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  4. EMS Policies, Procedures & Standing Orders
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EMS Policies

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California Statutes and Regulations

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

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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PolicyTitle                                                                                                                                                                           Updated
000.00Cover Page08/31/2012
000.00Table of Contents08/31/2012
050.00OCEMS Agency, County of Orange Resolution                            02/02/1982
070.05Orange County EMS Organization Chart01/20/2010
080.00Policy and Procedure Review Process01/01/2013
090.00Definitions                                                                                                 08/20/2019

100.00 - 199.99 - Emergency Medical Care Committee and Subcommittees

PolicyTitle                                                                                                                                                                              Updated
100.10EMCC (State Authority: Health & Safety Code)03/04/1988
100.30Emergency Medical Care Committee Bylaws10/09/2025
110.10Facilities Advisory Subcommittee Bylaws03/04/1988
110.20Facilities Advisory Subcommittee Membership12/16/2005
120.10Education and Training Advisory Subcommittee Bylaws02/09/2009
120.20Education and Training Advisory Subcommittee Membership12/16/2005
130.10County Paramedic Advisory Subcommittee Bylaws02/09/2009
130.20County Paramedic Advisory Subcommittee Membership12/16/2005
140.00Transportation Advisory Subcommittee Bylaws04/01/2023
140.20Transportation Advisory Subcommittee Membership06/22/2010
150.10EMS Quality Assurance Board Bylaws05/06/2008
150.20EMS Quality Assurance Board Membership04/03/2012
160.10Regional Trauma Operations Committee Bylaws09/03/2021
170.10Disaster Advisory Group Bylaws                                     12/05/2006
180.00EMS Stroke CQI Advisory Committee09/03/2021
185.00EMS STEMI CQI Advisory Committee09/03/2021

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200.00 - 299.99 - OCEMS Approved System Service Providers

PolicyTitle                                                                                                                                                                                       Updated
200.00Licensed EMS Medical Transportation Providers01/01/2026
210.00Emergency 9-1-1 Dispatch Paramedic Service Providers11/13/2025
220.00List of Base Hospitals01/01/2026
230.00List of Emergency Receiving Centers01/01/2026
240.10List of Trauma Receiving Centers01/01/2026
240.20List of Stroke Neurology Receiving Centers01/01/2026
240.30Orange County Specialty Services01/01/2026
240.40List of Cardiovascular Receiving Centers01/01/2026
250.00Orange County Approved EMT and Paramedic Training Programs11/01/2022

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300.00 - 399.99 - Medical Control

PolicyTitleUpdated
300.10OC-MEDS - Clinical Document Standards10/01/2024
300.20OC-MEDS - System Management and Downtime Process04/01/2025
300.20OC-MEDS- System Management and Downtime Process - Attachment 1 (Downtime PCR)04/01/2025
300.30OC-MEDS - EMS Provider Prehospital Care Reporting and Data Submission Process05/12/2026
300.31OC-MEDS Data Dictionary04/01/2026
300.31OC-MEDS Data Dictionary - Attachments04/01/2026
300.40OC-MEDS - Confidentiality of Health Care Information04/01/2018
300.50Emergency Receiving/Specialty Center Data Reporting Criteria10/01/2025
309.00Transport of Police K9 Dogs Injured in Line of Duty01/01/2019
310.009-1-1 Advanced Life Support Base Contact, Standing Order, and Transport Criteria04/01/2025
310.10Determination of 9-1-1 Dispatched Patient Transport to an Appropriate Facility - Hospice10/01/2022
310.15Advanced Licensed Health Care Professional On Scene - Practitioner on Scene11/14/2025
310.20Service Provider Transport and Dispatch Criteria for Interfacility Transfers between Acute Care Hospitals10/01/2022
310.20Interfacility Transfer Between Acute Care Hospitals Using EMS Transport Providers - Attachment A04/01/2023
310.30Trauma Triage10/01/2023
310.31Trauma Triage Algorithm10/01/2023
310.80Updates of Standing Orders / Base Hospital Treatment Guidelines / Procedure Guidelines04/01/2017
310.96Guidelines for Diversion Status and APOT Standard04/01/2025
315.00OCEMS EMT Scope of Practice: EMS-OCEMS Accredited11/15/2025
315.00OCEMS EMT Scope of Practice: Field Reference Guide - Attachment I11/15/2025
325.00Advanced Life Support (ALS) Provider Unit Minimum Inventory10/01/2025
325.05Air Rescue Unit Inventory 04/01/2024
330.15Treatment Without Base Contact Communication Failure04/01/2021
330.20Evaluation, Treatment and/or Transport of Minors04/01/2019
330.25Infant Safe Surrender09/02/2014
330.30Suspected Child Abuse Reporting Guidelines10/01/2024
330.35Suspected Dependent Adult/Elder Abuse Reporting Guidelines10/01/2024
330.40First Responder Use of Automated External Defibrillator (AED)04/01/2021
330.47OCEMS Optional Scope of Practice Petition Procedure04/01/2015
330.50Withholding Prehospital CPR for the Obviously Dead 04/01/2024
330.51DNR, POLST, End of Life Options 04/01/2024
330.51EMSA Do-Not-Resuscitate (DNR) - Attachment 1 
330.51Physician Orders for Life-Sustaining Treatment (POLST) - Attachment 2 
330.57Application of Restraints by EMS Personnel10/01/2023
330.60Transfer of Patient Care: Paramedic to Air Ambulance Medical Flight Crew04/01/2015
330.70Paramedic Assessment Unit (PAU) 04/01/2024
330.75Tactical Medicine04/01/2017
330.80Tactical Casualty Care01/01/2019
330.85Hospital Emergency Response Team01/01/2019
330.96Prehospital Exposures09/02/2014
340.00Authorized Registered Nurse (ARN)11/01/2016
350.00Emergency Ambulance Transport Provider Criteria; County Administered Non-Exclusive Areas04/01/2015
352.009-1-1 Ambulance Transport Provider - Provision of Service in County Admin. Non-Exclusive Areas04/01/2015
355.00Approval to Use EMT and Paramedic SOP During Scheduled / Special Event Standby10/01/2023
355.00Scheduled Event - Appendix A10/18/2022
355.00Special Event - Appendix B10/18/2022
360.00Paramedic Triage to Alternate Destination (TAD) - Behavioral Health07/01/2025
380.00Review of OCEMS Policy by a Base Hospital Physician04/01/2015
385.00Continuous Quality Improvement Plan06/03/2019
385.05Base Hospital QA/QI Review Process03/07/2022
398.00Intranasal Naloxone by Public Safety First Responders10/01/2024
398.01Intranasal Naloxone by Public Safety First Responders Competency Review03/15/2018
398.05Law Enforcement First Responder Agencies Approved to Administer Naloxone06/16/2020

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400.00 - 499.99 - Personnel Certification / Licensing

PolicyTitle                                                                                                                                                                                                                   Updated
400.00Mobile Intensive Care Nurse (MICN) Authorization11/01/2022
410.00Emergency Medical Technician (EMT) Certification and Recertification04/01/2017
415.00Orange County Ambulance Driver/Attendant License10/01/2023
420.00Background Checks and California Central Registry Requirements for EMT Certification/Recertification07/01/2010
430.10Accreditation to Practice - Paramedic 10/01/2023
450.00Paramedic/Mobile Intensive Care Nurse Informal Performance Review04/01/2023
455.00Emergency Medical Technician Certification Review Process07/01/2010
455.00EMT Certification Review Process - Health & Safety Code 1798.200(c) - Attachment 108/01/2023
455.00Recommended Guidelines for Disciplinary Orders and Conditions of Probation (EMT) - Attachment 207/01/2010
470.00Fees: Certification, Licensing and Designation07/01/2024

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500.00 - 599.99 - Training Programs

PolicyTitle                                                                                                                                                                                                                              Updated
500.00Mobile Intensive Care Nurse (MICN)11/19/2015
505.00Orange County Ambulance Driver / Attendant License - Training Program Requirements10/01/2023
510.00Emergency Medical Technician Training Program Criteria10/01/2023
510.00EMT Training Program Application Attachment04/01/2026
510.05EMS Monitoring of Approved Training Programs10/01/2023
510.10EMT Skills Competency Verification Process10/01/2023
510.10EMT Skills Competency Verifiers - Attachment A10/01/2023
510.10Skills Competency Verification Form - Attachment B10/18/2022
520.00Paramedic Training Program Criteria04/01/2017
520.00Paramedic Training Program Provider Application - Attachment 103/27/2025
530.00EMS Continuing Education (CE) Provider Approval10/01/2023
530.00EMS Continuing Education (CE) Provider Application - Attachment 112/17/2024
530.00List of Continuing Education (CE) Course Offerings - Attachment 210/01/2011
535.00Public Safety Personnel First Aid Training Program10/01/2023
535.00Public Safety Personnel First Aid Training Program - Attachment 112/17/2024

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600.00 - 699.99 - Medical Facilities

PolicyTitle                                                                                                                                                                                                                           Updated
600.00Emergency Receiving Center Criteria07/01/2021
600.05Community (Spoke) ERC Assignments to Base Hospitals01/01/2026
600.10Emergency Receiving Center - Resource Listing07/01/2021
610.00Base Hospital Criteria08/20/2019
615.00Impact Evaluation of Reduction/Closure of Hospital Emergency Services06/03/2013
620.00Trauma Center Criteria07/01/2021
620.01Pediatric Trauma Center Criteria07/01/2021
620.07Trauma System Design11/19/2015
620.11Trauma System Market & Advertising by Trauma Centers & Prehospital Care Providers11/19/2015
620.13Trauma Systems Public Information and Education11/19/2015
630.00Cardiovascular Receiving Center Criteria07/01/2021
635.00Paramedic Receiving Center / Base Hospital: Survey / Resurvey04/01/2015
635.10Trauma Receiving Center: Survey / Resurvey Process01/15/2019
640.00Base Hospital / Facility Program: Approval / Designation Process and Appeal Procedures07/01/2002
645.00Suspension or Revocation of Specialty Center, ERC, Training Program, Base Hospital, or 911/IFT-ALS Provider Designation10/01/2023
650.00Stroke-Neurology Receiving Center Designation Criteria08/01/2022
650.05Community (Spoke) Hospital Assignments to Adult Stroke-Neurology Receiving Centers05/01/2026
650.10Stroke Registry Data Dictionary11/01/2016
655.00Agreement to Provide Services as an Emergency Receiving Center04/01/2015
655.01Agreement to  Provide Services as a Comprehensive Children's Emergency Receiving Center04/01/2015
660.00Agreement to Provide Services as a Trauma Center04/01/2015
680.00Comprehensive Children's Emergency Receiving Center Designation Criteria07/01/2021

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

PolicyTitle                                                                                                                                                                                                                   Updated
700.00EMT-P Service Provider Criteria08/24/1995
705.00ALS / PAU Activation / Reactivation04/01/2015
706.00Temporary ALS Unit Activation09/02/2014
714.00Maximum Emergency Ground Ambulance Rates ***CURRENT THRU 06/30/2026***07/01/2025
714.00Maximum Emergency Ground Ambulance Rates ***UPDATE 07/01/2026***07/01/2026
715.00Ambulance Ordinance No. 351701/01/1986
715.00Ground Emergency Ambulance Service Rates Adjustment 07/01/2023
720.00Attachment II - Appendix II Ambulance Contract Cities04/29/2008
720.20Ambulance Rules and Regulations - Complaint Processing04/01/2014
720.30Ambulance Rules and Regulations - Ground Ambulance Design, Documentation & Equipment04/01/2025
720.40Ambulance Rules and Regulations - Ground Ambulance Provider Inspection04/01/2025
720.50Ambulance Rules and Regulations - Ground Ambulance Vehicle Inspections and Permits04/01/2025
720.60Ambulance Rules and Regulations - Ground Ambulance Provider Policies, Procedures & Documentation04/01/2025
720.70Ambulance Rules and Regulations - Ground Ambulance Communications Equipment04/01/2025
730.10Ambulance Rules and Regulations - Air Ambulance Provider Criteria04/01/2025
730.15Ambulance Rules and Regulations - Air Rescue - BLS/ALS Air Rescue Service Provider Criteria04/01/2023
730.20Ambulance Rules and Regulations - Prehospital Air Ambulance and Air Rescue Service Activation04/01/2014
777.00Interfacility Transport Advanced Life Support (IFT-ALS) Service Provider Criteria04/01/2023

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800.00 - 899.99 - Communications

PolicyTitle                                                                                                                                                                                                                         Updated
850.00ALS Communications Assignments11/19/2015
853.00Hospital Emergency Administrative Radio (H.E.A.R) Network Validation03/01/2004

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900.00 - 999.99 - Disaster Response

PolicyTitle                                                                                                                                                                                                                            Updated
900.00Multi-Casualty Incident (MCI) Response Plan 01/01/2026
900.00MCI Worksheet Attachment 1 - Mass Casualty Incident Response Plan - BH05/16/2023
900.00MCI Worksheet Attachment 2 - Mass Casualty Incident Response Plan - Med Com10/01/2025
 Orange County Fire Chiefs Association - MCI Plan 201901/01/2019

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사용자의 편의를 위해, 본 오렌지 카운티 웹사이트는 무료 Google 언어 번역 서비스를 사용합니다. "Next"(다음) 버튼을 클릭하면, 본 웹사이트의 페이지가 영어 이외의 언어로 제공됨을 이해하는 것으로 간주됩니다. 오렌지 카운티는 번역의 정확성을 보장하기 위해 모든 노력을 기울였습니다. 그러나, 완벽한 전산화 또는 자동 번역은 없습니다. 예를 들어, 번역은 문맥을 고려하지 않기 때문에 텍스트의 의미를 온전히 번역할 수 없습니다. 또한, 지역 방언 또는 선호도와 관련된 차이점도 발견할 수 있습니다. 또한, 본 웹사이트에서는 텍스트가 포함된 그래픽, PDF 파일, 특수 애플리케이션은 번역할 수 없습니다. 오렌지 카운티는 Google에서 제공하는 번역에 대해 책임을 지지 않습니다. 본 웹사이트의 원래 버전은 영어로 제공됩니다. 본 웹사이트의 영어 버전과 번역 버전 사이에 불일치가 있는 경우 영어 버전이 우선합니다. "Next"(다음)를 클릭하면, 번역의 불일치 또는 불충분한 내용은 구속력이 없으며 법적 효력이 없음을 이해하는 것으로 간주됩니다. 오렌지 카운티는 변환된 텍스트의 정확성을 보장할 수 없으며, 사용자가 Google에서 제공하는 번역을 사용하거나 의존함으로써 발생할 수 있는 어떠한 책임도 지지 않습니다.

免責聲明

為方便使用者使用,本橙縣網站採用了 Google (谷歌) 免費語言翻譯服務。當您點擊「Next」(下一個)按鈕,即表示您了解本網站內容將自動翻譯為非英文語言。橙縣已盡力確保翻譯內容的準確性,但機器或自動翻譯服務無法達到完美。例如,翻譯無法完整呈現語境含義,亦可能無法精確反映原文內容。此外,您可能會發現因地區方言或用語偏好而有所差異。而且,本網站上的圖像文字、PDF 檔案以及特定應用程式內容亦無法透過此翻譯服務轉換。橙縣對 Google (谷歌) 翻譯所提供的翻譯內容不負任何責任。本網站的原始語言版本為英文。如英文版本與翻譯版本內容有任何不一致之處,應以英文版本為準。當您點擊「Next」(下一個)時,即表示您了解翻譯內容若有任何差異或不一致之處,均不具法律效力,且不具任何約束力。橙縣無法保證翻譯內容的準確性,亦不對因您使用或依賴 Google (谷歌) 翻譯結果而產生的任何後果承擔責任。

سلب مسئولیت

برای راحتی کاربران، وب‌ سایت اورنج کانتی از سرویس ترجمه رایگان گوگل استفاده می‌ کند. با کلیک روی دکمه "بعدی"، شما تأیید می‌کنید که محتوای این وب ‌سایت به زبان‌هایی غیر از انگلیسی ترجمه خواهد شد. اورنج کانتی تمام تلاش خود را برای دقت ترجمه‌ها انجام داده است، اما هیچ سامانه ترجمه ماشینی بدون خطا نیست. به عنوان مثال، این ترجمه‌ها معمولاً به زمینه‌ی متن حساس نیستند و ممکن است نتوانند معنا و مفهوم دقیق را به‌طور کامل منتقل کنند. همچنین ممکن است تفاوت‌هایی ناشی از لهجه‌ها یا ترجیحات منطقه‌ای مشاهده شود. علاوه بر این، امکان ترجمه گرافیک‌های حاوی متن، فایل‌های PDF و برخی برنامه‌های خاص در این وب‌سایت وجود ندارد. اورنج کانتی مسئول ترجمه‌ای که توسط گوگل ارائه می‌شود، نیست. نسخه اصلی این وب‌ سایت به زبان انگلیسی در دسترس است. در صورت وجود هرگونه اختلاف یا مغایرت بین نسخه انگلیسی و نسخه ترجمه‌ شده، نسخه انگلیسی معتبر و ملاک خواهد بود. با کلیک بر روی "بعدی" ، شما تأیید می‌کنید که هرگونه اختلاف یا مغایرت در ترجمه، الزام‌آور نبوده و هیچ‌گونه اثر قانونی ندارد. اورنج کانتی نمی‌ تواند دقت ترجمه ارائه ‌شده توسط گوگل را تضمین کند و هیچ‌ گونه مسئولیتی در قبال استفاده یا استناد شما به این ترجمه را بر عهده نمی‌ گیرد.

إخلاء المسؤولية

لراحة المستخدمين، يستخدم هذا الموقع الإلكتروني التابع لمقاطعة أورانج خدمة الترجمة المجانية من Google. من خلال النقر على زر "التالي"، فإنك تقر بأن صفحات هذا الموقع سيتم عرضها بلغات غير اللغة الإنجليزية. لقد بذلت مقاطعة أورانج أقصى جهد ممكن لضمان دقة الترجمة، إلا أن الترجمة الآلية لا يمكن أن تكون دقيقة بشكل كامل دائمًا. على سبيل المثال، لا تراعي الترجمة الآلية السياق، وقد لا تتمكن من نقل المعنى الكامل للنص الأصلي. بالإضافة إلى ذلك، قد تلاحظ وجود اختلافات تتعلق باللهجات أو التفضيلات الإقليمية. كما أن الترجمة لا تشمل الصور التي تحتوي على نصوص، أو ملفات PDF، أو التطبيقات الخاصة الموجودة على هذا الموقع. لا تتحمل مقاطعة أورانج أي مسؤولية عن الترجمة التي توفرها خدمة Google. النسخة الأصلية من هذا الموقع متاحة باللغة الإنجليزية. وفي حال وجود أي تعارض أو اختلاف بين النسخة الإنجليزية والنسخة المترجمة، تُعتَمد النسخة الإنجليزية. من خلال النقر على "التالي"، فإنك تقر بأن أي تعارض أو اختلاف في الترجمة غير مُلزِم ولا يترتب عليه أي أثر قانوني. ولا تضمن مقاطعة أورانج دقة النص المُترجَم، ولا تتحمل أي مسؤولية قد تنشأ عن استخدامك أو اعتمادك على الترجمة المقدمة من Google.