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

ICEMA Policies and Protocol Manual

	Effective Date
Table of Contents Effective October 1, 2022	10/1/2022
Policies and Protocol Manual Effective October 1, 2022	10/1/2022

ICEMA Policy Manual is in Adobe Acrobat PDF format.

Administrative Policies

	Effective Date
1010R1 AEMT Certification	10/1/2022
1020R1 EMT Certification	10/1/2022
1030R1 EMT-P Accreditation	10/1/2022
1040R2 MICN Authorization - Base Hospital, Administrative, Flight Nurse, Critical Care Transport	10/1/2022
1050R1 RCP Authorization	10/1/2022
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
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	4/1/2022
2020 EMT Continuing Education Requirements	4/1/2022
2030 Public Safety First Aid Training Program Approval	4/1/2022
2040 Public Safety Optional Skills Course Approval	4/1/2022
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
3020R1 Base Hospital Designation	4/1/2022
3030 Adoption of Policies and Protocols	4/1/2022
3040R1 Radio Communication	4/1/2022
3050 Controlled Substance	4/1/2022
3060 Ground Base Ambulance Rate Setting (San Bernardino County)	4/1/2022

	Effective Date
4010 Paramedic Vaccination	4/1/2022
4020 ChemPack Deployment	4/1/2022
4030 Specialty and Optional Scope Program Approval	4/1/2022
4040R1 ST Elevation Myocardial Infarction Critical Care System Designation	4/1/2022
4050R1 EMT-P Blood Draw for Chemical Testing at the Request of a Peace Officer	4/1/2022
4060R2 Fireline EMT-P	4/1/2022
4070R2 Stroke Critical Care System Designation	4/1/2022
4080R1 Tactical Medicine for Special Operations	4/1/2022
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
4110 Trauma Critical Care System Designation	4/1/2022

EMS System Policies

5000 Data Collection

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

ICEMA System Procedures are in Adobe Acrobat PDF format.

	Effective Date
6010 Physician on Scene	4/1/2022
6020R1 Responsibility for Patient Management	4/1/2022
6030 Reporting Incidents of Suspected Abuse	4/1/2022
6040 Organ Donor Information	4/1/2022
6050 Local Medical Emergency	4/1/2022
6060 Patient Restraints	4/1/2022
6070 Care of Minors in the Field	4/1/2022
6080 Patient Refusal of Care - Adult	4/1/2022
6090R1 Treatment and Transportation Recommendations of Patient with Emerging Infectious Diseases	4/1/2022
6100 EMS Fellow Field Response	4/1/2022

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

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

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

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

11000 Standard Orders

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

Patient Care Protocols

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

ICEMA System Procedures are in Adobe Acrobat PDF format.

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

14000 Treatment Protocols

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

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

Appendix

16000 Miscellaneous

	Effective Date
16010 Definitions	4/1/2022

ICEMA System Procedures are in Adobe Acrobat PDF format.

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