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6 min read For Chiefs

A Model AI Policy for Fire Departments (Copy It, Adapt It, Ship It)

Your crews may already use AI to write charts. Copy this simple policy, review it with your attorney, and give crews a safe path.

By vitalvoice Team

A fire chief discusses a policy folder and department tablet with firefighters in an apparatus bay

You may learn about it at shift change. A medic says they use ChatGPT to write charts. Or a training officer shows you a prompt saved on a personal phone. Now you know crews may be using AI under personal accounts.

You do not have an AI problem. You have a policy problem. The AI is already in the station.

Why this year, not eventually

Here is what “no policy” actually means in practice.

One medic may paste in the whole chart, including the patient’s name. Another may remove the name but leave the date, address, and a rare diagnosis. A third may avoid AI and stay two hours past shift. Without a policy, each person makes up their own rules.

The main risk is not that AI is in your department. The risk is that you may not know which charts went into which tools. You may have no agreement with those AI companies. If a call is questioned in two years, you may have no clear record to give your city attorney.

A policy does not have to stop all AI. It should tell crews which AI they may use. Without one, a tired medic may choose any app on their phone at 5:30 a.m.

What a good policy actually does

A useful policy does four things.

It says what is banned. “Use good judgment” is not clear enough. State that patient information must not go into a consumer AI tool unless the department has the right agreement with that company.

It says what is allowed. A ban with no safe choice may push crews back to the same workarounds. Name an approved tool or explain how a tool gets approved. Give a real answer when a medic asks, “How can I write this chart faster?”

It makes the safe path easy. If the approved tool is slower than a personal app, crews may go back to the personal app. The safe tool must work during a real shift.

It sets rules for review and records. Say who checks and signs the final chart. State what record the tool keeps. Set a date to review the policy again.

The model policy

You can copy the policy below and add your department’s name. Each rule is numbered, so your attorney can change one part without changing the rest.


[DEPARTMENT NAME] — Artificial Intelligence Use Policy

1. Purpose. This policy explains how members may use artificial intelligence (AI) for department work. This includes patient care charts, language help, and office work. The goal is to let members use helpful tools while protecting patients, records, and the department.

2. Who must follow it. This policy applies to all career, part-time, and volunteer members. It covers every device used for department work, including personal phones, tablets, and computers. It applies both on and off duty.

3. Banned use. Members must not put protected health information (PHI), details that can identify a patient, or any patient care details into an AI tool unless the department has a signed Business Associate Agreement (BAA) with that company. This rule covers public chat tools, consumer translation apps, and note or summary tools that are not approved under Section 4. Removing the patient’s name may not remove all details that can identify the patient. The rule still applies.

4. Approved tools. Members may use an AI tool for patient work only if it is approved under Section 5 and meets every rule below:

a. The company has signed a Business Associate Agreement with the department.

b. The company has explained in writing how it sends, stores, keeps, and deletes PHI.

c. The tool creates a draft only. A qualified member checks it, fixes any errors, and signs it before it becomes part of an official record.

d. The tool keeps enough history to show that a session happened and which record came from it.

5. How tools are approved. Send requests for a new AI tool to [FIRE CHIEF / DESIGNEE]. That person must review the tool with [IT / LEGAL COUNSEL / MEDICAL DIRECTOR, as needed]. Members must not add an unapproved tool to department work. Keep a written list of approved tools where all members can find it.

6. Accuracy. The member who signs a record is responsible for it. AI may leave out details or get them wrong. A record must not include anything that was not said, seen, or done on the call, even if the AI adds it.

7. Training. The department must train members on this policy and each approved tool before they use it in the field. The department must document completed training and include it when new members join.

8. Review. Review this policy at least once a year. Review it sooner if an approved tool changes in a major way, a new tool is approved, or a law or rule changes.

9. Violations. Handle violations under the department’s current discipline rules. A violation may also trigger the department’s breach-notification obligations.


This template is only a starting point. Ask your attorney to adapt it to your state, laws, and department before you use it.

Rolling it out without a crew revolt

Do not announce only the ban. Tell crews what they can use, too. A memo that only takes tools away is easy to ignore.

In the same meeting, explain both parts: what crews must stop doing and which safe tool they can use instead. That is where vitalvoice fits. A signed BAA is available. Transcripts stay on the device and are wiped at the end of the shift. The app can match your department’s exact narrative template—sections, headings, terminology, and call-type rules—and a medic reviews each draft before it reaches the electronic patient care report (ePCR). It can also replace a consumer translation app. vitalvoice supports 63 languages, finds the language, and works offline.

Ask IT to install it through mobile device management (MDM). Then crews do not need personal accounts. Be ready to answer hard questions about accuracy. Start with how to check AI scribe accuracy for EMS and our EMS narrative guide.

Crews often support a tool that saves them time and is easy to use. In a CityEMT pilot, vitalvoice had a 95% Net Promoter Score (NPS). It has a 5.0 App Store rating, and 93% of firefighters prefer it to a phone interpreter line. Pilot departments include Adams County, Brighton, Fairfield, and Westminster.


Quick answers

Does a fire department need an AI policy? Yes, if a member may use AI for department work. A clear policy tells crews which tools are safe, what information must stay out of consumer tools, and who must check the final record.

Should a fire department ban AI outright? A ban alone may fail because crews still face the same time pressure. A stronger policy bans patient details in consumer AI tools and gives crews an approved tool for the same job.

What should an AI use policy for first responders cover? State why the policy exists and who must follow it. Ban patient details in tools without a signed BAA. List the rules for approved tools, who approves them, what training crews need, and when the policy will be reviewed.

Next step

Chiefs: Book a 15-minute demo. Bring your approval checklist. We will walk through the BAA, data storage, session records, and MDM setup with you.

Crews: Download vitalvoice from the App Store. Try it on your next call and see if the approved path is also the faster one.

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