EMS POLICIES AND PROCEDURES

To download the San Joaquin County Emergency Medical Services Agency ALS Treatment Protocols Application (SJCEMSA), visit the Apple App Store or Google Play Store.


• View Current Draft Policies and Archived Draft Policies
  
  

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

Policy Memorandum (See the Latest COVID-19 Guidance Here)

2006-02	Clearing of Patients in Custody	04/27/2006
2009-01	Billing for Services to Non-transported Patients	01/05/2009
2015-03	Spinal Motion Restriction (Stabilization) for the Injured Athlete	03/04/2015
2015-04	Multi-casualty Incident (MCI) and Base Hospital Communication	09/24/2015
2018-02	Continued Integration of BLS Ambulances into the EMS System	03/01/2018
2019-03	Trauma Patient Care Transfer Reporting and Transport Directly to Operating Suite	05/06/2019
2020-19 (Revised v.5)	Coronavirus (COVID-19) EMS Personnel Applicants (Revised v.5)	03/25/2021
2020-24	Coronavirus (COVID-19)High Efficiency Particulate Air (HEPA) Viral Filter	4/23/2020
2020-28	Medical Devices and Point of Care Testing	5/26/2020
2020-31 (Revised)	Coronavirus (COVID-19) Denial of Entry into Emergency Departments for Transfer of Patient Care	6/24/2020
2021-01(Revised)	Coronavirus (COVID-19) Authorization for General Acute Care Hospitals to Employ and Use Prehospital Care Personnel (Revised)	1/12/2021
2021-02	Coronavirus (COVID-19) Vaccine Administration by Paramedics	1/26/2021
2021-03	Coronavirus (COVID-19) Vaccine Administration by Emergency Medical Technicians (EMT)	2/3/2021
2021-04	Coronavirus (COVID-19) Daily ACF Bed Polling (Revised v.6)	4/30/2021
2021-05	Rescinded Coronavirus (COVID-19) Policies	4/30/2021
2021-06	Chemical Restraints, Sedation, and Forced Transport	6/22/2021
2021-07	Coronavirus (COVID-19) Hospital and Health Care System Surge	8/18/2021

Section 1000 System Organization and Management

1001

Ambulance Ordinance of San Joaquin County

08/18/2020

Section 2000 Personnel and Training

2010	Maintenance of EMS Personnel Lists	06/01/2021
2010A	Personnel Update Form	06/01/2021
2010B	Organization Personnel and Contact Update Form	06/01/2021
2011	Skills Competency Verification Process	07/01/2010
2011A	Individuals Designated by Provider to Verify Skills Competency	07/01/2010
2101	EMS Dispatcher Authorization	06/01/2021
2210	Emergency Medical Responder Certification	06/01/2021
2210A	Emergency Medical Responder Skills Competency Verification Form	10/16/2013
2310	Emergency Medical Technician Certification	06/01/2021
2310A	Emergency Medical Technician Skills Competency Verification Form	07/01/2010
2341	Mark I Auto Injector Skill Sheet	01/01/2009
2360	Emergency Medical Technician Scope of Practice	04/01/2020
2540	Paramedic Accreditation	06/01/2021
2540A	Paramedic Accreditation Field Evaluation Form	06/01/2021
2540B	Paramedic Skills Verification Form No. 2540B	02/01/2019
2541	Paramedic Infrequently Used Skills	07/01/2020
2544	Intraosseous Cannulation Performance Criteria - EZ-IO	01/01/2012
2545	Endotracheal Intubation - Adult Performance Criteria	10/16/2013
2546	Intraosseous Cannulation Performance Criteria - Manual	01/01/2012
2547	Transcutaneous Cardiac Pacing (TCP) Performance Criteria	04/01/2020
2548	Needle Thoracostomy Performance Criteria	01/01/2016
2549	Needle Cricothyrotomy - TLJV Performance Criteria	01/01/2012
2551	12 Lead ECG Performance Criteria	01/01/2012
2554	Continuous Positive Airway Pressure (CPAP) Performance Criteria	01/01/2010
2556	Needle Cricothyrotomy Performance Criteria - ENK	01/01/2012
2557	Adult i-Gel Airway Performance Criteria	07/01/2018
2558	Pediatric i-Gel Airway Performance Criteria	07/01/2018
2559	Mechanical CPR Devices	07/01/2021
2560	Paramedic Scope of Practice	04/01/2020
2570	Paramedic Preceptor Authorization	06/01/2021
2571	Paramedic Student Field Internship Authorization	07/01/2012
2571B	Preceptor/Paramedic Program Evaluation Form	07/01/2012
2580	Paramedic Accreditation Officer Authorization	06/01/2021
2610	Mobile Intensive Care Nurse Authorization	06/01/2021
2610A	Mobile Intensive Care Nurse Interim Verification Form	06/01/2021
2610B	Mobile Intensive Care Nurse Continuing Education Form	06/01/2021
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	Guidelines for EMS Call Screening by Primary Public Safety Answering Points	04/21/2006
3001A	PSAP Call Type Flow Sheet	04/21/2006
3101	Emergency Ambulance Service Provider Dispatch Requirements	05/01/2006
*New 3202	Medical Priority Dispatch System Use and Assignments	08/01/2021
*New 3202A	Medical Priority Dispatch System Use and Assignments Appendix A	08/01/2021
3205	Responses to EMS Incidents in the Unprotected Area	10/01/2020
3410	ALS Field to Hospital Communication	07/01/2014
3411	ALS Radio Report Format	07/01/2014
3412	Basic Life Support Unit Emergency Field to Hospital Communication	01/01/2009
3415	Trauma Center Notification	08/01/2013

Section 4000 Providers and Facilities

4101	EMS Response Vehicle Medication and Equipment	04/01/2020
4101A	Medication Shortage Mitigation and Response Strategies	07/01/2018
4101B	Request for Waiver of Requirements	07/01/2018
4150	Naloxone Administration by Law Enforcement	02/01/2019
4150A	San Joaquin County Law Enforcement Narcan (Naloxone) Use Report	02/01/2019
4200	Management of Controlled Substances	10/16/2013
Form DEA 106	Management of Controlled Substances Appendix: Report of Theft or Loss of Controlled Substances	(11-00)
4301	Paramedic Field Internship ALS Provider Responsibilities	07/01/2012
4301A	Paramedic Field Internship Registration Form	07/01/2012
4411	Authorization to Conduct Neonatal Transport	07/01/2018
4441	EMS Aircraft Classification and Authorization	01/01/2010
4442	EMS Aircraft Medical Control	01/01/2010
4447	EMS Aircraft Landing Sites	07/01/2014
4448	EMS Aircraft Utilization	05/01/2006
4448A	EMS Aircraft Utilization Form	05/01/2006
4701	Trauma System Management and General Provisions	01/01/2016
4709	Trauma Center Service Areas	07/01/2018
4710	Trauma Center Designation	12/01/2012
4712	Level II Trauma Center Standards	12/01/2012
4713	Level III Trauma Center Standards	12/01/2012
4720	Trauma Center Team Activation	12/01/2012
4801	STEMI Receiving Center Designation	09/13/2019
4811	Primary Stroke Center Designation	09/01/2019
4901	Base Hospital Standards	06/01/2008
4980	Receiving Hospital Diversion	01/01/2016
4981	Receiving Hospital Status	01/01/2016
4985	Transfer of Patient Care in the Emergency Department	07/01/2018

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	04/01/2020
5105	Do Not Resuscitate Orders	04/01/2020
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
5115	Cervical Spine Stabilization	07/01/2015
5130	ALS Without Base Hospital Contact	01/01/2009
5130A	ALS Without Base Hospital Contact Report	01/01/2012
5201	Medical Patient Destination	04/01/2020
5210	Major Trauma Triage Criteria	02/01/2019
5215	Trauma Patient Destination	07/01/2018
5500	BLS Treatment Protocols - Introduction	04/01/2020
5503	BLS Routine Medical Care	04/01/2020
5504	BLS Patient Assessment - Primary Survey	04/01/2020
5505	BLS Patient Assessment - Secondary Survey	04/01/2020
5507	BLS Interfacility Patient Transports	04/01/2020
5510	BLS Chest Pain of Suspected Cardiac Origin	04/01/2020
5511	BLS Cardiac Arrest	04/01/2020
5520	BLS Respiratory Distress	04/01/2020
5530	BLS Altered Mental Status	04/01/2020
5531	BLS Seizures	04/01/2020
5540	BLS Shock Non-Traumatic	04/01/2020
5541	BLS Abdominal Discomfort	04/01/2020
5542	BLS Poisoning and Overdose	04/01/2020
5551	BLS Allergic Reactic - Anaphylaxis	04/01/2020
5552	BLS Bites and Stings	04/01/2020
5553	BLS Snake Bite	04/01/2020
5554	BLS Hypothermia - Frostbite	04/01/2020
5555	BLS Hyperthermia	04/01/2020
5560	BLS Gynecological Emergencies	04/01/2020
5561	BLS Childbirth	04/01/2020
5562	BLS Neonatal Resuscitation	09/18/2020
5581	BLS Burns	04/01/2020
5583	BLS Head - Neck - Facial Trauma	04/01/2020
5584	BLS Chest - Abdominal Trauma	04/01/2020
5585	BLS Extremity Trauma	04/01/2020
5500 Series	BLS Treatment Protocols	04/01/2020
5700	Advanced Life Support Treatment Protocols - Version 1.4	06/01/2020

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
6301	Ambulance Provider Data Requirements	12/15/2005
6302	Prehospital Emergency Medical Care Provider Patient Care Report Requirements	08/01/2018
6341	Ambulance Patient Offload Time Data	07/01/2018
6381	STEMI Receiving Center Data Requirements	09/01/2019
6382	Primary Stroke Center Data Requirements	09/01/2019
6620	Continuous Quality Improvement Process	05/01/2006
6630	Continuous Quality Improvement Council	10/01/2006
6680	Research Studies	05/01/2006
6710	Trauma Center Quality Improvement	12/01/2012
6715	Trauma Audit Committee	02/01/2019
6720	Trauma Data Management	12/01/2012

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
7101	EMS CHEMPACK Request Prehospital	08/20/2010
7101A	EMS CHEMPACK Release and Receipt Form	08/20/2010
7210	EMS Active Threat Plan	06/14/2016

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

The Adobe Acrobat Reader is needed to view and print the documents below. If you experience difficulty viewing the following documents you may download the Adobe Acrobat Reader for free from the Adobe web site.