EMS Policies

California Statutes and Regulations

• CALIFORNIA HEALTH & SAFETY CODE - DIVISION 2.5 EMERGENCY MEDICAL SERVICES
• CURRENT CALIFORNIA EMS REGULATIONS

NOTE: Effective January 1, 2025, many California EMS Regulations have been revised and/or renumbered. Existing OCEMS policies listed on this page may include references to regulations which have been renumbered.  The California EMS Authority (EMSA) has created a "Renumbering Crosswalk" document which may be accessed by clicking here.  

Orange County EMS Policy Manual - Table of Contents

• 010.00 - 099.99 - Authority / Administration
• 100.00 - 199.99 - Emergency Medical Care Committee and Subcommittees
• 200.00 - 299.99 - OCEMS Approved System Service Providers
• 300.00 - 399.99 - Medical Control
• 400.00 - 499.99 - Personnel Certification / Licensing
• 500.00 - 599.99 - Training Programs
• 600.00 - 699.99 - Medical Facilities
• 700.00 - 799.99 - Medical Transportation Certification / Licensing & Ambulance Regulations
• 800.00 - 899.99 - Communications
• 900.00 - 999.99 - Disaster Response

 

010.00 - 099.99 - Authority / Administration

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Policy	Title	Updated
000.00	Cover Page	08/31/2012
000.00	Table of Contents	08/31/2012
050.00	OCEMS Agency, County of Orange Resolution	02/02/1982
070.05	Orange County EMS Organization Chart	01/20/2010
080.00	Policy and Procedure Review Process	01/01/2013
090.00	Definitions	08/20/2019

100.00 - 199.99 - Emergency Medical Care Committee and Subcommittees

Policy	Title	Updated
100.10	EMCC (State Authority: Health & Safety Code)	03/04/1988
100.30	Emergency Medical Care Committee Bylaws	10/22/2024
100.40	Emergency Medical Care Committee Membership	04/16/2021
110.10	Facilities Advisory Subcommittee Bylaws	03/04/1988
110.20	Facilities Advisory Subcommittee Membership	12/16/2005
120.10	Education and Training Advisory Subcommittee Bylaws	02/09/2009
120.20	Education and Training Advisory Subcommittee Membership	12/16/2005
130.10	County Paramedic Advisory Subcommittee Bylaws	02/09/2009
130.20	County Paramedic Advisory Subcommittee Membership	12/16/2005
140.00	Transportation Advisory Subcommittee Bylaws	04/01/2023
140.20	Transportation Advisory Subcommittee Membership	06/22/2010
150.10	EMS Quality Assurance Board Bylaws	05/06/2008
150.20	EMS Quality Assurance Board Membership	04/03/2012
160.10	Regional Trauma Operations Committee Bylaws	09/03/2021
170.10	Disaster Advisory Group Bylaws	12/05/2006
180.00	EMS Stroke CQI Advisory Committee	09/03/2021
185.00	EMS STEMI CQI Advisory Committee	09/03/2021

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200.00 - 299.99 - OCEMS Approved System Service Providers

Policy	Title	Updated
200.00	Licensed EMS Medical Transportation Providers	01/09/2025
210.00	Emergency 9-1-1 Dispatch Paramedic Service Providers	05/04/2020
220.00	List of Base Hospitals	05/22/2019
230.00	List of Emergency Receiving Centers	09/24/2024
240.10	List of Trauma Receiving Centers	06/12/2015
240.20	List of Stroke Neurology Receiving Centers	09/24/2024
240.30	Orange County Specialty Services	09/24/2024
240.40	List of Cardiovascular Receiving Centers	07/14/2021
250.00	Orange County Approved EMT and Paramedic Training Programs	11/01/2022

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300.00 - 399.99 - Medical Control

Policy	Title	Updated
300.10	OC-MEDS - Clinical Document Standards	10/01/2024
300.20	OC-MEDS - System Management and Support ***CURRENT***	07/01/2021
300.20	OC-MEDS - System Management and Downtime Process  ***UPCOMING 10/01/2025***	04/01/2025
300.20	OC-MEDS- System Management and Downtime Process - Attachment 1 (Downtime PCR)	04/01/2025
300.30	OC-MEDS - EMS Provider Prehospital Care Reporting and Data Submission Process	07/01/2021
300.31	OC-MEDS Data Dictionary	04/01/2024
300.31	OC-MEDS Data Dictionary - Attachments	04/01/2024
300.40	OC-MEDS - Confidentiality of Health Care Information	04/01/2018
300.50	Emergency Receiving/Specialty Center Data Reporting Criteria	07/01/2021
309.00	Transport of Police K9 Dogs Injured in Line of Duty	01/01/2019
310.00	9-1-1 Advanced Life Support Base Contact, Standing Order, and Transport Criteria ***CURRENT***	10/01/2023
310.00	9-1-1 Advanced Life Support Base Contact, Standing Order, and Transport Criteria ***UPCOMING 10/01/2025***	04/01/2025
310.10	Determination of 9-1-1 Dispatched Patient Transport to an Appropriate Facility - Hospice	10/01/2022
310.15	Advanced Licensed Health Care Professional On Scene - Practitioner on Scene	10/01/2020
310.20	Service Provider Transport and Dispatch Criteria for Interfacility Transfers between Acute Care Hospitals	10/01/2022
310.20	Interfacility Transfer Between Acute Care Hospitals Using EMS Transport Providers - Attachment A	04/01/2023
310.30	Trauma Triage	10/01/2023
310.31	Trauma Triage Algorithm	10/01/2023
310.80	Updates of Standing Orders / Base Hospital Treatment Guidelines / Procedure Guidelines	04/01/2017
310.96	Hospital Diversion Criteria and APOT Standard ***CURRENT***	10/01/2024
310.96	Guidelines for Diversion Status and APOT Standard ***UPCOMING 10/01/2025***	04/01/2025
315.00	OCEMS EMT Scope of Practice: EMS-OCEMS Accredited	10/01/2022
315.00	OCEMS EMT Scope of Practice: Field Reference Guide - Attachment I	04/01/2019
325.00	Advanced Life Support (ALS) Provider Unit Minimum Inventory ***CURRENT***	10/01/2024
325.00	Advanced Life Support (ALS) Provider Unit Minimum Inventory ***UPCOMING 10/01/2025***	04/01/2025
325.05	Air Rescue Unit Inventory	04/01/2024
330.15	Treatment Without Base Contact Communication Failure	04/01/2021
330.20	Evaluation, Treatment and/or Transport of Minors	04/01/2019
330.25	Infant Safe Surrender	09/02/2014
330.30	Suspected Child Abuse Reporting Guidelines	10/01/2024
330.35	Suspected Dependent Adult/Elder Abuse Reporting Guidelines	10/01/2024
330.40	First Responder Use of Automated External Defibrillator (AED)	04/01/2021
330.47	OCEMS Optional Scope of Practice Petition Procedure	04/01/2015
330.50	Withholding Prehospital CPR for the Obviously Dead	04/01/2024
330.51	DNR, POLST, End of Life Options	04/01/2024
330.51	EMSA Do-Not-Resuscitate (DNR) - Attachment 1
330.51	Physician Orders for Life-Sustaining Treatment (POLST) - Attachment 2
330.57	Application of Restraints by EMS Personnel	10/01/2023
330.60	Transfer of Patient Care: Paramedic to Air Ambulance Medical Flight Crew	04/01/2015
330.70	Paramedic Assessment Unit (PAU)	04/01/2024
330.75	Tactical Medicine	04/01/2017
330.80	Tactical Casualty Care	01/01/2019
330.85	Hospital Emergency Response Team	01/01/2019
330.96	Prehospital Exposures	09/02/2014
340.00	Authorized Registered Nurse (ARN)	11/01/2016
350.00	Emergency Ambulance Transport Provider Criteria; County Administered Non-Exclusive Areas	04/01/2015
352.00	9-1-1 Ambulance Transport Provider - Provision of Service in County Admin. Non-Exclusive Areas	04/01/2015
355.00	Approval to Use EMT and Paramedic SOP During Scheduled / Special Event Standby	10/01/2023
355.00	Scheduled Event - Appendix A	10/18/2022
355.00	Special Event - Appendix B	10/18/2022
360.00	Paramedic Triage to Alternate Destination (TAD) - Behavioral Health ***NEW***	07/01/2025
380.00	Review of OCEMS Policy by a Base Hospital Physician	04/01/2015
385.00	Continuous Quality Improvement Plan	06/03/2019
385.05	Base Hospital QA/QI Review Process	03/07/2022
398.00	Intranasal Naloxone by Public Safety First Responders	10/01/2024
398.01	Intranasal Naloxone by Public Safety First Responders Competency Review	03/15/2018
398.05	Law Enforcement First Responder Agencies Approved to Administer Naloxone	06/16/2020

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400.00 - 499.99 - Personnel Certification / Licensing

Policy	Title	Updated
400.00	Mobile Intensive Care Nurse (MICN) Authorization	11/01/2022
410.00	Emergency Medical Technician (EMT) Certification and Recertification	04/01/2017
415.00	Orange County Ambulance Driver/Attendant License	10/01/2023
420.00	Background Checks and California Central Registry Requirements for EMT Certification/Recertification	07/01/2010
430.10	Accreditation to Practice - Paramedic	10/01/2023
450.00	Paramedic/Mobile Intensive Care Nurse Informal Performance Review	04/01/2023
455.00	Emergency Medical Technician Certification Review Process	07/01/2010
455.00	EMT Certification Review Process - Health & Safety Code 1798.200(c) - Attachment 1	08/01/2023
455.00	Recommended Guidelines for Disciplinary Orders and Conditions of Probation (EMT) - Attachment 2	07/01/2010
470.00	Fees: Certification, Licensing and Designation	07/01/2024

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500.00 - 599.99 - Training Programs

Policy	Title	Updated
500.00	Mobile Intensive Care Nurse (MICN)	11/19/2015
505.00	Orange County Ambulance Driver / Attendant License - Training Program Requirements	10/01/2023
510.00	Emergency Medical Technician Training Program Criteria	10/01/2023
510.00	EMT Training Program Application Attachment	12/17/2024
510.05	EMS Monitoring of Approved Training Programs	10/01/2023
510.10	EMT Skills Competency Verification Process	10/01/2023
510.10	EMT Skills Competency Verifiers - Attachment A	10/01/2023
510.10	Skills Competency Verification Form - Attachment B	10/18/2022
520.00	Paramedic Training Program Criteria	04/01/2017
520.00	Paramedic Training Program Provider Application - Attachment 1	03/27/2025
530.00	EMS Continuing Education (CE) Provider Approval	10/01/2023
530.00	EMS Continuing Education (CE) Provider Application - Attachment 1	12/17/2024
530.00	List of Continuing Education (CE) Course Offerings - Attachment 2	10/01/2011
535.00	Public Safety Personnel First Aid Training Program	10/01/2023
535.00	Public Safety Personnel First Aid Training Program - Attachment 1	12/17/2024

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600.00 - 699.99 - Medical Facilities

Policy	Title	Updated
600.00	Emergency Receiving Center Criteria	07/01/2021
600.05	Community (Spoke) ERC Assignments to Base Hospitals	09/24/2024
600.10	Emergency Receiving Center - Resource Listing	07/01/2021
610.00	Base Hospital Criteria	08/20/2019
615.00	Impact Evaluation of Reduction/Closure of Hospital Emergency Services	06/03/2013
620.00	Trauma Center Criteria	07/01/2021
620.01	Pediatric Trauma Center Criteria	07/01/2021
620.07	Trauma System Design	11/19/2015
620.11	Trauma System Market & Advertising by Trauma Centers & Prehospital Care Providers	11/19/2015
620.13	Trauma Systems Public Information and Education	11/19/2015
630.00	Cardiovascular Receiving Center Criteria	07/01/2021
635.00	Paramedic Receiving Center / Base Hospital: Survey / Resurvey	04/01/2015
635.10	Trauma Receiving Center: Survey / Resurvey Process	01/15/2019
640.00	Base Hospital / Facility Program: Approval / Designation Process and Appeal Procedures	07/01/2002
645.00	Suspension or Revocation of Specialty Center, ERC, Training Program, Base Hospital, or 911/IFT-ALS Provider Designation	10/01/2023
650.00	Stroke-Neurology Receiving Center Designation Criteria	08/01/2022
650.05	Community (Spoke) Hospital Assignments to Adult Stroke-Neurology Receiving Centers	04/01/2025
650.10	Stroke Registry Data Dictionary	11/01/2016
655.00	Agreement to Provide Services as an Emergency Receiving Center	04/01/2015
655.01	Agreement to  Provide Services as a Comprehensive Children's Emergency Receiving Center	04/01/2015
660.00	Agreement to Provide Services as a Trauma Center	04/01/2015
680.00	Comprehensive Children's Emergency Receiving Center Designation Criteria	07/01/2021

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700.00 - 799.99 - Medical Transportation Certification / Licensing & Ambulance Regulations

Policy	Title	Updated
700.00	EMT-P Service Provider Criteria	08/24/1995
705.00	ALS / PAU Activation / Reactivation	04/01/2015
706.00	Temporary ALS Unit Activation	09/02/2014
714.00	Maximum Emergency Ground Ambulance Rates ***CURRENT THRU 06/30/2025***	07/01/2024
714.00	Maximum Emergency Ground Ambulance Rates ***UPDATE 07/01/2025***	07/01/2025
715.00	Ambulance Ordinance No. 3517	01/01/1986
715.00	Ground Emergency Ambulance Service Rates Adjustment	07/01/2023
720.00	Attachment II - Appendix II Ambulance Contract Cities	04/29/2008
720.20	Ambulance Rules and Regulations - Complaint Processing	04/01/2014
720.30	Ambulance Rules and Regulations - Ground Ambulance Design, Documentation & Equipment	04/01/2025
720.40	Ambulance Rules and Regulations - Ground Ambulance Provider Inspection	04/01/2025
720.50	Ambulance Rules and Regulations - Ground Ambulance Vehicle Inspections and Permits	04/01/2025
720.60	Ambulance Rules and Regulations - Ground Ambulance Provider Policies, Procedures & Documentation	04/01/2025
720.70	Ambulance Rules and Regulations - Ground Ambulance Communications Equipment	04/01/2025
730.10	Ambulance Rules and Regulations - Air Ambulance Provider Criteria	04/01/2025
730.15	Ambulance Rules and Regulations - Air Rescue - BLS/ALS Air Rescue Service Provider Criteria	04/01/2023
730.20	Ambulance Rules and Regulations - Prehospital Air Ambulance and Air Rescue Service Activation	04/01/2014
777.00	Interfacility Transport Advanced Life Support (IFT-ALS) Service Provider Criteria	04/01/2023

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800.00 - 899.99 - Communications

Policy	Title	Updated
850.00	ALS Communications Assignments	11/19/2015
853.00	Hospital Emergency Administrative Radio (H.E.A.R) Network Validation	03/01/2004

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900.00 - 999.99 - Disaster Response

Policy	Title	Updated
900.00	Multi-Casualty Incident (MCI) Response Plan	09/24/2024
900.00	MCI Worksheet Attachment 1 - Mass Casualty Incident Response Plan - BH	05/16/2023
900.00	MCI Worksheet Attachment 2 - Mass Casualty Incident Response Plan - Med Com
	Orange County Fire Chiefs Association - MCI Plan 2019	01/01/2019

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