Policy and Procedure Manual

EMS Policy, Procedure & Field Treatment Guidelines

The following documents are the San Benito County EMS Policies, Procedures and Field Treament Guidelines. For all EMS policy references after May 1, 2010, these are the official documents. If you are a holder of a binder keeping paper copies of EMS Policies & Procedures that DO NOT have an effective date of May 1, 2010, please destroy its contents.

All future changes to EMS Policy & Procedure will be published on this web site. Please consider this site’s information as the official and most current publications of the San Benito County EMS Agency.

Complete Manual

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Section I

ALS/BLS Policies

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1000 – EMS Medical Control

1010 – Standing Orders

1020 – On Scene Transfer of Patients from Paramedic to EMT

1050 – Paramedic Interaction with Licensed Healthcare Providers

1060 – Air Medical Services

1070 – Triage for Receiving Hospital Destination

1080 – Against Medical Advice & Release at Scene

1090 – Guidelines for Base Station Contact & Call-In Format

1100 – Police at Scene

1110 – On-Scene Medical Control

1120 – Non-Contract Ambulance & Convalescent Transport

1130 – Minimal Equipment and Medications for Transport ALS Services, ALS First Responder Engines and BLS Units

1140 – Determination / Pronouncement of Death in the Field

1180 – Transportation Plan

1190 – Guidelines for Do Not Resuscitate (DNR) Orders/Directives

1191 – Procedures for EMS Personnel Regarding Do Not Resusitate (DNR) Orders/Directives Form POLST

1200 – Organ Donor Information

1250 – Interfacility Transfers

1340 – Suspected Elder & Dependent Adult Abuse Reporting Requirement Form SOC 341

Section II

MICN

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Section III

Education, Certification and Applications

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Application for EMT/First Responder

Application for Paramedic

3000 – First Responder Certification / Recertification

3010 – Paramedic Accreditation to Practice

3020 – EMT Challenge Policy for Other Licensed Healthcare Providers

3030 – Prehospital Discipline Process

3040 – Criminal Offender Record Information Requirement Live Scan

3050 – EMT Certification / Recertification

Section IV

Standards & Guidelines

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4000 – Life Threats

4010 – Field Personnel Exposure to a Reportable Disease

4030 – Patient Acuity Guidelines

4060 – Patient Restraint

4070 – Spinal Immobilization

4200 – Multi-Casualty Incident (MCI) Plan

Section V

ALS Procedures

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5000 - Advanced Airway Management

5100 – Intraosseous Infusion

5300 – Needle Thoracostomy

5500 – Accessing Pre-Vascular Access Devices (PVAD)

5600 – Pain Management

5700 - Intranasal Administration of Medications

5800 – Continuous Positive Airway Pressure (CPAP)

Section VI

Trauma

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6000 – Trauma System Organization and Management

6010 – Trauma Data Collection and Management

6020 – Trauma Service Area

6030 – Trauma Patient Interfacility Transfers

6040 – Trauma Quality Improvement and System Evaluation

6050 -Trauma Patient Transport and Hospital Destination

6070 -MAP Trauma Triage

Section VII

Documentation / Data

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7000- Electronic Prehospital Care Report (ePCR)

Section VIII

Adult Treatment Protocol

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Adult Drug List – Adult drugs authorized to be used by Paramedics, dosages & routes of administration and Dopamine Dosage Chart.

Cardiac Series

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C-1 – Cardiac Asystole

C-2 – Pulseless Electrical Activity

C-3 – Ventricular Fibrillation / Pulseless V-Tach

C-4 – Tachycardia >150 with Pulses

C-5 – Frequent PVC’s in the Conscious Patient

C-6 – Chest Pain / Non-Traumatic

C-7 – Bradycardia / Heart Blocks

Environmental Series

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E-1 – Heat Exposure

E-2 – Cold Exposure – Hypothermia

E-3 – Near Drowning

E-4 – Burns

E-5 – Acute Venenous Snake Bite

Medical Series

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M-1 – Overdose and / or Poison Ingestion

M-2 – Acute Allergic Reaction

M-3 – Routine Medical Care

M-4 – Management of Nausea and Vomiting

Neurological Series

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N-1 – Altered Level of Consciousness

N-2 – Seizures

N-3 – Non-Traumatic Neuro Impairment (Suspect CVA)

Obstetrical / Gynecological Series

View All of the Obstetrical / Gynecological Series

O-1 – Uncomplicated Childbirth & Emergency Childbirth

Respiratory Series

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R-1 – Respiratory Distress with Congestion (Suspected Cardiac Origin)

R-2 – Respiratory Distress with Wheezes (Suspected Pulmonary Origin)

R-3 – Respiratory Borne Illness

Trauma Series

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T-1 – Trauma

T-2 – Isolated Limb Injuries

T-3 – Crush Injury Syndrome

T-4 – Management of Significant External Hemmorrhage

Section IX

Pediatric Treatment Protocol

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Pediatric Drug List – Pediatric Drug Dosages, Routes of Administration, Vital Sign Parameters, Laryngoscope Blade Sizes, ET Sizes, Defib, Cardioversion & Fluid Resuscitation Information

Cardiac Series

View all of the Pediatric Cardiac Series

C1-P – Cardiac Asystole

C2-P – Pulseless Electrical Activity

C3-P – Ventricular Fibrillation / Pulseless V-Tach

C4-P – Tachycardia >220 with Pulses

C7-P – Bradycardia / Heart Blocks

C8- P – Neonatal Resuscitation

Environmental Series

View all of the Pediatric Environmental Series

E1-P – Heat Exposure

E2-P – Cold Exposure / Hypothermia

E3-P – Near Drowning

E4-P – Burns

E5-P – Acute Venomous Snake Bite

Medical Series

View all of the Pediatric Medical Series

M1-P – Overdose and / or Poison Ingestion

M2-P – Acute Allergic Reaction

M3-P – Routine Medical Care

M4-P – Management of Nausea and Vomiting

Neurological Series

View all of the Pediatric Neurological Series

N1-P – Altered Level of Consciousness

N2-P – Seizures

Respiratory Series

View all of the Pediatric Respiratory Series

R1-P – Respiratory Distress without Wheezes

R2-P – Respiratory Distress with Wheezes

SIDS & ALTE Series

View all of the Pediatric SIDS & ALTE Series

S1-P – Sudden Infant Death Syndrome (SIDS)

S2-P – Apparent Life-Threatening Event (ALTE)

Trauma

View All of Pediatric Trauma Series

T1-P – Trauma

T4-P – Management of Significant External Hemmorrhage

Section X

Pandemic Influenza

10000 – Standing Orders for Goverment-Issued TAMIFLUĀ® Stockpile Program.

Contact Us

San Benito County Emergency Medical Services
A Division of San Benito County Public Health Services
Health & Human Services Agency
1111 San Felipe Rd., Suite 102 – Hollister, CA 95023
(831) 636-4066 (office) — (831) 636-4037 (fax)

EMS Staff

EMS Coordinator: Marcie Lee Morrow

EMS Specialist: Joseph Alvarado

EMS Secretary: Dixie Zamzow

EMS Medical Director: Kent Benedict. MD, FACEP