EMS POLICIES AND PROCEDURES

Questions regarding EMS Policy and Procedures may be directed to Rick Jones, rrjones@sjgov.org.

2010 ALS Field Treatment Manuals have arrived and are available for purchase at the EMS Office for $15.00.

• View Draft Policies

Policy #	Title	Effective Date
	Policy and Procedure Manual Table of Contents

Policy Memorandum

2006-02	Clearing of Patients in Custody	04/27/2006
2006-04	Air Ambulance Destinations	08/30/2006
2009-01	Billing for Services to Non-transported Patients	01/05/2009
2009-02	Emergency and Non-Emergency Patient Definitions	01/05/2009
2010-01	Changes to Paramedic Field Treatment Policies	02/08/2010
2010-02	Patient Privacy	03/19/2010
2010-03	Patient Care Records (PCR)	12/03/2010
2010-04	Bariatric Patient Transports	12/17/2010
2011-01	EMS Policy No. 5734, ALS Drowning/Near Drowning	02/11/2011
2011-02	Patients with Left Ventricular Assist Device	06/08/2011

Section 1000 System Organization and Management

1001

Ambulance Ordinance of San Joaquin County

10/19/2004

Section 2000 Personnel and Training

2010	Maintenance of EMS Personnel Lists	01/01/2009
2010A	Personnel Notification Form	01/01/2009
2010B	Organization Personnel and Contact Update Form	01/01/2009
2011	Skills Competency Verification Process	07/01/2010
2011A	Individuals Designated by Provider to Verify Skills Competency	07/01/2010
2101	EMS Dispatcher Accreditation	07/01/2010
2210	Emergency Medical Responder Certification	08/20/2010
2210A	Emergency Medical Responder Skills Competency Verification Form	07/01/2010
2310	Emergency Medical Technician Certification	07/01/2010
2310A	Emergency Medical Technician Skills Competency Verification Form	07/01/2010
2341	Mark-I Auto Injector Skill Sheet	01/01/2009
2540	Paramedic Accreditation	07/01/2010
2540A	Paramedic Accreditation Field Evaluation	03/10/2010
2540B	Paramedic Candidate Optional Scope Verification	03/10/2010
2540C	Preceptor Program Evaluation Form	01/01/2010
2541	Paramedic Infrequently Used Skills	07/01/2010
2544	Intraosseous Cannulation Performance Criteria - EZ-IO New	01/01/2012
2545	Endotracheal Intubation - Adult Performance Criteria Revised	01/01/2012
2546	Intraosseous Cannulation Performance Criteria - Manual Revised	01/01/2012
2547	Transcutaneous Cardiac Pacing Performance Criteria	02/15/2010
2548	Needle Thoracostomy Performance Criteria	01/01/2010
2549	Needle Cricothyrotomy - TLJV Performance Criteria Revised	01/01/2012
2550	Naso/Orogastric Intubation Performance Criteria	01/01/2010
2551	12 Lead ECG Performance Criteria Revised	01/01/2012
2552	King Airway Performance Criteria Revised	01/01/2012
2553	Endotracheal Intubation - Pediatric Performance Criteria	01/01/2010
2554	Continuous Positive Airway Pressure (CPAP) Performance Criteria	01/01/2010
2555	Nasotracheal Intubation - Adult Performance Criteria Revised	01/01/2012
2556	Needle Cricothyrotomy Performance Criteria - ENK New	01/01/2012
2560	Paramedic Scope of Practice Revised	01/01/2012
2570	Paramedic Preceptors	01/01/2011
2571	Paramedic Intern	01/01/2011
2571A	Paramedic Internship Registration Form	01/01/2011
2571B	Preceptor/Paramedic Program Evaluation Form	01/01/2011
2610	Mobile Intensive Care Nurse Authorization	07/01/2010
2610A	Mobile Intensive Care Nurse Orientation Verification Form	06/15/2006
2610B	MICN Continuing Education Form	06/15/2006
2700	Prehospital Personnel: License, Accreditation, Certification, and Authorization Review Process	08/20/2010
2702	Causes for the Denial or Revocation of a Prehospital Emergency Medical Care Certificate	08/20/2010
2710	EMT and Advanced EMT Disciplinary Action - EMS Agency Responsibilities	08/20/2010
2715	Process for EMT and Advanced EMT Disciplinary Action - Relevant Employer	08/20/2010
2720	Paramedic Employer Reporting Requirements	08/20/2010
2740	Investigative Review Panel	07/09/2010
2900	EMS Continuing Education Program Approval	12/15/2005

Section 3000 Communications

3001	PSAP Guidelines	04/21/2006
3001A	PSAP Call Type Flow Sheet	04/21/2006
3101	Emergency Ambulance Service Provider Dispatch Requirements	05/01/2006
3109	City of Stockton Emergency Medical Dispatch Center Requirements	01/02/2008
3202	Medical Priority Dispatch System Response and Mode Assignments for Cards 1-34	07/01/2011
3410	ALS Field to Hospital Communication Revised	01/01/2012
3411	ALS Radio Report Format Revised	01/01/2012
3412	Basic Life Support Unit Emergency Field to Hospital Communication	01/01/2009

Section 4000 Providers and Facilities

4101	BLS Medication and Equipment List   Revised	02/01/2012
4102	ALS Medication and Equipment Inventory  Revised	02/01/2012
4200	Management of Controlled Substances	01/01/2009
	Management of Controlled Substances Appendix: Report of Theft or Loss of Controlled Substances	01/01/2009
4441	EMS Aircraft Classification and Authorization	01/01/2010
4442	EMS Aircraft Medical Control	01/01/2010
4447	EMS Aircraft Landing Sites	05/01/2006
4448	EMS Aircraft Utilization	05/01/2006
4448A	EMS Aircraft Utilization Form	05/01/2006
4801	STEMI Receiving Center Designation	10/01/2011
4802	STEMI Receiving Center Data Requirements	10/01/2011
4901	Base Hospital Standards	06/01/2008
4980	Receiving Hospital Diversion	01/01/2010

Section 5000 Prehospital Care

5001	Authority for Medical Emergency Management	11/14/2006
5102	Patient Privacy	01/01/2010
5103	Determination of Death in the Field Revised	01/01/2012
5105	Do Not Resuscitate Orders	02/01/2007
5106	Interaction with Physician or Other Health Care Provider on Scene	10/15/2010
5106A	Physician on Involvement with EMT-Ps	01/01/2009
5107	Use of Patient Restraints	07/01/2010
5108	Care of Minors in the Field	01/01/2009
5109	Patient Refusal of Treatment or Transport - Against Medical Advice (AMA)	07/01/2010
5110	Anatomical Donor Cards	03/01/2008
5121	Neurological Triage Criteria Revised	01/01/2012
5122	Pediatric Trauma Triage Criteria	09/01/2007
5130	ALS Without Base Hospital Contact	01/01/2009
5130A	ALS Without Base Hospital Contact Report Revised	01/01/2012
5201	Medical Patient Destination	10/01/2011
5500 series	BLS Treatment Prototols Revised with new content	Varies
5700 series	Adult ALS Treatment Protocols Revised with new content	Varies
5719	ALS Chest Pain	10/01/2011
5800 series	Pediatric Treatment Protocols Revised with new content	Varies
5952	Monitoring an Infusion With Potassium Chloride	01/01/2007
5954	Monitoring an Intravenous Infusion of Heparin	01/01/2007
5955	Monitoring an Intravenous Infusion of Nitroglycerin	01/01/2007

Section 6000 Data Collection and System Evaluation

6008	Interim Patient Care Report	04/01/2006
6020	Notification of New Public Access Defibrillation Program	06/14/2007
6101	Sentinel Event Reporting Requirements	07/01/2010
6101A	Sentinel Event Report	03/17/2010
6102	EMS Unusual Occurrence Process	07/01/2010
6102A	EMS Unusual Occurrence Form	07/01/2010
6286	Prohibited Abbreviation List	10/01/2006
6301	Ambulance Provider Data Requirements	12/15/2005
6620	Continuous Quality Improvement Process	05/01/2006
6630	Continuous Quality Improvement Council	10/01/2006
6680	Research Studies	05/01/2006

Section 7000 Multi-Casualty Incident and Disaster Medical

7010	Multi-Casualty Incident Field Operations	06/1998
7020	Multi-Casualty Incident Control Facility Operations	02/1998
7030	Medical/Health Mutual Aid System	03/2005
7040	Hospital Inpatient Bed Polling	02/01/2009
7101	EMS CHEMPACK Request - Prehospital	08/20/2010
7101A	EMS CHEMPACK Release and Receipt Form	08/20/2010

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