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, 2021	10/1/2021
Policies and Protocol Manual Effective October 1, 2021	10/1/2021

ICEMA Policy Manual is in Adobe Acrobat PDF format.

Administrative Policies

	Effective Date
1010 AEMT Certification	3/1/2020
1020 EMT Certification	3/1/2020
1030 EMT-P Accreditation	3/1/2020
1040R1 MICN Authorization - Base Hospital, Administrative, Flight Nurse, Critical Care Transport	6/1/2021
1050 RCP Authorization	3/1/2020
1060 EMT/AEMT Incident Investigation, Determination of Action, Notification, and Administrative Hearing Process	3/1/2020
1070 Criminal History Background Checks (Live Scan)	3/1/2020
1080 EMT-P student Field Internship Requirements	3/1/2020

ICEMA System Procedures are in Adobe Acrobat PDF format.

2000 Education

	Effective Date
2010 Continuing Education Provider Requirements	3/1/2020
2020 EMT Continuing Education Requirements	3/1/2020
2030 Public Safety First Aid Training Program Approval	3/1/2020
2040 Public Safety Optional Skills Course Approval	3/1/2020
2050 Tactical Casualty Care Training Programs and Courses	3/1/2020

3000 General Policies

	Effective Date
3010 Licensure Changes - 911 Receiving Hospitals	3/1/2020
3020R1 Base Hospital Designation	6/1/2021
3030 Adoption of Policies and Protocols	3/1/2020
3040R1 Radio Communication	6/1/2021
3050 Controlled Substance	3/1/2020
3060 Ground Based Ambulance Rate Setting Policy (San Bernardino County)	3/1/2020

	Effective Date
4010 Paramedic Vaccination	3/1/2020
4020 Chempack Deployment	3/1/2020
4030 Specialty and Optional Scope Program Approval	3/1/2020
4040 ST Elevation Myocardial Infarction Critical Care System Designation (San Bernardino County Only)	3/1/2020
4050R1 EMT-P Blood Draw for Chemical Testing at the Request of a Peace Officer	3/1/2020
4060R2 Fireline EMT-P	10/1/2021
4070R1 Stroke Critical Care System Designation (San Bernardino County Only)	6/1/2021
4080R1 Tactical Medicine for Special Operations	10/1/2020
4090 Emergency Medical Dispatch Center Requirements (San Bernardino County Only)	3/1/2020
4100 Medical Priority Dispatch Minimum Response Assignments for Emergency Medical Dispatch (EMD) Categories	3/1/2020
4110 Trauma Critical Care System Designation	10/1/2021

EMS System Policies

5000 Data Collection

	Effective Date
5010 ICEMA Abbreviation List	3/1/2020
5020 Minimum Documentation Requirements for Transfer of Patient Care	3/1/2020
5030 Requirements for Patient Care Reports	3/1/2020
5040 Requirements for Collection and Submission of EMS Data	3/1/2020

ICEMA System Procedures are in Adobe Acrobat PDF format.

	Effective Date
6010 Physician on Scene	3/1/2020
6020R1 Responsibility for Patient Management	10/1/2021
6030 Reporting Incidents of Suspected Abuse	3/1/2020
6040 Organ Donor Information	3/1/2020
6050 Local Medical Emergency	3/1/2020
6060 Patient Restraints	3/1/2020
6070 Care of Minors in the Field	3/1/2020
6080 Patient Refusal of Care - Adult	3/1/2020
6090R1 Treatment and Transportation Recommendations of Patients With Emerging Infectious Diseases	3/30/2020
6100 EMS Fellow Field Response	10/1/2021

	Effective Date
7010R3 Standard Drug and Equipment List - BLS/LALS/ALS	10/1/2021
7020R2 Standard Drug and Equipment List - EMS Aircraft	10/1/2021

	Effective Date
8010 Interfacility Transfer Guidelines	3/1/2020
8020 Specialty Care Transport	3/1/2020
8030 Transport of Patients (BLS)	3/1/2020
8050 Requests for Ambulance Redirection and Hospital Diversion (San Bernardino County Only)	3/1/2020
8060 Hospital Emergency Response Team (HERT)	3/1/2020
8070R1 Medical Response to Hazardous Materials/Terrorism Incident	6/1/2021
8080 Medical Response to a Multiple Casualty Incident	3/1/2020
8080R1 Medical Response to a Multiple Casualty Incident	6/1/2021
8090R1 Medical Response to Multiple Casualty Incident (Inyo and Mono Counties)	6/1/2021
8100 Ambulance Patient Offload Delay (APOD)	3/1/2020
8110 EMS Aircraft Utilization (San Bernardino County Only)	3/1/2020
8130R3 Assess and Refer Response Plan (San Bernardino County Only)	10/1/2021

	Effective Date
9010 Continuation of Care (San Bernardino County Only)	3/1/2020
9020R1 Continuation of Trauma Care (Fort Irwin)	6/1/2021
9030 Destination	3/1/2020
9040R1 Trauma Triage Criteria	7/1/2020

	Effective Date
10010 Emergency Medical Transport of Police Dogs Pilot Project (San Bernardino County Only)	3/1/2020
10020 Trial Study Participation	3/1/2020
10030 Leave Behind Naloxone Distribution - Pilot Program	10/1/2021

11000 Standard Orders

	Effective Date
11010R3 Medication - Standard Orders	10/1/2021
11020R2 Procedure - Standard Orders	10/1/2020

Patient Care Protocols

	Effective Date
12010R1 Patient Care Guidelines	7/1/2020
12020 Glasgow Coma Scale	3/1/2020

ICEMA System Procedures are in Adobe Acrobat PDF format.

	Effective Date
13010 Poisonings	3/1/2020
13020 Heat Related Emergencies	3/1/2020
13030R1 Cold Related Emergencies	6/1/2021
13040 Nerve Agent Antidote Kit (Training, Storage and Administration)	3/1/2020
13050 Smoke Inhalation/CO Exposure/Suspected Cyanide Toxicity	3/1/2020

14000 Treatment Protocols

	Effective Date
14010R2 Respiratory Emergencies - Adult	6/15/2021
14020R1 Airway Obstruction - Adult	7/1/2020
14030 Bradycardias - Adult	3/1/2020
14040 Tachycardias - Adult	3/1/2020
14050R1 Cardiac Arrest - Adult	6/1/2021
14060R1 Altered Level of Consciousness/Seizures - Adult	7/1/2020
14070R2 Burns - Adult (15 years of age and older)	6/1/2021
14080 Stroke Treatment - Adult	3/1/2020
14090R3 Trauma - Adult (15 years of age and older)	6/1/2021
14100 Pain Management - Adult	3/1/2020
14110R1 Psychiatric/Behavioral Emergencies - Adult	10/1/2021
14120 Respiratory Emergencies - Pediatric (Less the 15 years of age)	3/1/2020
14130 Airway Obstruction - Pediatric (Less then 15 years of age)	3/1/2020
14140 Allergic Reactions - Pediatric (Less the 15 years of age)	3/1/2020
14150 Cardiac Arrest - Pediatric (Less than 15 years of age)	3/1/2020
14160R1 Altered Level of Consciousness - Pediatric (Less the 15 years of age)	7/1/2020
14170R1 Seizure - Pediatric (Less the 15 years of age)	7/1/2020
14180R2 Trauma - Pediatric (Less than 15 years of age)	10/1/2020
14190 Burns - Pediatric (Less than 15 years of age)	3/1/2020
14200 Newborn Care	3/1/2020
14210 Obstetrical Emergencies	3/1/2020
14220 Nausea and Vomiting	3/1/2020
14230 Shock (Non-Traumatic)	3/1/2020
14240 Suspected Acute Myocardial Infarction (AMI)	3/1/2020
14250 Determination of Death on Scene	3/1/2020
14260 End of Care and Decisions	3/1/2020
14270 Ventricular Assist Device (VAD0	3/1/2020

	Effective Date
15010 Allergic Reaction and Anaphylaxis (Authorized Public Safety Personnel)	3/1/2020
15020 Nerve Agent Exposure (Authorized Public Safety Personnel)	3/1/2020
15030 Opiod Overdose (Authorized Public Safety Personnel)	3/1/2020
15040 Respiratory Distress (Authorized Public Safety Personnel)	3/1/2020
15050 Optional Skills and Medications (Authorized Public Safety Personnel)	3/1/2020
15060 Public Safety AED Service Provider	3/1/2020

Appendix

16000 Miscellaneous

	Effective Date
16010 Definitions	3/1/2020

ICEMA System Procedures are in Adobe Acrobat PDF format.

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