Policies – Table of Contents

ADMINISTRATION

  • Miscellaneous
    • Policy Review and Development 2006
    • Proposals for Field Research and Performance of Additional Scope 2007
    • Waiver of Policy 2008
  • 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
  • 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
    • Paramedic Transfer Provider 2203.2
    • EMT-P Standard Drug/Intravenous Solution List 2205
    • EMS Aircraft Services 2206
    • EMS Aircraft Classifications and Definitions 2206.1
    • EMS Aircraft Services – Service Request/Dispatch Center Guidelines 2206.2
    • EMS Aircraft Services – Patient Care and Destination 2206.3
    • EMS Aircraft Services – Transportation Criteria 2206.4
    • Interfacility Transfer Procedure 2208
    • Controlled Substance 2209
    • Response Guidelines for BLS/Early Defibrillation/ALS Providers 2211
    • Classification of Medical Requests 2212
    • STEMI Destination Policy 2213
    • STEMI Receiving Center Designation Criteria 2215
    • Fireline Paramedic 2216
    • Provider BLS Narcan Nasal Spray (Naloxone) 2217
  • Patient Care
    • Reduction or Closure of Hospitals 2301
    • Cancellation and Transfer of Patient Care Policy 2302
    • Care of Minors in the Field 2303
    • AEMT/BLS – Determination of Death 2304
    • ALS – Determination of Death 2305
    • Physician Involvement with EMTs and Paramedics 2306
    • Do Not Resuscitate (DNR) 2307
    • Organ Donor Cards 2308
    • Destination Determination 2309
    • Mutual Aid 2311
    • Patient Refusal of Service 2312
  • Patient Care Records
    • Pre-hospital Care Report 2402
    • Access, Release, and Confidentiality of EMS Data 2403
    • Mandated Reporting of Child, Elder, and Dependent Adult Abuse and Injuries by a Firearm or Assaultive or Abusive Conduct 2405
  • Communications
    • Contact Hospital 2501
    • Radio Communication 2502
    • Radio Communication Log 2503
    • MCI Communications Plan 2506
    • Alternate Communication During Radio Failure 2507
    • MedNet Communications Guidelines 2508
    • SEMS/EOM-Establishment of Operational Area- Wide Situational Awareness Communication Reporting Policy 2509

TRAINING

  • Training Program Approval 3001
  • Instructor Qualifications 3002
  • Testing Procedure 3003
  • AEMT/ALS Field Internship Procedure 3004
  • Public Safety First Aid and CPR Training Structure & Instructor Qualifications 3100
  • Public Safety First Aid and CPR Training Program- Course Content 3101
  • First Responder Training Structure and Instructor Qualifications 3102
  • First Responder Training Program – Course Content 3104
  • Student Eligibility for AEMT and Paramedic Training Programs 3401
  • Expanded Scope of Practice – Training Structure and Instructor Qualifications 3406
  • Monitoring IV Infusions of Nitroglycerin and/or Heparin Training Structure and Instructor Qualifications 3408
  • Blood/Blood Products Infusion Training Structure and Instructor Qualifications 3410
  • Student Eligibility to Enter MICN Training Program 3602
  • MICN – Training Structure and Instructor Qualifications 3603
  • MICN – Training Program Required Hours and Content 3605
  • Continuing Education Provider Approval 3702
  • Continuing Education Procedure 3703
  • FTO Training Structure and Instructor Qualifications 3802
  • FTO Training Program and Course Content 3804

CERTIFICATION

  • Certification/Accreditation/Authorization Process 4001
  • Fee Schedule 4002
  • New Personnel Orientation and Field Preceptorship for MICN 4004
  • New Personnel Orientation and Field Preceptorship AEMT & EMT-P 4005
  • Special Accommodations for Testing 4007
  • Emergency Medical Technician Incident Investigation, Determination of Action, Notification, and Administrative Hearing Process 4010
  • First Responder Certification Process 4202
  • EMT-I Certification Process 4302
  • EMT-P Accreditation to Practice Within the North Coast EMS Region 4603
  • EMT-P Transfer Accreditation Heparin and Nitro 4605
  • Paramedic Blood/Blood Products (IFT) Accreditation 4606
  • MICN Authorization, Reauthorization, and Challenge Authorization 4702
  • MICN Authorization Maintenance Requirements 4704
  • MICN Advance Life Support Field Observation 4705
  • Field Training Officer Authorization Requirements 4802

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
  • Paramedic
    • Atropine Sulfate 5304
    • Calcium Chloride 10% Solution 5305
    • Dextrose 50% (D-50); Dextrose 10% (D-10) 5306
    • Epinephrine (Adrenaline) 5307
    • Furosemide (Lasix) 5308
    • Lidocaine (Xylocaine) 5309
    • Morphine Sulfate 5310
    • Naloxone (Narcan) Protocol 5311
    • Nitroglycerine (NTG) 5312
    • Sodium Bicarbonate 5313 
    • Intravenous Therapy 5315
    • Adult Oral Intubation 5318
    • IV Caps 5320
    • ALS Defibrillation 5324
    • End Tidal CO2 Detection 5327
    • Albuterol Sulfate 5329
    • Aerosol Therapy with Small Volume Nebulizer 5330
    • Benzodiazepine 5332
    • Rectal Administration of Diazepam 5333
    • Finger Stick for Blood Glucose 5334
    • Cardioversion-Conscious Patient Protocol 5335
  • Paramedic
    • EMT-P Scope of Practice 5402
    • Activated Charcoal 5403
    • Diphenhydramine Hydrochloride (Benadryl) 5407
    • Dopamine Hydrochloride 5408
    • I-Gel Device 5409
    • Oxytocin 5412
    • Valsalva Maneuver 5418
    • Nasogastric/Orogastric Tube Insertion 5419
    • Needle Thoracostomy 5420
    • EMT-P Standing Orders/Radio Failure 5421
    • Monitoring Potassium Chloride (KCl) 5423
    • Monitoring Thoracostomy Tubes 5424
    • Accessing a Pre-Existing Vascular Access Device 5425
    • Adenosine 5427
    • Magnesium Sulfate 10% 5428
    • Needle Cricothyrotomy  5430
    • Intraosseous Infusion 5431
    • Glucagon Hydrochloride 5432
    • Nerve Agent Antidote Dosages 5435
    • Zofran 5438
    • Amiodarone 5439
    • Ipratropium Bromide- Atrovent 5440
    • ETAD Protocol 5441
    • Fentanyl 5442
  • MICN
    • MICN Scope of Practices, Roles, and Responsibilities 5502

TREATMENT GUIDELINES

  • BLS Personnel
      • Altered Level of Consciousness 6002
      • Allergic Reaction/Anaphylactic Shock 6003
      • Behavioral Emergencies 6004
      • Cardiac Arrest – Adult/Child/Infant 6005
      • Chest Pain 6006
      • Childbirth 6008
      • Poisoning / Overdose 6009
      • Respiratory Distress/Dyspnea 6010
      • Seizures 6011
      • Shock – Atraumatic 6012
      • Syncope/ Near Syncope 6013
      • BLS Trauma Treatment Guidelines 6014
      • Traumatic Cardiopulmonary Arrest 6015
      • Multi-Casualty Incidents – Operational Guidelines 6020
      • Heat Illness/Hyperthermia 6021
      • Cold Emergencies/Frostbite Frozen Extremities 6022
      • 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 Protocol 6030
      • Prehospital Helmet Removal Procedure 6031
      • Oral Glucose Protocol 6032
      • Patient Administration of Medications Protocol 6033
      • Combative Patient 6035
      • Patient Restraints 6036
      • Spinal Motion Restriction 6037
      • Hemostatic Dressing Use 6038
      • Aspirin 6039
      • Tourniquets 6040
      • CPAP 6041
      • Naloxone (Narcan) 6043
      • Suspected Opioid Overdose 6044

  • ALS Personnel
    • Septic Shock 6501
    • Shock (Non-Traumatic) 6502
    • Cardiac Arrest – Ventricular Fibrillation/Tachycardia 6504
    • Cardiac Arrest – PEA/Asystole 6505
    • Ventricular Tachycardia with Pulses Symptomatic Dysrhythmia- Reg Wide Complex 6506
    • Bradycardia 6507
    • Symptomatic Dysrhythmia- Regular Narrow Complex>150 Tachycardias 6509
    • Other Cardiac Dysrhythmia 6510
    • Cardiac Emergencies – Cardiac Emergencies- Suspected Acute MI / Acute Coronary Syndrome 6511
    • 12 Lead Electrocardiography 6511a
    • Chest Pain Not Suspicious of Cardiac Origin 6512
    • 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 Non-Traumatic 6519
    • Gastrointestinal Bleeding 6521
    • Allergic Reactions/ Anaphylaxis 6522
    • Poison 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
    • Pediatric Cardiac Arrest (Ventricular Fibrillation/Tachycardia) 6534
    • Pediatric Hypotension 6535
    • Vaginal Hemorrhage With Shock 6536
    • Severe Pre-Eclampsia/Eclampsia 6539
    • Neonatal Resuscitation 6540
    • Traumatic Shock/Traumatic Arrest Basic Therapy 6541
    • Monitoring Intravenous Blood/Blood Products Infusions 6543
    • Monitoring Intravenous Heparin Infusions 6544
    • Monitoring Intravenous Nitroglycerin Infusions 6545
    • External Cardiac Pacing 6546
    • Pralidoxime (2-PAM) and Mark I Kit (Autoinjector) Administration 6548
    • Destination for ST-Segment Elevation Myocardial Infarction Patients 6549
    • Intranasal (Nasal) Medication Administration 6551
    • Sedation (Chemical Restraint) 6552
    • Endotracheal Tube Introducer (ETTI) 6553
    • Approval of New ALS Interventions 6554
    • Pain Management (Adult and Pediatric) 6555
    • Automatic Ventilation During Interfacility Transfers 6556
    • Administration of Intramuscular Influenza and/or COVID-19 Vaccine 6557
    • Nasopharyngeal (NP) Specimen Collection 6558

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
  • Trauma Registry Data Collection and Management 7004
  • Trauma Quality Assurance/System Improvement 7005
  • Injury Prevention Programs 7006
  • Patient Care – Trauma System Rapid re-triage of Critically Injured Patients 7007