Santa Clara County Prehospital Care Policy
The EMS policies, protocols and plans posted on our agency's website have been reviewed and approved by Dr. Kenneth Miller, EMS Medical Director
County EMS Policy and Protocol Medical Director Approval
Section 100: The EMS System
- 102 - Trauma System Organization and Management
- 103 - Trauma System Providers
- 104 - Trauma Center Designation Standards
- 105 - Trauma System Quality Improvement Process
- 106 - Personnel Investigation and Discipline
- 108 - System Variance Reporting
- 109 - Policy Development and Implementation
- 110 - 911 System Provider Roles
- 111 - EMS Quality Assurance and Improvement Program
- 112 - Prehospital Audit Committee
- 113 - Trauma Center Designation Process
- 115 - Accepted Method of Payment
- 116 - Emergency Medical Dispatch Quality Improvement Committee
Section 200: Personnel Credentials
- 200 - Eligibility For Prehospital Certificates and Credentials
- 201 - EMT Certification
- 202 - EMT Certification by Challenge
- 203 - EMT Optional Scope of Practice Accreditation
- 204 - Paramedic Internship Recognition
- 205 - Paramedic Accreditation
- 206 - Paramedic Preceptor
- 207 - Mobile Intensive Care Nurse (MICN) Accreditation
- 208 - EMS Field Supervisor Credentialing
- 211 - Ambulance Strike Team Unit Leader
- 212 - EMS Program Manager
- 213 - High Risk / Low Frequency Skills
- 214 - EMS Personnel Training Standards
Section 300: System Providers
- 300 - ALS Provider Approval
- 301 - Supplemental EMS System Resources
- 302 - Prehospital Care Asset - Minimum Inventory Requirements
- 302 - Schedule B - Spine Board Requirements
- 303 - EMT Optional Scope of Practice Program Approval
- 304 - Continuing Education Provider Approval
- 305 - Procedure for Suspension or Revocation of EMT, Paramedic Training, or CE Provider Program Approval
- 306 - Emergency Medical Dispatch Program Approval
- 306 - Emergency Medical Dispatch Program Approval (effective 01/01/2024)
- 307 - Basic Life Support First Response Approval
- 307 - Basic Life Support First Response Approval (effective 01/01/2024)
- 308 - Automated Vehicle Location
- 309 - Private Ambulance Service EMS Personnel Markings & Protective Gear
- 309 - Schedule A - Protective Helmets
- 309 - Schedule B - Protective Jackets
- 309 - Schedule C - Ballistic Carriers/Helmets
- 313 - Public Safety First Aid Providers Scope of Practice and Optional Skills
- 315 - EMT AED Service Provider Program Approval
Section 400: Facilities
- 400 - Hospital Emergency Services Reduction Impact Assessment
- 401 - Pediatric Receiving Center Designation
- 404 - Trauma Center Marketing and Advertising
- 405 - Trauma Center Fees
- 406 - Trauma Center Staff Availability
- 407 - Trauma Registry Data Collection and Management
- 408 - STEMI Receiving Center Standards
- 409 - Stroke Critical Care System
- 410 - STEMI Receiving Center Designation
- 411 - Stroke Care System Quality Improvement
- 413 - STROKE Registry Standards
- 414 - STEMI Registry Standards
- 417 - Cardiac Care System Quality Improvement
Section 500: Communications/Data
- 500 - Electronic Patient Care Record (ePCR) Documentation
- 501 - Hospital Radio Reports
- 502 - Patient Consent and Refusal for EMS Services
- 503 - EMS Patient Care Data System Overview
- 504 - County EMS Communication System
- 505 - Command Event Record Documentation
- 506 - Internet Based Communication System
- 507 - Provider Codes
- 509 - Elite ePCR Documentation Guideline
- 510 - Mandatory Reporting
Section 600: Operations
- 600 - Field Pronouncement of Death
- 600 - Field Pronouncement of Death (effective 01/01/2024)
- 601 - Physician at Scene
- 602 - 911 EMS Patient Destination
- 602 - 911 EMS Patient Destination (effective 01/01/2024)
- 602 - Schedule A - Trauma Center Service Areas
- 602 - Schedule C - 911 EMS Patient Dispersion for APOD
- 603 - Hospital Bypass
- 603 - Hospital Bypass (effective 01/01/2024)
- 604 - Do Not Resuscitate (DNR)
- 605 - Prehospital Trauma Triage
- 605 - Prehospital Trauma Triage (effective 01/01/2024)
- 606 - Transition of Care
- 607 - Non-Emergency Ambulance Utilization in the 911 EMS System
- 608 - Standby Prehospital Resource
- 609 - EMS System Field Management
- 610 - Hazardous Material Incidents - EMS Response and Transport
- 610 - Schedule A - Patient Decontamination Survey Sheet for Transport to Hospital
- 611 - EMS Air Resource Utilization
- 612 - Prehospital Ambulance Task Force and Strike Teams
- 614 - Fire Department Emergency Ambulance Use
- 614 - Schedule A - Fire Department Emergency Ambulance Use
- 615 - Op Area Medical-Health Mutual Aid
- 616 - Surgeon to Scene Request and Response
- 617 - EMS Accreditation
- 618 - EMS Life Safety Procedures
- 619 - End of Life Option
- 620 - Interfacility Transfer - Ground Ambulance
- 620 - Schedule A - Permitted Ambulance Providers
- 620 - Schedule B - Trauma System Transfer Guidelines
- 620 - Schedule C - Stroke System Transfer Guidelines
- 620 - Schedule D - STEMI System Transfer Guidelines
- 621 - Interfacility Transfer - Air Ambulance
- 622 - Ambulance Patient Offload
- 623 - 911 Emergency Ambulance Use
- 623 - Schedule A - Medical Priority Dispatch System (MPDS) Protocol 36 – Ambulance Dispatch Criteria
- 651 - County EOA Emergency Ambulance Response Times
- 652 - Use of Quick Response Vehicles (QRVs) By County Emergency Ambulance Provider
- 653 - County EOA Emergency Ambulance Low Level Mitigation Plan
- 654 - County EOA Emergency Ambulance Response Time Reconciliation
- 655 - County EOA First Responder Agency Response Time Reconciliation
- 656 - County EOA Resupply of First Responder Agencies
Section 700: Clinical Care
Section 800: Reference Materials
- 801 - EMS Personnel Communicable Disease Exposure Follow Up
- 801 - Schedule A - Blood Borne Pathogen Exposure Response Form
- 808 - Interfacility Transport by Ground or Air Ambulance
- 809 - Continuing Education Providers Guide
- 810 - Investigation and Enforcement Guide
- 811 - Multiple Casualty Incident Plan
- 811A - Annex to the Multiple Casualty Incident Plan: Field Treatment Site Operations Guide
- 811A - MCI Documents/Tools Appendix A
- 812 - Emergency Medical Services Trust Fund Application
- 813 - Performance Improvement Plan (PIP)
- 815 - CHEMPACK Operations Guide
- 818 - EMS Communications System Guide
- 822 - Public Access Defibrillation (PAD) Packet
- 824 - EMS Supervisor Field Operations Guide
- 825 - EMS Quality Improvement Plan
- 828 - EMS Stroke Care Plan
- Chapter XVI - Ambulance Ordinance Code - October 2005
- FY 22 EMS Fee Schedule
- Resolution of the Board of Supervisors of the County of Santa Clara Adopting Ambulance Service Permit Regulations - August 2005
Section 900: Forms
- 901 - EMS Personnel Application
- 906 - Request for Data System Access
- 909 - Special Events Registration Form and Event Standby Public Notice
- 911 - Notice of Defense
- 912 - EMS Program Manager Application
- 913 - Law Enforcement Naloxone Utilization
- 914 - Public Access Defibrillation (PAD) AED Site Notification
- 915 - Public Access Defibrillation (PAD) AED Use Notification
- 916 - Positive EVD Health Screening Incident Commander Checklist
- 917 - Positive EVD Health Screening Safety Officer Checklist
- 918 - Positive EVD Health Screening Ambulance Operator Checklist
- 919 - Standard Dispatch Orders
- 920 - Approved Signatures for EMT Skills
- System Variance Reporting