EMS Policies

New Policies & Protocols

Effective September 1, 2025

Altered Level of Consciousness (ALOC)
Blood Sugar Emergencies
Ingestion Overdose Poisoning
Non-Traumatic Shock
Return of Spontaneous Circulation (ROSC)
Seizures
Selective Spinal Movement Restriction (SSMR)
Suspected Sepsis

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 Juy 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
552.50 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
552.62 Intravenous Infusions of Heparin and Nitro
552.65 Paramedic Administration of H1N1 Influenza and-or COVID- 19 Vaccine Temporary Policy
553.25 Trauma-Burn Triage & Patient 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
554.43 Allergic Reaction - Anaphylaxis
554.52 Dystonic Reactions to Phenothiazine Drugs
554.53 Nerve Agent Exposure
554.61 Envenomation
554.62 Hypothermia
554.63 Frostbite
554.64 Heat Illness
554.71 Childbirth
554.81 Burns
554.82 Traumatic Shock
554.84 Head - Neck - Facial Trauma
554.85 Chest Trauma
554.86 Abdominal Trauma
554.87 Extremity Trauma
554.89 Tranexamic Acid (TXA) Administration

555: Pediatric Treatment Guidelines

555.00 General Pediatric
555.10 Newborn Resuscitation
555.22 Pediatric Respiratory Arrest
555.42 Pediatric Allergic Reaction
555.52 Pediatric Dystonic Reaction to Phenothiazine Drugs
555.61 PED Envenomation
555.62 Hypothermia - Pediatric
555.63 PED Frostbite
555.64 Heat Illness (Pediatric)
555.81 Burns - Pediatric
555.82 Pediatric Traumatic Shock
555.84 Pediatric Head-Neck-Facial Trauma
555.85 Pediatric Chest Trauma
555.86 Pediatric Abdominal Trauma
555.87 Pediatric Extremity Trauma

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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