Emergency Medical Services - Policies

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Emergency Medical Services
405 W. Fifth Street - Map
Suite 301A
Santa Ana, CA 92701
(714) 834-3500

Health Disaster Management Division

405 W. Fifth Street,
Suite 301A
Santa Ana, CA 92701
(714)-834-3500
(714)-834-3125 Fax

Tammi McConnell, MSN, RN
Program Manager
Emergency Medical Services

Erik Lowman
Program Manager
Healthcare Preparedness/Grant Management

Business Hours
8 am to 5 pm M–Th
8 am to 4 pm Friday

Certification/Accreditation Hours
8 am to 4:30 pm M–Th
8 am to 3:30 pm Friday

Note: Applications are not accepted
M-Th 4:30-5:00 or Friday 3:30-4:00.
We use this time to process
previously submitted applications.

Page Translation
EMS Policies

Draft Policies

#1442 Orange County EMS Draft Policies posted for 50-Day Review

NumberDescription
Click Title to open

Review
Open Date

Review Close Date

Click Here to enter your comments
777.00 CCTM Provider Policy 4/10/12 5/30/12


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778.00 CCTM_Criteria_and_Scope_Policy 4/10/12 5/30/12


Policies

Policy Updates #1385 - 12-22-11

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010.00 - 099.99 Authority / Administration

NumberDescriptionRevised Date
000.00 Front Cover  12/22/11
000.00 Table of Contents  12/22/11
010.00 Health And Safety Code, Division 2.5 1/01/11
015.00 California Code Of Regulations, Title 22, Division 9 5/25/11
050.00 OCEMS Agency, County Of Orange Resolution 2/24/82
070.05 Orange County EMS Organization Chart 1/20/10
080.00 New/Revised OCEMS Draft Policy And Procedure: Review Process 2/09/05
090.00 Definitions 3/28/11

100.00 - 199.99 Advisory Committees To OCEMS

NumberDescriptionRevised Date
Emergency Medical Care Committee:
100.10 EMCC (State Authority: Health & Safety Code) 3/04/88
100.30 Bylaws 8/21/01
100.40 Membership 1/01/11
Facilities Advisory Subcommittee:
110.10 Bylaws 3/04/88
110.20 Organizational/Membership Chart 12/16/05
Education And Training Advisory Subcommittee:
120.10 Bylaws 2/09/09
120.20 Organizational/Membership Chart 12/16/05
Paramedic Advisory Subcommittee:
130.10 Bylaws 7/01/92
130.20 Organizational/Membership Chart 12/16/05
Transportation Advisory Subcommittee:
140.10 Bylaws 6/22/10
140.20 Organizational/Membership Chart 6/22/10
Quality Assurance Board:
150.10 Quality Assurance Board  Bylaws 5/06/08
150.20 Organizational/Membership Chart 3/03/06
Regional Trauma Operations Committee:
160.10 Bylaws 8/06/07
160.20 Organizational/Membership Chart 8/06/07
Disaster Advisory Group:
170.10 Bylaws 12/05/06

200.00 - 299.99 OCEMS Approved System Service Providers

NumberDescriptionRevised Date
200.00 Licensed Ems Medical Transportation Providers 1/03/11
210.00 EMT-Paramedic Service Providers 2/26/08
220.00 List Of Base Hospitals 10/27/10
230.00 List Of Paramedic Receiving Centers 11/01/11
Specialty Care Receiving Centers:
240.10 List Of Trauma Receiving Centers 2/28/11
240.20 List Of Neurosurgical Receiving Centers 10/01/09
240.30 List Of Orange County Specialty Services 2/25/11
240.40 List Of Orange County Cardiovascular Receiving Center 7/01/10
Training Programs:
250.10 Orange County Approved EMT-I Training Schools 3/19/07
250.20 Orange County Approved EMT-Paramedic Training Program 10/24/08


300.00 - 399.99 Medical Control

NumberDescriptionRevised Date
Triage Guidelines:
310.10 Determination Of Appropriate Facility 12/23/90
310.15 Physician At Scene 9/09/09
310.30 Trauma Triage 3/28/11
Attachment I Trauma Triage 3/28/11
310.89 STAT Transportation Guidelines 3/14/88
310.96 Guidelines For Hospitals Requesting Bypass Of Patients 9/16/02
310.97 Early Paramedic Warning System 4/01/90
315.00 Scope of Practice: EMT-OCEMS Accredited 10/28/09
315.00 Attachment I 10/28/09
315.00 Attachment II -  Field Reference Guide 10/28/09
Prehospital Care:
320.00 ALS Unit Medications 10/22/99
325.00 ALS Unit Inventory 3/16/09
330.05 ALS Treatment In A Major Medical Disaster 8/05/88
330.15 ALS Treatment In Communications Failure Or Without Base Hospital Contact 3/28/11
330.15 Attachment - Report of ALS Services Provided Without Base Hospital Contact (F042-18.1924) 7/01/08
330.20 Transport Of Minors 10/29/98
330.25 Infant Safe Surrender 7/13/05
330.30 Suspected Child Abuse Reporting Guidelines 1/01/99
330.35 Suspected Dependent Adult / Elder Abuse
Reporting Guidelines		 1/08/07
330.40 First Responder Defibrillation Standing Order 9/08/05
330.45 Field Research: Prehospital Emergency Care 3/20/90
330.46 Field Research Petition 3/20/90
330.47 Undefined Scope Of Practice: EMT-P 5/24/94
330.50 Prehospital Determination Of Death 3/16/09
330.51 Do-Not-Resuscitate (DNR) Guidelines 3/16/09
330.51 Attachment 1 - Do-Not-Resuscitate (DNR) Guidelines 3/16/09
330.51 Attachment 2 - Do-Not-Resuscitate (DNR) Guidelines 3/16/09
330.52 Identification Of Anatomical Donor Patients 9/01/93
330.53 Emergency Information Sheet For Patients With Severe Or Chronic Illness 12/08/00
330.55 Code 5150 8/01/92
330.57 Application of  Restraints by EMS Personnel 3/16/09
330.60 Transfer Of Patient Care: EMT-P To Air Ambulance Flight Nurse 1/01/99
330.65 Patient Refusal Of Prehospital Care And/Or Transport Against Medical Advice (AMA) 9/30/93
330.66 Attachment - Refusal of Emergency Medical Services Against Medical Advice (F042-18.1911) 06/01/08
330.70 Paramedic Assessment Unit Service 2/28/00
330.96 PRC Communicable Disease Exposure Guidelines For
Prehospital Care Personnel		 3/16/09
380.00 Review Of OCEMS Policy By A Base Hospital Physician 3/29/89
Data Collection / Quality Improvement:
385.00 Continuous Quality Improvement Plan 6/15/01
385.05 Base Hospital Incident Review Process - Interim 8/18/05
390.00 Confidentiality Of Medical Information And QA Data 6/15/88
390.10 Base Hospital Report Form 12/01/91
390.15 Prehospital Care Report 3/17/08
390.16 Attachment To Policy 390.15 - Prehospital Care Report 8/01/03
390.20 BLS Ambulance Field Report 8/01/92
390.20 Attachment to BLS Ambulance Field Report 10/14/88
390.30 Air Ambulance Service Report Form 2/09/04
390.40 Trauma Patient Registry: Form Completion And Filing Procedure 10/25/02
390.45 PRC Trauma Patient Registry: Form Completion And Filing Procedure 1/29/04
391.10 Paramedic Transport/Hospital Discharge Data Report 2/14/03
392.00 Incident/Complaint Review Process 2/14/03

400.00 - 499.99 Personnel Certification / Licensing

NumberDescriptionRevised Date
400.00 Mobile Intensive Care Nurse (MICN) Authorization 9/02/10
410.00 Emergency Medical Technician (EMT) Certification and Recertification 1/01/11
415.00 EMT Accreditation 7/01/10
420.00 Background Checks and California Central Registry
Requirements For EMT Certification And Recertification		 7/01/10
425.05 First Responder / Community Provider Accreditation
For Advanced Procedures		 11/08/05
430.10 Accreditation To Practice: EMT-Paramedic 3/17/08
Attachment - FO42-18 1918 Paramedic Application 12/09
450.00 EMT-P/MICN Informal Performance Review/Counseling 1/18/95
455.00 Emergency Medical Technician Certification Review Process 7/01/10
Attachment - 1 California Health and Safety Code Section 1798.200(C)
Attachment - 2 Recommended Guidelines for Disciplinary Orders and Conditions of Probation for EMT (Basic) and Advanced EMT 7/01/10
460.00 Prehospital Personnel: License, Accreditation,
And Certification Review Process		 8/03/06
470.00 Fees: Certification, Licensing, And Designation 7/01/10

500.00 - 599.99 Training Programs

NumberDescriptionRevised Date
500.00 Mobile Intensive Care Nurse (MICN) 2/27/08
505.00 EMT Accreditation Program 11/03/09
510.00 Emergency Medical Technician Training Program Criteria 11/10/10
510.05 OCEMS Monitoring Of Approved Training Programs 7/29/92
515.00 Emergency Medical Dispatcher Training Program 8/02/89
520.00 Paramedic Training Program Criteria 10/18/95
525.00 Paramedic Training: Selection Of Candidates 5/04/94
Attachment - Paramedic Training: Selection Of Candidates 1/17/95
525.50 Internal Precepting Of EMT-P Field Internship Candidates 7/28/94
530.00 Prehospital Continuing Education (CE) Provider Approval 5/16/05
Attachment 1 - Prehospital Continuing Education (CE) Provider Approval  10/1/11
Attachment 2 - Prehospital Continuing Education (CE) Provider Approval  10/1/11
535.00 Public Safety Personnel First Aid Training Program 8/16/89

600.00 - 699.99 Medical Facilities

NumberDescriptionRevised Date
600.00 Paramedic Receiving Center Criteria 10/25/02
600.05 Paramedic Receiving Center Criteria Checklist 10/25/02
600.10 Paramedic Receiving Center - Resource Listing 12/13/11
610.00 Base Hospital Criteria 9/26/05
610.05 Base Hospital Criteria Checklist 12/12/05
610.10 Base Hospital Agreement For Provision Of BH Services 12/05/94
615.00 Impact Evaluation Of Reduction/Closure Of Hospital Emergency Services 12/10/99
Specialty Care Centers:
620.00 Paramedic Trauma Receiving Center Criteria 11/25/08
620.05 Paramedic Trauma Receiving Center Criteria Checklist 12/08/00
620.07 Trauma System Design 8/06/07
620.11 Trauma System Marketing & Advertising By Trauma Centers & Prehospital Care Providers 5/11/88
620.13 Trauma System Public Information And Education 5/11/88
620.14 Integration Of Pediatric Care In The Trauma System 5/11/88
Approval / Designation Process:
630.00 Cardiovascular Receiving Center Criteria 10/01/04
635.00 Paramedic Receiving Center / Base Hospital: Survey / Resurvey 4/12/89
635.10 Paramedic Trauma Receiving Center: Survey / Resurvey 8/06/07
640.00 Base Hospital / Facility Program:
Approval / Designation Process And Appeal Procedures		 7/15/02
645.00 Base Hospitals / Facilities / Training Programs / EMT-P Service Providers: Review Process For Suspension/ Revocation Of Approval / Designation 8/19/91
650.00 Stroke-Neurology Receiving Center Designation Criteria 11/14/08
655.00 Agreement To Provide Services As A PRC 8/03/00
660.00 Agreement To Provide Services As A PTRC 8/21/00
670.10 Interhospital Emergency Patient Transfer Guidelines 3/13/06
670.10 Attachment - Interfacility Transport Supplemental Report (F042;18.1913) 7/09

700.00 - 799.99 Medical Transportation Certification / Licensing
Ambulance Rules And Regulations

NumberDescriptionRevised Date
700.00 EMT-P Service Provider Criteria 8/24/95
700.05 EMT-P Service Provider Checklist 8/24/95
705.00 ALS Unit Approval/Reactivation 6/05/02
705.05 ALS Unit Approval/Reactivation Checklist 3/28/95
706.00 Temporary ALS Unit Activation 12/14/01
707.00 Assessment Unit Service Authorization / Reactivation 4/20/94
710.00 First Responder / Community Based EMS Provider 10/22/99
Attachment - First Responder / Community Based EMS Provider 6/01/03
714.00 Maximum Emergency Ground Ambulance Rates –
December 22, 2011 		12/22/11
715.00 Ambulance Ordinance No. 3517 4/30/85
720.00 Cover Page  12/22/11
Attachment l - Appendix l Definitions 12/17/97
Attachment ll - Appendix ll Ambulance Contract Cities 4/29/08
720 Index Index 10/01/03
Section 100 Codified Ordinance 3517 9/17/03
Section 200 Complaint Processing 9/17/03
Section 300 Ground Ambulance Design/Documentation Equipment 9/25/03
Section 302 Ground Ambulance Communication Equipment / Dispatch Standards 4/13/09
Section 304 Required Ground Ambulance Service Policies And
Procedures		 10/01/87
Section 306 Ground Ambulance Service Inspection 9/25/03
Section 308 Ground Ambulance Vehicle Inspection 9/25/03
Section 310 Required Ground Ambulance Self Inspection 10/06/03
Section 312 Ground Emergency Ambulance Service Rates  12/13/11
Section 314 Ground Ambulance Service Rates Adjustment 9/01/07
Section 400 Ground Ambulance Service License 9/26/03
Section 402 Ground Ambulance License 9/26/03
Section 404 OCEMS EMT Accreditation/Attendant 1/04/11
Section 500 Ground Ambulance: Basic Life Support Medical Record 7/16/03
Section 502 Ground Ambulance: Dispatch Records 7/16/03
Section 504 Ground Ambulance: Personnel Files 7/16/03
Section 506 Ground Ambulance: Ambulance Files 7/16/03
Section 508 Ground Ambulance: Licensing Fees 4/25/05
Section 600 Prehospital Air Ambulance And Air Rescue Service 7/16/03
Section 602 Prehospital Air Ambulance And Air Rescue Service
Activation Procedure: Pilot		 9/29/03
Section 704 Air Ambulance: Attendant License 9/29/03
725.00 Public Safety Ground Ambulance Inspection 10/28/94
Attachment - Public Safety Ground Ambulance Inspection 10/30/03
750.05 Air Ambulance And Air Rescue Services Data Reporting 3/01/95

800.00 - 899.99 Communications

NumberDescriptionRevised Date
850.00 ALS Communications Assignment 1/06/89
853.00 Hospital Emergency Administrative Radio (H.E.A.R.)
Network Validation		 10/26/00

900.00 - 999.99 Disaster Response

NumberDescriptionRevised Date
900.00 Mass Casualty Incident Response Plan 5/5/11
900.00 Attachment 1 - Mass Casualty Incident Response Plan 5/18/11
900.00 Attachment 2 - Mass Casualty Incident Response Plan 3/16/09
900.00 Worksheet - Mass Casualty Incident Response Plan 5/25/11

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