Policy and Procedure Manual

 

The following San Benito County EMS Policies, Procedures and Field Treatment Guidelines are effective February 1, 2018.  All EMS Policies & Procedures with an effective date prior to February 1, 2018 should be destroyed.

All future changes to EMS Policy & Procedure will be published on this web site. Please consider this site’s information as the official and most current publications of the San Benito County EMS Agency.

 

 

 

 

 

Section I: ALS/BLS Policies

 

View All of Section I

 

1000 – EMS Medical Control

1010 – Standing Orders

1020 – On Scene Transfer of Patients from Paramedic to EMT

1050 – Paramedic Interaction with Licensed Healthcare Providers

1060 – Air Medical Services

1070 – Triage for Receiving Hospital Destination

1080 – Against Medical Advice & Release at Scene

1090 – Guidelines for Base Station Contact & Call-In Format

1100 – Police at Scene

1110 – On-Scene Medical Control

1120 – Gurney & Wheelchair Van Requirements

1130 – Minimal Equipment and Medications for Transport ALS Services, ALS First Responder Engines and BLS Units

1140 – Determination / Pronouncement of Death in the Field

1180 – Transportation Plan

1190 – Guidelines for Do Not Resuscitate (DNR) Orders/Directives

1191 – Procedures for EMS Personnel Regarding Do Not Resuscitate (DNR) Orders/Directives Form POLST

1200 – Organ Donor Information

1250 – Interfacility Transfers

1340 – Suspected Elder & Dependent Adult Abuse Reporting Requirement Form SOC 341

1600 – STEMI Protocol

 

 

Section II: MICN

 

View All of Section II

 

 

Section III: Education, Certification and Applications

 

View All of Section III

 

Application for EMT/First Responder

Application for Paramedic

3000 – First Responder Certification / Recertification

3010 – Paramedic Accreditation to Practice

3010-A – Non-Emergent Paramedic Accreditation

3020 – EMT Challenge Policy for Other Licensed Healthcare Providers

3030 – Prehospital Discipline Process

3040 – Criminal Offender Record Information Requirement Live Scan

3050 – EMT Certification / Recertification

3060 – ID Badge

 

 

Section IV: Standards & Guidelines

 

View All of Section IV

 

4000 – Life Threats

4010 – Field Personnel Exposure to a Reportable Disease

4030 – Patient Acuity Guidelines

4040 – Non-Invasive Gas Monitoring

4060 – Patient Restraint

4070 – Spinal Immobilization

4110 – Approved Abbreviations

4120 – Guidelines for Creating and Updating EMS Policy and Protocols

4200 – Multi-Casualty Incident (MCI) Plan

4300 – Emergency Worker Rehabilitation

 

 

Section V: ALS Procedures

 

View All of Section V

 

5000 – Advanced Airway Management

5100 – Intraosseous Infusion

5300 – Needle Thoracostomy

5500 – Accessing Pre-Vascular Access Devices (PVAD)

5600 – Pain Management

5700 – Intranasal Administration of Medications

5800 – Continuous Positive Airway Pressure (CPAP)

5900 – Transcutaneous Cardiac Pacing

5910 – 12 Lead EKG Procedure

 

 

Section VI: Trauma

 

View All of Section VI

 

6000 – Trauma System Organization and Management

6010 – Trauma Data Collection and Management

6020 – Trauma Service Area

6030 – Trauma Patient Interfacility Transfers

6040 – Trauma Quality Improvement and System Evaluation

6050 – Trauma Patient Transport and Hospital Destination

6070 – MAP Trauma Triage

 

 

Section VII: Documentation / Data

 

View All of Section VII

 

7000 – Electronic Prehospital Care Report (ePCR)

 

 

Section VIII: Adult Treatment Protocol

 

View All of Section VIII

 

Adult Drug List – Adult drugs authorized to be used by Paramedics, dosages & routes of administration and Dopamine Dosage Chart.

 

 

Cardiac Series

 

View All of the Cardiac Series

 

C-1 – Cardiac Asystole

C-2 – Pulseless Electrical Activity

C-3 – Ventricular Fibrillation / Pulseless V-Tach

C-4 – Tachycardia >150 with Pulses

C-5 – Frequent PVC’s in the Conscious Patient

C-6 – Chest Pain / Non-Traumatic

C-7 – Bradycardia / Heart Blocks

C-8 – Ventricular Assist Devices

 

 

Environmental Series

 

View All of the Environmental Series

 

E-1 – Heat Exposure

E-2 – Cold Exposure – Hypothermia

E-3 – Near Drowning

E-4 – Burns

E-5 – Acute Venenous Snake Bite

 

 

Medical Series

 

View All of the Medical Series

 

M-1 – Overdose and / or Poison Ingestion

M-2 – Acute Allergic Reaction

M-3 – Routine Medical Care

M-4 – Management of Nausea and Vomiting

M-5 – Excited Dilerium

 

 

Neurological Series

 

View All of the Neurological Series

 

N-1 – Altered Level of Consciousness

N-2 – Seizures

N-3 – Non-Traumatic Neuro Impairment (Suspect CVA)

 

 

Obstetrical / Gynecological Series

 

View All of the Obstetrical / Gynecological Series

 

O-1 – Uncomplicated Childbirth & Emergency Childbirth

 

 

Respiratory Series

 

View All of the Respiratory Series

 

R-1 – Respiratory Distress with Congestion (Suspected Cardiac Origin)

R-2 – Respiratory Distress with Wheezes (Suspected Pulmonary Origin)

R-3 – Respiratory Borne Illness

 

 

Trauma Series

 

View All of the Trauma Series

 

T-1 – Trauma

T-2 – Isolated Limb Injuries

T-3 – Crush Injury Syndrome

T-4 – Management of Significant External Hemmorrhage

 

 

Section IX: Pediatric Treatment Protocol

 

View all of Section IX

 

Pediatric Drug List – Pediatric Drug Dosages, Routes of Administration, Vital Sign Parameters, Laryngoscope Blade Sizes, ET Sizes, Defib, Cardioversion & Fluid Resuscitation Information

 

 

Cardiac Series

 

View all of the Pediatric Cardiac Series

 

C1-P – Cardiac Asystole

C2-P – Pulseless Electrical Activity

C3-P – Ventricular Fibrillation / Pulseless V-Tach

C4-P – Tachycardia >220 with Pulses

C7-P – Bradycardia / Heart Blocks

C8- P – Neonatal Resuscitation

 

 

Environmental Series

 

View all of the Pediatric Environmental Series

 

E1-P – Heat Exposure

E2-P – Cold Exposure / Hypothermia

E3-P – Near Drowning

E4-P – Burns

E5-P – Acute Venomous Snake Bite

 

 

Medical Series

 

View all of the Pediatric Medical Series

 

M1-P – Overdose and / or Poison Ingestion

M2-P – Acute Allergic Reaction

M3-P – Routine Medical Care

M4-P – Management of Nausea and Vomiting

 

 

Neurological Series

 

View all of the Pediatric Neurological Series

 

N1-P – Altered Level of Consciousness

N2-P – Seizures

 

 

Respiratory Series

 

View all of the Pediatric Respiratory Series

 

R1-P – Respiratory Distress without Wheezes

R2-P – Respiratory Distress with Wheezes

 

 

SIDS & ALTE Series

 

View all of the Pediatric SIDS & ALTE Series

 

S1-P – Sudden Infant Death Syndrome (SIDS)

S2-P – Apparent Life-Threatening Event (ALTE)

 

 

Trauma

 

View All of Pediatric Trauma Series

 

T1-P – Trauma

T2-P – Isolated Limb Trauma

T4-P – Management of Significant External Hemmorrhage

 

 

Section X: Miscellaneous

 

10000 – Standing Orders for Government-Issued TAMIFLU® Stockpile Program.

10100 – Safe Surrender

10200 – EMS Coverage for Mass Gatherings

10300 – First Aid Guidelines for Planned Events & Mass Gatherings

10400 – Guidelines for Transport Vehicle Permits and Inspections

10500 – Non-911 Ambulance Utilization

 

 

 

 

Ambulance Services Agreement

 

Ambulance Service Agreement