Yolo County EMS Agency

COVID-19 Informational Document

• Influenza/COVID-19 Vaccine Administration
• Nasopharyngeal Swab
• May 27, 2020 UPDATED COVID-19 Interim Guidelines and Directives
• April 6, 2020 EMT Recertification and Paramedic Reaccreditation
• Assess and Refer Administrative Directive

Archive

• April 2, 2020 Novel Coronavirus (COVID-19) Update #8 - REVISION - Clarification Procedural Guidance
• EMT Recertification & Paramedic Reaccreditation
• March 24, 2020 Novel Coronavirus (COVID-19) Update #7
• March 17, 2020 Novel Coronavirus (COVID-19) Update #6
• March 10, 2020 Novel Coronavirus (COVID-19) Update #4
• March 3, 2020 Novel Coronavirus (COVID-19) Update #3
• February 27, 2020 Novel Coronavirus (COVID-19) Update
• January 27, 2020 Novel Coronavirus (2019-nCoV) Update
• What You Need to Know About Novel Coronavirus
• Fighting Disease Outbreaks

Administrative

Organization

• YEMSA Overview
• YEMSA Mission, Vision, & Values
• YEMSA Staff
• YEMSA Advisory Committees

Certification

• YEMSA Fee Schedule
• Paramedic Scope of Practice
• Paramedic Accreditation Process
• Paramedic Reaccreditation Process
• Paramedic Accreditation Actions
• Paramedic Infrequent Skills Verification Form
• Paramedic Intubation Verification Form
• Emergency Medical Technician (EMT) Scope of Practice
• Emergency Medical Technician (EMT) Certification Process
• Emergency Medical Technician (EMT) Recertification Process
• Emergency Medical Technician (EMT) Certification Actions
• Emergency Medical Technician (EMT) Request for Live Scan Service Form
• Emergency Medical Technician (EMT) Skills Competency Verification Form
• Emergency Medical Technician (EMT) Continuing Education (CE) Requirements
• Emergency Medical Responder (EMR) Scope of Practice
• Emergency Medical Responder (EMR) Certification Process
• Emergency Medical Responder (EMR) Recertification Process
• Emergency Medical Responder (EMR) Certification Actions
• Emergency Medical Responder (EMR) Skills Competency Verification Form

Training Programs

• Emergency Medical Technician (EMT) Training Program Approval Requirements
• Emergency Medical Technician (EMT) Training Program Application Packet for Course Approval
• Paramedic Training Program Approval / Requirements File
• Paramedic Training Program Application Packet with Form for Course Approval
• Continuing Education (CE) Provider Program Requirements & Approval Process
• Continuing Education (CE) Provider Program Application Form
• Emergency Medical Responder (EMR) Training Program Requirements & Approval Process
• Emergency Medical Responder (EMR) Training Program Application Form
• Emergency Medical Dispatch (EMD) Program Requirements & Approval Process

Quality

• Continuous Quality Improvement (CQI) Program
• Critical Incident Stress Debrief (CISD)
• EMS Event Reporting Policy
• Policy & Protocol Review Process

Automated External Defibrillator (AED)

• Automated External Defibrillator (AED) Service Provider Program Requirements & Responsibilities
• Automated External Defibrillator (AED) Service Provider Program Application & Approval Process
• Automated External Defibrillator (AED) Service Provider Application Form
• Automated External Defibrillator (AED) Program for Lay Rescuer Personnel
• Automated External Defibrillator (AED) Instructor Application Form
• Automated External Defibrillator (AED) Skills Competency Verification Form
• Automated External Defibrillator (AED) Use Notification Form
• Automated External Defibrillator (AED) Annual Program Update Form
• Public Access Defibrillation (PAD) Frequently Asked Questions (FAQ)
• Public Access Defibrillation (PAD) Automated External Defibrillator (AED) Program Application Form
• Automated External Defibrillator (AED) YEMSA Program Brochure

Service Provider

• Air Ambulance Permit Application
• Ambulance Permit Policy
• Ambulance Permit Application
• Standby Ambulance Permit Application
• 9-1-1 Ambulance Response Time Criteria
• 9-1-1 Ambulance Service Provider Dispatch Requirements
• Authorization for Advanced Life Support (ALS) Provider
• Basic Life Support (BLS) Local Scope
• Basic Life Support (BLS) Service Provider Policy for Special Events & Standbys Coverage
• Biomedical Equipment Maintenance
• Cardiovascular ST Elevation Myocardial Infarction (STEMI) Receiving Centers (SRC)
• Critical Care Transport (CCT) Supplemental Application
• Emergency Medical Technician (EMT) Optional Scope Skills
• Emergency Medical Technician (EMT) Optional Scope Accreditation Actions
• Emergency Medical Technician (EMT) Status Report Form
• Emergency Medical Responder (EMR) Status Report Form
• Epinephrine Auto-Injector and Naloxone (Narcan) Administration Form
• Equipment & Supply Shortages
• Hospital Diversion Policy
• Management of Controlled Substances
• Paramedic Service Provider Responsibilities
• Paramedic Accreditation Field Evaluation Criteria
• Paramedic 5 Call Evaluation Form
• Paramedic 5 Call Candidate Field Training Officer (FTO) Evaluation Form
• Paramedic 5 Call Evaluation Field Training Officer (FTO) Summary Form
• Paramedic Field Training Officer (FTO) Authorization Policy
• Paramedic Field Training Officer (FTO) Application Form
• Paramedic Preceptor Authorization Policy
• Paramedic Preceptor Application Form
• Prehospital Provider Agency Unit Inspections
• YEMSA Advanced Life Support (ALS) Ambulance Inventory List
• YEMSA Advanced Life Support (ALS) Non-Transporting Inventory List
• YEMSA Advanced Life Support (ALS) Standby Inventory List
• YEMSA Basic Life Support (BLS) Ambulance Inventory List
• YEMSA Basic Life Support (BLS) Non-Transporting Inventory List
• YEMSA Basic Life Support (BLS) Standby Inventory List
• YEMSA Critical Care Transport (CCT) Ambulance Inventory List
• Service Provider Application Process & Procedure
• Service Provider Verification of Paramedic Maintenance Training
• Specialty & Optional Scope Training Program Application Form
• Service Provider Requirements & Responsibilities for Paramedic Interfacility Transport (IFT) Optional Skills
• Service Provider Application & Approval Process for Paramedic Interfacility Transport (IFT) Optional Skills
• Service Provider Application for Paramedic Interfacility Transport (IFT) Optional Skills Form
• Service Provider Requirements & Responsibilities For Emergency Medical Technician (EMT) Optional Scope
• Service Provider Approval Process for Emergency Medical Technician (EMT) Optional Scope
• Service Provider Application for Emergency Medical Technician (EMT) Optional Scope Form
• Service Provider Emergency Medical Technician (EMT) Optional Scope Principal Instructor Form
• Service Provider Emergency Medical Technician (EMT) Optional Scope Competency Documentation Record
• Service Provider Emergency Medical Technician (EMT) Optional Scope Annual Utilization Report Form

Emergency Medical Service (EMS) Aircraft

• Emergency Medical Service (EMS) Aircraft Utilization & Quality Improvement Program (QIP)
• Emergency Medical Services (EMS) Aircraft Operations

Memorandums

• March 17, 2020 Novel Coronavirus (COVID-19) Update #6
• March 10, 2020 Novel Coronavirus (COVID-19) Update #4
• March 3, 2020 Novel Coronavirus (COVID-19) Update #3
• February 27, 2020 Novel Coronavirus (COVID-19) Update
• January 27, 2020 Novel Coronavirus (2019-nCoV) Update
• February 1, 2020 - EMS Policy and Protocol Update
• September 1, 2019 Paramedic Accreditation and Reaccreditation Policy
• August 1, 2019 EMS Protocol & Policy Revisions Release
• May 9, 2019 Change to Paramedic Reaccreditation Requirement
• April 1, 2019 Pain Management Update
• January 1, 2019 EMS Revisions Update

Skill Sheets

• Skills Competency Verification: Bleeding Control – Hemostatic Dressing Form
• Skills Competency Verification: Bleeding Control – Tourniquet Form
• Skills Competency Verification: Blood Glucose Level Assessment Form
• Skills Competency Verification: Cardioversion/Defibrillation Form
• Skills Competency Verification: Epinephrine Auto-Injector Administration Form
• Skills Competency Verification: Naloxone (Narcan) Administration Form
• Skills Competency Verification: Nasogastric (NG) & Orogastric (OG) Tubes Form
• Skills Competency Verification: Supraglottic Airway Form
• Skills Competency Verification: Supraglottic Airway (i-gel) Form
• Skills Competency Verification: Transcutaneous Cardiac Pacing (TCP) Form

Policy

• Auto Aid / Mutual Aid / Out-of-Region Response
• Cancellation or Reduction of Advanced Life Support (ALS) Response
• Communication Failure
• Do Not Resuscitate (DNR), Physician Orders for Life-Sustaining Treatment (POLST), and End of Life Options (Aid-in-Dying Drug)
• Emergency Medical Services Prehospital Do Not Resuscitate (DNR) Form
• Field Blood Collection Policy
• Fireline Emergency Medical Technician (EMT) Program
• Fireline Paramedic Program
• Hazardous Materials (Haz Mat) or Weapons of Mass Destruction (WMD)
• Interfacility Transport (IFT) of ST Elevation Myocardial Infarction (STEMI) Patients
• Medical Control at Scene of an Emergency
• Medical Control for Acute Care Transfers
• Paramedic Expanded Scope Interfacility Transports (IFT)
• Patient Destination
• Patient Refusal of Treatment / Transport
• Physician on Scene
• Physician Orders for Life-Sustaining Treatment (POLST)
• Prehospital Documentation
• ReddiNet Utilization Policy
• Release of Emergency Medical Service (EMS) Records
• Released at Scene/Against Medical Advice
• Restraints & Violent Patients
• Suspected Child Abuse Reporting
• Suspected Child Abuse Report
• Suspected Elder & Dependent Adult Abuse Reporting
• Report of Suspected Dependent Adult/Elder Abuse
• Tactical Medicine Operational Program
• Transfer of Patient Care
• Treatment & Transport of Minors
• Weapons Policy

Protocols

• Acute Cerebral Vascular Accident (Stroke)
• Acute Respiratory Distress
• Agitated and/or Combative Patients
• Airway Obstruction
• Allergic Reaction & Anaphylaxis
• Altered Level of Consciousness (ALOC)
• Burns
• Chest Discomfort or Symptoms Consistent with Cardiac Etiology
• Childbirth
• Crush Injury Syndrome
• Determination of Death
• Dystonic Reaction
• External Hemorrhage Control
• Heat Illness
• Hypothermia
• Ingestion - Overdose - Poisoning
• Medical Cardiac Arrest
• Mental Health Triage Form
• Mental Health Triage
• Nausea & Vomiting
• Neonatal Resuscitation
• Nerve Agent Treatment
• Pain Management
• Pediatric Brief Resolved Unexplained Event (BRUE)
• Pediatric Patient Care
• Post Resuscitation Care
• Sedation
• Seizure
• Shock
• Snake Bite
• Spinal Injury Assessment
• Suspected Sepsis
• Symptomatic Bradycardia
• Tachycardia with Pulses
• Tasered Patients
• Tension Pneumothorax
• Termination of Resuscitation (TOR)
• Trauma Patient Care
• Traumatic Cardiac Arrest

Procedures

• 12-Lead ECG
• Airway Management
• Continuous Positive Airway Pressure (CPAP)
• End-Tidal Carbon Dioxide (EtCO₂) Monitoring
• Intraosseous (IO) Infusion
• Mucosal Atomization Device (MAD)
• Nasogastric (NG) & Orogastric (OG) Tubes
• Pre-Existing Vascular Access Devices (PVAD)
• Transcutaneous Cardiac Pacing (TCP)
• Ventricular Assist Device (VAD)
• Ventricular Assist Device (VAD) Field Guide

Public Safety

• Public Safety Intranasal (IN) Naloxone (Narcan) Provider Authorization
• Public Safety Provider Agency Intranasal (IN) Naloxone (Narcan) Provider Application Form
• Public Safety Intranasal (IN) Naloxone (Narcan) Treatment for Suspected Opioid Overdose
• Public Safety Naloxone (Narcan) Administration Form

Quick References

• Designated Specialty Hospitals Chart
• First Responder Mental Health Community Card
• Grief Support
• High Performance-CPR Guide
• IV Acetaminophen (Tylenol) Dosing Reference Sheet
• Tracheostomy Emergencies
• Yolo County STEMI Catchment Areas
• Yolo County Stroke Receiving Centers Map
• Yolo County Trauma Catchment Areas

Medication Profiles

• Acetaminophen (Tylenol)
• Adenosine (Adenocard)
• Albuterol (Ventolin, Proventil)
• Amiodarone (Cordarone)
• Aspirin
• Atropine
• Calcium Chloride 10%
• Dextrose 10%
• Diphenhydramine HCl (Benadryl)
• Epinephrine (Adrenaline)
• Fentanyl (Sublimaze)
• Glucagon
• Ipratropium Bromide (Atrovent)
• Ketamine (Ketalar)
• Ketorolac (Toradol)
• Midazolam Hydrochloride (Versed)
• Naloxone (Narcan)
• Nitroglycerin (Nitrostat, Nitrobid)
• Nitropaste 2% (Nitro-Bid Ointment)
• Normal Saline 0.9%
• Ondansetron (Zofran)
• Sodium Bicarbonate
• Tranexamic Acid (TXA)

Articles

• The Profile of Wounding In Civilian Public Mass Shooting Fatalities
• Bolus Dose Epinephrine Improves Blood Pressure but is Associated with Increased Mortality in Critical Care Transport
• Timing of Advanced Airway Placement After Witnessed Out-Of-Hospital Cardiac Arrest

Meetings & Trainings Flyers

• 2020 CQI PAC Meeting Dates
• 2020 EMCC Meeting Dates
• 2020 ALS Update Class Schedule
• 2020 Paramedic Orientation Dates
• 2020 Annual EMS Symposium

Plans

Communicable Disease Exposure Control Plan

• Cover Page
• Approved Signatures
• Definitions
• Administrative
• Responsibilities
• Annual Program Review
• Surge Procedures
• Record Keeping
• Methods of Compliance
• Sharps Management
• Personal Protective Equipment
• Medical
• Communication of Hazards
• Training
• ATD Source Control Procedures
• Post Exposure Procedures

Appendix and Attachments

• Appendix A - Program Review Checklist
• Appendix B - Equipment Specific Cleaning and Disinfecting Information
• Attachment 1 - Occupational Exposure Assessment
• Attachment 2 - Statement of Authority for the DICO
• Attachment 3 - Designated Infection Control Officer Contact Information
• Attachment 4 - Program and Procedure Review Log
• Attachment 5 - Personal Protective Equipment for Daily Use or Surge Events
• Attachment 6 - Designated Decontamination Locations, Approved Disinfecting Agents, and Designated Biohazards Storage Locations
• Attachment 7 - Sharps Injury Log
• Attachment 8 - Annual Sharps Exposure Incidents Log
• Attachment 9 - Immunization Record Form
• Attachment 10 - Vaccination Declination Statement Form
• Attachment 11 - Communicable Disease Training Roster

EMS Plan 2019

• Cover Page
• Executive Summary
• Assessment of System
• System Needs and Plan Objectives

System Organization and Management

• 1.01. LEMSA Structure
• 1.02. LEMSA Mission
• 1.03. Public Input
• 1.04. Medical Director
• 1.05. System Plan
• 1.06. Annual Plan Update
• 1.07. Trauma Planning
• 1.08. ALS Planning
• 1.09. Inventory of Resources
• 1.10. Special Population
• 1.11. System Participants
• 1.12. Review and Monitoring
• 1.13. Coordination
• 1.14. Policy & Procedures Manual
• 1.15. Compliance With Policies
• 1.16. Funding Mechanism
• 1.17. Medical Direction
• 1.18. QA/QI
• 1.19. Policies, Procedures, Protocols
• 1.20. DNR Policy
• 1.21. Determination of Death
• 1.22. Reporting Abuse
• 1.23. Interfacility Transfer
• 1.24. ALS System
• 1.25. On-Line Medical Direction
• 1.26. Trauma System Plan
• 1.27. Pediatric System Plan
• 1.28. EOA Plan

Staffing and Training

• 2.01. Assessment of Needs
• 2.02. Approval of Training
• 2.03. Personnel
• 2.04. Dispatch Training
• 2.05. First Responder Training
• 2.06. Response
• 2.07. Medical Control
• 2.08. EMT-I Training
• 2.09. CPR Training
• 2.10. Advanced Life Support
• 2.11. Accreditation Process
• 2.12. Early Defibrillation
• 2.13. Base Hospital Personnel

Communications

• 3.01. Communication Plan
• 3.02. Radios
• 3.03. Interfacility Transfer
• 3.04. Dispatch Center
• 3.05. Hospitals
• 3.06. MCI / Disasters
• 3.07. 9-1-1 Planning / Coordination
• 3.08. 9-1-1 Public Education
• 3.09. Dispatch Triage
• 3.10. Integrated Dispatch

Response and Transportation

• 4.01. Service Area Boundaries
• 4.02. Monitoring
• 4.03. Classifying Medical Request
• 4.04. Prescheduled Responses
• 4.05. Response Time Standards
• 4.06. Staffing
• 4.07. First Responder Agencies
• 4.08. Medical & Rescue Aircraft
• 4.09. Air Dispatch Center
• 4.10. Aircraft Availability
• 4.11. Specialty Vehicles
• 4.12. Disaster Response
• 4.13. Intercounty Response
• 4.14. Incident Command System
• 4.15. MCI Plans
• 4.16. ALS Staffing
• 4.17. ALS Equipment
• 4.18. Transport Compliance
• 4.19. Transportation Plan
• 4.20. Grandfathering
• 4.21. EOA Compliance
• 4.22. EOA Evaluation

Facilities and Critical Care

• 5.01. Assessment of Capabilities
• 5.02. Triage & Transfer Protocols
• 5.03. Transfer Guidelines
• 5.04. Specialty Care Facilities
• 5.05. Mass Casualty Management
• 5.06. Hospital Evacuation
• 5.07. Base Hospital Designation
• 5.08. Trauma System Design
• 5.09. Public Input
• 5.10. Pediatric System Design
• 5.11. Emergency Departments
• 5.12. Public Input
• 5.13. Specialty System Design
• 5.14. Public Input

Data Collection and System Evaluation

• 6.01. QA/QI Program
• 6.02. Prehospital Records
• 6.03. Prehospital Care Audits
• 6.04. Medical Dispatch
• 6.05. Data Management System
• 6.06. System Design Evaluation
• 6.07. Provider Participation
• 6.08. Reporting
• 6.09. ALS Audit
• 6.10. Trauma System Evaluation
• 6.11. Trauma Center Data

Public Information and Education

• 7.01. Public Information Materials
• 7.02. Injury Control
• 7.03. Disaster Preparedness
• 7.04. First Aid & CPR Training

Disaster Medical Response

• 8.01. Disaster Medical Planning
• 8.02. Response Plans
• 8.03. Hazmat Training
• 8.04. Incident Command System
• 8.05. Distribution of Casualties
• 8.06. Needs Assessment
• 8.07. Disaster Communications
• 8.08. Inventory of Resources
• 8.09. DMAT Teams
• 8.10. Mutual Aid Agreements
• 8.11. CCP Designation
• 8.12. Establishment of CCP
• 8.13. Disaster Medical Training
• 8.14. Hospital Plans
• 8.15. Interhospital Communications
• 8.16. Prehospital Agency Plans
• 8.17. ALS Policies
• 8.18. Specialty Center Roles
• 8.19. Waving Exclusivity

Tables

• Table 2. System Organization and Management
• Table 3. Staffing / Training
• Table 4. Communications
• Table 5. Response / Transportation
• Table 6. Facilities / Critical Care
• Table 7. Disaster Medical
• Table 8. Response / Transportation / Providers
• Table 9. Facilities
• Table 10. Approved Training Programs
• Table 11. Dispatch Agency
• Ambulance Zone Summary Form
• Intentional Mass Casualty Plan (iMCI)

Mass Casualty Incidents

• Cover Page
• Administrative Section
• Operations Section
• Communications Section
• ICS Org Chart – MCI
• Medical Group Supervisor
• Triage Unit Leader
• Treatment Unit Leader
• Transportation Unit Leader

Trauma System Status Report 2018

• Cover Page
• Trauma System Summary
• Changes in Trauma System
• Number and Designation Level of Trauma Centers
• Trauma System Objectives
• System Performance Improvement
• Progress on Addressing EMS Authority Trauma System Plan Comments
• Other Issues

Appendix

• Appendix A. Trauma Patient Care Protocol
• Appendix B. Traumatic Cardiac Arrest
• Appendix C. Yolo County Trauma Catchment Areas
• Appendix D. Level I Memorandum of Understanding
• Appendix E. Level II Memorandum of Understanding
• Yolo County EMS Stroke System Plan 2018
• Yolo STEMI System of Care Plan 2018
• Yolo County EMS Quality Improvement Plan (EQIP) 2019

Yearly Report Section

Last updated: 2020-09-18