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Marin County EMS Policies & Procedures

 

Updates
2000- Quality Assurance/Improvement
3000 - Certification/Accreditation/Authorization    
4000 - Programs
5000 - Providers
7000 - Communications
General Patient Care BLS Treatment Guidelines BLS Procedures
ALS Treatment Guidelines ALS Procedures Cardiac
Environmental Medical Neurological
OB/GYN Respiratory Traumatic
Pediatric Pediatric Procedures

Marin County Ambulance Ordinance

Ambulance Regulations

Click on the policy to download it.
You will need the free Adobe Acrobat Reader to view these documents. To download Acrobat reader, use this link: Get Adobe Reader

Interim Policy and Clarification Memos
Interim Policy Memo 2012-1: ITO Procedure Discontinuation
Combitube Deletion Memo
Fireline Medical Care Clarification
Midazolam Correction Memo
Interim Policy Memo
Taser Memo

 

2000 - Quality Assurance/Improvement

2000 Quality Assurance/Improvement References

2000

Quality Assurance/Improvement References  
2003 Provider Medical Director Functions/Responsibilities    

2004

Quality Improvement, Provider Agency Responsibilities

   

2005

Prehospital Care Record Audit

   

2010

EMS System Notification Form
Click here to download form in MS Word format

   

3000 - Certification/Accreditation/Authorization

3100 General
3101 Fee Schedule    
3102 Certificate Review Process for EMT Personnel    
3103 Continuing Education    
3200 EMT-I Certification/Recertification     
3300 EMT-P Accreditation/Continued Accreditation       
     

4000 - Programs

4100

EMT/ First Responder Defibrillation

4100

EMT/First Responder Defibrillation Policy

 

4101

EMT/First Responder Defibrillation Provider Approval

 

4102

EMT/First Responder Defibrillation Medical Director

 

4103

EMT/First Responder Defibrillation Quality Assurance

 

4104

EMT/First Responder Defibrillation Performance Standards

 

4105

EMT/First Responder Defibrillation Treatment Protocol

 

4106

EMT/First Responder Defibrillation Records and Forms

 

4110

Public Safety Defibrillation Program

4110 Public Safety Early Defibrillation  

4111

Public Safety Early Defibrillation - Provider Approval

 

4112

Public Safety Early Defibrillation - Medical Director

 

4113

Public Safety Early Defibrillation - Quality Assurance

 

4114

Public Safety Early Defibrillation - Performance Standards

 

4115

Public Safety Early Defibrillation - Treatment Protocol

 

4116

Public Safety Early Defibrillation - Records and Forms

 

4120 Public Access Early Defibrillation Program
  4120 Public Safety Early Defibrillation - Program    

4200

Emergency Medical Dispatch

4200

Emergency Medical Dispatch Policy

 

4201

Emergency Medical Dispatch Certification

 

4202

Emergency Medical Dispatch Recertification

 

4203

Emergency Medical Dispatch Training Program Approval

 

4204

Emergency Medical Dispatch Quality Assurance

 
4300 Skills Refresher Program    
     
4600 Trauma System
4600 Trauma System  
4602 Marketing and Advertising  
4603 Service Areas for Hospitals  
4604 EMS Dispatching  
4605 EMS Communication  
4606 Patient Transfer and Transportation  
4608 Training of Trauma System Personnel  
4609 Jurisdictional Coordination  
4610 Coordination with Non-medical Emergency Services  
4611 Trauma System Fees  
4612 Medical Control and Accountability  
4613 Trauma Triage and Destination Guideline  
4613a Trauma Triage Tool  
4614 Trauma Center Designation Process  
4615  Data Collection and Management (Trauma)  
4616 Quality Improvement and System Evaluation (Trauma)   
4618 System Organization and Management  

5000 - Providers

5000

Providers - General

5001

General System Operations

 
5002 Ambulance Supply and Equipment Requirements  
5003 Drug Security  
5004 Description and Function of Basic, Advanced Life Support and Paramedic Transport Units  
5005 ALS Nontransport Supply/ Equipment Requirements  
5006 ALS First Responder  
5010 Provider Equipment / Supplies  
5011 CCT Equipment / Supplies  
5100 EMS Aircraft  
5200 Medical Mutual Aid  
5201 Non-Medical Mutual Aid, Paramedic Function  
5300 Golden Gate Bridge Response Policy           
5400 Ambulance Diversion Policy  

7000 - Communications

7000

Communications

7001

Hospital Contact for Medical Direction     

 

7002

Communication Failure

 

7003

Radio Communications

 
7004 EMS Communication    
7005 Reddinet Policy    

7006

Prehospital Patient Care Record

7006a

Field Transfer Form

8000 - Patient Care

Download all the following policies in one document ( 2.44 MB)

General Patient Care All policies in this section
GPC 01 CANCELLATION OF ALS RESPONSE
GPC 02 AMA
GPC 03 RAS
GPC 03A AMA / RAS FORM
GPC 04 DESTINATION GUIDELINES
GPC 05 INTERFACILITY TRANSFER
GPC 06 MEDICAL PERSONNEL ON SCENE
GPC 06A MD ON SCENE CARD
GPC 07 DNR
GPC 08 ANATOMICAL GIFT/DONOR CARD SEARCH
GPC 9 SUSPECTED CHILD/ELDER / DEPENDENT ABUSE
GPC 09A CHILD ABUSE FORM
GPC 09B ELDER ABUSE FORM
GPC 10 SEXUAL ASSAULT
GPC 11 PATIENT RESTRAINT
GPC 12 MCI
GPC13 SPINAL IMMOBILIZATION

BLS Treatment GuidelinesAll policies in this section
BLS 1 ROUTINE MEDICAL CARE BLS
BLS 2 CHEST PAIN BLS
BLS 3 BRONCHOSPASM/ASTHMA/COPD BLS
BLS 4 SEIZURE BLS
BLS 5 DETERMINATION OF DEATH BLS
BLS 6 EARLY TRANSPORT DECISIONS

BLS ProceduresAll policies in this section
BLS PR 1 AUTHORIZED PROCEDURES FOR EMT 1
BLS PR 2 BLS OXYGEN THERAPY
BLS PR 3 ADMINISTRATION OF ORAL GLUCOSE
BLS PR 4 AUTO-INJECTOR EPI-PEN
BLS PR 5 TRAUMATIC EMERGENCIES
BLS PR 6 MEDICAL EMERGENCIES
BLS PR 7 ENVIRONMENTAL EMERGENCIES
BLS PR 8 OBSTETRICAL EMERGENCIES
BLS PR 9 NERVE GAS AUTO INJECTOR

ALS Treatment GuidelinesAll policies in this section
ATG 1 ROUTINE MEDICAL CARE ALS
ATG 2 ADULT PAIN MANAGEMENT
ATG 2A ADULT PAIN ADDENDUM
ATG 3 ADULT SEDATION
ATG 4 TRANSFER OF CARE
ATG 5 ADULT INTRAOSSEOUS INFUSION POLICY
ATG 6 DETERMINATION OF DEATH ALS
ATG 7 ADULT MEDICATION LIST

ALS Procedures this section
ALS PR 01 EXPANDED SCOPE OF PRACTICE FOR EMT - P
ALS PR 02 ADULT INTRAOSSEOUS INFUSION PROCEDURE
ALS PR 03 ADULT ORAL INTUBATION
ALS PR 04 ETTI
ALS PR 05 CRICOTHYROIDOTOMY
ALS PR 07 INTRANASAL MEDICATIONS (VERSED / NARCAN)
ALS PR 08 NEEDLE THORACOSTOMY PLEURAL DECOMP.
ALS PR 09 VERIFICATION OF TUBE PLACEMENT
ALS PR 10 IV ACCESS
ALS PR 11 EXTERNAL CARDIAC PACING
ALS PR 12 12 LEAD ECG
ALS PR 13 CONTINUOUS POSITIVE AIRWAY PRESSURE
ALS PR 14 KING AIRWAY
ALS PR 15 IMPEDANCE THRESHOLD DEVICE
A
LS PR 16 MDI

Cardiacs in this section
C 1 VENTRICULAR FIB/ PULSELESS VTACH
C 2 PEA
C 3 ASYSTOLE
C 4 BRADYDYSRHYTHMIA
C 6 WIDE COMPLEX TACHYCARDIA
C 7 NARROW COMPLEX TACHYCARDIA
C 8 CHEST PAIN ALS
C 9 STEMI
C10 RETURN OF SPONTANEOUS CIRCULATION (ROSC)

Environmental
E 1 HEAT ILLNESS
E 2 COLD INDUCED INJURY
E 3 ENVENOMATION
E 4 BURNS
E 5 DROWNING / NEAR DROWNING

Medical
M 1 NON-TRAUMATIC SHOCK

M 2 GI BLEEDING
M 3 ALLERGIC REACTION / ANAPHYLAXIS
M 4 POISONS / DRUGS
M5 SEVERE NAUSEA / VOMITING

Neurological
N 1 COMA / ALOC

N 2 SEIZURE ALS
N 3 SYNCOPE
N 4 CVA / STROKE

OB/GYN
O 1 VAGINAL HEMMORHAGE

O 2 IMMINENT DELIVERY - NORMAL
O 3 IMMINENT DELIVERY - COMPLICATIONS
O 4 SEVERE ECLAMPSIA / PREECLAMPSIA

Respiratory
R 1 RESPIRATORY ARREST
R 2 AIRWAY OBSTRUCTION
R 3 ACUTE RESPIRATORY DISTRESS
R 4 BRONCHOSPASM/ASTHMA/COPD
R 5 ACUTE PULMONARY EDEMA
R 6 PNEUMOTHORAX
R 7 TOXIC INHALATION

Traumatic
T 1 TRAUMATIC INJURY
T 2 HEAD TRAUMA
T 3 CRUSH SYNDROME

Pediatric
P 01 PEDIATRIC PULSELESS ARREST
P 02 NEONATAL RESUSCITATION
P 03 PEDIATRIC RESPIRATORY DISTRESS
P 04 PEDIATRIC BRADYCARDIA
P 06 PEDIATRIC TACHYCARDIA POOR PERF.
P 07 PEDIATRIC SHOCK
P 08 PEDIATRIC ALLERGIC REACTION
P 09 PEDIATRIC SEIZURE
P 10 PEDIATRIC ALOC
P 11 PEDIATRIC TOXIC EXPOSURE
P 12 PEDIATRIC BURNS
P 13 PEDIATRIC TRAUMA
P 14 PEDIATRIC ALTE
P 15 PEDIATRIC PAIN MANAGEMENT
P15A PEDIATRIC PAIN ADDENDUM
P 16 PEDIATRIC SEXUAL ASSAULT
P 17 PEDIATRIC IO POLICY
P 18 PEDIATRIC MEDICATIONS LIST

Pediatric Procedures
P PR 1 PEDIATRIC IO PROCEDURE
P PR 2 PEDIATRIC ORAL INTUBATION

Updates

#30 July 2011
#29 July 2010
#28 June 2009

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© 2012 County of Marin | Terms & Conditions | Partners | File Last Updated: Jan 24, 2012
#27- May 2008 1 of 2
# 27( 2 of 2) all the new patient care policies
#26 - Jan. 2007
#25-June 2006
#24-Jan. 2006
#23-Jan. 2005
#22-November 2004
#21-September 2004: 8115
#21A-Feb. 2004
#21-Field Transfer Form
#20-Sept. 2003
#19-Jul. 2003