Stanislaus County
Emergency Medical Services Agency
Stanislaus County
Emergency Medical Services Agency
Policies and Procedures
Draft Policies
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
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
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
552.50 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
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
552.50 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
554.04 Symptomatic Bradycardia
554.05 Ventricular Tachycardia with Pulses
554.06 Supraventricular Tachycardia
554.07 Wide Complex Tachycardia of Uncertain Type
554.08 Atrial Fibrillation - Atrial Flutter
554.09 Coronary Ischemic Chest Discomfort
554.10 Congestive Heart Failure
554.11 Cardiac Arrest Algorithms
554.21 Airway Obstruction
554.23 Tension Pneumothorax
554.24 Respiratory Distress
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
554.44 Pain Management
554.45 Non-Traumatic Abdominal Pain
554.46 Nausea or Vomiting
554.47 Ketamine for Analgesic Use
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
554.83 Traumatic Cardiac Arrest
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
554.04 Symptomatic Bradycardia
554.05 Ventricular Tachycardia with Pulses
554.06 Supraventricular Tachycardia
554.07 Wide Complex Tachycardia of Uncertain Type
554.08 Atrial Fibrillation - Atrial Flutter
554.09 Coronary Ischemic Chest Discomfort
554.10 Congestive Heart Failure
554.11 Cardiac Arrest Algorithms
554.21 Airway Obstruction
554.23 Tension Pneumothorax
554.24 Respiratory Distress
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
554.44 Pain Management
554.45 Non-Traumatic Abdominal Pain
554.46 Nausea or Vomiting
554.47 Ketamine for Analgesic Use
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
554.83 Traumatic Cardiac Arrest
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
555.11 Ventricular Fibrillation - Pulseless Ventricular Tachycardia (Pediatric)
555.12 Pediatric Pulseless Electrical Activity
555.13 Pediatric Asystole
555.14 Pediatric Symptomatic Bradycardia
555.15 Tachycardia with Pulses - Pediatric
555.16 Pediatric Airway Management
555.21 Pediatric Airway Obstruction
555.22 Pediatric Respiratory Arrest
555.23 Pediatric Respiratory Distress
555.31 Pediatric Altered Level of Consciousness
555.32 PED Status Seizures
555.41 Pediatric Non-Traumatic Shock
555.42 Pediatric Allergic Reaction
555.43 Pediatric Pain Management
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
555.83 Pediatric Traumatic Cardiac Arrest
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
555.10 Newborn Pediatric
555.11 Ventricular Fibrillation - Pulseless Ventricular Tachycardia (Pediatric)
555.12 Pediatric Pulseless Electrical Activity
555.13 Pediatric Asystole
555.14 Pediatric Symptomatic Bradycardia
555.15 Tachycardia with Pulses - Pediatric
555.16 Pediatric Airway Management
555.21 Pediatric Airway Obstruction
555.22 Pediatric Respiratory Arrest
555.23 Pediatric Respiratory Distress
555.31 Pediatric Altered Level of Consciousness
555.32 PED Status Seizures
555.41 Pediatric Non-Traumatic Shock
555.42 Pediatric Allergic Reaction
555.43 Pediatric Pain Management
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
555.83 Pediatric Traumatic Cardiac Arrest
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
700: Public Information & Education
No current policies
600: Data Collection & System Evaluation
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
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 Book
Policy booklets are available to download here or visit our office to purchase a bound booklet for $11.00.