WVEMS EMS Protocols

At the request of agencies in the region, we have provided SAMPLE Authorization to Practice forms to assist in meeting the new “Red Dot” documentation requirements for scope of practice. These forms have been reviewed by the OEMS Division of Regulation and Compliance as meeting the standard. Forms include some skills that are not in regional protocols, because we have agencies that have implemented agency supplements. The forms are fillable with drop-down menus for provider level (EMT) and whether you use Regional, Agency, or Regional with agency supplemental protocols. Agencies may adapt the form to meet local needs, and add your agency letterhead (see regulations on page 2 of the form for requirements). Remember this is an AGENCY-SPECIFIC requirement, and cannot be met by a regional document. Each provider must have specific authorization to practice by the agency’s medical director, and the record of training must be in each employee’s file. Formulary medications added to forms on 6.27.2022.

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The 2024 WVEMS Operational Protocols have been released with an official go-live date of May 1, 2024. The protocol update consists of reviewing the 2024 WVEMS Protocols/Policies, reviewing the 2024 Drug Box Schematic, watching the protocol rollout video, and signing the provider attestation form, and turning this form into your agency training officer. Provider attestation forms will be kept on file within the agency training files. Your agency leadership in consultation with your EMS Physician (OMD) will decide when your agency will transition to the 2024 WVEMS Protocol Version and if more agency specific training is required. The specific protocol changes are notated in the one-page Attestation form. WVEMS is available to assist EMS agencies that would like assistance and is recommended to contact their Field Coordinator for different options or by emailing This email address is being protected from spambots. You need JavaScript enabled to view it..

WVEMS Drug Boxes will be updated to the 2024 Schematic through routine exchange; do not take your drug box to the pharmacy just to obtain an updated box. Should you have any questions about emergent infield patient care, contact "online medical direction" of the receiving facility, otherwise contact your agency EMS Physician, or WVEMS staff. 

Please keep in mind that you are NOT allowed to practice under the new protocol guidelines until your EMS Physician (Operational Medical Director) has cleared you to do so. You can easily toggle between protocol versions under the settings located within the app (currently you will see the 2023 and the 2024 Versions located in the iOS and Android Applications).

- 2024 WVEMS Protocols: WVEMS Protocols 2024

- 2024 WVEMS Drug Box Schematic: WVEMS Drug Box Detail 2024

- 2024 WVEMS Protocol Rollout Video: WVEMS Roll Out Video 2024

- 2024 WVEMS Protocols Attestation Form: WVEMS Roll Out Attestation 2024

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The 2023 WVEMS Operational Protocols have been released with an official go-live date of October 23, 2023. The protocol update consists of reviewing the 2023 WVEMS Protocols/Policies, reviewing the 2023 Drug Box Schematic, watching the protocol rollout video, and signing the provider attestation form, and turning this form into your agency training officer. Provider attestation forms will be kept on file within the agency training files. Your agency leadership in consultation with your EMS Physician (OMD) will decide when your agency will transition to the 2023 WVEMS Protocol Version and if more agency specific training is required. The specific protocol changes are notated in the one-page Attestation form. WVEMS is available to assist EMS agencies that would like assistance and is recommended to contact their Field Coordinator for different options or by emailingThis email address is being protected from spambots. You need JavaScript enabled to view it..

WVEMS Drug Boxes will be updated to the 2023 Schematic through routine exchange; do not take your drug box to the pharmacy just to obtain an updated box. Should you have any questions about emergent infield patient care, contact "online medical direction" of the receiving facility, otherwise contact your agency EMS Physician, or WVEMS staff. 

Please keep in mind that you are NOT allowed to practice under the new protocol guidelines until your EMS Physician (Operational Medical Director) has cleared you to do so. You can easily toggle between protocol versions under the settings located within the app (currently you will see the 2022 and the 2023 Versions located in the iOS and Android Applications).

Drug boxes that have been updated will have the following neon PINK label:

2023 Protocol Update

 

- 2023 WVEMS Protocols:   /   pdf PDF Click Here (35.47 MB)

- 2023 WVEMS Drug Box Schematic: WVEMS Drug Box Detail 2023 /  pdf PDF Click Here (334 KB)

- 2023 WVEMS Protocol Rollout Video: WVEMS Roll Out Video 2023

- 2023 WVEMS Protocols Attestation Form: WVEMS Roll Out Attestation 2023 /  pdf PDF Click Here (219 KB)

 

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2022 WVEMS Protocols

- 2022 WVEMS Protocols:   /  pdf PDF Click Here (32.32 MB)

- 2022 WVEMS Drug Box Schematic:/  pdf PDF Click Here (309 KB)

- 2022 WVEMS Protocol Rollout Video: WVEMS Roll Out Video 2022 

- 2022 WVEMS Protocols Attestation Form:/  pdf PDF Click Here (83 KB)

- 2022 WVEMS Protocol Rollout PowerPoint:  pdf WVEMS Roll Out PPT (22.70 MB)

The 2022 WVEMS Operational Protocols have been released with an official go-live date of September 6, 2022. The protocol update consists of reviewing the 2022 WVEMS Protocols/Policies, reviewing the 2022 Drug Box Schematic, watching the protocol rollout video, and signing the provider attestation form, and turning this form into your agency training officer. Provider attestation forms will be kept on file within the agency training files. Your agency leadership in consultation with your EMS Physician (OMD) will decide when your agency will transition to the 2022 WVEMS Protocol Version and if more agency specific training is required. The specific protocol changes are notated in the one-page Attestation form. WVEMS has created a PowerPoint that agencies can use as an additional resource for training and implementation of the WVEMS 2022 Protocols; this document has been posted on the WVEMS Website under Protocols. WVEMS is available to assist EMS agencies that would like assistance and is recommended to contact their Field Coordinator for different options or by emailing This email address is being protected from spambots. You need JavaScript enabled to view it..

WVEMS Drug Boxes will be updated to the 2022 Schematic through routine exchange; do not take your drug box to the pharmacy just to obtain an updated box. Should you have any questions about emergent infield patient care, contact "online medical direction" of the receiving facility, otherwise contact your agency EMS Physician, or WVEMS staff. 

Please keep in mind that you are NOT allowed to practice under the new protocol guidelines until your EMS Physician (Operational Medical Director) has cleared you to do so. You can easily toggle between protocol versions under the settings located at the bottom of the app (currently you will see the 2019, 2021, and the 2022 Versions located in the iOS and Android Applications).

Drug boxes that have been updated will have the following neon green label:

2022 Protocol Update

 

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2021 WVEMS Protocols (current)

2021 WVEMS Protocols: https://bit.ly/WVEMS_Protocols_2021

2021 WVEMS Drug Box Schematic: https://bit.ly/WVEMS_Drugs_2021

-  pdf Click Here for the 2021 WVEMS Protocols PDF (30.48 MB)

-  pdf Click Here for the 2021 WVEMS Drug Box Schematic PDF (320 KB)

-  pdf Click Here for the 2021 Protocol Attestation Form (139 KB)

  pdf - 2021 WVEMS Protocol Rollout PowerPoint (51.25 MB)

The 2021 WVEMS Operational Protocols have been released. The protocol update consists of reviewing the 2021 WVEMS Protocols/Policies, reviewing the 2021 Drug Box Schematic and signing the provider attestation form and turning this form into your agency. Provider attestation forms will be kept on file within the agency and EMS Physician-your agency leadership in consultation with your EMS Physician (OMD) will decide when your agency will transition to the 2021 Version and if more agency specific training is required. The specific protocol changes are notated in the two page Attestation form. WVEMS is in the process of creating a PowerPoint that agencies can use as an additional resource for training and implementation of the WVEMS 2021 Protocols; this document should be available in the next 2 weeks. WVEMS is available to assist EMS agencies that would like assistance and is recommended to contact their Field Coordinator for different options or by emailing This email address is being protected from spambots. You need JavaScript enabled to view it..

WVEMS Drug Boxes have begun to be updated to the 2021 Schematic through routine exchange; do not take your drug box to the pharmacy just to obtain an updated box. During the transition period, please note that some medications may not be available. Should you have any questions about emergent infield patient care, contact "online medical direction" of the receiving facility, otherwise contact your agency EMS Physician, or WVEMS staff. 

Please keep in mind that you are NOT allowed to practice under the new protocol guidelines or utilize any new medications until your EMS Physician (Operational Medical Director) has cleared you to do so. You can easily toggle between protocol versions under the settings located at the bottom of the app (currently you will see the 2019 Version and the 2021 Version located in the iOS and Android Applications).

Drug boxes that have been updated will have the following neon yellow label:

2021 Protocol Update

 

DECON Procedures:

LINK TO DRUG BOX DECONTAMINATION DIRECTIVE (30 KB)

DRUG BOX DECON PROCEDURE FORM (51 KB)

 

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2019 WVEMS Protocols

Release of the 2019 WVEMS Operational Protocols is complete. For reference, we will continue to provide an informational video, a 25 question assessment and a schematic of the new drugs and their placement in the WVEMS drug boxes. 

All WVEMS drug boxes should now be updated with new contents. Should you encounter a box that has not been updated, please contact a WVEMS field coordinator immediately.

 

2019 WVEMS Protocols

Please keep in mind that you are NOT allowed to practice under the new protocol guidelines until your Operational Medical Director has cleared you to do so. 

The WVEMS Protocol Roll-Out Video can be accessed at:   https://youtu.be/JhUUvWE9Ihk

Protocol Assessment can be access at: 

2019 Protocols:  http://bit.ly/WVEMS_Protocols

  pdf Click here for the 2019 Drug Box Schematic (239 KB)

  pdf Click Here for the 2019 PDF Protocols (19.00 MB)

 

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