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Downloadable Policy/SOG #

Policy Name

Last Revision
Date
100 - Administrative Policies

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Download 101 Infections Diseases Control Program 12/12/2005
Download 102 Line of duty death 1/6/2007
Download 104 Confidentiality 11/13/2006
Download 105 Alcohol & Drugs 8/3/2005
Download 106 Use of Tobacco Products 3/22/2007
Download 107 Registered Nurse Exception 8/3/2005
Download 108 Response In Personally Owned Vehicles (POV) 8/3/2005
Download 109 Participation Pay 6/16/2008
Download 110 Official Name & Mission Statement 11/17/2006
Download 112 Membership Requirements 7/5/2007
Download 113 Membership Application 12/12/2005
Download 114 Members Equipment 12/12/2005
Download 115 Leave of Absence 6/10/2005
Download 116 Resignation 4/15/2005
Download 117 Response Requirements 1/8/2008
Download 118 Meeting Requirements 1/11/2006
Download 119 Certification Requirements 11/2/2005
Download 121 Discipline 1/11/2006
Download 123 Fire Chief Election 7/2/2005
Download 124 Officer Appointments 7/5/2005
Download 125 Officer Requirements 7/5/2005
Download 126 Review Board 6/16/2006
Download 134 Fire Fighter/EMT Job Description 4/22/2005
Download 135 Engineer Job Description 2/11/2008
Download 143 Pharmaceuticals 1/06/2007
Download 144 Grievance Procedure 6/1/2005
Download 145 General Description of Fire & EMS activities 6/7/2005
Download 146 Medical Evaluation Program 7/9/2007
Download 147 Dress Uniform - Dress Code 3/20/2006
Download 148 Use of Department Property 12/12/2005
Download 149 Press Releases 12/12/2005
Download 150 Standard Operating Guidelines 3/2/2006
Download 151 Duty Dress Code 8/14/2007
200 - General Guidelines

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Download 201 Vehicle Response For Calls 1/7/2008
Download 201b Vehicle Response For Calls (Excel) 1/7/2008
Download 202 Alarm and Assignment Types 3/24/2005
Download 203 Chief Officer Response 7/15/2008
Download 204 Vehicle Operations 4/28/2008
Download 205 Pagers 12/12/2005
Download 206 Radio Communications 7/26/2007
Download 207 Duty Crews 8/8/2006
Download 208 Emergency Incident Rehab 11/2/2005
Download 209 Responding To The Station 12/12/2005
Download 210 Dispatch Protocol 3/01/2007
Download 211 CPR Instruction 2/2/2007
300 - Fire Division

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Download 301 Mayday Procedures (TEAMS) 4/3/2007
Download 302 Hazardous Materials 11/13/2006
Download 303 Natural And Liquefied Gas Leaks 6/16/2006
Download 304 Sides Of Structure 4/14/2005
Download 305 RIT teams 11/13/2006
Download 306 SCBA 4/10/2008
Download 307 Rapid Entry Knox Box 1/8/2008
Download 308 Pump Operations 4520 4/21/2005
Download 309 Pump Operations 4570 9/6/2007
Download 310 Pump Operations 4530 5/31/2005
Download 312 Personal Protective Equipment (PPE) 9/7/2006
Download 315 Lock Out/Tag Out 9/5/2006
Download 316 Carbon Monoxide 12/12/2005
Download 317 Cascade System 4/9/2008
Download 318 Chainsaw Operations 12/12/2005
Download 319 Positive Pressure Ventilation 6/16/2006
Download 321 Hose Testing 12/9/2006
Download 322 Rope Maintenance 12/12/2005
Download 323 Tanker Operations 8/3/2005
Download 324 Search & Rescue 12/12/2005
Download 325 Thermal Imaging Camera 4/14/2005
Download 326 Bomb Threat 6/16/2006
Download 327 Two In/ Two Out 11/19/2005
Download 328 Engine Company Operations 7/26/2007
Download 329 4530 Seat Position Assignments 9/6/2007
Download 330 Rules of Engagement 6/16/2006
Download 331 Structure Fire - City 10/6/2006
Download 332 Structure Fire - Rural 10/6/2006
Download 333 Vehicle Fire 10/6/2006

Download

334 Grass/Brush Fire 10/6/2006

Download

335 4570 Seat Position Assignments 1/7/2008
400 - EMS/Rescue Division

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Download 401 Medical Assignment 4/5/2008
Download 402 Rescue Assignment 4/5/2008
Download 403 Paramedic Response 4/5/2008
Download 404 Ankeny Paramedic Interchangeability 11/13/2006
Download 406 Patient Care Reports 12/12/2005
Download 407 Water Rescue 4/5/2008

Download

408 Auto/Mutual Aid Medical/Rescue Assignments 4/5/2008
Download 409 Ice & Cold Water Rescue 4/5/2008

Download

410 Refusal of Care, Transportation, or Destination 12/9/2006
500 - Training Division

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Download 501 Continuous Quality Improvement (EMS) 5/2/2005

Download

502 Continuing Education Hours 5/2/2005
Download 503 Defibrillator/Combi-Tube Training 11/19/2006

Download

504 New Recruit Training Requirements 12/12/2005

Download

505 New Recruit Training Packet (Administrative) 10/24/2007

Download

506 New Recruit Training Packet (EMS) 8/9/2007

Download

507 New Recruit Training Packet (Fire) 8/9/2007

Download

508 New Recruit Training Packet (Test) 2/21/2007

Download

509 FR & EMT-B Training Agreement 7/31/2007

Download

510 Paramedic Training Agreement 9/5/2007
600 - General Documentation

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Download

602 Patient Signature Form 12/31/2007
Download 603 Radio Channel Setup 7/26/2007

Download

604 Portable Radio Numbers 12/20/2007
Download 605 Duty Crew Calendar 12/20/2007

Download

606 Duty Crew Listing 2/21/2008
Download 607 EMS Certification 7/25/2008

Download

608 Confidentiality Agreement Form 5/17/2005
Download 609 After Call Fitness Report 9/7/2006

Download

610 Maintenance Teams 12/20/2007

Download

612 Fire Department Organization Chart 12/20/2007
Download 613 Hep B Vaccination Record and Consent 12/12/2005

Download

614 Automatic Aid Agreement - Ankeny & Polk City 2/26/2007
Download 615 Automatic Aid Agreement - Granger & Polk City 4/11/2007

Download

616 Hep B Vaccination Declination Form 12/12/2005
Download 617 Polk City TEAMS Cards 1/23/2007

Download

618 Officer Responsibilities 1/8/2008

Download

619 Chest Pain & Stroke Checklist 4/17/2007
Download 620 Vehicle Accident Report 4/3/2007

Download

621 Fire Ground Tactical Worksheet 6/27/2006
Download 622 Fire Ground Tactical Worksheet 6/27/2006

Download

623 Duty Crew Attendance Report 10/18/2006

Download

624 TEAMS General Operating Procedures 5/10/2004

Download

625 Exercise Room Waiver 12/21/2006

Download

626 EMS Supply Charge Sheet 1/1/2007

Download

627 Application For Membership 2/5/2007

Download

628 Automatic Aid Agreement - Sheldahl & Polk City 2/12/2007

Download

629 CQI Run Audit Form 7/1/2003

Download

631 Notice of Privacy Practices 4/08/2003

Download

632 CQI Skill Roster and Logs 4/21/2003

Download

633 CQI Follow Up and Action Plan 4/21/2003

Download

634 Medication Exchange Form 10/21/2003

Download

635 Training Schedule 6/15/2008

Download

636 Controlled Medication Inventory Checklist 4/9/2007

Download

637 Medication Administration Record 4/9/2007

Download

638 Monthly Inspection Form - Ambulance 4580 1/17/2008

Download

639 Monthly Inspection Form - Ambulance 4581 1/17/2008

Download

640 Monthly Inspection Form - Attack 4520 5/14/2008

Download

641 Monthly Inspection Form - Engine 4530 3/24/2008

Download

642 Monthly Inspection Form - Engine 4570 3/24/2008

Download

643 Monthly Inspection Form - Utility 4590 5/14/2008

Download

644 Monthly Inspection Form - Boat 4599 5/14/2008

Download

645 Monthly Inspection Form - Special Operations 4575 5/14/2008