Policy and Procedure Manual
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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
Section I ALS/BLS Policies View All of Section I 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 View All of Section II
Section III Education, Certification and Applications View All of Section III Application for EMT/First Responder 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 View All of Section IV 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 View All of Section V 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 View All of Section VI 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 View All of Section VII 7000- Electronic Prehospital Care Report (ePCR)
Section VIII Adult Treatment Protocol View All of Section VIII Adult Drug List – Adult drugs authorized to be used by Paramedics, dosages & routes of administration and Dopamine Dosage Chart.
Cardiac Series View All of the Cardiac Series 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 View All of the Environmental Series E-1 – Heat Exposure E-2 – Cold Exposure – Hypothermia E-3 – Near Drowning E-4 – Burns E-5 – Acute Venenous Snake Bite
Medical Series View All of the Medical Series 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 View All of the Neurological Series 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 View All of the Respiratory Series 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 View All of the Trauma Series 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 View all of Section IX 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 Specialist: Joseph Alvarado
EMS Secretary: Dixie Zamzow
EMS Medical Director: Kent Benedict. MD, FACEP