Emergency Medical Services

EMS Policies and Protocols

Table of Contents

Policy Memorandums

2024-02-Management of Multi Casualty Incidents (MCI) and Resource Requesting in a Tiered Response System

127 KB • pdf • June 5, 2024

2025-01 - Dosage Increase for Tranexamic Acid (TXA)

1.4 MB • pdf • April 18, 2025

Section 1000 System Organization and Management

1000 - San Joaquin County Ordinance No. 4563, Title 4, Division 7, Ambulances

382 KB • pdf • April 1, 2025

1100 - Policy Definitions

593 KB • pdf • July 1, 2025

1110 - Maddy Fund Use and Approval Process

314 KB • pdf • July 1, 2025

1400 - EMS Advisory Committee

125 KB • pdf • August 24, 2022

Section 2000 Personnel and Training

2010 - Maintenance of EMS Personnel Lists

7 KB • pdf • March 28, 2022

2010A - Personnel Update Form

25 KB • pdf • March 21, 2022

2010B - Organization Personnel and Contact Update Form

131 KB • pdf • March 21, 2022

2011 - Skills Competency Verification Process

11 KB • pdf • March 21, 2022

2011A - Individuals Designated by Provider to Verify Skills Competency

15 KB • pdf • March 21, 2022

2101 - EMS Dispatcher Authorization

114 KB • pdf • March 21, 2022

2210 - Emergency Medical Responder Certification

121 KB • pdf • March 21, 2022

2210A - EMR Skills Competency Verification Form

52 KB • pdf • May 19, 2022

2310 - Emergency Medical Technician Certification

144 KB • pdf • March 21, 2022

2310A - Emergency Medical Technician Skills Competency Verification Form

44 KB • pdf • March 21, 2022

2341 - Mark I Auto Injector Skill Sheet

19 KB • pdf • March 21, 2022

2360 - Emergency Medical Technician Scope of Practice

132 KB • pdf • May 25, 2022

2540 - Paramedic Accreditation

135 KB • pdf • March 21, 2022

2540A - Paramedic Accreditation Field Evaluation Form

388 KB • pdf • March 21, 2022

2540B - Paramedic Skills Verification Form

52 KB • pdf • March 21, 2022

2541 - Paramedic Infrequently Used Skills

117 KB • pdf • February 16, 2022

2544 - Intraosseous Cannulation Performance Criteria - EZ-IO

74 KB • pdf • March 21, 2022

2545 - Endotracheal Intubation - Adult Performance Criteria

138 KB • pdf • April 12, 2023

2546 - Intraosseous Cannulation Performance Criteria - Manual

17 KB • pdf • March 21, 2022

2547 - Transcutaneous Cardiac Pacing (TCP) Performance Criteria

126 KB • pdf • March 21, 2022

2548 - Needle Thoracostomy Performance Criteria

21 KB • pdf • March 21, 2022

2549 - Needle Cricothyrotomy - TLJV Performance Criteria

124 KB • pdf • July 5, 2023

2551 - 12 Lead ECG Performance Criteria

114 KB • pdf • July 17, 2024

2554 - Continuous Positive Airway Pressure (CPAP) Performance Criteria

17 KB • pdf • March 21, 2022

2556 - Needle Cricothyrotomy Performance Criteria - ENK

26 KB • pdf • March 21, 2022

2557 - Adult Supraglottic Airway Device Performance Criteria

97 KB • pdf • July 5, 2023

2558 - Pediatric Supraglottic Airway Device Performance Criteria

95 KB • pdf • July 5, 2023

2559 - Mechanical CPR Devices

117 KB • pdf • March 28, 2022

2560 - Paramedic Scope of Practice Effective July 1, 2025

316 KB • pdf • July 2, 2025

2570 - Paramedic Preceptor Authorization

343 KB • pdf • July 1, 2025

2571 - Paramedic Student Field Internship Authorization

98 KB • pdf • April 24, 2024

2571B - Preceptor/Paramedic Program Evaluation Form

35 KB • pdf • March 28, 2022

2580 - Paramedic Accreditation Officer Authorization

322 KB • pdf • July 1, 2025

2610 - Mobile Intensive Care Nurse Authorization

106 KB • pdf • July 17, 2024

2610A - MICN Interim Verification Form

7 KB • pdf • March 28, 2022

2610B - MICN Continuing Education Form

108 KB • pdf • March 28, 2022

2700 - Accreditation, Authorization, and Certification Review Process

73 KB • pdf • July 5, 2023

2702 - Causes for the Denial or Revocation of a SJCEMSA Prehospital Certificate

80 KB • pdf • July 5, 2023

2710 - EMT and AEMT Disciplinary Action - SJCEMSA Responsibilities

126 KB • pdf • July 5, 2023

2715 - Process for EMT and AEMT Disciplinary Action - Relevant Employer

112 KB • pdf • July 5, 2023

2720 - Paramedic Employer Reporting Requirements

71 KB • pdf • July 5, 2023

2740 - Investigative Review Panel

124 KB • pdf • July 5, 2023

2800 - Paramedic Training Program Approval

97 KB • pdf • August 8, 2023

2800A - Paramedic Training Program Application Form

135 KB • pdf • October 20, 2023

2800B - Paramedic Training Program Medical Director Form

125 KB • pdf • October 19, 2023

2800C - Paramedic Training Program Program Director Form

125 KB • pdf • October 19, 2023

2800D - Paramedic Training Program Principal Instructor Form

124 KB • pdf • October 19, 2023

2830 - Emergency Medical Technician Training Program Approval

372 KB • pdf • July 1, 2025

2900 - EMS Continuing Education Program Approval

30 KB • pdf • March 28, 2022

2910 - SJCEMSA Course Instruction Authorization

140 KB • pdf • July 1, 2022

Section 3000 Communications

3001 - Guidelines for EMS Call Screening by Primary Public Safety Answering Points

12 KB • pdf • March 28, 2022

3001A - PSAP Call Type Flow Sheet

13 KB • pdf • February 16, 2022

3101 - Emergency Ambulance Dispatch Requirements

309 KB • pdf • July 1, 2025

3202 - Medical Priority Dispatch System Use and Assignments

95 KB • pdf • July 5, 2023

3202A Medical Priority Dispatch System & Use Assignments, Appendix A

671 KB • pdf • August 27, 2024

3204 - Rescue-Auto Extrication Response and Reimbursement to the Unprotected Area Effective July 1, 2025

281 KB • pdf • July 2, 2025

3204A - Unprotected Area Response Authorization Form

15 KB • pdf • January 3, 2023

3204B - Unprotected Area Rate Sheet July 2025 Effective July 1, 2025

255 KB • pdf • July 2, 2025

3204C - Rescue-Auto Extrication Invoice Form

70 KB • pdf • January 3, 2023

3205 - Reponses to EMS Incidents in the Unprotected Area

72 KB • pdf • January 3, 2023

3400 - Med Net Radio Communications Plan

284 KB • pdf • July 1, 2025

3410 - Field to Hospital Communication

81 KB • pdf • July 5, 2023

3411 - Prehospital Field to Hospital Report Formats

80 KB • pdf • July 5, 2023

3412 - Basic Life Support Unit Emergency Field to Hospital Communication

13 KB • pdf • March 29, 2022

Section 4000 Providers and Facilities

4010 - Public Safety Agency Request for ALS Authorization

45 KB • pdf • March 29, 2022

4010 Exhibit A - ALS Program Plan Forms

702 KB • pdf • May 19, 2022

4010 Exhibit B - ALS Authorization Agreement Standard Terms and Conditions

34 KB • pdf • March 29, 2022

4101 - EMS Response Vehicle Medication and Equipment Effective July 1, 2025

564 KB • pdf • July 2, 2025

4101A - Medication Shortage Mitigation and Response Strategies

625 KB • pdf • March 29, 2022

4101B - Request for Waiver of Requirements

548 KB • pdf • March 29, 2022

4150 - Naloxone Administration by Law Enforcement

19 KB • pdf • March 29, 2022

4150A - San Joaquin County Law Enforcement Narcan (Naloxone) Use Report

92 KB • pdf • March 29, 2022

4200 - Management of Controlled Substances Effective July 1, 2025

246 KB • pdf • July 2, 2025

4301 - Paramedic Field Internship ALS Provider Responsibilities

97 KB • pdf • April 24, 2024

4301A - Paramedic Field Internship Registration Form

36 KB • pdf • March 29, 2022

4411 - Authorization to Conduct Neonatal Transport

18 KB • pdf • March 29, 2022

4441 - EMS Aircraft Classification and Authorization

110 KB • pdf • July 17, 2024

4442 - EMS Aircraft Medical Control

14 KB • pdf • February 16, 2022

4447 - EMS Aircraft Landing Sites

21 KB • pdf • March 29, 2022

4448 - Aircraft Utilization

76 KB • pdf • July 17, 2024

4448A - Aircraft Simultaneous Dispatch Map

219 KB • pdf • July 17, 2024

4701 - Trauma System Management and General Provisions

83 KB • pdf • July 5, 2023

4709 - Trauma Center Service Areas

69 KB • pdf • July 5, 2023

4710 - Trauma Center Designation

82 KB • pdf • March 30, 2022

4712 - Level II Trauma Center Standards

127 KB • pdf • March 30, 2022

4713 - Level III Trauma Center Standards

121 KB • pdf • March 30, 2022

4720 - Trauma Center Team Activation

15 KB • pdf • March 30, 2022

4801 - STEMI Receiving Center Designation

104 KB • pdf • July 5, 2023

4811 - Primary Stroke Center Designation

99 KB • pdf • July 5, 2023

4901 - Base Hospital Standards

97 KB • pdf • July 17, 2024

4981 - Receiving Hospital Status

90 KB • pdf • July 17, 2024

4985 - Transfer of Patient Care in the Emergency Department

102 KB • pdf • July 17, 2024

Form DEA 106 - Management of Controlled Substances Appendix: Report of Theft or Loss of Controlled Substances

39 KB • pdf • May 19, 2022

Section 5000 Prehospital Care

5001 - Authority for Pre-Hospital Care Management

283 KB • pdf • July 1, 2025

5102 - Patient Privacy

14 KB • pdf • February 16, 2022

5103 - Determination of Death in the Field

143 KB • pdf • January 7, 2025

5104 - EMT Attending Patient Care During Transport

71 KB • pdf • April 12, 2023

5105 - Do Not Resuscitate (DNR) Orders

115 KB • pdf • March 30, 2022

5106 - Interaction with Physician or Other Health Care Provider on Scene

13 KB • pdf • March 30, 2022

5106A - Physician on Involvement with EMT-Ps

235 KB • pdf • March 30, 2022

5107 - Use of Patient Restraints

80 KB • pdf • April 3, 2023

5108 - Care of Minors in the Field

72 KB • pdf • July 5, 2023

5109 - Patient Refusal of Treatment or Transport - AMA

117 KB • pdf • July 14, 2022

5110 - Anatomical Donor Cards

11 KB • pdf • February 16, 2022

5115 - Cervical Spine Stabilization

77 KB • pdf • July 6, 2023

5130 - ALS Without Base Hospital Contact

11 KB • pdf • February 16, 2022

5130A - ALS Without Base Hospital Contact Report

58 KB • pdf • March 30, 2022

5201 - Medical Patient Destination

96 KB • pdf • July 17, 2024

5201A - Medical Patient Destination - Estimate of Driving Time and Distance

28 KB • pdf • March 30, 2022

5210 - Major Trauma Triage Criteria

83 KB • pdf • April 3, 2023

5215 - Trauma Patient Destination

78 KB • pdf • April 3, 2023

5500 - BLS Treatment Protocols - Introduction

122 KB • pdf • March 30, 2022

5502 - BLS Scope of Practice Summary

53 KB • pdf • April 3, 2023

5503 - BLS Routine Medical Care

19 KB • pdf • February 16, 2022

5504 - BLS Patient Assessment - Primary Survey

214 KB • pdf • February 16, 2022

5505 - BLS Patient Assessment - Secondary Survey

134 KB • pdf • February 16, 2022

5507 - BLS Inter-facility Patient Transports

121 KB • pdf • May 25, 2022

5510 - BLS Chest Pain of Suspected Cardiac Origin

122 KB • pdf • March 30, 2022

5511 - BLS Cardiac Arrest

132 KB • pdf • March 30, 2022

5520 - BLS Respiratory Distress

124 KB • pdf • February 16, 2022

5530 - BLS Altered Mental Status

121 KB • pdf • February 16, 2022

5531 - BLS Seizures

86 KB • pdf • July 17, 2024

5540 - BLS Shock Non-Traumatic

118 KB • pdf • February 16, 2022

5541 - BLS Abdominal Discomfort

119 KB • pdf • February 16, 2022

5542 - BLS Poisoning and Overdose

78 KB • pdf • May 4, 2023

5543 BLS Nausea and Vomiting

236 KB • pdf • July 1, 2025

5551 - BLS Allergic Reaction - Anaphylaxis

201 KB • pdf • May 25, 2022

5552 - BLS Bites and Stings

123 KB • pdf • May 25, 2022

5553 - BLS Snake Bite

121 KB • pdf • February 16, 2022

5554 - BLS Hypothermia - Frostbite

200 KB • pdf • February 16, 2022

5555 - BLS Hyperthermia

119 KB • pdf • February 16, 2022

5560 - BLS Gynecological Emergencies

118 KB • pdf • March 30, 2022

5561 - BLS Childbirth

125 KB • pdf • February 16, 2022

5562 - BLS Neonatal Resuscitation

119 KB • pdf • February 13, 2023

5581 - BLS Burns

121 KB • pdf • February 16, 2022

5583 - BLS Head - Neck - Facial Trauma

205 KB • pdf • March 30, 2022

5584 - BLS Chest - Abdominal Trauma

202 KB • pdf • March 30, 2022

5585 - BLS Extremity Trauma

120 KB • pdf • March 30, 2022

5700 - Advanced Life Support Protocols Version 1.9

2.8 MB • pdf • July 1, 2025

Section 6000 Data Collection and System Evaluation

6008 - Interim Patient Care Report

68 KB • pdf • March 30, 2022

6020 - Notification of New Public Access Defibrillation Program

29 KB • pdf • March 30, 2022

6101 - Sentinel Event Reporting Requirements

16 KB • pdf • March 30, 2022

6101A - Sentinel Event Report Form

79 KB • pdf • February 16, 2022

6102 - EMS Unusual Occurrence Reporting Process

73 KB • pdf • July 5, 2023

6102A - Unusual Occurrence Report Form

59 KB • pdf • July 5, 2023

6301 - EMS CAD Access and Data Requirements

110 KB • pdf • February 16, 2022

6302 - EMS Patient Care Record Access and Data Requirements

121 KB • pdf • May 19, 2022

6341 - Ambulance Patient Offload Time Data

24 KB • pdf • March 30, 2022

6381 - STEMI Receiving Center Data Requirements

77 KB • pdf • July 5, 2023

6382 - Primary Stroke Center Data Requirements

285 KB • pdf • July 1, 2025

6620 - Continuous Quality Improvement Process

36 KB • pdf • March 30, 2022

6621 - EMT Enhanced Skills Quality Improvement

117 KB • pdf • May 25, 2022

6621A- EMT Enhanced Skills Audit Form

121 KB • pdf • July 28, 2022

6630 - Continuous Quality Improvement Council

20 KB • pdf • March 30, 2022

6640 - STEMI Quality Improvement Committee

94 KB • pdf • July 17, 2024

6650 - Stroke Quality Improvement Committee

95 KB • pdf • July 17, 2024

6670 - Medical Priority Dispatch System (MPDS) Quality Improvement (QI) Committee

119 KB • pdf • August 24, 2022

6680 - Research Studies

13 KB • pdf • February 16, 2022

6710 - Trauma Center Quality Improvement

69 KB • pdf • March 30, 2022

6715 - Trauma Audit Committee

86 KB • pdf • July 5, 2023

6720 - Trauma Data Management

76 KB • pdf • March 30, 2022

Section 7000 Multi-Casualty Incident and Disaster Medical

7001 - On Call EMS Duty Officer Notification

73 KB • pdf • April 3, 2023

7010 - Multi Casualty Incident Field Operations

2.3 MB • pdf • May 19, 2022

7020 - Multi Casualty Incident Control Facility Operations

5.8 MB • pdf • March 30, 2022

7030 - Medical Health Mutual Aid System

838 KB • pdf • March 30, 2022

7101 - EMS Chempack Request Prehospital

21 KB • pdf • February 16, 2022

7101A - EMS CHEMPACK Release and Receipt Form

13 KB • pdf • March 30, 2022

7210 - EMS Active Threat Plan

259 KB • pdf • March 30, 2022

Questions regarding EMS policies, protocols, and procedures may be directed to Jared Bagwell, EMS Administrator, at jbagwell@sjgov.org.

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