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Emergency Medical Services - Policy & Procedures

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Emergency Medical Services
PO Box 355
Santa Ana, CA 92701
(714) 834-3500

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010.00 - 099.99 Authority / Administration

Number Description Revised Date
000.00 Front Cover 4/01/08
000.00 Table of Contents 4/01/08
010.00 Health And Safety Code, Division 2.5 1/01/04
015.00 California Code Of Regulations, Title 22, Division 9 4/25/03
050.00 OCEMS Agency, County Of Orange Resolution 2/24/82
060.00 Medical Director, County Of Orange Resolution 10/27/92
070.05 Orange County EMS Organization Chart 8/06/07
080.00 New/Revised OCEMS Draft Policy And Procedure: Review Process 2/09/05
090.00 Definitions 6/08/94


100.00 - 199.99 Advisory Committees To OCEMS

Number Description Revised 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 12/28/06
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 7/01/92
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 1/18/89
140.20 Organizational/Membership Chart 12/16/05
Quality Assurance Board:
150.10 Bylaws 3/07/91
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

Number Description Revised Date
200.00 Private Medical Transportation Providers 1/02/08
210.00 EMT-Paramedic Service Providers 2/26/08
220.00 List Of Base Hospitals 12/28/06
230.00 List Of Paramedic Receiving Centers 12/28/06

Specialty Care Receiving Centers:
240.10 List Of Trauma Receiving Centers 7/17/06
240.20 List Of Neurosurgical Receiving Centers 9/12/96
240.30 List Of Orange County Specialty Services 1/31/06
Training Programs:
250.10 Orange County Approved EMT-I Training Schools 3/19/07
250.20 Orange County Approved EMT-Paramedic Training Program 7/14/06


300.00 - 399.99 Medical Control

Number Description Revised Date
Triage Guidelines:
310.10 Determination Of Appropriate Facility 12/23/90
310.15 Physician At Scene 3/01/04
310.30 Trauma Triage Guidelines 2/22/08
310.40 Non-Traumatic Neurosurgical Triage Guidelines 12/10/99
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
Prehospital Care:
320.00 ALS Unit Medications 10/22/99
325.00 ALS Unit Inventory 3/17/08
330.05 ALS Treatment In A Major Medical Disaster 8/05/88
330.15 ALS Treatment In Communications Failure
Form - ALS Services Provided Without Base Hospital Contact		 12/19/07
7/10/08
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 5/04/94
330.51 Do-Not-Resuscitate (DNR) Guidelines 2/19/02
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 5/22/06
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 To Policy 330.65 - Refusal Of Emergency Medical Services Against Medical Advice [AKA: Patient Release Form] 10/01/03
330.70 Paramedic Assessment Unit Service 2/28/00
330.96 PRC Communicable Disease Exposure Guidelines For
Prehospital Care Personnel		 3/08/99
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 12/03/07
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
390.50 Neuro Patient Registry: Procedure For Form Completion And Filing 2/14/03
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

Number Description Revised Date
400.00 Mobile Intensive Care Nurse (MICN) Authorization 7/10/06
410.00 Emergency Medical Technician - I Certification 1/25/05
415.00 Internal EMT-I/Ambulance Attendant Dept. Of Justice (DOJ) Clearance 1/17/95
425.05 First Responder / Community Provider Accreditation
For Advanced Procedures		 11/08/05
430.10 Accreditation To Practice: EMT-Paramedic 3/17/08
  Attachment - Accreditation Application 3/01/06
450.00 EMT-P/MICN Informal Performance Review/Counseling 1/18/95
460.00 Prehospital Personnel: License, Accreditation,
And Certification Review Process		 8/03/06
470.00 Fees: Certification, Licensing, And Designation 5/01/05


500.00 - 599.99 Training Programs

Number Description Revised Date
500.00 Mobile Intensive Care Nurse (MICN) 2/27/08
510.00 Emergency Medical Technician-I Training 12/28/07
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 7/17/03
  Attachment 2 - Prehospital Continuing Education (CE) Provider Approval 7/17/03 
535.00 Public Safety Personnel First Aid Training Program 8/16/89


600.00 - 699.99 Medical Facilities

Number Description Revised 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 2/04/08
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 8/06/07
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
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


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

Number Description Revised 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 –
July 1, 2008 Updated!		 8/15/08
715.00 Ambulance Ordinance No. 3517 4/30/85
720.00 Cover Page 10/16/05
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 9/25/03
Section 304 Required Ground Ambulance Service Policies And
Procedures		 9/25/03
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 Updated! 8/15/08
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 Ground Ambulance Medical Transportation Attendant
License		 5/01/99
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
Section 806 Air Ambulance: Licensing Fees 12/10/02
  Appendix i: Definitions 12/17/97
  Appendix ii: Ambulance Contract Cities 4/13/05
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

Number Description Revised 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

Number Description Revised Date
900.00 Mass Casualty Incident Response Plan 6/27/06

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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