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EMS Policies

California Statutes and Regulations

 

Orange County EMS Policy Manual - Table of Contents

 

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 08/21/2001
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
140.10 Transportation Advisory Subcommittee Bylaws 06/22/2010
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 09/27/2021
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 05/22/2019
240.10 List of Trauma Receiving Centers 06/12/2015
240.20 List of Stroke Neurology Receiving Centers 06/12/2015
240.30 Orange County Specialty Services 07/14/2021
240.40 List of Cardiovascular Receiving Centers 07/14/2021
250.10 Orange County Approved EMT-I Training Schools 06/14/2019
250.20 Orange County Approved EMT-Paramedic Training Programs 06/14/2019

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300.00 - 399.99 - Medical Control

Policy Title Updated
300.10 OC-MEDS - Clinical Documentation Standards                                                        07/01/2021
300.20 OC-MEDS - System Management and Support 07/01/2021
300.30 OC-MEDS - EMS Provider Patient Care Reporting ***CURRENT*** 05/01/2016
300.30 OC-MEDS - EMS Provider Prehospital Care Reporting and Data Submission Process ***UPCOMING 10-01-2022*** 07/01/2021
300.31 OC-MEDS - Data Dictionary 06/01/2019
300.32 OC-MEDS - EMS Provider Data Submission Process 01/04/2017
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 04/01/2021
310.10 Determination of 9-1-1 Dispatched Patient Transport to an Appropriate Facility - Hospice 10/01/2020
310.15 Advanced Licensed Health Care Professional On Scene - Practitioner on Scene 10/01/2020

310.20

 Interfacility Transfer Between Acute Care Hospitals Using EMS Transport Providers 03/16/2018
310.20 Interfacility Transfer Between Acute Care Hospitals Using EMS Transport Providers - Attachment A 03/16/2018
310.30 Trauma Triage 10/01/2021
310.31 Trauma Triage Algorithm 10/01/2021
310.80 Updates of Standing Orders / Base Hospital Treatment Guidelines / Procedure Guidelines 04/01/2017
310.96 Hospital Diversion Criteria and APOT Standard ***CURRENT*** 04/01/2021
310.96 Hospital Diversion Criteria and APOT Standard ***UPCOMING 10-01-2022*** 04/01/2022
315.00 OCEMS EMT Scope of Practice: EMT-OCEMS Accredited 04/01/2019
315.00 OCEMS EMT Scope of Practice: Field Reference Guide - Attachment I 04/01/2019
325.00 Advanced Life Support (ALS) Provider Unit Inventory 07/01/2021
325.05 Air Rescue Unit Inventory 05/01/2018
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 09/02/2014
330.35 Suspected Dependent Adult/Elder Abuse Reporting Guidelines 04/01/2015
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 04/01/2019
330.51 DNR, POLST, End of Life Options 04/01/2021
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 04/01/2019
330.60 Transfer of Patient Care: Paramedic to Air Ambulance Medical Flight Crew 04/01/2015
330.70 Paramedic Assessment Unit (PAU) 02/08/2016
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 04/03/2019
355.00 Scheduled Event - Appendix A 04/03/2019
355.00 Special Event - Appendix B 04/03/2019
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 Incident Review Process ***CURRENT*** 05/01/2016
385.05 Base Hospital QA/QI Review Process ***UPCOMING 10-01-2022*** 03/07/2022
398.00 Intranasal Naloxone by Public Safety First Responders 10/01/2019
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 04/01/2019

410.00

 Emergency Medical Technician (EMT) Certification and Recertification 04/01/2017
415.00 Orange County Ambulance Driver/Attendant License 04/01/2017
420.00 Background Checks and California Central Registry Requirements for EMT Certification/Recertification 07/01/2010
430.10 Accreditation to Practice - ALS Personnel Criteria 07/01/2019
430.15 Accreditation to Practice - Air Rescue Personnel Criteria 04/01/2017
430.20 Accreditation to Practice - Tactical Emergency Medical Services (TEMS) Personnel Criteria 04/01/2017
450.00 Paramedic/Mobile Intensive Care Nurse Informal Performance Review 04/01/2015
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 07/01/2010
455.00 Recommended Guidelines for Disciplinary Orders and Conditions of Probation (EMT) - Attachment 2 07/01/2010
470.00 Fees: Certification, Licensing and Designation 01/03/2019

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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 04/01/2017
510.00 Emergency Medical Technician Training Program Criteria 04/01/2017
510.00 EMT Training Program Application Attachment 06/29/2021
510.05 EMS Monitoring of Approved Training Programs 09/02/2014
510.10 EMT Skills Competency Verification Process 11/01/2016
510.10 Skills Signer Form - Attachment A  
520.00 Paramedic Training Program Criteria 04/01/2017
530.00 EMS Continuing Education (CE) Provider 04/01/2017
530.00 EMS Continuing Education (CE) Provider Application - Attachment 1 06/23/2021
530.00 List of Continuing Education (CE) Course Offerings - Attachment 2 10/01/2011
535.00 Public Safety Personnel First Aid Training Program 11/01/2016
535.00 Public Safety Personnel First Aid Training Program - Attachment 1 06/24/2021

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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 08/21/2015
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 Base Hospitals / Facilities / Training Programs / EMT-P Service Providers: Review Process 08/01/1991
650.00 Stroke-Neurology Receiving Center Designation Criteria 07/01/2021
650.05 Community (Spoke) Hospital Assignments to Adult Stroke-Neurology Receiving Centers 04/01/2019
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*** 07/01/2021
714.00 Maximum Emergency Ground Ambulance Rates ***UPCOMING - 07/01/2022*** 07/01/2022
715.00 Ambulance Ordinance No. 3517 01/01/1986
715.00 Ground Emergency Ambulance Service Rates Adjustment 08/17/2017
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 05/01/2016
720.40 Ambulance Rules and Regulations - Ground Ambulance Provider Inspection 04/01/2014
720.50 Ambulance Rules and Regulations - Ground Ambulance Vehicle Inspections and Permits 04/01/2017
720.60 Ambulance Rules and Regulations - Ground Ambulance Provider Policies, Procedures & Documentation 04/01/2017
720.70 Ambulance Rules and Regulations - Ground Ambulance Communications Equipment 05/01/2016
730.10 Ambulance Rules and Regulations - Air Ambulance Provider Criteria 10/01/2020
730.15 Ambulance Rules and Regulations - Air Rescue - BLS/ALS Air Rescue Service Provider Criteria 04/01/2015
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 10/01/2020

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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 10/01/2018
900.00 MCI Worksheet Attachment 1 - Mass Casualty Incident Response Plan - BH 10/10/2018
900.00 MCI Worksheet Attachment 2 - Mass Casualty Incident Response Plan - Med Com  

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