Quality Assurance
Continuous Quality Improvement (CQI)    2100
Continuous Quality Improvement - North Coast EMS   2101
Continuous Quality Improvement - Providers/Hospitals  2101.1
Medical Control Policy    2102
Base Hospital Designation    2103
Case Review     2104
Certification Review Process    2105
Chart Audit Guidelines    2106
Field Care Audit Guidelines (Category II Continuing Education) 2108
Prehospital Care Medical Director and Nurse Coordinator Responsibilities 2109
Quality Assurance Committee    2110
Field Initiatives 2111
Ambulance Personal Protective Equipment 2112

 

Provider
Application for Emergency Medical Dispatch Center Provider Accreditation 2201
Emergency medical Dispatch Center Provider Accreditation  2201.1
First Responder/BLS Supply and Equipment Standard   2202
AED Authorized Service Provider 2203
ETAD Authorized Service Provider 2203.1
LALS Supply and Equipment List    2204
EMT-P Standard Drug/Intravenous Solution List    2205
EMS Helicopter Services     2206
EMS Aircraft Classification   2206.1
EMS Aircraft Service Request/Dispatch (Medivac) 2206.2
EMS Aircraft Patient Care and Destination 2206.3
EMS Aircraft Transport Criteria 2206.4
Rural Clinics in the EMS System    2207
Interfacility Transfer Procedure    2208
Controlled Substances    2209

Use of AED by Non-Licensed or Noncertified Laypersons (Public Access Defribribulation) 2210

Response Guidelines for BLS/Early Defibrillation/ALS Providers 2211

Classification of Medical Requests 2212

Scope of Practice/Transcutaneous Cardiac Pacing 2213

Patient Care Records
Prehospital Care Report    2402
Access, Release and Confidentiality of EMS Data    2403
Standing Orders, Radio Delay, and Radio Failure Reporting  2404
Mandated Reporting of Child, Elder and Dependent Adult Abuse and Injuries by a Firearm or Assaultive or Abusive Conduct 2405

Communications
ContactHospital2501
Radio Communication    2502
Radio Communication Log    2503
MCI Communications Plan    2506
Alternate Communication During Radio Failure   2507
MedNet Communications Guidelines 2508

TRAINING
Training Program Approval    3001
Instructor Qualifications    3002
Testing Procedure    3003
LALS/ALS Field Internship Procedure 3004
First Responder Training Structure & Instructor Qualifications 3102
First Responder Training Program - Course Content   3104
Student Eligibility to Enter an AED Training Program    3303
AED Training Structure & Instructor Qualifications     3304
AED Training Program - Course Content 3306
ETAD Training Structure & Instructor Qualifications    3308
Student Eligibility for EMT-II & Paramedic Training Programs    3401
Expanded Scope of Practice – Training Structure & Instructor Qualification 3406
Transcutaneous Cardiac Pacing (Training Structure and
Instructor Qualifications)  3409
Student Eligibility to Enter MICN Training Program   3602
MICN Training Structure & Instructor Qualifications  3603
MICN - Training Program Required Hours & Content   3605
Continuing Education Provider Approval    3702
Continuing Education Procedure    3703
FTO Training Structure & Instructor Qualifications    3802
FTO Training Program & Course Content     3804

CERTIFICATION
Certification/Accreditation/Authorization Process   4001
Fee Schedule     4002
Leave of Absence    4003
New Personnel Orientation and Field Preceptorship for MICN    4004
New Personnel Orientation and Field PreceptorshipEMT-II & EMT-P  4005
Crime Charge and/or Conviction Notification   4006
Special Accommodations for Testing    4007
Expanded Scope of Practice Training and Testing    4008
EMT Investigations, Administrative Hearings   4010
First Responder Certification Process    4202
EMT-I Certification Process 4302
Background Checks and Central Registry (EMT) 4303
AED Accreditation Process 4402
AED Skills Proficiency Demonstration 4406
EMT-C Accreditation  4407
ETAD Skills Proficiency  4408
ETAD Skills Proficiency Evaluator Approval    4409
EMT-II Certification Process 4502
Field Care Audits (Chart Reviews) – Attendance    4504
EMT-II Training Sessions/Clinical Experience – 48 Hour Requirement    4507
EMT-P Accreditation to Practice Within the North Coast EMS Region   4603
MICN Authorization, Reauthorization & Challenge Authorization 4702
MICN Authorization Maintenance Requirements   4704
MICN Advance Life Support Field Observation   4705
Field Training Officer Authorization Requirements  4802
Transcutaneous Cardiac Pacing - Certification  4803

SCOPE OF PRACTICE/PROCEDURE

BLS Personnel
First Responder Scope of Practice    5002
EMT-I Scope of Practice  5102
Automatic Defibrillation Scope of Practice and Protocol  5205
EMT-II
ETAD Scope of Practice  5206
EMT-II Scope of Practice  5303
Atropine Sulfate Protocol    5304
Calcium Chloride 10% Solution    5305
Dextrose 50% (D-50); Dextrose 25% (D-25)    5306
Epinephrine (Adrenaline)    5307
Furosemide (Lasix)    5308
Lidocaine (Xylocaine) 5309
Morphine Sulfate Protocol    5310
Naloxone (Narcan) Protocol  5311
Nitroglycerine (NTG) Protocol 5312
Sodium Bicarbonate    5313
Intravenous Therapy    5315
Esophageal Obturator Airway (EOA/EGTA) 5316
Adult and Pediatric Endotracheal Intubation Protocol    5318
Snake Bite Kit    5319
IV Caps     5320
EMT-II Standing Orders/Radio Failure Policy   5321
EMT-II Quick Reference
Glucose Test Strip    5323
EMT-II Defibrillation Protocol 5324
Use of Non-Invasive Diagnostic Devices    5325
Pulse Oximetry Usage   5326
End Tidal CO2 Detection    5327
Albuterol Sulfate    5329
Aerosol Therapy with Small Volume Nebulizer   5330
Aspirin     5331
Benzodiazepines    5332
Rectal Administration of Diazepam    5333
Finger Stick for Blood Glucose    5334
Medical Direction-Cardioversion-Conscious Patient Protocol  5335
Medical Control Combitube Airway Protocol    5336

Paramedic
EMT-P Scope of Practice  5402
Activated Charcoal    5403
Diphenhydramine Hydrochloride  5407
Dopamine Hydrochloride    5408
Oxytocin     5412
Nasotracheal Intubation   5414
Valsalva Maneuver    5418
Nasogastric/Orogastric Tube Insertion 5419
Needle Thoracostomy   5420
EMT-P Standing Orders/Radio Failure 5421
EMT-P Quick Reference
EMT-P
Monitoring Potassium Chloride (KC1)    5423
Monitoring Thoracostomy Tubes 5424
Accessing a Pre-Existing Vascular Access Device    5425
Neosynephrine Topical Application During Nasotracheal Intubation    5426
Adenosine     5427
Magnesium Sulfate 10%    5428
Needle Cricothyrotomy with Jet Insufflation5430
Intraosseous Infusion   5431
Glucagon Hydrochloride   5432
Procainamide     5433
Carotid Sinus Massage    5434
Nerve Agent Antidote Dosages 5435
Continuous Positive Airway Pressure (CPAP) 5436
Paramedic Administered Vaccinations 5437
Zofran (Ondansetron)  5438

MICN
Scope of Practices, Roles, and Responsibilities   5502

TREATMENT GUIDELINES

BLS Personnel
Altered Level of Consciousness    6002
Anaphylactic Shock    6003
Behavioral Emergencies    6004
Cardiac Arrest    6005
Chest Pain     6006
Hypertensive Emergency    6007
Child Birth     6008
Poisoning/Overdose    6009
Respiratory Distress/Dyspnea  6010
Seizures     6011
Shock - Atraumatic   6012
Syncope     6013
Major Trauma/Traumatic Shock    6014
Traumatic Cardiopulmonary Arrest    6015
Head and Neck Trauma    6016
Assessment of Spinal Injury    6016.1
Chest Trauma     6017
Abdominal Trauma    6018
Multi-Casualty Incidents - Operational Guidelines   6020
Heat Illness/Hyperthermia    6021
Hypothermia     6022
Frostbite/Frozen Extremities    6023
Envenomation     6024
Burns     6025
Drowning/Near Drowning    6026
SCUBA or Deep-Water Diving    6027
Airway Adjunct Procedure    6028
Airway Obstruction/Cardiopulmonary Resuscitation  6029
Oxygen Administration Procedure    6030
Prehospital Helmet Removal Procedure    6031
Oral Glucose Protocol    6032
Patient Administration of Medications Protocol    6033
Combative Patient   6035
Patient Restraints  6036

ALS Personnel
Shock (Non-Traumatic)    6502
Shock (Non-Traumatic) with Pulmonary Edema   6503
Cardiac Arrest – Ventricular Fibrillation/Tachycardia   6504
Cardiac Arrest – EMD/Pulseless Idioventricular Rhythm/Asystole    6505
Ventricular Tachycardia with Pulses    6506
Bradycardia     6507
Ventricular Ectopy   6508
Tachycardias     6509
Other Cardiac Dysrhythmia  6510
Cardiac Emergencies - Chest Pain Suspicious of Cardiac Origin 6511
12 Lead Electrocardiography  6511a
Chest Pain Not Suspicious of Cardiac Origin   6512
Hypertensive Emergencies    6513
Non-Diabetic Coma/Altered Level of Consciousness  6514
Coma/Altered Level of Consciousness with History of Diabetes 6515
Seizures     6516
Acute Cerebrovascular Accident 6517
Syncope/Near Syncope    6518
Abdominal Pain   6519
Gastrointestinal Bleeding    6521
Allergic Reactions    6522
Anaphylaxis     6523
Poisons/Drugs    6524
Airway Obstruction    6525
Croup/Epiglottitis    6526
Acute Respiratory Distress    6527
Respiratory Arrest    6528
Chronic Obstructive Pulmonary Disease    6529
Asthma/Bronchospasm   6530
Acute Pulmonary Edema    6531
Spontaneous Pneumothorax  6532
Toxic Gas Inhalation    6533
Cardiac Arrest (Ventricular Fibrillation/Tachycardia)  6534
Pediatric Hypotension    6535
Vaginal Hemorrhage With Shock    6536
Vaginal Hemorrhage Without Shock    6537
Imminent Delivery    6538
Severe Pre-Eclampsia/Eclampsia  6539
Neonatal Resuscitation    6540
Traumatic Shock/Traumatic Arrest Basic Therapy    6541
MCI Triage Criteria - Operational Guidelines   6542
Pacing - Transcutaneous Cardiac Pacing    6546
STEMI Destination (ST-Segment Elevation Myocardial Infarction Patients) 6549
Adult Intraosseous Infusion 6550
Intranasal Medication Administration 6551
Sedation (Chemical Restraint) 6552
Endotracheal Tube (ETTI) 6553
Approval of New ALS Interventions 6554

TRAUMA
Trauma Triage Determination and Transport Destination Policy 7000
Establishment of Trauma Service Areas 7001
Trauma Center Marketing and Advertising 7002
Repatriation of Stable Trauma Service Health Plan 7003
Registry Data Collection and Management 7004
EMS System Process for Providing Trauma Quality  7005
Injury Prevention Programs  7006