EMS Policies | Stanislaus County

New Policies & Protocols

^{Agitation and Restraint Protocol

Airway Obstruction}^{Nausea and Vomiting

Respiratory Distress

Tension Pneumothorax

330.10 Ambulance Report Format

552.20 Agitation Restraint Policy}

EFFECTIVE JULY 1, 2024

^{Coronary Ischemia Chest Pain

Medical Cardiac Arrest

Pain Management

Symptomatic Bradycardia

Tachycardia with Pulses

Traumatic Arrest

570.20 Determination of Death in the Prehospital Setting}

EFFECTIVE MARCH 1, 2024

^{552.00 Naloxone Administration by First Responders

552.10 Leave Behind Naloxone}

100: System Organization & Management

200: Staffing & Training

^{211.00 Emergency Medical Responder Certification}^{231.00 Emergency Medical Technician Certification}^{236.00 EMT Scope of Practice}^{237.00 Continuing Education for Pre-Hospital Personnel}^{238.00 EMT Eligibility for Two-Tiered Response}^{254.00 Paramedic Accreditation and Renewal}^{254.10 Flight Paramedic Accreditation and Renewal}^{254.20 CCP Accreditation}^{256.00 Emergency Medical Technician-Paramedic Scope of Practice}^{257.00 FireLine EMT-Paramedic Authorization}^{261.00 MICN Authorization and Re-Authorization}
^{282.00 Public Safety First Aid Training Program Approval}
^{283.00 First Responder Training Program Approval}
^{285.10 EMT-I Training Course Approval}
^{287.00 Paramedic Training Course Approval}
^{291.00 Pre-Hospital Care Continuing Education Provider}

300: Communications

400: Response & Transport

^{404.00 Response to Ground Ambulance Requests}^{405.00 Ground Ambulance Staffing Levels}
^{406.00 Cancellation or Reduction of EMS System Response}
^{407.00 Ground Ambulance Equipment and Medical Supply Inventory}
^{409.00 BLS and ALS First Responder Unit Equipment and Medical Supply Inventory}
^{412.00 ALS or LALS Emergency Medical Responder Authorization}
^{412.20 EMS Transfer of Patient Care}
^{412.30 Ambulance Patient Offload Time}
^{412.35 Ambulance Patient Offload Delay}
^{418.00 AED Service Providers}
^{420.00 Advanced EMT (AEMT) Paramedic Provider Responsibilities}
^{431.00 ALS Ground Ambulance Authorization}
^{435.00 Critical Care Paramedic (CCP) Ground Ambulance Provider Authorization}
^{439.00 Controlled Substances}
^{441.00 EMS Aircraft Policy Definitions}
^{442.00 EMS Aircraft Authorization Policy}
^{444.00 EMS Aircraft On-Line Medical Control}
^{445.00 EMS Aircraft Request and Cancellation}
^{446.00 EMS Aircraft Provider Dispatch}
^{447.00 EMS Aircraft Landing Site Policy}
^{448.00 EMS Aircraft Patient Destination}
^{460.00 Special Event Emergency Medical Services}

500: Facilities & Critical Care

^{506.00 Base Hospital Criteria}
^{511.00 Receiving Facility Designation}
^{515.00 ED Pediatric Guidelines}
^{518.00 Impact Eval of Reduction or Closure of Hosp Emerg Svc}
^{520.00 EMS STEMI Receiving Center Designation}
^{521.00 Disaster Control Facility Designations}
^{522.00 Stroke Center Designation}
^{522.20 Stroke Triage Treatment and Destination}
^{530.00 STEMI Triage and Destination}
^{535.10 Trauma Center Standards}
^{535.30 Trauma Team Activation}
^{541.00 System Organization and Management}
^{543.00 Mutual Aid and Coordination}
^{544.00 Trauma System Fees}
^{545.00 Establishment of Service Areas for Trauma Centers}
^{546.00 Trauma Center Designation Process}
^{546.10 Trauma Bypass Policy}
^{547.00 Integration of Pediatric Hospital}
^{549.10 Trauma Marketing and Advertising}
^{551.20 Early Defib Program Treatment Guidelines}
^{551.30 BLS Guidelines}
^{552.00 Naloxone Administration by EMRs EMTs Law Enforcement}
^{552.10 Leave Behind Naloxone}
^{552.20 Agitation Restraint Policy}^{552.50 Approval Process for Air Ambulance Providers Optional Scope of Practice}
^{552.51 Optional Scope of Practice for Air Ambulance Providers}
^{552.53 Air Ambulance Providers Optional Scope of Practice - Supraglottic Airway Device (SAD) Placement}

^{552.54 Air Ambulance Providers Optional Scope of Practice - Transport Ventilator}
^{552.55 Air Ambulance Providers Optional Scope of Practice - Video Laryngoscopy}
^{552.56 Air Ambulance Providers Optional Scope of Practice - Intraosseous Cannulation}
^{552.57 Air Ambulance Providers Optional Scope of Practice - Pediatric Intubation}
^{552.62 Intravenous Infusions of Heparin and Nitro}
^{552.65 Paramedic Administration of H1N1 Influenza and-or COVID- 19 Vaccine Temporary Policy}
^{552.80 Critical Care Paramedic (CCP) Automatic Transport Ventilator (ATV)}
^{552.82 Critical Care Paramedic (CCP) IV Infusion of Amiodarone Hydrochloride}
^{552.84 Critical Care Paramedic IV Infusions of Glycoprotein llb llla Receptor Inhibitors}
^{552.86 Critical Care Paramedic IV Infusions of Midazolam}
^{552.88 Critical Care Paramedic IV Infusions of Morphine Sulfate}
^{552.90 Critical Care Paramedic IV Infusions of Norepinephrine}
^{553.25 Trauma-Burn Triage & Patient Destination}
^{560.05 Early Defib Report}
^{560.10 Reporting of Suspected Abuse}
^{560.11 Documentation of Patient Contact}
^{565.10 Trauma Data Collection Management}
^{565.20 Quality Improvement and System Evaluation1}
^{570.20 Determination of Death in the Prehospital Setting}
^{570.21 DNR - POLST - End of Life Options}
^{570.25 EMS Organ Donor Information}
^{570.30 Physician on Scene}
^{570.35 Refusal of EMS Service}
^{570.40 Hazardous Materials Incidents}
^{571.00 Emergency Medical System Saturation}
^{580.11 Ambulance Transfers}
^{580.31 Trauma Patient Transfer and Transportation}

554: Adult Treatment Guidelines

^{554.00 General Protocols}
^{554.31 Altered Level of Consciousness}
^{554.33 Seizures}
^{554.40 Sepsis}
^{554.41 Non-Traumatic Shock}
^{554.42 Blood Sugar Emergencies}
^{554.43 Allergic Reaction - Anaphylaxis}
^{554.45 Non-Traumatic Abdominal Pain}
^{554.51 Poisoning - Overdose}
^{554.52 Dystonic Reactions to Phenothiazine Drugs}
^{554.53 Nerve Agent Exposure}
^{554.61 Envenomation}
^{554.62 Hypothermia}
^{554.63 Frostbite}
^{554.64 Heat Illness}
^{554.71 Childbirth}
^{554.80 Selective Spinal Movement Restriction}
^{554.81 Burns}
^{554.82 Traumatic Shock}
^{554.84 Head - Neck - Facial Trauma}
^{554.85 Chest Trauma}
^{554.86 Abdominal Trauma}
^{554.87 Extremity Trauma}
^{554.88 Adult Medication Charts}
^{554.89 Tranexamic Acid (TXA) Administration}

555: Pediatric Treatment Guidelines

^{555.00 General Pediatric}
^{555.10 Newborn Pediatric}
^{555.16 Pediatric Airway Management}
^{555.22 Pediatric Respiratory Arrest}
^{555.31 Pediatric Altered Level of Consciousness}
^{555.32 PED Status Seizures}
^{555.41 Pediatric Non-Traumatic Shock}
^{555.42 Pediatric Allergic Reaction}
^{555.51 Pediatric Poisoning - Overdose}
^{555.52 Pediatric Dystonic Reaction to Phenothiazine Drugs}
^{555.61 PED Envenomation}
^{555.62 Hypothermia - Pediatric}
^{555.63 PED Frostbite}
^{555.64 Heat Illness (Pediatric)}
^{555.81 Burns - Pediatric}
^{555.82 Pediatric Traumatic Shock}
^{555.84 Pediatric Head-Neck-Facial Trauma}
^{555.85 Pediatric Chest Trauma}
^{555.86 Pediatric Abdominal Trauma}
^{555.87 Pediatric Extremity Trauma}
^{555.88 Pediatric Medication Chart}

600: Data Collection & System Evaluation

700: Public Information & Education

800: Medical Disaster Multi-Casualty

900: County Specific Policies

^{951.00 MHOAC Notification of Activation for Stanislaus County}
^{951.20 Stanislaus County EMS System Enhancement Funds}
^{954.00 Provider ALS FR Vehicle Utilization for Stanislaus County}
^{954.10 Stanislaus County Community Paramedic}
^{954.20 Stanislaus County BLS Tiered Response System}
^{955.10 Significant Exposure Reporting for Stanislaus County}
^{958.10 Stanislaus Chempack Deployment}
^{958.30 Stanislaus County Ambulance Diversion Policy}
^{958.40 Stanislaus County MCI Activation}

Field Treatment Booklet