Front Matter 0-100 - Protocol Deviation

CMH EMS & MIH Protocols

No protocol can account for every clinical scenario encountered, and it is recognized that in rare circumstances deviation from these protocols may be necessary and in a patient’s best interest. Variance from protocol should always be done with the patient’s best interest in mind and backed by documented clinical reasoning and judgement. Whenever possible. Prior approval by direct verbal order from a physician is preferred. Additionally, all variance from protocol should be documented and submitted for review by the agency’s medical director in a timely fashion.

Protocols have certain limitations, and not every clinical scenario can be represented. Although these protocols imply a specific sequence of actions, it may often be necessary to provide care out of sequence from that described if dictated by clinical needs. These protocols provide decision-making support, but need not be rigidly adhered to and is no substitute for sound clinical judgement.

Refer to Guideline 1-400 - Communications for further details.


Change Log:

DateLink to
Description of change
11/11/17pdfAdded this section with heavy reference to Denver Metro EMS Protocols.
04/04/20pdfAdded content without modification from 0-100.
06/05/21pdfMoved to

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