Merced County EMSA P&P

General Procedures

• G-01. General Procedures
• G-02. Cervical Spine Immobilization
• G-03. Oxygen Administration
• G-04. Pulse Oximetry
• G-05. Vascular Access
• G-06. Fluid Administration
• G-07. Advanced Airways
• G-08. Transport
• G-09. Cardiac Monitoring
• G-10. Transcutaneous Pacing
• G-11. Needle Thoracostomy
• G-12. Transtracheal Jet Insufflation
• G-13. Determination of Death
• G-14. Trauma Triage: Adult
• G-15. Trauma Triage: Pediatric
• G-16. Burn Triage
• G-17. Continuous Positive Airway Pressure

Cardiac Protocols

• C-01. Ventricular Fibrillation - Pulseless Ventricular Tachycardia
• C-02. Pulseless Electrical Activity
• C-03. Asystole
• C-04. Bradycardia
• C-05. V-Tach with Pulses / Wide Complex Tachycardia
• C-06. Paroxysmal Supraventricular Tachycardia
• C-07. Atrial Fibrillation - Atrial Flutter
• C-08. Myocardial Ischemic Chest Pain / Acute Coronary Syndrome

Respiratory Protocols

• R-01. Airway Obstruction - Stridor
• R-02. Chronic Obstructive Pulmonary Disease - Asthma - Bronchospasm
• R-03. Acute Pulmonary Edema

Adult Medical Protocols

• M1. Nausea and Vomiting
• M2. Adult Pain Management
• M3. Adult Sepsis
• M4. Adult Stroke
• M5. Adult ALOC - Syncope
• M6. Adult Allergic Reaction
• M7. Adult Seizures
• M8. Adult Hyperglycemia
• M9. Adult Hyperthermia
• M10. Adult Hypothermia
• M11. Adult Medication Poisonings
• M12. Adult Non Traumatic Shock
• M13. Adult Dystonic Reactions
• M14. Adult Behavioral Emergency
• M15. Adult Envenomation-Bites-Stings
• M16. Adult Organophosphates Exposure
• M17. Adult OB-GYN Emergencies

Pediatric Medical Protocols

• M1P. Pediatric Nausea and Vomiting
• M2P. Pediatric Pain Management
• M5P. Pediatric Altered Mental Status
• M6P. Pediatric Allergic Reaction
• M7P. Pediatric Seizures
• M8P. Pediatric Hyperglycemia
• M9P. Pediatric Hyperthermia
• M10P. Pediatric Hypothermia
• M11P. Pediatric Medication Poisonings
• M12P. Pediatric Non Traumatic Shock
• M13P. Pediatric Dystonic Reactions
• M15P. Pediatric Envenomation-Bites-Stings
• M16P. Pediatric Organophosphates Exposure
• M17P. Pediatric Newborn Resuscitation

Trauma Protocols

• T1. Spinal Motion Restriction
• T2. Trauma
• T3. Traumatic Arrest
• T4. Adult Burns
• T4P. Pediatric Burns
• T5. Adult TXA / Bleeding Control

Other Protocols

• Supraglottic Airway Devices
• O-06. Pediatric Airway Management
• O-07. Trauma and Burn Patient Destination

Old Pediatric Protocols

• P-01. Pulseless Electrical Activity
• P-02. Asystole
• P-03. Ventricular Fibrillation - Pulseless Ventricular Tachycardia
• P-04. Pediatric Respiratory Distress
• P-05. Pediatric Bradycardia
• P-06. Pediatric Tachycardia
• P-07. Pediatric Trauma
• P-08. Pediatric Traumatic Arrest
• P-09. Pediatric Vital Signs - ET Tube Sizes / APGAR Score
• P-10. Pediatric Dopamine Drip Chart

Policies & Procedures Manual

System Organization and Management

• Policy #130.00. EMS Policy Development, Revision, Deletion and Implementation
• Policy #132.00. Merced County EMS System Enhancement Funds

Staffing - Training

• Policy #201.00. Emergency Medical Dispatcher Authorization
• Policy #215.00. Public Safety AED Service Provider
• Policy #217.00. Layperson AED Programs
• Policy #220.00. EMT Certification
• Policy #222.00. EMT-1 Course Completion by Challenge
• Policy #233.00. Paramedic Local Accreditation to Practice
• Policy #235.00. Field Training Officers
• Policy #240.00. MICN Authorization
• Policy #241.00. MICN Re-Authorization
• Policy #242.00. Mobile Intensive Care Field Nurse (MICFN) Authorization
• Policy #250.00. Continuing Education Provider Requirements
• Policy #251.00. EMT-1 Training Program Approval
• Policy #252.00. Emergency Medical Services Continuing Education Standards
• Policy #253.00. Paramedic Training Program

Communications

• Policy #300.00. Criteria for Receiving and Base Hospital Contact
• Policy #301.00. Base Hospital Contact
• Policy #302.00. ALS/BLS Tiered Dispatch and Ambulance Response (Priority System)
• Policy #451.00. Emergency Ambulance Dispatch

Response - Transport

• Policy #401.00. Physician Involvement with EMS Personnel
• Policy #403.00. Patient Management for Inmates - United States Penitentiary, Atwater
• Policy #410.00. Response to Known or Suspected Hazardous Materials Incidents
• Policy #431.00. Equipment Standards - EMS Units
• Policy #431.01. Drug and Solution Standards
• Policy #432.00. Controlled Substances
• Policy #440.00. Patient Restraint
• Policy #450.00. Air and Ground Ambulance Response Time Incentive
• Policy #460.00. Prehospital Rendezvous
• Policy #470.00. EMS Aircraft Utilization
• Policy #490.00. Fireline Emergency Medical Technician – Paramedic (FEMP)
• Policy #525.00. Critical Care Transport Ambulance Authorization

Facilities - Critical Care

• Policy #402.00. Patient Destination
• Policy #501.00. Base Hospital Criteria
• Policy #511.00. Receiving Facility Designation
• Policy #512.01. Trauma System Organization and Management
• Policy #512.10. Trauma Facility Advertising and/or Marketing Standards
• Policy #512.25. Trauma and Burn Patient Destination Policy
• Policy #512.50. Trauma Facility Application Process
• Policy #520.00. EMT and Paramedic Interfacility Transfer
• Policy #521.00. Hospital Impact Evaluation Policy
• Policy #530.00. Determination of Death in the Field
• Policy #535.00. Guidelines for EMS and Public Safety Personnel Regarding Do-Not-Resuscitate (DNR) Orders
• Policy #540.00. Documentation of Patient Contact
• Policy #542.00. Patient Refusal of Emergency Medical Service, Refusal Against Medical Advice (AMA) & Qualify for Release at Scene (RAS)
• Policy #550.00. STEMI
• Policy #552.35. Transcutaneous Pacing
• Policy #580.00. Monitoring of IVs by EMT Personnel
• Policy #710.00. Protected Health Information and Patient Confidentiality

Data Collection - System Evaluation

• Policy #610.00. Emergency Medical Services Incident Investigation, Determination of Action, and Notification Process
• Policy #611.00. Emergency Medical Technician Incident Investigation, Determination of Action, Notification and Administrative Hearing Process
• Policy #630.00. Ambulance Patient Offload Time (APOT) 1 & 2 Calculating and Reporting
• Policy #650.00. EMS Quality Improvement Committee
• Policy #655.00. Quality Improvement Program Approval
• Policy #660.00. Trauma System Evaluation Policy

Medical Disaster - Multi-Casualty

• Policy #810.00. Multiple Casualty Incident (MCI) - Field Operations

EMS Directives

2021

• 2021-001. Approval of Adult Humeral Head and Pediatric Distal Femur IO Access Sites
• 2021-002. Implementation of EMS Policy and Procedures

2020

• 2020-001. Determination of Obvious Death in the Field and Base Station Contact Procedure for On-Line Physician or MICN Pronouncement of Death
• 2020-002. Novel Coronavirus (2019 nCoV) Outbreak

2019

2018

2017

2016

Last updated: 2021-07-07