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Current EMS Policies, Procedures and Protocols

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Updated Policies posted on July 1, 2010.

Contact the Agency to confirm current status.

	TABLE OF CONTENTS

2000 EMS SYSTEM

	2001.10 Document Management System
	2002.08 Philosophy Statement, Disclaimer and Authority
	2007.11 Trauma Hospital Data Elements
	2010.10 Medical Oversight Committee
	2020.09 Operational Oversight Committee
	2026.09 Trauma Review Committee
	2030.09 Advanced Life Support Inventories
	2032.09 Controlled Substance
	2033.09 Determination of Death
	2036.09 Medical Scene Authority
	2039.09 Physician and/or Registered Nurse at the Scene
	2050.07 Direct Admit Patient Transports
	2055.07 On-Viewing Emergencies by ALS and BLS Providers
	2060.21 Hospital Services
	2080.09 EMS Organ Donor Information
	2085.11 Do Not Resuscitate (DNR)
	2101.12 Patient Initiated Refusal of Service and/or Transport
	2102.06 Patient Release at Scene
	2103.05 Off-Duty Provision of ALS by Sacramento County Accredited Paramedics
	2200.14 Medical Oversight
	2220.09 EMT-I Scope of Practice
	2221.12 EMT-P Scope of Pratice
	2223.09 EMT-P Scope of Practice Utilization
	2305.16 EMS Patient Care Report: Completion and Distribution
	2400.10 Abreviations/Symbols
	2500.07 EMS Aircraft ALS Designation Requirements
	2510.07 Designation Requirements for Ground Based ALS Service Providers
	2520.06 Hospital Emergency Service Downgrade or Closure Impact Evaluation Report

3000 COMMUNICATION/EMD

4000 ACCREDITATION/CERTIFICATION PROGRAM APPROVAL

	4002.12 Continuous Quality Improvement
	4003.07 EMS Liason Officer
	4006.04 Reporting Responsibilities of Relevant Employers
	4050.10 Certification/Accreditation Review Process
	4055.03 Crimal Background Checks
	4100.19 EMT Certification
	4150.18 EMT Recertification
	4200.09 MICN Certification
	4201.11 MICN Recertification
	4202.09 MICN Inactive Status
	4302.10 Continuing Education Provider
	4400.12 EMT-Paramedic, Accreditation to Practice
	4500.07 EMT-I Automated External Defibrillation Program Approval
	4501.06 Training and Medical Oversight Standards for Use of the AED by Non-Licensed or Non-Certified Personnel
	4510.07 EMT-I Training Program
	4520.07 EMT-P Training Program

5000 TRANSPORTATION/PATIENT DESTINATION

	5010.10 Transfer of Care: Non-Transporting EMT-P to Transporting EMT-P
	5040.06 Patient Disposition: Multiple Patients in a Single Ambulance with Multiple Hospital Destinations
	5050.10 Destination
	5052.12 Trauma Destination
	5053.11 Trauma Triage Criteria
	5060.09 Hospital Diversion
	5070.05 Hospital Transfer Agreements
	5100.09 Interfacility Transfers: EMT-P Program Requirements
	5101.09 Interfacility Transfers: Medical Control
	5102.08 Interfacility Transfers: Level of Care

5500 EQUIPMENT/SUPPLIES/VEHICLES

5550.10 Bio-Medical Equipment Maintenance

6000 TRAUMA CARE SYSTEM

6000.06 Trauma Care System: General Provisions

7500 DISASTER MEDICAL SERVICE

	7500.11 Disaster Medical Services Plan
	7502.09 Out-of-Hospital Providers MCI Critique
	7503.08 Receiving Facility MCI Critique
	7504.08 Control Facility MCI Critique
	7508.10 Simple Triage and Rapid Treatment (START
	7509.07 Out of County Response

8000 ADULT TREATMENT POLICIES

8800 OPTIONAL SKILLS

	8801.07 Cricothyrotomy, Needle with Jet Insufflation
	8802.02 Intraosseous Infusion
	8803.09 Intraosseous Infusion-Pediatric, Manual Insertion
	8805.07 Intubation: Stomal
	8806.09 Automatic Transport Ventilators (ATV)
	8807.09 Medication Administration - Midazolam
	8808.11 Intravenous Access
	8809.09 Intubation: Nasotracheal
	8810.05 Transcutaneous Cardiac Pacing
	8816.10 EMT-I Automated External Defibrillation-Medical Control
	8821.06 Public Safety Automated External Defibrillator Program Approval
	8822.05 Public Safety Automated External Defibrillator Medical Control
	8823.05 Public Safety Automated External Defibrillator Skill Guideline
	8825.04 Esophageal Tracheal Intubation (COMBITUBE®)
	8826.04 Medication Administration, MARK I Nerve Agent Antidote Kit
	8827.03 12-Lead ECG
	8829.02 Continuous Positive Airway Pressure (CPAP)
	8830.01 Supraglottic Intubation (King® tube)
	8831.01 Intranasal Medication Administration

9000 PEDIATRIC TREATMENT POLICIES

	9001.09 Airway Obstruction by Foreign Body and Respiratory Arrest
	9002.10 Alergic Reaction/Anaphylaxis
	9003.09 Repiratory Distress: Asthma, Bronchospasm, Croup, or Reactive Airway Disease
	9004.10 Burns
	9005.13 Decreased Sensorium
	9006.13 Cardiac Arrest
	9009.11 Neonatal Resusciation
	9010.13 Overdose and/or Poison Ingestion
	9013.08 Shock
	9014.15 Cardiac Dysrhythmias
	9016.08 Pediatric Parameters
	9017.10 Trauma

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