Protocols must have all of the following items EXCEPT:

Protocols must be comprehensive and cover essential components for effective emergency medical services, and they typically do not require a signature from the infection control officer. While protocols must include a signature and an effective date from the medical director to establish authority and formalize the procedures endorsed by the medical authority, the inclusion of a signature from an infection control officer is not standard practice in creating or validating EMS protocols.

In addition to this, protocols need to specify the delegated procedures applicable to various EMS certification or license levels, ensuring that all personnel are aware of their scope of practice and responsibilities. Moreover, documenting the geographic and duty status of personnel assists in defining operational limits and ensuring the right response capabilities for different emergency situations. These elements are crucial for well-structured protocols in the EMS framework.