Upcoming Policies and Standing Orders

Policy and Standing Order Update - April 1, 2026

• #5826 Reminder and Clarification to October 1, 2025 Updated Polices, Procedures, and Standing Orders
• #5827 New and Updated EMS Policies, Procedures, and Standing Orders

EMS Policies Effective Immediately (Initial Release Date in Parentheses)

• 300.31 OC-MEDS Data Dictionary (04/2026)
• 300.31 OC-MEDS Data Dictionary Change Log (04/2026)

Policy and Standing Order Update - October 2025

• #5624 New and Updated Policies, Procedures, and Standing Orders

EMS Policies Effective Immediately (Initial Release Date in Parentheses)

• 100.30 Emergency Medical Care Committee (EMCC) Bylaws (10/2025)
• 300.50 Emergency Receiving/Specialty Center Data Reporting Criteria (10/2025)

EMS Policies Effective on April 1, 2026 (Initial Release Date in Parentheses)

• 325.00 Advanced Life Support (ALS) Provider Unit Minimum Inventory (10/2025)
• 900.00 Multi-Casualty Incident Response Plan (01/2026)

EMS Standing Orders Effective on April 1, 2026 (Initial Release Date in Parentheses)

• SO-C-40 Wide QRS Complex Tachycardia with a Pulse - Adult/Adolescent (10/2025)
• SO-M-30 Psychiatric/Behavioral Emergencies - Adult/Adolescent (10/2025)
• SO-M-35 Respiratory Distress - Adult/Adolescent (10/2025)
• SO-P-35 Acute Respiratory Distress - Pediatric (10/2025)
• SO-P-70 Psychiatric/Behavioral Emergencies - Pediatric (10/2025)
• SO-P-120 Pre-existing Endotracheal Intubation Requiring Sedation - Pediatric (***NEW*** 10/2025)

EMS Procedures Effective on April 1, 2026 (Initial Release Date in Parentheses)

• PR-70 Ketamine Analgesia (***NEW*** 10/2025)
• PR-110 Transcutaneous Pacing (TCP) (10/2025)
• PR-120 Continuous Positive Airway Pressure (12/2025)
• PR-230 Preparation and Dosing of Push Dose Epinephrine - Adult/Adolescent (01/2026)

Policy and Standing Order Update - April 2025

• #5390 New and Updated Policies, Procedures, and Standing Orders

EMS Policies Effective on October 1, 2025 (Initial Release Date in Parentheses)

• 300.20 OC-MEDS: System Management and Downtime Process (04/2025)
• 310.00  911 Advanced Life Support Contact, Standing Order, and Transport Criteria (04/2025)
• 310.96 Guidelines for Diversion Status and APOT Standard (04/2025)
• 325.00 Advanced Life Support (ALS) Provider Unit Minimum Inventory (04/2025)
• 360.00 Paramedic Triage to Alternate Destination (TAD) - Behavioral Health (***NEW*** 07/2025)
• 650.05 Community (Spoke) Hospital Assignments to Adult Neurology Receiving Centers (04/2025)
• 730.10 Ambulance Rules and Regulations - Air Ambulance Service Provider Criteria (04/2025)

EMS Procedures Effective on October 1, 2025 (Initial Release Date in Parentheses)

• PR-75 Ketorolac for Patient Analgesia (***NEW*** 04/2025)

EMS Standing Orders Effective on October 1, 2025 (Initial Release Date in Parentheses)

• SO-AMA Signing Against Medical Advice (AMA) in the Field (04/2025)
• SO-C-40 Wide QRS Complex Tachycardia with a Pulse - Adult/Adolescent (04/2025)

Policy and Standing Order Update - October 2024

• #5188 New and Updated Policies, Procedures, and Standing Orders

EMS Policies Effective on April 1, 2025 (Initial Release Date in Parentheses)

• 300.10 OC-MEDS Clinical Documentation (10/2024)
• 325.00 ALS Provider Unit Minimum Inventory (10/2024)
• 330.30 Suspected Child Abuse or Neglect Reporting Guidelines (10/2024)
• 330.35 Suspected Dependent Adult/Elder Abuse or Neglect Reporting Guidelines (10/2024)
• 398.00 Intranasal Naloxone by Public Safety First Responders (10/2024)
• 600.05 Community (Spoke) Emergency Receiving Center Assignments to Base Hospitals (10/2024)

EMS Procedures Effective on April 1, 2025 (Initial Release Date in Parentheses)

• PR-205 Preparation and Dosing of Push Dose Epinephrine - Pediatric (10/2024)

EMS Standing Orders Effective on April 1, 2025 (Initial Release Date in Parentheses)

• SO-M-55 Suspected Sepsis - Adult/Adolescent (10/2024)

Policy and Standing Order Update - April 2024

• #4962 New and Updated Policies, Procedures, and Standing Orders

EMS Policies Effective on April 1, 2024 (Immediate Release)

• 300.31 OC-MEDS Data Dictionary (04/2024)
• 300.31 OC-MEDS Data Dictionary - Change Log (04/2024)

EMS Policies Effective on July 1, 2024 (Initial Release Date in Parentheses)

• 470.00 Fees Certification, Licensing and Designation (05/2024)
• 714.00 Maximum Emergency Ground Ambulance Rates (05/2024)

EMS Policies Effective on October 1, 2024 (Initial Release Date in Parentheses)

• 310.96 Guidelines for Diversion Status and APOT Standard (04/2024)
• 325.05 Air Rescue Unit Inventory (04/2024)
• 330.50 Withholding Prehospital CPR for the Obviously Dead (04/2024)
• 330.51 Do-Not-Resuscitate (DNR), Physicians Orders for Life-Sustaining Treatment (POLST) (04/2024)
• 330.70 Paramedic Assessment Unit (PAU) (04/2024)

EMS Procedures Effective on October 1, 2024 (Initial Release Date in Parentheses)

• B-02 Glasgow Coma Scale (Score) (04/2024)
• PR-02 Glasgow Coma Scale (Score) (04/2024)
• PR-70 IM Ketamine (04/2024) ***NEW***
• PR-230 Preparation and Dosing of Push Dose Epinephrine - Adult/Adolescent (04/2024) 

EMS Standing Orders Effective on October 1, 2024 (Initial Release Date in Parentheses)

• SO-E-05 Burn (Thermal, Electrical, Chemical) - Adult/Adolescent (04/2024)
• SO-M-030 Psychiatric/Behavioral Emergencies - Adult/Adolescent (04/2024)
• SO-P-15 General Injury and Trauma - Pediatric (04/2024)
• SO-P-70 Psychiatric/Behavioral Emergencies - Pediatric (04/2024) ***NEW***
• SO-P-95 Burn (Thermal, Electrical, Chemical) - Pediatric (04/2024)
• SO-T-05 General Injury and Trauma - Adult/Adolescent (04/2024)

Policy and Standing Order Update - October 2023

• #4752 New Policies and Clarifications/Updates of Existing EMS Documents

EMS Policies Effective on April 1, 2024 (Initial Release Date in Parentheses)

• 310.00  911 Advanced Life Support Base Contact, Standing Order, and Transport Criteria (10/2023)
• 310.30  Trauma Triage (10/2023)
• 310.31  Trauma Triage Algorithm: Blunt or Penetrating Injury (10/2023)
• 330.57  Application of Restraints by EMS Personnel (10/2023)
• 355.00  Approval to Use OCEMS EMT and Paramedic Scope of Practice During Scheduled and Special Event Standby (10/2023)
• 430.10  Accreditation to Practice - Paramedic (10/2023)
• 430.15  Accreditation to Practice - Air Rescue Personnel Criteria (DELETED)
• 430.20  Accreditation to Practice - Tactical Emergency Medical Services (TEMS) Personnel Criteria (DELETED)
• 505.00  Orange County Ambulance Drivers/Attendant License - Training Program Requirements (10/2023)
• 510.00  Emergency Medical Technician Training Program Criteria (10/2023)
• 510.00  Emergency Medical Technician Training Program Application, Attachment 1 (10/2023)
• 510.05  EMS Monitoring of Approved Training Programs (10/2023)
• 510.10  EMT Skills Competency Verification (10/2023)
• 510.10  EMT Skills Competency Verifiers, Attachment A (10/2023)
• 530.00  EMS Continuing Education (CE) Provider Approval (10/2023)
• 530.00  Application for Authorization as Approved Provider of Prehospital CE, Attachment 1 (10/2023)
• 535.00  First Aid and CPR Training Program Criteria for Public Safety Personnel (10/2023)
• 720.30  Ambulance Rules and Regulations - Ground Ambulance Design/Documentation/Equipment (10/2023)
• 720.50  Ambulance Rules and Regulations - Ground Ambulance Vehicle Inspections and Permits (10/2023)

EMS Procedures Effective on April 1, 2024 (Initial Release Date in Parentheses)

• B-060  Imminent Childbirth in the Field (10/2023)
• PR-03  Estimate of Body Surface Area Burned and Disposition (10/2023)
• PR-040  Pregnancy Emergency Delivery (10/2023) 

EMS Standing Orders Effective on April 1, 2024 (Initial Release Date in Parentheses)

• SO-M-25 Suspected Acute Stroke or Intracranial Hemorrhage (Stroke Triage Criteria) (10/2023)
• SO-P-85  Substance Overdose/Poisoning - Pediatrics (10/2023)
• SO-T-10  Traumatic Cardiopulmonary Arrest - Adult/Adolescent (10/2023)