EMS POLICIES AND PROCEDURES

Questions regarding EMS Policies and Procedures may be directed to Matthew Esposito, mesposito@sjgov.org.

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


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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
2010-04	Bariatric Patient Transports	12/17/2010
2014-02	Ebola and Emerging Infectious Disease	10/03/2014
2014-03	Prehospital Ebola Response Guidance	10/20/2014
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
2016-01	Use of the Kendrick's Extrication Device (KED)	01/06/2016
2016-02	Use of Hemostatic Dressings and Tourniquets	07/08/2016
2018-02	Continued Integration of BLS Ambulances into the EMS System	03/01/2018
2018-03	Removal of Pediatric Endotracheal Intubation from Scope of Practice	07/23/2018
2019-01	Measles Response Guidance	04/02/2019
2019-02	Treatment of Stroke Patients with RACE Scores Greater than or Equal to 5	04/26/2019
2019-03	Trauma Patient Care Transfer Reporting and Transport Directly to Operating Suite	05/06/2019
2019-04	Patients with Zoll LifeVest	06/14/2019
2019-05	Discontinuation of Nitroglycerine Paste	08/08/2019
2019-06	Removal of Nasotracheal Intubation from Paramedic Scope of Practice	08/08/2019
2019-07	Paramedic Accreditation Field Evaluation	12/12/2019
2020-01	Revisions to EMS Policy No. 5700, Advanced Life Support Treatment Protcols	1/16/2020
2020-03	Revisions to EMS Policy No. 5700, Advanced Life Support Treatment Protcols	2/03/2020
2020-11	Coronavirus (COVID-19) Patient Contact Notification	3/21/2020
2020-13	Coronavirus (COVID-19) Hospital Surge Implementation	3/24/2020
2020-14	Coronavirus (COVID-19) Extension of 45 Day Public Comment on SJCEMSA Policy No. 4010 Public Safety Agency Request for ALS Authorization	3/26/2020
2020-15	Coronavirus (COVID-19) ALS Treatment Protocols and CQI Reports	3/26/2020
2020-16	Coronavirus (COVID-19) Minimizing Aerosol-Generating Procedures	3/27/2020
2020-20	Coronavirus (COVID-19) Lab Testing for First Responders and Prehospital Personnel	4/07/2020
2020-21	Coronavirus (COVID-19) Air Ambulance Availability	4/10/2020
2020-22	Coronavirus (COVID-19) Contact Notification Process for Law Enforcement	4/14/2020
2020-23	Coronavirus (COVID-19) Updated Provider's Secondary Impressions List	4/14/2020
2020-06 (Revised)	Coronavirus (COVID-19)EMS Personnel Screening	4/17/2020
2020-24	Coronavirus (COVID-19)High Efficiency Particulate Air (HEPA) Viral Filter	4/23/2020
2020-19 (Revised)	Coronavirus (COVID-19) EMS Personnel Applicants	4/28/2020
2020-18(Revised v.2)	Coronavirus (COVID-19) Daily Bed Polling (Revised v.2)	4/30/2020
2020-17 (Revised)	Coronavirus (COVID-19) Waiver of Response Time Compliance Penalties	4/30/2020
2020-25 (Revised)	Coronavirus (COVID-19) Advanced Life Support (ALS) Treatment Protocol Implementation	5/1/2020
2020-26 (Revised)	Coronavirus (COVID-19) Long Term Care Facility (LTCF) Crisis Staffing Event	5/4/2020
2020-27	Coronavirus (COVID-19) Distribution of Remdesivir	5/21/2020
2020-08 (Revised)	Coronavirus (COVID-19) Disinfection Recommendations	5/26/2020
2020-10 (Revised)	Coronavirus (COVID-19) Personal Protective Equipment	5/26/2020
2020-12 (Revised)	Coronavirus (COVID-19) Emergency Medical Dispatch (EMD) Call Screening	5/26/2020
2020-28	Medical Devices and Point of Care Testing	5/26/2020
2020-19 (Revised v.2)	Coronavirus (COVID-19) EMS Personnel Applicants (Revised v.2)	5/28/2020
2020-29	Coronavirus (COVID-19) SJCEMSA Policy No. 4010, Public Safety Agency Request for ALS Authorization; and Exhibit A: Proposed ALS Program Plan Forms; and Exhibit B: Advanced Life Support Authorization Agreement Standard Terms and Conditions	5/29/2020

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	10/16/2013
2310	Emergency Medical Technician Certification	09/01/2019
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	07/01/2012
2540A	Paramedic Accreditation Field Evaluation	07/01/2012
2540B	Paramedic Skills Verification Form No. 2540B	02/01/2019
2541 *New	Paramedic Infrequently Used Skills	07/01/2020
2541	Paramedic Infrequently Used Skills	10/16/2013
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
2547	Transcutaneous Cardiac Pacing Performance Criteria	02/15/2010
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
2560	Paramedic Scope of Practice	04/01/2020
2560	Paramedic Scope of Practice	01/01/2016
2570	Paramedic Preceptor Authorization	07/01/2012
2571	Paramedic Student Field Internship Authorization	07/01/2012
2571B	Preceptor/Paramedic Program Evaluation Form	07/01/2012
2610	Mobile Intensive Care Nurse Authorization	09/01/2019
2610A	Mobile Intensive Care Nurse Orientation Verification Form	07/01/2014
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	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
3109	City of Stockton Emergency Medical Dispatch Center Requirements	01/02/2008
3202	Medical Priority Dispatch System Assignments	07/01/2017
3205	Responses to EMS Incidents in the Unprotected Area	02/01/2019
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	07/01/2007
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 *New	Advanced Life Support Treatment Protocols	05/01/2020

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
6286	Prohibited Abbreviation List	10/01/2006
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
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
7210	EMS Active Threat Plan	06/14/2016

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