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.
2026 Protocol & Testing
Select your certification level below for 2026 protocol testing. Follow your agency medical director's implementation schedule.
2026 Protocol Tests
Tests may be retaken as needed to achieve 80%. For testing questions or problems, email education@gmvemsc.org. 2026 Testing Evaluation
2026 Protocol Materials
2025 Protocol & Testing
Need to take the 2025 test? The links below remain available for providers completing 2025 requirements before their agency transitions to the 2026 protocol. Follow your agency medical director's implementation schedule.
2025 Protocol Tests
Tests may be retaken as needed to achieve 80%. For testing questions or problems, email education@gmvemsc.org. 2025 Testing Evaluation
2025 Protocol Materials
Supplemental Protocol Resources
Council calendar
Mobile App
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.
CLIA Waiver Information
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.