch program; and
1.2.8 Guidelines for implementation of an emergency medical dispatch program.
1.3 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SCOPE
1.1 This guide recommends minimum performance requirements for enhanced access to public safety services using the North American standard emergency telephone number, 9-1-1.
1.2 This guide provides assistance to states, counties, and local jurisdictions in the development of 9-1-1 enhanced systems.
1.3 This guide makes recommendations for planning and organizational needs in the development of 9-1-1 enhanced systems.
1.4 This guide does not address access to public safety response services through means other than use of the 9-1-1 telephone number.
1.5 This guide applies only to the use of the number 9-1-1 to request a public safety response, from the point of initiation of the call through the point that the caller is connected to the responsible agency, or essential information needed for disposition of the call, or both, is received.
1.6 The sections in this guide are arranged in the following order: SectionScope1Terminology2Significance and Use3Concept of Operation for 9-1-1 Telephone Systems49-1-1 Performance Factors4.19-1-1 Performance Requirements4.2Coordinating 9-1-1 Systems5State 9-1-1 Statutory Provisions69-1-1 Funding7Funding Alternatives7.1Funding considerations7.2Geographical Data Bases8Automatic Location Identification8.1Uniform Address Program8.2Selective Call Routing8.3Service Areas8.4Other Planning Concerns9Public Education9.1Personnel Training9.2
1.7 This standard does not purport to address all of the safety problems, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SCOPE
1.1 This guide recommends minimum performance requirements for enhanced access to public safety services using the North American standard emergency telephone number, 9-1-1.
1.2 This guide provides assistance to states, counties, and local jurisdictions in the development of 9-1-1 enhanced systems.
1.3 This guide makes recommendations for planning and organizational needs in the development of 9-1-1 enhanced systems.
1.4 This guide does not address access to public safety response services through means other than use of the 9-1-1 telephone number.
1.5 This guide applies only to the use of the number 9-1-1 to request a public safety response, from the point of initiation of the call through the point that the caller is connected to the responsible agency, or essential information needed for disposition of the call, or both, is received.
1.6 The sections in this guide are arranged in the following order: SectionScope1Terminology2Significance and Use3Concept of Operation for 9-1-1 Telephone Systems49-1-1 Performance Factors4.19-1-1 Performance Requirements4.2Coordinating 9-1-1 Systems5State 9-1-1 Statutory Provisions69-1-1 Funding7Funding Alternatives7.1Funding considerations7.2Geographical Data Bases8Automatic Location Identification8.1Uniform Address Program8.2Selective Call Routing8.3Service Areas8.4Other Planning Concerns9Public Education9.1Personnel Training9.2
1.7 This standard does not purport to address all of the safety problems, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

SCOPE
1.1 This guide recommends minimum performance requirements for enhanced access to public safety services using the North American standard emergency telephone number, 9-1-1.
1.2 This guide provides assistance to states, counties, and local jurisdictions in the development of 9-1-1 enhanced systems.
1.3 This guide makes recommendations for planning and organizational needs in the development of 9-1-1 enhanced systems.
1.4 This guide does not address access to public safety response services through means other than use of the 9-1-1 telephone number.
1.5 This guide applies only to the use of the number 9-1-1 to request a public safety response, from the point of initiation of the call through the point that the caller is connected to the responsible agency, or essential information needed for disposition of the call, or both, is received.
1.6 The sections in this guide are arranged in the following order: SectionScope1Terminology2Significance and Use3Concept of Operation for 9-1-1 Telephone Systems49-1-1 Performance Factors4.19-1-1 Performance Requirements4.2Coordinating 9-1-1 Systems5State 9-1-1 Statutory Provisions69-1-1 Funding7Funding Alternatives7.1Funding considerations7.2Geographical Data Bases8Automatic Location Identification8.1Uniform Address Program8.2Selective Call Routing8.3Service Areas8.4Other Planning Concerns9Public Education9.1Personnel Training9.2
1.7 This standard does not purport to address all of the safety problems, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.
WITHDRAWN RATIONALE
Formerly under the jurisdiction of Committee F30 on Emergency Medical Services, this guide was withdrawn without replacement in February 2008 because this guide is no longer appropriate for Committee F30.