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EMS Policies, Protocols and Procedures

Table of Contents
Adult Protocols
Pediatric Protocols

Section I: Core Principles
Section II: Adult Treatment Protocols
Section III: Pediatric Treatment Protocols
Section IV: EMS Policies
Section V: ALS/BLS Standards and Guidelines
Section VI: ALS Procedures
Section VII: Trauma
Section VIII: Educational and Certification Requirements: MICN, EMT-1 and EMT-P
Section IX: Administration

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

EMS Policies, Protocols and Procedures

Administrative Orders

Section I: Core Principles

Section II: Adult Treatment Protocols

Section III: Pediatric Protocols

Section IV: EMS Policies

Section V: ALS/BLS Standards and Guideline

Section VI: ALSProcedures

Section VII: Trauma

Section VIII: Educational and Certification

Requirements MICN, EMT-1 and EMT-P

Section IX: Administration