Policies – Table of Contents

  • ADMINISTRATION
  • Miscellaneous
    • Policy Review and Development 2006
    • Requests for Additions to Local Optional Scope of Practice (LOSOP) 2007
    • Waiver of Policy 2008
    • Ambulance Patient Offload Time 2009
    • EMS Transport of Law Enforcement Dogs 2010
  • Quality Assurance
    • Continuous Quality Improvement (CQI) 2100
    • Continuous Quality Improvement – North Coast EMS 2101
    • Continuous Quality Improvement – Providers/Hospitals 2101.1
    • 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 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
    • Classification of Medical Requests 2212
    • STEMI Destination Policy 2213
    • STEMI Receiving Center Designation Criteria 2215
    • Fireline Paramedic 2216
    • First Responder/PSFA Provider BLS Narcan Nasal Spray (Naloxone) 2217
    • Provider Leave Behind Narcan Program 2218
    • First Responder/PSFA Epinephrine Auto-Injector (EpiPen) Adult and Pediatric 2220
  • Patient Care
    • Reduction or Closure of Hospitals 2301
    • Cancellation and Transfer of Patient Care Policy 2302
    • Care of Minors in the Field 2303
    • BLS – Determination of Death 2304
    • ALS – Determination of Death 2305
    • Physician Involvement with EMTs and Paramedics 2306
    • End of Life Care (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
    • Med Net Communications Guidelines 2508

TRAINING

  • Training Program Approval 3001
  • Instructor Qualifications 3002
  • Testing Procedure 3003
  • Paramedic 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 Paramedic Training Programs 3401
  • Local Optional Scope for IFTs Training Structure and Instructor Qualifications 3411
  • 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 Paramedic 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 Certification Process 4302
  • Paramedic Accreditation to Practice Within the North Coast EMS Region 4603
  • Local Optional Scope for Interfacility Transfers Paramedic Accreditation 4605 
  • Field Training Officer Authorization Requirements 4802

SCOPE OF PRACTICE/PROCEDURE

  • Scope of Practice – All Providers
    • Public Safety First-Aid Scope of Practice 5001
    • First Responder Scope of Practice 5002
    • Emergency Medical Technician (EMT) Scope of Practice 5003
    • Paramedic Scope of Practice 5004
  • Medication Policies Section – UNDER CONTRUCTION.  Policies with policy numbers underlined are live. 
    • BLS Medications
      • BLS Medication Administration / Patient Assisted Medication Policy 5601Draft
      • Oral Glucose Policy 5602
      • Oxygen Administration Policy 5603
      • Aspirin Policy 5604
      • BLS Naloxone (Narcan) Policy 5605
      • BLS Epinephrine Autoinjector (EpiPen) Policy 5606
      • BLS Oral Ondansetron (Zofran) ODT Policy 5607Draft
    • ALS (Paramedic) Medications 
      • Acetaminophen (Tylenol) Oral and IV Policy 5611
      • Activated Charcoal Policy 5612
      • Adenosine (Adenocard) Policy 5613 
      • Amiodarone (Cordarone) Policy 5614
      • Atropine Sulfate Policy 5615
      • Benzodiazepine (Midazolam, Valium, Ativan) Policy 5616
      • Beta 2  (Albuterol Sulfate, Levalbuterol) Policy 5617
      • PLACE HOLDER 5618Draft
      • Calcium Chloride 10% Policy 5619
      • Dextrose 10%, 25%, 50%; Dextrose 10% Prefilled Policy 5620
      • Diphenhydramine (Benadryl) Policy 5621
      • Dopamine Hydrochloride Policy 5622
      • Epinephrine ALS (Adrenaline) Policy 5623
      • Fentanyl Policy 5624
      • Furosemide (Lasix) Policy 5625
      • Glucagon Hydrochloride Policy 5626
      • Ipratropium Bromide (Atrovent) Policy 5627
      • Ketamine Hydrochloride Policy 5628
      • Ketorolac (Toradol) Policy 5629
      • Lidocaine (Xylocaine) Policy 5630
      • Magnesium Sulfate 10% Policy 5631
      • Morphine Sulfate Policy 5632
      • Naloxone ALS (Narcan) Policy 5633
      • Nerve Agent Antidote Policy 5634
      • Nitroglycerine Policy 5635
      • PLACE HOLDER 5635Draft
      • Ondansetron ALS (Zofran) Policy 5636
      • Oxytocin (Pitocin) Policy 5637
      • Sodium Bicarbonate Policy 5638
      • Tranexamic Acid (TXA) Policy 5639 
    • Interfacility Transport (IFT) Monitoring Medications/Procedures
      • Monitoring Potassium Chloride Policy 5650
      • Monitoring Thoracostomy Chest Tubes Policy 5651
      • Monitoring IV Fentanyl Drip Policy 5652Draft
      • Monitoring IV Ketamine Drip Policy 5653Draft
    • Local Optional Scope of Practice IFT Medications 
      • Monitoring IV Heparin Policy 5660
      • Monitoring IV Nitroglycerin Drip Policy 5661
      • Monitoring IV Blood and Blood Products Policy 5662
      • Monitoring IV Continuation of Antibiotics Policy 5663
    •  
    • Procedure Policies
      • BLS Procedures – Medical
        • Airway Adjunct Procedures 5700
        • CPAP Mask Device Procedure 5701
        • CPR Assist Device 5702
        • Patient Restraints 5703
      • BLS Procedures – Trauma
        • Chest Seals 5704
        • Pelvic Binder 5706
        • Prehospital Helmet Removal 5707
        • Spinal Motion Restriction 5708
    • ALS Procedures – Medical and Trauma
    • Adult Oral Intubation 5318
    • Vascular Access (IV, IO, EJ) 5320
    • ALS Defibrillation 5324
    • End Tidal CO2 Detection 5327
    • Rectal Administration of Diazepam 5333
    • Finger Stick for Blood Glucose 5334
    • Cardioversion-Conscious Patient Protocol 5335
    • I-Gel Device 5409
    • Valsalva Maneuver 5418
    • Nasogastric/Orogastric Tube Insertion 5419
    • Needle Thoracostomy 5420
    • Paramedic Standing Orders/Radio Failure 5421
    • Monitoring Potassium Chloride (KCl) 5423
    • Monitoring Thoracostomy Tubes 5424
    • Accessing a Pre-Existing Vascular Access Device 5425
    • Needle Cricothyrotomy  5430
    • ETAD Protocol 5441
    • Endotracheal Tube Introducer (ETTI) 5444

TREATMENT GUIDELINES – BLS and ALS Consolidated Treatment Guidelines THIS SECTION IS UNDER CONTRUCTION – ONLY POLICIES WITH A UNDERLINE POLICY NUMBER ARE CURRENTLY ACTIVE

  • General Patient Care
    • General Medical Care and Assessment Policy 5800
    • Fever Treatment Policy 5803
  • Airway and Respiratory Emergencies
    • Airway Obstruction 5820
    • Asthma and Bronchospasm
    • Chronic Obstructive Pulmonary Disease (COPD)
    • Acute Pulmonary Edema
    • Tracheostomy and Stoma Emergencies
    • Smoke Inhalation / Carbon Monoxide Exposures
  • Cardiac Emergencies and Resuscitation
  • Neurololgical Emergencies
  • General Medical Emergencies
    • Allergic Reaction and Anaphylaxis
    • Diabetic Emergencies
    • Sepsis and Suspected Serious Infection
    • Fever
    • Non Traumatic Shock
    • Non Traumatic Abdominal Pain Policy 5853
    • Abdominal Pain 
    • Gastrointestinal Bleeding
    • Renal Failure and Suspected Hyperkalemia / Dialysis Emergencies
    • Pain Management
    • Nausea and Vomiting
  • Toxicological and Behavioral Emergencies
  • Trauma Emergencies
    • General Trauma Care Policy 5920
    • Hemorrhage Control Policy 5921
    • Trauma Shock Management 5922
    • Traumatic Cardiac Arrest 5923
    • Head, Spine, Back and Chest Trauma 5924
    • Abdominal and Pelvic Trauma 5925
    • Extremity Trauma and Amputations 5926
    • Crush Injury and Entrapment 5927
    • Impaled Objects 5928
    • Burns and Electrical Injuries 5929
    • Facial, Dental and Eye Trauma 5930
  • Environmental Emergencies
    • Heat-Related and Cold-Related Emergencies 5940
    • Water Emergencies 5941
    • Bites and Envenomations/ Marine Envenomations 5942
    • Rattlesnake (Pitt Viper) Bites 5943
  • Obstetic and Gynecologic Emergencies
  • Neonate and Pediatric Emergencies
  •  
  • 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
      • Multi-Casualty Incidents – Operational Guidelines 6020
      • Burns 6025
      • Airway Adjunct Procedure 6028
      • Airway Obstruction/Cardiopulmonary Resuscitation 6029
      • Prehospital Helmet Removal Procedure 6031
      • Patient Administration of Medications Protocol 6033
      • Combative Patient 6035
      • Patient Restraints 6036
      • Spinal Motion Restriction 6037
      • CPAP 6041
      • Suspected Opioid Overdose 6044
      • CPR Assist Device 6045

  • ALS Personnel
    • Septic Shock 6501
    • Shock (Non-Traumatic) 6502
    • Medical Cardiac Arrest – Adult  6504
    • Bradycardia with a Pulse 6505
    • Tachyarrhythmia with a Pulse 6506
    • 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
    • Vaginal Hemorrhage With Shock 6536
    • Severe Pre-Eclampsia/Eclampsia 6539
    • Neonatal Resuscitation 6540
    • External Cardiac Pacing 6546
    • Pralidoxime (2-PAM) and Mark I Kit (Autoinjector) Administration 6548
    • Intranasal (Nasal) Medication Administration 6551
    • Sedation (Chemical Restraint) 6552
    • Approval of New ALS Interventions 6554
    • Pain Management (Adult and Pediatric) 6555

TRAUMA

  • Trauma Triage Determination and Transport Destination Policy 7000
  • Registry Data Collection and Management Policy 7004
  • Patient Care – Trauma System Rapid re-triage of Critically Injured Patients 7007