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EMS Policies, Protocols and Procedures



Administrative Orders

Number Title of Order Effective Date
15-002 Ebola Travel History Screening by EMS Personnel 2/16/15
15-001 Trauma Events Located in Watsonville Community Hospital Catchment Area 2/9/15
14-001 Trauma Events Located in Monterey County 12/5/14

 

Section I: Core Principles

Appropriate Patient Disposition
 EMS Response to Biohazard Emergencies - Ebola
EMS Response to Law Enforcement Incidents (LEIs)
Invasive Procedures
Managing Airway and Ventilation
Managing Cardiac Arrest
Managing Sepsis
Managing Trauma Patient Life Threats
Medical Incident Command System (ICS)
Spinal Immobilization

 

Section II: Adult Treatment Protocols

View and print all Adult Protocols
  Cardiac  
Number Title of Protocol Effective Date
C1 Cardiac Asystole April 2012
C2 Pulseless Electrical Activity April 2012
C3 Ventricular Fibrillation/ Pulseless Ventricular Tachycardia (V-Tach) April 2012
C4 Tachycardia >150 with pulses April 2012
C5 Ventricular Assist Devices November 2016
C6 Cardiac Chest Pain/Anginal Equivalent Symptoms April 2012
C7 Bradycardia/ Heart Blocks April 2012
  Environmental  
Number Title of Protocol Effective Date
E1 Heat Exposure January 2007
E2 Cold Exposure/Hypothermia April 2012
E3 Near Drowning January 2007
E4 Burns May 2015
E5 Acute Venomous Snake Bite January 2007
  Medical  
Number Title of Protocol Effective Date
M1 Overdose and/or Poison Ingestion January 2007
M2 Acute Allergic Reaction January 2008
M3 Routine Medical Care January 2007
M4 Management of Nausea and Vomiting April 2012
M5 Excited Delirium April 2012
M6 Sepsis July 2014
  Neurological  
Number Title of Protocol Effective Date
N1 Altered Level Of Consciousness April 2013
N2 Seizures January 2007
N3 Non-Traumatic Neuro Impairment (Suspected CVA) January 2007
  Obstetrical/Gynecological  
Number Title of Protocol Effective Date
O1 Uncomplicated Childbirth and Emergency Childbirth January 2007
  Respiratory  
Number Title of Protocol Effective Date
R1 Respiratory Distress - Acute Congestive Heart Failure April 2014
R2 Respiratory Distress With Wheezes (Suspected Pulmonary Origin) April 2014
S1 Respiratory Born Illness January 2007
  Trauma  
Number Title of Protocol Effective Date
T1 Trauma May 2015
T2 Isolated Limb Injury (including Hips) May 2015 
T3 Crush Injuries May 2015
T4 Management of Significant External Hemorrhage May 2015
PAM PAM Trauma Triage Scoresheet (Policy 7070) May 2015 
  Attachments  
D1 Santa Cruz County Adult Drug List January 2007
 

Section III: Pediatric Protocols

View and print all Pediatric Protocols

  Cardiac
Number Title of Protocol Effective Date
C1-P Cardiac Asystole April 2012
C2-P Pulseless Electrical Activity April 2012
C3-P Ventricular Fibrillation/Pulseless Ventricular Tachycardia (V-Tach) April 2012
C4-P Tachycardia>220 with Pulses April 2012
C7-P Bradycardia/Heart Blocks April 2010
C8-P Neonatal Resuscitation April 2013
  Environmental
Number Title of Protocol Effective Date
E1-P Heat Exposure January 2007
E2-P Cold Exposure/Hypothermia April 2012
E3-P Near Drowning January 2007
E4-P Burns May 2015 
E5-P Acute Venomous Snake Bite January 2007
  Medical
Number Title of Protocol Effective Date
M1-P Overdose and/or Poison Ingestion January 2007
M2-P Acute Allergic Reaction January 2008
M3-P Routine Medical Care January 2007
M4-P Management of Nausea and Vomiting April 2012
M6-P Sepsis July 2014
  Neurological
Number Title of Protocol Effective Date
N1-P Altered Level Of Consciousness April 2013
N2-P Seizure January 2007
  Respiratory
Number Title of Protocol Effective Date
R1-P Respiratory Distress without Wheezes April 2014
R2-P Respiratory Distress with Wheezes April 2014
  SIDS & ALTE
Number Title of Protocol Effective Date
S1-P Sudden Infant Death Syndrome (SIDS) January 2007
S2-P Apparent Life-Threatening Event (ALTE) January 2007
  Trauma
Number Title of Protocol Effective Date
T1-P Trauma May 2015
T2-P Isolated Limb Injury (including hip) May 2015
T4-P Management of Significant External Hemorrhage May 2015
            
                       

Section IV: EMS Policies

View and print all ALS/BLS Policies

Number Title of Protocol Effective Date
1010 Guidelines for Medical Control Orders October 2012
1020 On-Scene Transfer of Patients From Paramedic To EMT-1 January 2007
1030 First Responder BLS Ambulance Intercept Policy January 2007
1050

Paramedic Interaction With Licensed Health-Care Providers

January 2007
1060 Policy For Air Ambulance April 2009
1070 Triage For Receiving Hospital Destination July 2011
1080 Patient Refusal of Care Against Medical Advice (AMA)or Release at Scene April 2012
1090 Guidelines for Base Station Contact May 2015
1100 Police At The Scene October 2013
1110 On-Scene Medical Control April 2012
1112 EMS Resource Response and Management November 2014
1120

EMS Quality Improvement Program

January 2007
1130

Minimal Equipment and Medications For Transport ALS Units, ALS First Responder Engines, and BLS Units

January 2007
1140 Determination/Pronouncement of Death In The Field April 2010
1170 Santa Cruz County Patient Care Record (PCR) and
Transfer of Care Document
April 2010
1190 Guidelines for EMS Personnel Regarding Do Not Resuscitate (DNR) Orders/Directives April 2012
1200 Organ Donor Information January 2007
1220 Emergency Medical Dispatch (EMD) Policy January 2007
1230 Hospital Diversion (By-Pass Policy) March 2016
1250 Interfacility Transfer Policy January 2007
1260 Medical Management at Hazardous Materials Incidents January 2007
1290 Transport Out-of-County May 2015 
1300 Guidelines For Medical Mutual Aid (Ambulance) January 2007
1310 Critical Ambulance Demand Mitigation September 2016
1340 Suspected Elder and Dependent Adult Abuse Reporting April 2012
1500

Nerve Gas Antidotes

January 2007
1501

Cyanide Antidotes

January 2007
1600

STEMI Identification, Transmission, and Hospital Destination from the Field

April 2012
1700

Guidelines for Special Projects

March 2013
                        
                                   

Section V: ALS/BLS Standards and Guideline

View and print all ALS/BLS Standards and Guidelines

Number Title of Protocol Effective Date
4000 Life Threats April 2014
4010 EMS Personnel Infectious Disease Precautions and Exposure Management December 2014 
4020 Emergency Department Approved for Pediatrics (EDAP) Specialty Designation January 2007
4030 Patient Acuity Guidelines April 2014
4040 Non-Invasive Gas Monitoring April 2014
4060 Patient Restraints April 2009
4070 Spinal Immobilization April 2012
4080 First Responder Fire ALS Transfer of Care to Transport ALS January 2007
4090 Narcotic Medication Utilized by Paramedics January 2007
4100 PCR Documentation July 2011
4110 Approved Abbreviations January 2007
4200 Mass Casualty Incident April 2009
4300 Emergency Worker Rehabilitation April 2010
4500 UC Fire Department Influenza Response Procedure September 2009
           
            

Section VI: ALSProcedures

View and print all ALS Procedures

Number Title of Protocol Effective Date
5000 Advanced Airway Management April 2014
5100 Intraosseous Infusion July 2007
5300 Needle Thoracostomy April 2012
5400 Procedure for EMS Personnel Regarding Do Not Resuscitate (DNR) Orders/Directives April 2009
5500 Accessing Pre-Vascular Access Devices (PVAD) January 2007
5600 Pain Management April 2014
5700 Pediatric Fast Pack April 2009
5800 Continuous Positive Airway Pressure (CPAP) February 2008
5900 12 Lead ECG Procedure April 2010
6000 Transcutaneous Cardiac Pacing April 2010
 

Section VII: Trauma

View and print all Trauma Policies

Number Title of Policy Effective Date
7000 Trauma System Organization and Management January 2007
7010 Trauma Data Collection and Management May 2015
7020 Trauma Service Area January 2007
7030 Trauma Patient Interfacility Transfers May 2015
7040 Trauma Quality Improvement and System Evaluation January 2007
7050 Trauma Patient Transport and Hospital Destination May 2015
7060 Mutual Aid and Coordination with Neighboring System May 2015
7070 PAM Trauma Triage May 2015
 

Section VIII: Educational and Certification

Requirements MICN, EMT-1 and EMT-P

View and print all Educational and Certification
Requirements (EMT-1) and (EMT-P) Policies

Number Title of Protocol Effective Date
2010 Mobile Intensive Care Nurse (MICN) Continuing Education & Service Requirements January 2007
3010 EMT-P Accreditation Requirements September 2012
3020

EMT Challenge Policy for Other Licensed Health Providers

January 2007
3030

EMT Prehospital Disciplinary Process

July 2007
3040

Criminal Offender Record Information (CORI) Background Check

March 2007
3050 EMT Training Program Requirements and Approval Process June 2015
 

Section IX: Administration

View and print all Administration Policies

Number Title of Policy Effective Date
8000 Continuing Education Provider Approval April 2012
8010 Procedure for Suspension or Revocation of EMT, Paramedic Training or CE Provider Program Approval April 2012