EMS Policies

 Effective April 1, 2026

• 553.24 Burn Triage and Destination
• 553.25 Trauma Triage and Destination
• Allergic Reaction/ Anaphylaxis
• Burns
• Childbirth
• Environmental Emergencies
• Hemorrhage Control
• Nerve Agent Exposure
• Non-Traumatic Shock - Revised
• Return of Spontaneous Circulation (ROSC) - Revised
• Selective Spinal Movement Restriction (SSMR) - Revised
• Suspected Opioid Withdrawal Buprenorphine
• Suspected Sepsis - Revised
• Trauma
  

Effective September 1, 2025

• Altered Level of Consciousness (ALOC)
• Blood Sugar Emergencies
• Ingestion Overdose Poisoning
• Seizures

Effective May 5, 2025

• 552.25 Behavioral Crisis Management Policy

Effective August 6, 2024

• Agitation and Restraint Protocol
• Airway Obstruction
• Nausea and Vomiting
• Respiratory Distress
• Tension Pneumothorax
• 330.10 Ambulance Report Format
• 552.20 Agitation Restraint Policy

Effective July 1, 2024

• Coronary Ischemia Chest Pain
• Medical Cardiac Arrest
• Pain Management
• Symptomatic Bradycardia
• Tachycardia with Pulses
• Traumatic Arrest
• 570.20 Determination of Death in the Prehospital Setting

Effective March 1, 2024

• 552.00 Naloxone Administration by First Responders
• 552.10 Leave Behind Naloxone

100: System Organization & Management

• 131.00 Policy Development Process
• 132.00 Policy Revision Process
• 161.00 Appeals Process
• 170.00 Reserve Fund Limits
• 180.00 Advertisement of Request for Proposal for Exclusive Operating Area(s)
• 181.00 Receipt of Response to Request for Proposal for Exclusive Operating Area(s)

200: Staffing & Training

• 211.00 Emergency Medical Responder Certification
• 231.00 Emergency Medical Technician Certification
• 236.00 EMT Scope of Practice
• 237.00 Continuing Education for Pre-Hospital Personnel
• 238.00 EMT Eligibility for Two-Tiered Response
• 254.00 Paramedic Accreditation and Renewal
• 254.10 Flight Paramedic Accreditation and Renewal
• 254.20 CCP Accreditation
• 256.00 Emergency Medical Technician-Paramedic Scope of Practice
• 257.00 FireLine EMT-Paramedic Authorization
• 261.00 MICN Authorization and Re-Authorization
• 282.00 Public Safety First Aid Training Program Approval
• 283.00 First Responder Training Program Approval
• 285.10 EMT-I Training Course Approval
• 287.00 Paramedic Training Course Approval
• 291.00 Pre-Hospital Care Continuing Education Provider

300: Communications

• 311.00 EMS Dispatch Center Standards
• 314.00 NON-EMERGENCY Medical Dispatch Provider Agency Standards
• 330.10 Ambulance Report Format
• 380.20 Tactical Radio Assignment Final

400: Response & Transport

• 404.00 Response to Ground Ambulance Requests
• 405.00 Ground Ambulance Staffing Levels
• 406.00 Cancellation or Reduction of EMS System Response
• 407.00 Ground Ambulance Equipment and Medical Supply Inventory
• 409.00 BLS and ALS First Responder Unit Equipment and Medical Supply Inventory
• 412.00 ALS or LALS Emergency Medical Responder Authorization
• 412.20 EMS Transfer of Patient Care
• 412.30 Ambulance Patient Offload Time
• 412.35 Ambulance Patient Offload Delay
• 418.00 AED Service Providers
• 420.00 Advanced EMT (AEMT) Paramedic Provider Responsibilities
• 431.00 ALS Ground Ambulance Authorization
• 435.00 Critical Care Paramedic (CCP) Ground Ambulance Provider Authorization
• 439.00 Controlled Substances
• 441.00 EMS Aircraft Policy Definitions
• 442.00 EMS Aircraft Authorization Policy
• 444.00 EMS Aircraft On-Line Medical Control
• 445.00 EMS Aircraft Request and Cancellation
• 446.00 EMS Aircraft Provider Dispatch
• 447.00 EMS Aircraft Landing Site Policy
• 448.00 EMS Aircraft Patient Destination
• 460.00 Special Event Emergency Medical Services

500: Facilities & Critical Care

• 506.00 Base Hospital Criteria
• 511.00 Receiving Facility Designation
• 515.00 ED Pediatric Guidelines
• 518.00 Impact Eval of Reduction or Closure of Hosp Emerg Svc
• 520.00 EMS STEMI Receiving Center Designation
• 521.00 Disaster Control Facility Designations
• 522.00 Stroke Center Designation
• 522.20 Stroke Triage Treatment and Destination
• 530.00 STEMI Triage and Destination
• 535.10 Trauma Center Standards
• 535.30 Trauma Team Activation
• 541.00 System Organization and Management
• 543.00 Mutual Aid and Coordination
• 544.00 Trauma System Fees
• 545.00 Establishment of Service Areas for Trauma Centers
• 546.00 Trauma Center Designation Process
• 546.10 Trauma Bypass Policy
• 547.00 Integration of Pediatric Hospital
• 549.10 Trauma Marketing and Advertising
• 551.20 Early Defib Program Treatment Guidelines
• 551.30 BLS Guidelines
• 552.00 Naloxone Administration by EMRs EMTs Law Enforcement
• 552.10 Leave Behind Naloxone
• 552.20 Agitation Restraint Policy
• 552.25 Behavioral Crisis Management Policy
• 552.50 Approval Process for Air Ambulance Providers Optional Scope of Practice
• 552.51 Optional Scope of Practice for Air Ambulance Providers
• 552.53 Air Ambulance Providers Optional Scope of Practice - Supraglottic Airway Device (SAD) Placement
• 552.54 Air Ambulance Providers Optional Scope of Practice - Transport Ventilator
• 552.55 Air Ambulance Providers Optional Scope of Practice - Video Laryngoscopy
• 552.56 Air Ambulance Providers Optional Scope of Practice - Intraosseous Cannulation
• 552.57 Air Ambulance Providers Optional Scope of Practice - Pediatric Intubation
• 552.65 Paramedic Administration of H1N1 Influenza and-or COVID- 19 Vaccine Temporary Policy
• 553.24 Burn Triage and Destination
• 553.25 Trauma Triage and Destination
• 560.05 Early Defib Report
• 560.10 Reporting of Suspected Abuse
• 560.11 Documentation of Patient Contact
• 565.10 Trauma Data Collection Management
• 565.20 Quality Improvement and System Evaluation1
• 570.20 Determination of Death in the Prehospital Setting
• 570.21 DNR - POLST - End of Life Options
• 570.25 EMS Organ Donor Information
• 570.30 Physician on Scene
• 570.35 Refusal of EMS Service
• 570.40 Hazardous Materials Incidents
• 571.00 Emergency Medical System Saturation
• 580.11 Ambulance Transfers
• 580.31 Trauma Patient Transfer and Transportation

554: Adult Treatment Guidelines

• 554.00 General Protocols

555: Pediatric Treatment Guidelines

• 555.00 General Pediatric
• 555.10 Newborn Resuscitation
• 555.22 Pediatric Respiratory Arrest

600: Data Collection & System Evaluation

• 620.10 Quality Improvement
• 620.20 Unusual Occurrence Reporting
• 620.30 Provider Agency Data Requirements
• 620.40 Use of INTERMEDIX EMResource

700: Public Information & Education

No current policies

800: Medical Disaster Multi-Casualty

• 801.00 Response to Federal Threat Levels
• 810.00 Multiple Casualty Incident Plan
• 820.00 Disaster Control Facility
• 830.00 Mutual Aid
• 851.00 Triage Exercises
• 853.00 Prehospital Training Standards

900: County Specific Policies

• 951.00 MHOAC Notification of Activation for Stanislaus County
• 951.20 Stanislaus County EMS System Enhancement Funds
• 954.00 Provider ALS FR Vehicle Utilization for Stanislaus County
• 954.10 Stanislaus County Community Paramedic
• 954.20 Stanislaus County BLS Tiered Response System
• 955.10 Significant Exposure Reporting for Stanislaus County
• 958.10 Stanislaus Chempack Deployment
• 958.30 Stanislaus County Ambulance Diversion Policy
• 958.40 Stanislaus County MCI Activation

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