Prehospital Care Manual - Emergency Medical Services (DEP)

I. The EMS System

The Santa Clara County EMS System	100
Provider Codes (updated 7/20/2009)	101
Trauma System Organization & Management	102
Multi Disciplinary Nature of Trauma	103
Quality Assurance and Improvement	104
Trauma System Quality Improvement	105
Personnel Investigation & Discipline (updated 10/3/2008)	106
Stakeholder Involvement	107
Notification / Incident Report	108
Policy Development and Implementation	109
911 System Provider Roles	110
EMS Quality Improvement	111
Prehospital Audit Committee	112

II. Personnel Credentials

Applicant Eligibility (updated 10/10/2008)	200
EMT Certification (updated 10/3/2008)	201
EMT Certification by Challenge (updated 10/3/2008)	202
EMT Optional Scope of Practice Accreditation (updated 10/3/2008)	203
Paramedic Intern Recognition	204
Paramedic Accreditation	205
Paramedic Preceptor	206
Mobile Intensive Care Nurse (MICN) Accreditation	207
EMS Field Supervisor Accreditation (updated 4/15/2009)	208
EMS Duty Chief	209
Emergency Medical Dispatcher Accreditation	210
Ambulance Strike Team Unit Leader	211
BLS Coordinator	212
Paramedic Coordinator	213
Prehospital Training Standards (updated 4/15/2009)	214
CCT By Paramedic – Optional Scope of Practice Auth.	215

III. System Providers

ALS Provider Approval	300
Supplemental ALS EMS System Resources	301
Prehospital Care Asset – Minimum Inventory Requirements	302
* Schedule B Spine Board Minimum Inventory
EMT Optional Scope of Practice Program Approval	303
Continuing Education Provider Approval	304
Procedure for Suspension or Revocation of EMT, Paramedic Training, or CE Provider Program Approval	305
Emergency Medical Dispatch Program Approval	306
Basic Life Support First Response Approval	307
CCT By Paramedic - Optional Scope Program Approval	308

IV. Facilities

Hospital Emergency Services Reduction Impact Assessment	400
Interfacility Transfer – Ground Ambulance	401
Interfacility Transfer – Air Ambulance	402
Trauma Center Service Areas	403
Trauma Center Marketing and Advertising	404
Trauma Center Fees	405
Trauma Center Staff Availability	406
Trauma Registry Data Collection and Management	407
STEMI Receiving Center Standards (updated 9/1/2009)	408

V. Communications/Data

Prehospital Care Patient Documentation	500
Hospital Radio Reports	501
Refusal of Care	502
Report of Suspected Injury By Violence	503
County EMS Communication System	504
Data Collection	505
Internet Based Communication System	506

VI. Operations

Field Pronouncement of Death	600
Physician At Scene	601
Prehospital Patient Destination (posted 7/27/2009)	602
ED Diversion & Trauma Center Bypass (posted 7/27/2009)	603
Do Not Resuscitate (DNR) (updated 1/26/2009)	604
Prehospital Trauma Triage	605
Transition of Care	606
BLS Unit Utilization	607
Standby Prehospital Resource	608
EMS Sytem Field Management	609
Private EMS Response to Hazardous Materials (updated 9/1/2009)	610
Air Resource Utilization	611
Prehospital Care Strike Teams	612
EMS Personnel ID and Protective Gear (updated 4/1/2009)	613
Supplemental Transport Ambulance Resource	614
Op Area Medical-Health Mutual Aid	615
EMS System Identification	617

VII. Clinical Care

VIII. Reference Materials

Santa Clara County EMS Agency Contact Information	801
Santa Clara County Approved EMT Training Programs (updated 7/27/2009)	802
Santa Clara County Approved Paramedic Training Programs	803
Santa Clara County Acute Care Hospitals (updated 7/27/2009)	804
Santa Clara County Permitted Ambulance Services (Air & Ground) (updated 7/11/2008)	805
Santa Clara County Fire Departments (updated 7/11/2008)	806
Santa Clara County Public Safety Answering Points (PSAP’s) (updated 7/11/2008)	807
Prehospital Care Interfacility Care and Transportation	808
Continuing Education Providers Guide	809
Professional Standards: Investigation and Enforcement (updated 10/3/2008)	810
Santa Clara County Multiple Patient Management Plan (MPMP)	811
Emergency Medical Services Trust Fund Application	812
Performance Improvement Plan (PIP’s)	813
Certification, Accreditation and Credentialing Brochure	814
EMS Duty Chief Field Operations Guide	817
EMS Communications System Radio Users Guide	818
CCT - Paramedic Program Description (updated 7/21/2008)	819
BLS Coordinator Roster (updated 7/11/2008)	820
Paramedic Coordinator Roster (updated 7/11/2008)	821
Public Access Defibrillation (PAD) Packet	822
EMSystem Reference Guide	823
Medical-Health Supervisors Field Operations Guide	824
EMS Quality Improvement Plan	825
EMS Stroke Care Plan	828
Exemption Review Guide	830
Critical Actions Refence Guide for Private Providers
Countywide EMS Operations Reference Guide for Fire Service Officers
Ambulance Service Permit Application Guide

IX. Forms

Do Not Resuscitate (DNR)	N/A
EMS Personnel Application (updated 2/19/2009)	901
Supplemental Transport Ambulance Resource (STAR) Utilization	902
Unusual Occurrence Report	903
EMT Skills Competency Verification Form	904
Open	905
Data Information Request Form	906
Prehospital Care Asset Self-Inspection Program Form (updated 4/16/2009)	907
Prehospital Care Asset Replenishment Form (updated 4/16/2009)	908
Special Events Registration Form	909
Accredited Supervisor Application	910
Acting Supervisor Application	911
BLS & Paramedic Coordinator Application	912
Public Access Defibrillation (PAD) Provider Application Form	913
Public Access Defibrillation (PAD) AED Site Notification	914
Public Access Defibrillation (PAD) AED Use Notification	915

X. Administrative Orders


Epinephrine Duodote & Combitube Protocol Revision	AO09030502
RAMPART Study	AO09032603