ICEMA - Inland Counties Emergency Medical Agency Serving Inyo, Mono & San Bernardino Counties

ICEMA Policies and Protocol Manual

	Effective Date
Policies and Protocol Manual Effective December 9, 2022	12/9/2022
Table of Contents Effective December 9, 2022	12/9/2022
Policies and Protocol Manual	4/1/2023
Table of Contents	4/1/2023

ICEMA Policy Manual is in Adobe Acrobat PDF format.

Administrative Policies

1000 Credentialing (EMT, AEMT, EMT-P, MICN)

	Effective Date
1010 AEMT Certification	4/1/2023
1010R1 AEMT Certification	10/1/2022
1020 EMT Certification	4/1/2023
1020R1 EMT Certification	10/1/2022
1030 EMT-P Accreditation	4/1/2023
1030R1 EMT-P Accreditation	10/1/2022
1040 MICN Authorization - Base Hospital, Administrative, Flight Nurse, Critical Care Transport	4/1/2023
1040R2 MICN Authorization - Base Hospital, Administrative, Flight Nurse, Critical Care Transport	10/1/2022
1050 RCP Authorization	4/1/2023
1050R1 RCP Authorization	10/1/2022
1060 EMT/AEMT Incident Investigation, Determination of Action, Notification, and Administrative Hearing Process	4/1/2023
1060 EMT/AEMT Incident Investigation, Determination of Action, Notification, and Administrative Hearing Process	4/1/2022
1070 Criminal History Background Checks (Live Scan)	4/1/2022
1070 Criminal History Background Checks (Live Scan)	4/1/2023
1080 EMT-P Student Field Internship Requirements	4/1/2023
1080R1 EMT-P Student Field Internship Requirements	10/1/2022

ICEMA System Procedures are in Adobe Acrobat PDF format.

2000 Education

	Effective Date
2010 Continuing Education Provider Requirements	4/1/2023
2010 Continuing Education Provider Requirements	4/1/2022
2020 EMT Continuing Education Requirements	4/1/2022
2020 EMT Continuing Education Requirements	4/1/2023
2030 Public Safety First Aid Training Program Approval	4/1/2023
2030 Public Safety First Aid Training Program Approval	4/1/2022
2040 Public Safety Optional Skills Course Approval	4/1/2023
2040 Public Safety Optional Skills Course Approval	4/1/2022
2050 Tactical Casualty Care Training Programs and Courses	4/1/2023
2050 Tactical Casualty Care Training Programs and Courses	4/1/2022

3000 General Policies

	Effective Date
3010 Licensure Changes - 911 Receiving Hospitals	4/1/2022
3010 Licensure Changes - 911 Receiving Hospitals	4/1/2023
3020 Base Hospital Designation	4/1/2023
3020R1 Base Hospital Designation	4/1/2022
3030 Adoption of Policies and Protocols	4/1/2022
3030 Adoption of Policies and Protocols	4/1/2023
3040 Radio Communication	4/1/2023
3040R1 Radio Communication	4/1/2022
3050 Controlled Substance	4/1/2023
3050 Controlled Substance	4/1/2022
3060 Ground Base Ambulance Rate Setting (San Bernardino County)	4/1/2022
3060 Ground Base Ambulance Rate Setting (San Bernardino County)	4/1/2023

4000 Specialty Care Programs and Specialty Service Provider Policies

	Effective Date
4010 Paramedic Vaccination	4/1/2022
4010 Paramedic Vaccination	4/1/2023
4020 ChemPack Deployment	4/1/2022
4020 ChemPack Deployment	4/1/2023
4030 Specialty and Optional Scope Program Approval	4/1/2023
4030 Specialty and Optional Scope Program Approval	4/1/2022
4040 ST Elevation Myocardial Infarction Critical Care System Designation	4/1/2023
4040R1 ST Elevation Myocardial Infarction Critical Care System Designation	4/1/2022
4050 EMT-P Blood Draw for Chemical Testing at the Request of a Peace Officer	4/1/2023
4050R1 EMT-P Blood Draw for Chemical Testing at the Request of a Peace Officer	4/1/2022
4060 Fireline EMT-P	4/1/2023
4060R2 Fireline EMT-P	4/1/2022
4070 Stroke Critical Care System Designation	4/1/2023
4070R2 Stroke Critical Care System Designation	4/1/2022
4080 Tactical Medicine for Special Operations	4/1/2023
4080R1 Tactical Medicine for Special Operations	4/1/2022
4090 Emergency Medical Dispatch Center Requirements (San Bernardino County Only)	4/1/2023
4090 Emergency Medical Dispatch Center Requirements (San Bernardino County Only)	4/1/2022
4100 Medical Priority Dispatch Minimum Response Assignments for Emergency Medical Dispatch (EMD) Categories	4/1/2022
4100 Medical Priority Dispatch Minimum Response Assignments for Emergency Medical Dispatch (EMD) Categories	4/1/2023
4110 Trauma Critical Care System Designation	4/1/2023
4110 Trauma Critical Care System Designation	4/1/2022

EMS System Policies

5000 Data Collection

	Effective Date
5010 ICEMA Abbreviation List	4/1/2023
5010 ICEMA Abbreviation List	4/1/2022
5020 Minimum Documentation Requirements for Transfer of Patient Care	4/1/2022
5020 Minimum Documentation Requirements for Transfer of Patient Care	4/1/2023
5030 Requirements for Patient Care Reports	4/1/2023
5030 Requirements for Patient Care Reports	4/1/2022
5040 Requirements for Collection and Submission of EMS Data	4/1/2022
5040 Requirements for Collection and Submission of EMS Data	4/1/2023

ICEMA System Procedures are in Adobe Acrobat PDF format.

6000 General Operational Policies

	Effective Date
6010 Physician on Scene	4/1/2022
6010 Physician on Scene	4/1/2023
6020 Responsibility for Patient Management	4/1/2023
6020R1 Responsibility for Patient Management	4/1/2022
6030 Reporting Incidents of Suspected Abuse	4/1/2022
6030 Reporting Incidents of Suspected Abuse	4/1/2023
6040 Organ Donor Information	4/1/2022
6040 Organ Donor Information	4/1/2023
6050 Local Medical Emergency	4/1/2023
6050 Local Medical Emergency	4/1/2022
6060 Patient Restraints	4/1/2022
6060 Patient Restraints	4/1/2023
6070 Care of Minors in the Field	4/1/2023
6070 Care of Minors in the Field	4/1/2022
6080 Patient Refusal of Care - Adult	4/1/2022
6080 Patient Refusal of Care - Adult	4/1/2023
6090 Treatment and Transportation Recommendations of Patient with Emerging Infectious Diseases	4/1/2023
6090R1 Treatment and Transportation Recommendations of Patient with Emerging Infectious Diseases	4/1/2022
6100 EMS Fellow Field Response	4/1/2022
6100 EMS Fellow Field Response	4/1/2023
6110 Transport of Critical 911 Patients When No Ambulance is Available	4/1/2023
6110 Transport of Critical 911 Patients When No Ambulance is Available	12/9/2022

7000 Drug and Equipment Lists

	Effective Date
7010 Standard Drug and Equipment List - BLS/LALS/ALS	4/1/2023
7010R5 Standard Drug and Equipment List - BLS/LALS/ALS	10/1/2022
7020 Standard Drug and Equipment List - EMS Aircraft	4/1/2023
7020R3 Standard Drug and Equipment List - EMS Aircraft	10/1/2022

8000 Response, Transport, Transfer and Diversion Policies

	Effective Date
8010 Interfacility Transfer Guidelines	4/1/2022
8010 Interfacility Transfer Guidelines	4/1/2023
8020 Specialty Care Transport	4/1/2023
8020 Specialty Care Transport	4/1/2022
8030 Transport of Patients (BLS)	4/1/2022
8030 Transport of Patients (BLS)	4/1/2023
8050 Requests for Hospital Diversion and Ambulance Redirection	4/1/2023
8050R1 Requests for Ambulance Redirection and Hospital Diversion	4/1/2022
8060 Hospital Emergency Response Team (HERT)	4/1/2022
8060 Hospital Emergency Response Team (HERT)	4/1/2023
8070 Medical Response to Hazardous Materials/Terrorism Incident	4/1/2023
8070R1 Medical Response to Hazardous Materials/Terrorism Incident	4/1/2022
8080 Medical Response to a Multiple Casualty Incident	4/1/2023
8080R1 Medical Response to a Multiple Casualty Incident	4/1/2022
8090 Medical Response to Multiple Casualty Incident (Inyo and Mono Counties)	4/1/2023
8090R1 Medical Response to Multiple Casualty Incident (Inyo and Mono Counties)	4/1/2022
8100 Ambulance Patient Offload Delay (APOD)	4/1/2022
8100 Ambulance Patient Offload Delay (APOD)	4/1/2023
8110 EMS Aircraft Utilization (San Bernardino County Only)	4/1/2023
8110 EMS Aircraft Utilization (San Bernardino County Only)	4/1/2022
8130 Assess and Refer Response Plan (San Bernardino County Only)	4/1/2023
8130R3 Assess and Refer Response Plan (San Bernardino County Only)	4/1/2022

9000 Continuation of Care and Destination Policies

	Effective Date
9010 Continuation of Care	4/1/2023
9010R1 Continuation of Care	4/1/2022
9020 Continuation of Trauma Care (Fort Irwin)	4/1/2023
9020R1 Continuation of Trauma Care (Fort Irwin)	4/1/2022
9030 Destination	4/1/2022
9030 Destination	4/1/2023
9040 Trauma Triage Criteria	4/1/2023
9040R1 Trauma Triage Criteria	4/1/2022

10000 Pilot Projects and Trial Studies

	Effective Date
10010 Emergency Medical Transport of Police Dogs - Pilot Project (San Bernardino County Only)	4/1/2022
10010 Emergency Medical Transport of Police Dogs - Pilot Project (San Bernardino County Only)	4/1/2023
10020 Trial Study Participation	4/1/2023
10020 Trial Study Participation	4/1/2022
10030 Leave Behind Naloxone Distribution - Pilot Program	4/1/2022
10030 Leave Behind Naloxone Distribution - Pilot Program	4/1/2023
10040 Paramedic Prehospital Utilization of Ultrasound - Trial Study	4/1/2023
10040 Paramedic Prehospital Utilization of Ultrasound - Trial Study	4/1/2022

11000 Standard Orders

	Effective Date
11010 Medication - Standard Orders	4/1/2023
11010R5 Medication - Standard Orders	10/1/2022
11020 Procedure - Standard Orders	4/1/2023
11020R4 Procedure - Standard Orders	10/1/2022

Patient Care Protocols

12000 General Patient Care

	Effective Date
12010 Patient Care Guidelines	4/1/2023
12010R1 Patient Care Guidelines	4/1/2022
12020 Glasgow Coma Scale	4/1/2022
12020 Glasgow Coma Scale	4/1/2023

ICEMA System Procedures are in Adobe Acrobat PDF format.

13000 Environmental Emergencies

	Effective Date
13010 Poisonings	4/1/2022
13010 Poisonings	4/1/2023
13020 Heat Related Emergencies	4/1/2023
13020 Heat Related Emergencies	4/1/2022
13030 Cold Related Emergencies	4/1/2023
13030R1 Cold Related Emergencies	4/1/2022
13040 Nerve Agent Antidote Kit (Training, Storage and Administration)	4/1/2022
13040 Nerve Agent Antidote Kit (Training, Storage and Administration)	4/1/2023
13050 Smoke Inhalation/CO Exposure/Suspected Cyanide Toxicity	4/1/2023
13050 Smoke Inhalation/CO Exposure/Suspected Cyanide Toxicity	4/1/2022
13060 Drowning/Submersion Injuries	4/1/2023
13060 Drowning/Submersion Injuries	10/1/2022

14000 Treatment Protocols

	Effective Date
14010 Respiratory Emergencies - Adult	4/1/2023
14010R3 Respiratory Emergencies - Adult	4/1/2022
14020 Airway Obstruction - Adult	4/1/2023
14020R1 Airway Obstruction - Adult	4/1/2022
14030 Bradycardias - Adult	4/1/2023
14030R1 Bradycardias - Adult	10/1/2022
14040 Tachycardias - Adult	4/1/2022
14040 Tachycardias - Adult	4/1/2023
14050 Cardiac Arrest - Adult	4/1/2023
14050R2 Cardiac Arrest - Adult	10/1/2022
14060 Altered Level of Consciousness/Seizures - Adult	4/1/2023
14060R1 Altered Level of Consciousness/Seizures - Adult	4/1/2022
14070 Burns - Adult (15 years of age and older)	4/1/2023
14070R2 Burns - Adult (15 years of age and older)	4/1/2022
14080 Stroke Treatment - Adult	4/1/2023
14080 Stroke Treatment - Adult	4/1/2022
14090 Trauma - Adult (15 years of age and older)	4/1/2023
14090R4 Trauma - Adult (15 years of age and older)	10/1/2022
14100 Pain Management - Adult	4/1/2023
14100R1 Pain Management	10/1/2022
14110 Psychiatric/Behavioral Emergencies - Adult	4/1/2023
14110R1 Psychiatric/Behavioral Emergencies - Adult	4/1/2022
14120 Respiratory Emergencies - Pediatric (Less than 15 years of age)	4/1/2022
14120 Respiratory Emergencies - Pediatric (Less than 15 years of age)	4/1/2023
14130 Airway Obstruction - Pediatric (Less than 15 years of age)	4/1/2023
14130 Airway Obstruction - Pediatric (Less than 15 years of age)	4/1/2022
14140 Allergic Reactions - Pediatric (Less than 15 years of age)	4/1/2023
14140R1 Allergic Reactions - Pediatric (Less than 15 years of age)	4/1/2022
14150 Cardiac Arrest - Pediatric (Less than 15 years of age)	4/1/2023
14150R1 Cardiac Arrest - Pediatric (Less than 15 years of age)	10/1/2022
14160 Altered Level of Consciousness - Pediatric (Less than 15 years of age)	4/1/2023
14160R1 Altered Level of Consciousness - Pediatric (Less than 15 years of age)	4/1/2022
14170 Seizure - Pediatric (Less than 15 years of age)	4/1/2023
14170R1 Seizure - Pediatric (Less than 15 years of age)	4/1/2022
14180 Trauma - Pediatric (Less than 15 years of age)	4/1/2023
14180R3 Trauma - Pediatric (Less than 15 years of age)	10/1/2022
14190 Burns - Pediatric (Less than 15 years of age)	4/1/2023
14190R1 Burns - Pediatric (Less than 15 years of age)	10/1/2022
14200 Newborn Care	4/1/2023
14200 Newborn Care	4/1/2022
14210 Obstetrical Emergencies	4/1/2022
14210 Obstetrical Emergencies	4/1/2023
14220 Nausea and Vomiting	4/1/2023
14220 Nausea and Vomiting	4/1/2022
14230 Shock (Non-Traumatic)	4/1/2022
14230 Shock (Non-Traumatic)	4/1/2023
14240 Suspected Acute Myocardial Infarction (AMI)	4/1/2023
14240 Suspected Acute Myocardial Infarction (AMI)	4/1/2022
14250 Determination of Death on Scene	4/1/2022
14250 Determination of Death on Scene	4/1/2023
14260 End of Care and Decisions	4/1/2023
14260 End of Care and Decisions	4/1/2022
14270 Ventricular Assist Device (VAD)	4/1/2022
14270 Ventricular Assist Device (VAD)	4/1/2023

ICEMA System Procedures are in Adobe Acrobat PDF format.

15000 Public Safety First Aid

	Effective Date
15010 Allergic Reaction and Anaphylaxis (Authorized Public Safety Personnel)	4/1/2022
15010 Allergic Reaction and Anaphylaxis (Authorized Public Safety Personnel)	4/1/2023
15020 Nerve Agent Exposure (Authorized Public Safety Personnel)	4/1/2023
15020 Nerve Agent Exposure (Authorized Public Safety Personnel)	4/1/2022
15030 Opioid Overdose (Authorized Public Safety Personnel)	4/1/2022
15030 Opioid Overdose (Authorized Public Safety Personnel)	4/1/2023
15040 Respiratory Distress (Authorized Public Safety Personnel)	4/1/2023
15040R1 Respiratory Distress (Authorized Public Safety Personnel)	10/1/2022
15050 Optional Skills and Medications (Authorized Public Safety Personnel)	4/1/2023
15050R1 Optional Skills and Medications (Authorized Public Safety Personnel)	10/1/2022
15060 Public Safety AED Service Provider	4/1/2023
15060 Public Safety AED Service Provider	4/1/2022

Appendix

16000 Miscellaneous

	Effective Date
16010 Definitions	4/1/2022
16010 Definitions	4/1/2023

ICEMA System Procedures are in Adobe Acrobat PDF format.

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