Local Guidelines
Click on the links below to access policies, procedures, guidelines, and Lenox Ambulance documents. Unless otherwise noted, files are in Word.
Lenox Ambulance Service By-Laws
Protocols 2011
Operations Manual table of contents
Operations Manual
Operations Manual, Appendices:
Appendix A
- location of documents
Appendix B
- minimum staffing policy
Air Ambulance Safety Guidelines
General Scene Safety Guidelines
Crime Scene Safety Guidelines
Incident Report - Non-Injury - form
Incident Report - Injury - form
Critical Incident Stress Management - Iowa help
Cease-effort protocol
Death on scene protocol
Determination of Death guidance
Approved abbreviations
(Excel file)
Refusal of Treatment
Rehab algorithm
Rehydration algorithm for rehab
Privacy Notice
Consent Form
Refusal of Treatment Form
Stand-by Record
Advance Beneficiary Notice
(for private pay non-emergencies)
Physicians Certification Form
(for covered non-emergencies)
Student Agreement
(agreement for paid EMT training)