{"id":240,"date":"2016-05-12T20:52:48","date_gmt":"2016-05-12T20:52:48","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/emergency-medical-services\/?page_id=240"},"modified":"2025-11-25T13:07:58","modified_gmt":"2025-11-25T18:07:58","slug":"compliance","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/emergency-medical-services\/regulations-compliance\/compliance\/","title":{"rendered":"Guidance Documents and Memorandums"},"content":{"rendered":"<div class=\"HomepageButtonContainer\">\n<p><strong><span style=\"text-decoration: underline;\">Guidance<\/span><span style=\"text-decoration: underline;\"> Documents<\/span><\/strong><\/p>\n<\/div>\n<div>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2022\/04\/Updated-BON-90-4.pdf\">Board of Nursing Guidance Document &#8211; Nurses serving with an EMS Agency<\/a> (April 20, 2022)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2022\/01\/BOP-Guidance-1-18-2022.pdf\">Virginia Board of Pharmacy Guidance Document for EMS Agency&#8217;s Drug Kits<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2025\/02\/Vehicle-Permit-Guidance-Document-Feb-19-2025.pdf\">Vehicle Permit Guidance Document (February 19, 2025)<\/a><\/li>\n<\/ul>\n<table>\n<tbody>\n<tr>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr \/>\n<p style=\"text-align: justify;\"><span style=\"text-decoration: underline;\"><strong>Compliance Memorandums<\/strong><\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2016\/05\/ComplianceDivisionProcesses.pdf\">Compliance Division Process<\/a> (Updated January 2014)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2021\/12\/Criminal-Background-Check-Eligibility-Notification.pdf\">Criminal Background Check Eligibility Notification<\/a> (December 13, 2021)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2020\/01\/VPHIB-Data-Compliance-Initiative-2020.pdf\">Data Quality &amp; Compliance Initiative 12VAC5-31-560-C Memo <\/a>\u00a0(December 2019)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2016\/05\/DEAMemorandum12-2010.pdf\">DEA Ruling on Electronic Signatures for Prescribed Drugs<\/a> (December 15, 2010)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2017\/04\/DICO-Acceptability-042617.pdf\">Designated Infection Control Officer Training Memo<\/a>\u00a0(Updated December 31, 2019)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/OEMS-EVOC-Equivalent_112525.pdf\">Emergency Vehicle Operators Course (EVOC) Equivalents <\/a>(Updated November 25, 2025)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2020\/04\/OEMS-Guidance-Document-for-EMS-Providers-Functioning-as-Hospital-Employees-04-01-2020.pdf\">EMS Providers Working In Hospitals\/Clinics<\/a> (April 1, 2020)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2022\/02\/EMS-Student-Eligibility-in-Virginia-2-10-22.pdf\">EMS Student Eligibility in Virginia<\/a>\u00a0(February 10, 2022)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2019\/10\/GuidanceDocServiceAnimal.pdf\">Guidance Memo Regarding Service Animals<\/a> (August 21, 2019)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2016\/05\/DGIFMandatedReporting.pdf\">Mandated Reporting of Hunting Accidents<\/a> (September 25, 2009)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2021\/09\/Updated-9-16-21-Memorandum-Remounts-062216-final.pdf\">New Ambulance Safety Standards<\/a>\u00a0(June 22, 2016)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2017\/04\/Patient-Care-Reporting-July-2017-updated.pdf\">Patient Care Documentation\u00a0<\/a>(April 17, 2017)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2022\/05\/PhysioControl-LP15-AED-Mode-Doc..pdf\">Physio-Control LifePak 15<\/a> Memo (May 10, 2022)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2021\/08\/Letterhead-Guideline-for-Reinstatement-of-EMS-Providers-Suspended-Because-of-Impairment.pdf\">Return to Practice Pathway for Impaired Provider<\/a> (Updated August 24, 2021)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2022\/03\/Scope-of-Practice-Guidance-Doc-03172022.-1.pdf\">Scope of Practice<\/a> (March 18, 2022)<span style=\"color: #ff0000;\"><span style=\"color: #ff0000;\"><b> UPDATED: Sept. 1, 2022<\/b><\/span><\/span><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2022\/04\/Special-Event-Staffing-Policy-.pdf\">Special Event Permit Policy<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2024\/02\/Triage-Tag-Update-Feb-2024.pdf\">Triage Tag &#8211; Update (February 2024<\/a>)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2021\/06\/2021-Vehicle-Lettering-Memo-6-9-21.pdf\">Vehicle Lettering Memo<\/a> (June 15, 2021)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2022\/06\/Who-Must-Affiliate-and-Submit-Fingerprints-June-10-2022.pdf\">Who Must Affiliate and Submit Fingerprints<\/a> (June 10, 2022)<\/li>\n<\/ul>\n<\/div>\n<div class=\"OutlineContainer_with_header_single\">\n<hr \/>\n<p><span style=\"text-decoration: underline;\"><strong>Vaccine Administration by Certain EMS Personnel<\/strong><\/span><\/p>\n<div dir=\"ltr\">\n<div dir=\"ltr\">\n<div class=\"gmail_default\">\n<table style=\"height: 200px;\" width=\"1019\">\n<tbody>\n<tr>\n<td>Per Code of Virginia 54.1-3408 an EMS provider who holds an Advanced Life Support (AEMT &#8211; EMT-I &#8211; EMT-P) level certification can administer vaccines with the exception of flu vaccines to minors; which is limited by Code of Virginia to EMT-I or Paramedic only.<\/p>\n<p>The Scope of Practice document will be updated at the next MDC and State Advisory Board meeting to reflect the Code of Virginia changes.<\/p>\n<p>The Code of Virginia prevails over the Scope of Practice document; therefore Advanced EMT&#8217;s can administer vaccines in advance of the Scope of Practice document being updated. (with the exception of flu vaccine to minors)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"OutlineContainer_with_header_single\">\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2021\/02\/Antigen-Testing-Process.pdf\">Antigen Testing<\/a> <em>Guidance Document for Antigen Testing by EMS Providers (January 28, 2021)<\/em><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2016\/05\/EMS-How-To-10-16-20.pdf\">Immunization Guide for Emergency Medical Services (EMS) Personnel in Virginia<\/a> <em>Advanced EMT&#8217;s are now included by Code of Virginia 54.1-3408<\/em><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2016\/05\/Updated-Feb2021-Policy-for-Vaccine-Administration-by-Emergency-Medical-Services-Providers-in-Virginia.pdf\">Policy for Vaccine Administration by EMS Providers in Virginia<\/a> <i>\u00a0a guide to agencies in the creation of internal vaccination programs. <\/i><i>(updated February 2021)<\/i><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2021\/02\/LHD-EMS-Vaccinator-Procedure-Feb-01-2021-1.pdf\">Procedure for Partnership with Local Health District and EMS Provider<\/a> <em>\u00a0a guide to EMS agencies\/providers on <\/em>participating<em> as vaccinators in partnership with the Local Health District. (Updated February 01, 2020)<\/em><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2016\/05\/New-Vaccination-toolkit-ppt.pdf\">Vaccination Toolkit for EMS Medical Directors<\/a> \u00a0<em>Advanced EMT&#8217;s are now included by Code of Virginia 54.1-3408<\/em><\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"text-decoration: underline;\"><strong>EMS Agency Materials &amp; HIPAA<\/strong><\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/emergency-medical-services\/regulations-compliance\/ems-hippa\/\">EMS &amp; HIPAA<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/emergency-medical-services\/hipaa-promotes-bidirectional-patient-data-exchange-with-emergency-medical-services\/\">HIPAA Promotes Bidirectional Patient Data Exchange with EMS<\/a> (Updated June 16, 2021)<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/23\/2016\/05\/AgenciesExempt.pdf\">US Government Operated EMS Agencies Exempt from Virginia EMS Regulations (61K)<\/a> (Updated July 30, 2004)<\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"text-decoration: underline;\"><strong>Enforcement Actions &amp; Complaints<\/strong><\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/vdhems.vdh.virginia.gov\/emsapps\/complaint.html\">Complaint Form<\/a><\/li>\n<li><a href=\"https:\/\/vdhems.vdh.virginia.gov\/emsapps\/indeactionsearch.html\">Search Enforcement Actions<\/a><\/li>\n<\/ul>\n<\/div>\n<div class=\"Clearing_Div_Clear\">\n<div class=\"gmail_default\">\n<p style=\"text-align: justify;\"><strong>INSTRUCTIONS:\u00a0 <\/strong><\/p>\n<p style=\"text-align: justify; padding-left: 40px;\">When searching enforcement actions, select the TYPE filter as follows:<br \/>\nWhen searching for a <strong>person<\/strong>, filter by <strong>Technicians <\/strong>and<strong> Individuals<\/strong>.<br \/>\nWhen searching for an EMS<strong> Agency<\/strong>, filter by\u00a0 <strong>Agency <\/strong>and<strong> Entity<\/strong>.<\/p>\n<div><\/div>\n<\/div>\n<hr \/>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Guidance Documents Board of Nursing Guidance Document &#8211; Nurses serving with an EMS Agency (April 20, 2022) Virginia Board of Pharmacy Guidance Document for EMS Agency&#8217;s Drug Kits Vehicle Permit [&hellip;]<\/p>\n","protected":false},"author":599,"featured_media":0,"parent":222,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-240","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Guidance Documents and Memorandums - Emergency Medical Services<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/emergency-medical-services\/regulations-compliance\/compliance\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Guidance Documents and Memorandums - Emergency Medical Services\" \/>\n<meta property=\"og:description\" content=\"Guidance Documents Board of Nursing Guidance Document &#8211; 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