ICEMA - Inland Counties Emergency Medical Agency

EMS Policies and Procedures

EMS Policies & Procedures

	Effective Date
Table of Contents Effective November 15, 2011	11/15/2011
Table of Contents Effective March 15, 2012	3/15/2012
Combined Manual Effective November 15, 2011	11/15/2011
Combined Manual Effective March 15, 2012	3/15/2012
Advanced EMT (AEMT) Combined Protocol Manual (FOR USE BY ICEMA APPROVED AEMT PROVIDERS ONLY)	9/15/2011

ICEMA Policy Manual is in Adobe Acrobat PDF format.

System Policies and Procedures

1000 Accreditation and Certification

	Release Date
1010 Emergency Medical Dispatch Certification Requirements	1/1/1993
1020 First Responder Certification Requirements	5/1/1994
1030 EMT Certification Requirements	7/1/2010
1090 Criminal History Background Checks (Livescan)	7/1/2010
1040 Requirements for EMT-P Accreditation	9/15/2011
1070 EMT Incident Investigation, Determination of Action, Notification & Adminstrative Hearing Process	7/1/2010
1030 EMT Skills Verification Form & Instructions	8/1/2010
1060 Certification/Accreditation Review Policy	9/15/2011
1050 MICN Certification Requirements	3/15/2011
1080 Flight Nurse Authorization	3/15/2011

ICEMA System Procedures are in Adobe Acrobat PDF format.

2000 Data Collection

	Release Date
2010 Requirements for Patient Care Records	5/1/2006
2120 Insructions for the 01A/F1612 Forms	4/30/2009
2120 01A PCR Narrative Form	7/1/2010
2120 F1612 PCR Data Collection Form	2/1/2009
2020 ICEMA Abbreviation List	3/15/2012
2030 Minimum Documentation Requirements for Transfer of Patient Care	3/15/2012

3000 Education

	Release Date
3020 Continuing Education Provider Requirements	3/15/2011
Monthly CE Class Log Form	4/1/2005
EMT Training Program Application for Approval Packet	7/25/2007
3030 EMT Continuing Education Requirements	3/15/2011
CE Class Roster Form	4/12/2011
3010 Annual Review Class (ARC)	9/15/2011

4000 Quality Improvement

	Release Date
4010 Incident Report Form	2/1/1995
4010 Continuous Quality Improvement Plan	2/28/2011

5000 Miscellaneous System Policies

	Release Date
5020 Base Hospital Selection Criteria Policy	7/15/2000
5010 Licensure Changes, 911 Receiving Hospitals Policy	1/1/2010
5050 Medical Response to a Multi-Casualty Incident	1/1/2010
5060 Multi-Casualty Incident Definitions	1/1/2010
5070 Medical Response to a Haz-Mat Incident	4/1/2007
5080 ICEMA Ambulance Rate Setting Policy-San Bernardino County	3/1/2010
5050 Inyo/Mono Annex Inyo and Mono Counties Medical Response to a Multi-Casualty Incident	5/1/2011
5030 Procedure for Adoption of Protocols and Policies	9/15/2011
5090 2011- 2012 Fee Schedule	9/27/2011
5040 Radio Communication Policy	3/15/2011

6000 Specialty Program/Provider Policies

	Release Date
6010 Paramedic Vaccination Protocol	10/27/2009
6060 Specialty Program/EMT Optional Scope Provider Policy	11/1/2009
6070 Cardiovascular ST Elevation Myocardial Infarction (STEMI) Receiving Center	3/1/2010
6080 Paramedic Blood Draw for Chemical Test at the Request of a Peace Officer	7/1/2010
6100 Stroke "NSRC" Receiving Centers	11/15/2011
6030 Automatic External Defibrillation (AED) Service Provider Policy - Public Safety	9/15/2011
6040 Lay Rescuer Automatic External Defibrillation (AED) Implementation Guidelines	9/15/2011
Specialty or EMT Optional Scope Program Application for Approval	2/8/2012
6090 Fireline Paramedic	3/15/2011

7000 Standard Drug & Equipment Lists

	Release Date
7020 EMS Aircraft Standard Drug and Equipment List	7/1/2010
7010 BLS/ALS Standard Drug and Equipment List	7/1/2010
7010 BLS/ALS Standard Drug & Equipment List	3/15/2012
7020 EMS Aircraft Standard Drug & Equipment List	3/15/2012
7030 Controlled Substance Policy (NEW)	9/15/2011

8000 Transport/Transfers and Destination Policies

	Release Date
8070 Aircraft Destination Policy	3/20/2006
8020 Interfacility Transport Guidelines - Nurse Staffed Units	5/1/2006
8040 Interfacility Transfer of STEMI Patients	11/6/2009
8050 Transport of Patients (BLS)	2/1/1992
8090 Fort Irwin Continuation of Trauma Care	6/25/2010
8030 Burn Destination and Criteria Policy	9/15/2011
8060 San Bernardino County Requests for Hospital Diversion Policy	9/15/2011
8080 Bed Delay Patient Destination Policy (SB County High Desert Area Only)	9/15/2011
8100 Continuation of Trauma Care	7/5/2011
8010 Interfacility Transport Guidelines (ALS)	3/15/2011

Patient Care Policies

9000 General Patient Care Policies

	Release Date
9030 Responsibility for Patient Management	11/1/2004
9040 Reporting Incidents of Suspected Abuse/Neglect	7/1/2010
9050 Organ Donor Information	7/1/2010
9060 Local Medical Emergency	9/1/2003
9010 General Patient Guidelines	12/1/2001
9020 Physician on Scene	7/1/2010
9070 Applying Patient Restraints Guidelines	5/1/2006
9080 Care of Minors in the Field	5/1/2006
9090 Patient Refusal of Care Guidelines - Adults	5/1/2006
9100 Patient Refusal of Care or Other Patient Requests	4/15/1996
9120 Nausea and Vomiting	3/1/2010
9110 Treatment of Patients with Airborne Infections & Transport Recommendations	9/15/2011

ICEMA Patient Care Procedures are in Adobe Acrobat PDF format.

10000 Skills

	Release Date
10080 Insertion of Nasogastric/Orogastric Tube	7/1/2008
10010 King Airway Device (Perilaryngeal) - Adult	1/1/2010
10020 King Airway Device (Perilaryngeal) - Pediatric	1/1/2010
10030 Oral Endotracheal Intubation - Adult	1/1/2010
10050 Nasotracheal Intubation	1/1/2010
10090 Vagal Maneuvers	1/1/2010
10100 12 Lead Electrocardiography	3/1/2010
10140 Intraosseous Infusion	1/1/2010
10150 External Jugular Vein Access	1/1/2010
10170 Pulse Oximetry (BLS)	2/15/2004
10060 Needle Thoracostomy	9/15/2011
10040 Oral Endotracheal Intubation - Pediatric	1/1/2010
10070 Needle Cricothyrotomy	9/15/2011
10110 Transcutaneous Cardiac Pacing	9/15/2011
10120 Synchronized Cardioversion	9/15/2011
10130 Automatic External Defibrillation (AED) - BLS	9/15/2011
10160 Axial Spinal Stabilization	3/15/2011

11000 Adult Emergencies

	Release Date
11010 Respiratory Emergencies - Adult	7/21/2009
11080 Altered Level f Consciousness/Seizures - Adult	7/1/2010
11110 Stroke Treatment - Adult	11/15/2011
11040 Bradycardias - Adult	9/15/2011
11050 Tachycardias - Adult	9/15/2011
11060 Suspected Acute MI	9/15/2011
11070 Cardiac Arrest - Adult	9/15/2011
11090 Shock (Non-Traumatic)	9/15/2011
11020 Airway Obstruction - Adult	9/15/2011
11030 Non-traumatic Hypertensive Crisis	1/1/2010
11100 Burns - Adult	11/15/2011

12000 End of Life Care

	Release Date
12010 Determination of Death on Scene	8/1/2008
12020 Withholding Resuscitative Measures	5/21/2009
12020 ICEMA Do Not Resuscitate (DNR) Report Form	8/6/2009
12020 CALIF Approved POLST Form	4/1/2011

13000 Environmental Emergencies

	Release Date
13010 Poisonings	1/1/2010
13020 Heat Related Emergencies	1/1/2010
13030 Cold Related Emergencies	1/1/2010

14000 Pediatric Emergencies (less than 15 years of age)

	Release Date
14010 Respiratory Emergencies - Pediatric	7/21/2009
14020 Airway Obstruction - Pediatric	4/1/2006
14030 Allergic Reactions - Pediatric	7/21/2009
14040 Cardiac Arrest - Pediatric	7/21/2009
14050 Altered Level of Consciousness - Pediatric	7/1/2010
14060 Seizure - Pediatric	7/1/2010
14080 Obstetrical Emergencies	5/1/2006
14090 Newborn Care	4/1/2009
14100 Suspected Sudden Infant Death Syndrome (SIDS) Incident	11/1/2004
14070 Burns - Pediatric	11/15/2011

15000 Trauma

	Release Date
15040 Glasgow Coma Scale Operational Definitions	4/15/1996
15020 Trauma - Pediatric	11/15/2011
15030 Trauma Triage Criteria and Destination Policy	11/15/2011
15010 Trauma - Adult	11/15/2011

Advanced EMT (AEMT) Protocols
*For ICEMA Approved AEMT Providers Only

AEMT 7000 Standard Drug & Equipment Lists

	Release Date
7010 AEMT Limited ALS Standard Drug and Equipment List	9/15/2011

ICEMA AEMT Protocols are in Adobe Acrobat PDF format.

AEMT 9000 General Patient Care Policies

	Release Date
9010 AEMT General Patient Care Guidelines	9/15/2011
9020 AEMT Physician on Scene	9/15/2011
9030 AEMT Responsibility for Patient Management Policy	9/15/2011
9040 AEMT Reporting Incidents of Suspected Abuse Policy	9/15/2011
9050 AEMT Organ Donor Information	9/15/2011
9060 AEMT Local Medical Emergency Policy	9/15/2011
9070 AEMT Applying Patient Restraints Guidelines	9/15/2011
9080 AEMT Care of Minors in the Field	9/15/2011
9090 AEMT Patient Refusal of Care Guidelines - Adult	9/15/2011

AEMT 10000 Skills

	Release Date
10010 AEMT King Airway Device (Perilaryngeal) - Adult	9/15/2011
10020 AEMT King Airway Device (Perilaryngeal) - Pediatric	9/15/2011
10130 AEMT Automatic External Defibrillation (AED) - BLS	9/15/2011
10160 AEMT Axial Spinal Stabilization	9/15/2011

AEMT 11000 Adult Emergencies

	Release Date
11010 AEMT Adult Respiratory Emergencies	9/15/2011
11020 AEMT Airway Obstruction - Adult	9/15/2011
11030 AEMT Non-Traumatic Hypertensive Crisis	9/15/2011
11060 AEMT Suspected Acute MI	9/15/2011
11070 AEMT Cardiac Arrest - Adult	9/15/2011
11080 AEMT Altered Level of Consciousness/Seizures	9/15/2011
11100 AEMT Burns - Adult	9/15/2011

AEMT 12000 End of Life Care

	Release Date
12010 AEMT Determination of Death on Scene	9/15/2011
12020 AEMT Withholding Resuscitative Measures	9/15/2011
EMSA Do Not Resuscitate (DNR) Report Form	1/1/2009
ICEMA Do Not Resuscitate (DNR) Report Form	1/1/2009

AEMT 13000 Environmental Emergencies

	Release Date
13010 AEMT Poisonings	9/15/2011
13020 AEMT Heat Related Emergencies	9/15/2011
13030 AEMT Cold Related Emergencies	9/15/2011

AEMT 14000 Pediatric Emergencies (less than 15 years of age)

	Release Date
14030 AEMT Allergic Reactions - Anaphylaxis	9/15/2011
14080 AEMT Obstetrical Emergencies	9/15/2011
14090 AEMT Newborn Care	9/15/2011
14100 AEMT Suspected Sudden Infant Death Syndrome Incident	9/15/2011

AEMT 15000 Trauma

	Release Date
15010 AEMT Trauma - Adult	9/15/2011
15020 AEMT Trauma - Pediatric	9/15/2011

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