Policies and Procedures

Interim Policy Memo 2021-1 RE: ALS PR 5, ATG 6, BTG 2, PC1, PTG2
March 2021 Policy Training Document
Interim Policy Memo 2017-4 RE: Drug Shortages
Interim Policy Memo 2014-4 RE: Ebola Procedures

Memos/Guides

Fentanyl & Analogs

2000 - Quality Improvement

2000 Quality Improvement References
2003 Provider Medical Director Functions/Responsibilities
2004 Quality Improvement, Provider Agency Responsibilities
2005 Prehospital Care Record Audit
2010 EVENT REPORTING 2024

3000 - Certification/Accreditation

3101 Fee Schedule
3102 Certificate Review Process for EMT Personnel
3103 Continuing Education
3200 EMT Certification/Recertification
3300 Paramedic Accreditation/Continued Accreditation

EMT/ First Responder Defibrillation

4100 EMT AED SERVICE PROVIDER

Public Safety Defibrillation Program

4110 Public Safety Early Defibrillation

Public Access Early Defibrillation Program

4120 Public Access Early Defibrillation Program

Emergency Medical Dispatch

4200 Emergency Medical Dispatch Policy
4201 Emergency Medical Dispatch Certification
4202 Emergency Medical Dispatch Recertification
4203 Emergency Medical Dispatch Training Program Approval
4204 Emergency Medical Dispatch Quality Assurance

Trauma System

4600 Trauma System
4602 Marketing and Advertising
4603 Service Areas for Hospitals
4604 EMS Dispatching
4605 EMS Communication
4606 Patient Transfer and Transportation
4606A Trauma Re-Triage, Adult
4606B Trauma Re-Triage, Pediatric
4608 Training of Trauma System Personnel
4609 Jurisdictional Coordination
4610 Coordination with Non-medical Emergency Services
4611 Trauma System Fees
4612 Medical Control and Accountability
4613 TRAUMA TRIAGE AND DESTINATION
4613b PEDIATRIC TRAUMA TRIAGE TOOL
4614 Trauma Center Designation Process
4615 Data Collection and Management (Trauma)
4616 Quality Improvement and System Evaluation (Trauma)
4618 System Organization and Management
4613a TRAUMA TRIAGE TOOL

5000 - Providers

5001 General System Operations
5002 Ambulance Supply and Equipment Requirements
5003 Drug Security
5004 Description and Function of Basic, Advanced Life Support and Paramedic Transport Units
5005 ALS Nontransport Supply/ Equipment Requirements
5006 ALS First Responder
5007 Fireline Medic
5008 Paramedic Internships
5010 EMS EQUIPMENT LIST
5012 INTERFACILITY TRANSFERS
5100 EMS AIRCRAFT
5200 Medical Mutual Aid
5201 Non-Medical Mutual Aid, Paramedic Function
5202 Unified Response to Violent Incident
5203 Tactical Medic
5300 GGB and GGNRA Response Policy
5301 Response to San Quentin Prison
5400 AMBULANCE DIVERSION POLICY
Hospital Diversion Quick Reference
5500 Program Approvals
5600 Specialty Care Designation
5700 Distribution of Naloxone Kits

7000 - Communications

7001 HOSPITAL REPORT CONSULT
7002 Communication Failure
7003 Radio Communications
7004 EMS Communication
7005 REDDINET POLICY
7006 PATIENT CARE RECORD
7006a Field Transfer Form
7006b Approved Medical Abbreviations
7007 Interim Policy Memo
7008 Language Barrier

Patient Care

General Patient Care

GPC 01 CANCELLATION OF ALS RESPONSE
GPC 02 AMA
GPC 03 RAS
GPC 04 DESTINATION GUIDELINES
GPC 5 INTERFACILITY TRANSFER PROCEDURE
GPC 06 MEDICAL PERSONNEL ON SCENE
GPC 06A MD ON SCENE CARD
GPC 07 DNR/POLST
GPC 08 ANATOMICAL GIFT/DONOR CARD SEARCH
GPC 9 SUSPECTED ABUSE NEGLECT INFLICTED PHYSICAL INJURY
GPC 09A CHILD ABUSE FORM
GPC 9B SUSPECTED ELDER ABUSE FORM
GPC 9C Suspicious Injury Form
GPC 10 SEXUAL ASSAULT HUMAN TRAFFICKING
GPC 11 PATIENT RESTRAINT
GPC 12 MULTI-CASUALTY INCIDENT (MCI)
GPC 13 SPINAL MOTION RESTRICTION
GPC 13A SPINAL INJURY ASSESSMENT
GPC 14 BARIATRIC PATIENT TRANSPORT PROCEDURE
GPC 15 SPECIALITY PATIENT
GPC 16A MARIN COUNTY SAFE CHILD TRANSPORT FLOW CHART
GPC 16 PEDIATRIC PATIENT TRANSPORTS

BLS Treatment Guidelines

BTG 1 ROUTINE MEDICAL CARE BLS
BTG 2 DETERMINATION OF DEATH BLS
BTG 3 EARLY TRANSPORT DECISIONS BLS
BLS C1 CARDIAC ARREST BLS
BLS C2 CHEST PAIN/ACUTE CORONARY SYNDROME BLS
BLS E1 ENVIRONMENTAL EMERGENCIES
BLS E2 BURNS
BLS M1 ALLERGIC REACTION/ ANAPHYLAXIS BLS
BLS M2 ABDOMINAL PAIN
BLS N1 NEUROLOGICAL EMERGENCIES
BLS N2 SEIZURE
BLS O1 OBSTETRICAL EMERGENCIES
BLS R1 SHORTNESS OF BREATH BLS
BLS T1 TRAUMATIC EMERGENCIES- HEAD, EYE, AND SPINE
BLS T2 TRAUMATIC EMERGENCIES - CHEST AND ABDOMEN
BLS T3 TRAUMATIC EMERGENCIES- EXTREMITIES
BLS T4 TRAUMATIC EMERGENCIES IMPALED OBJECTS

BLS Procedures

BLS PR 1 AUTHORIZED PROCEDURES FOR EMTs
BLS PR 2 BLS OXYGEN THERAPY
BLS PR 3 ADMINISTRATION OF ORAL GLUCOSE
BLS PR 4 AUTO-INJECTOR EPI-PEN
BLS PR4a CHECK AND INJECT
BLS PR 9 NERVE GAS AUTO INJECTOR
BLS PR 10 GLUCOSE MONITORING
BLS PR 11 NARCAN NASAL SPRAY ADMINISTRAION
BLS PR 12 PELVIC BINDER APPLICATION

ALS Treatment Guidelines

ATG 1 ROUTINE MEDICAL CARE ALS
ATG 2 ADULT PAIN MANAGEMENT
ATG 2A ADULT PAIN ADDENDUM
ATG 3 ADULT SEDATION
ATG 4 TRANSFER OF CARE
ATG 6 DETERMINATION OF DEATH ALS
ATG 5 ADULT INTRAOSSEOUS INFUSION POLICY
ATG 7 ADULT MEDICATION LIST
ATG 8 VENTRICULAR ASSIST DEVICE (VAD)

ALS Procedures

ALS PR 01 PELVIC BINDER APPLICATION PROCEDURE
ALS PR 02 ADULT INTRAOSSEOUS INFUSION PROCEDURE
ALS PR 03 ORAL INTUBATION
ALS PR 04 ETTI
ALS PR 5 iGel
ALS PR 07 INTRANASAL MEDICATIONS (VERSED / NARCAN)
ALS PR 08 NEEDLE THORACOSTOMY PLEURAL DECOMP.
ALS PR 09 VERIFICATION OF TUBE PLACEMENT
ALS PR 10 IV ACCESS
ALS PR 11 EXTERNAL CARDIAC PACING
ALS PR 12 12 LEAD ECG
ALS PR 13 CONTINUOUS POSITIVE AIRWAY PRESSURE
ALS PR 14 KING AIRWAY
ALS PR 16 MDI

Cardiac

C0 ADULT CARDIAC ARREST
C1 V-FIB PULSELESS V-TACH
C2 ASYSTOLE/PEA
C4 BRADYCARDIA
C6 WIDE COMPLEX TACHYCARDIA
C7 NARROW COMPLEX TACHYCARDIA
C8 CHEST PAIN
C9 STEMI
C10 RETURN OF SPONTANEOUS CIRCULATION (ROSC)

Environmental

E 1 HEAT ILLNESS
E 2 COLD INDUCED INJURY
E 3 ENVENOMATION
E 4 BURNS
E 5 DROWNING / NEAR DROWNING

Medical

M1 NON-TRAUMATIC SHOCK
M3 ALLERGIC REACTION / ANAPHYLAXIS
M4 POISONS / DRUGS
M5 SEVERE NAUSEA / VOMITING
M6 SEPSIS

Neurological

N 1 COMA / ALOC
N 2 SEIZURE
N 3 SYNCOPE
N 4 CVA
N 4a CVA

OB/GYN

O 1 VAGINAL HEMMORHAGE
O 2 IMMINENT DELIVERY - NORMAL
O 3 IMMINENT DELIVERY - COMPLICATIONS
O 4 SEVERE ECLAMPSIA / PREECLAMPSIA

Respiratory

R 1 RESPIRATORY ARREST
R2 AIRWAY OBSTRUCTION
R 3 ACUTE RESPIRATORY DISTRESS
R 4 BRONCHOSPASM/ASTHMA/COPD
R 5 ACUTE PULMONARY EDEMA
R 6 PNEUMOTHORAX
R 7 TOXIC INHALATION

Traumatic

T 1 TRAUMATIC INJURY
T 3 CRUSH SYNDROME
T 4 LESS-THAN-LETHAL INTERVENTIONS

Pediatric

PC 1 PEDIATRIC CARDIAC ARREST
PC 2 NEWBORN RESUSCITATION
PC 3 PEDIATRIC BRADYCARDIA
PC 4 PEDIATRIC TACHYCARDIA
PE 1 PEDIATRIC BURNS
PM 1 PEDIATRIC SHOCK
PM 2 PEDIATRIC ALLERGIC REACTION
PM 3 PEDIATRIC TOXIC EXPOSURE
PM 4 BRUE
PM 5 PEDIATRIC SEXUAL ASSAULT
PM 6 PEDIATRIC NAUSEA VOMITING
PN 1 PEDIATRIC SEIZURE
PN 2 PEDIATRIC ALOC
PR 1 PEDIATRIC RESPIRATORY DISTRESS
PT 1 PEDIATRIC TRAUMA
PTG 1 PEDIATRIC PAIN MANAGEMENT
PTG 1A PEDIATRIC PAIN ADDENDUM
PTG 2 PEDIATRIC MEDICATIONS LIST
PTG 2A PEDIATRIC DOSING CHART
PEDIATRIC DOSING GUIDE - GRAY
PEDIATRIC DOSING GUIDE - PINK
PEDIATRIC DOSING GUIDE - RED
PEDIATRIC DOSING GUIDE - PURPLE
PEDIATRIC DOSING GUIDE - YELLOW
PEDIATRIC DOSING GUIDE - WHITE
PEDIATRIC DOSING GUIDE - BLUE
PEDIATRIC DOSING GUIDE - ORANGE
PEDIATRIC DOSING GUIDE - GREEN

Pediatric Procedures

P PR 1 PEDIATRIC IO PROCEDURE

Updates

Update 42.1
Update #41 April 2023
Update #40 2022 Memo and list only
Update #39 March 2020 Memo and list only
Update #38 March 2019
Update #37 July 2018
Update # 36 July 2017
Update #35 July 2016
Update #34 July 2015
Update #33 July 2014
Update #32 July 2013
Update #31 July 2012
Update #30 July 2011
Update #29 July 2010

© 2020 County of Marin Health and Human Services - Emergency Medical Services Agency

1600 Los Gamos Drive, Suite 220
San Rafael, CA 94903
Phone 415-473-6871
Fax 415-473-3747

Accessibility Information

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