EMS Policy & Procedure Manual

This page includes the policies, procedures, and treatment protocols for the San Mateo County prehospital care system. The information is provided by the San Mateo County Emergency Medical Services Agency, and is designed for use within San Mateo County.  Updates and new policies are noted with the implementation date.  Numeric gaps in document numbers indicate that a policy or procedure has been deleted and is not part of the current San Mateo County pre-hospital care system.  Any questions should be directed to the EMS Agency at (650) 573-2564.

Table of Contents

 
SECTION ONE: THE SAN MATEO EMS SYSTEM
EMS Agency Mission Statement System - 1  
EMS Agency Organization Chart System - 2  
EMS Agency Administration Information System - 3 Rev 12/2013
Hospitals System - 4  
Emergency And Non-Emergency Providers System - 5  
Fire Service Agencies System - 6  
Other Emergency Responders System - 7  
Emergency Medical Care Committee Bylaws System - 8  
Medical Advisory Committee Bylaws System System - 9 Rev 2/2012
Standing Committees System System - 10  
EMS System Policy Distribution and
Implementation System
System - 11  
SECTION TWO: PERSONNEL, CERTIFICATION AND ACCREDITATION
EMD Dispatcher Program Approval and Authorization Personnel - 1  
EMT-1 Certification and Recertification Personnel - 2  
Disciplinary Review Procedures for EMT-1 Certificates, Paramedic Licensure, and Paramedic Accreditation Personnel - 3  
Public Safety Automatic External Defibrillation Programs Personnel - 4  
Paramedic Accreditation and Orientation Personnel - 5 Rev 8/2011
Law Enforcement First Aid Training Program Approval Personnel - 6  
Continuing Education Requirements Personnel - 7  
SECTION THREE: OPERATIONS
Ambulance Response And Transport Restrictions Operations - 1 Rev 6/2013
Use Of BLS Ambulances Within The EmergencyAmbulance/Advanced Life Support System Operations - 2 Rev 10/2013
Transport Limitations For ALS First Responder Operations - 3 Rev 2/2014
Authority On Scene Operations - 4 Rev 2/2012
Physician On The Scene Operations - 5 Rev 6/2012
Canceling or Downgrading an EMS Response Operations - 6 Rev 6/2012
Patient Transport and Destination Operations - 7 Rev 1/2014
EMS Supervisors Role Operations - 8 Rev 11/2011
Multi-Casualty Incident Response Plan Operations - 9 Rev 11/22/11
Guidelines For Determining Death In The Field Operations - 10 Rev 1/2012
Guideline for Law Enforcement Officers Determining Death Operations - 10a Rev 6/2013
Do Not Resuscitate Operations - 11 Rev 6/2012
Organ Donor Card Search Operations - 12 Rev 6/2012
Use Of EMS Aircraft Operations - 13 Rev 5/2014
San Francisco International Airport - Paramedic First Responder Program Operations - 14  
Intercounty EMT-P Response And Transport: San Mateo/San Francisco/Alameda/Santa Cruz Operations - 15  Rev 6/2012
Controlled Substance Storage and Restocking Procedures Operations - 16  Rev 4/2014
EMS Communications Operations - 17  
Special Response Areas & Bridges Operations - 19 Rev 6/2013
Medical Resource Standby Operations - 20 Rev 12/2013
Refusal Of Care And/Or Transportation Operations - 21  
Trauma Triage Operations - 22 Rev 3/2012
Trauma System and Patient Destination Operations - 22a Rev 3/2012
Safely Surrendered Baby Procedure for Fire Stations Operations - 24 Rev 6/2013
Pediatric Hospice Patients Operations - 25  
Use Of BLS Ambulances Within The South San Francisco Fire Department Operations - 26 Rev 10/2013
Law Enforcement On-scene Requesting Code of Response Operations - 27 Rev 5/2014
Information to Prehospital Personnel Re: Communicable Disease Precautions During Outbreaks at Certain Facilities Operations - 28 Rev 6/2013
Stroke System Triage and Patient Destination Operations - 29 Rev 1/2012
Use of Alternative Transport Vehicles Operations - 30 Rev 1/2014
Abuse Reporting Operations - 31  New 12/2008
Assessment and Disposition of Inebriated Patients Operations - 32  New 4/2012
Fire Line Emergency Medical Technician - Paramedic (FEMP) Operations - 33 New 6/2013
Tactical Medic Team Operations - 34 New 12/2013
SECTION FOUR: PROCEDURES
Spinal Immobilization Procedures - 1 Rev 6/2012
Nerve Gas Antidote/Training/Storage/Injection Procedures - 3 Rev 3/2013
Infectious Disease Precautions for Field Personnel

Procedures - 4

Rev 3/2012
Airway Management Procedures - 5 Rev 9/2014
Nasotracheal Intubation

Procedures - 7

Rev 3/2012
Intraosseous Adult - Pediatric Procedures - 8 Rev 3/2012
Guidelines for Vascular Access and Drug Delivery Procedures - 9 New 2/1/12
Prehospital 12-Lead Electrocardiogram Procedures - 15 Rev 5/2013
Non-Lethal Force Procedures - 16 Rev 6/2012
King Airway Procedures - 17 Rev 3/2012
CO2 Monitoring Procedures - 18 Rev 3/2012
CPAP Procedures - 19  Rev 3/2012
King Airway for BLS Responders Procedures - 20  Rev 3/2012
Transcutaneous Pacing Procedures - 21  Rev 1/2012
Plural Decompression Procedures - 22  Rev 1/1/12
Endotracheal Tube Introducer (ETT) Procedure Procedures - 23  Rev 1/2012
Video Laryngoscopy Procedure Procedures - 24  New 9/2014
Tourniquets/Bleeding Control Procedure Procedures - 25  New 11/2014
SECTION FIVE: FACILITIES
Receiving Hospitals Facilities - 1  Rev 1/2014
Base Hospitals Facilities - 2  
Ambulance Diversion Facilities - 3  Rev 5/2013
Patient Transfer Facilities - 4  Rev 10/2010
Destination of Patients Under a 5150 Hold Facilities - 5  
Correctional Facilities Facilities - 6  
Trauma Centers Facilities - 7  
Impact Evaluation: Proposed Downgrade or Closure of a Hospital's Emergency Services Facilities - 8  
STEMI System Referal Hospital and Receiving Center Standards and Designation Facilites - 9 New 5/2013
SECTION SIX: EQUIPMENT
EMT-1 Ambulance Minimum Equipment List Equipment - 1  
Paramedic Ambulance and First Responder Staffing, Medications, Equipment and Supplies Equipment - 3 Rev 6/2013
Prehospital Paramedic Electrocardiography Equipment Equipment - 4  
Equipment Required on Scene Equipment - 5  Rev 3/2013
SECTION SEVEN: COMMUNICATIONS
Operations Frequencies Communications - 1  
Ambulance Provider Daily Log On Communications - 2  
Holding Priority 3 Ambulance Calls Communications - 3  
System Alert/ALS Ambulance System Level Zero Communications - 4  
Ambulance Deployment Broadcast/Notifications Communications - 5  
EMD and Medical Backup for South San Francisco Communications - 6  
Use of 911 Units for Emergency Interfacility Transfers Communications - 7  
Special Response Areas Communications - 8  
EMS Aircraft Communications - 9  
Requests for Canceling or Downgrading an EMS Response and Estimated Time of Arrival Communications - 10  
Field Safety Communications - 11  
Correctional Facilities Communications - 12  
Dispatching in Manual Mode Communications - 13  
Dispatching and Transport Priorities Communications - 14  
EMD Compliance Policy Communications - 15  
EMD Quality Assurance Policy Communications - 16  
Medical Priority Dispatch Obvious/Expected Death (In Development) Communications - 17  
Medical Resource Standby Communications - 18  
Alert I/II/III Communications - 19  
AMR Management Notifications Communications - 20  
EMS Agency Notification Communications - 21  
SECTION EIGHT: DOCUMENTATION
Paramedic Prehospital Care Report (Electronic) Documentation -1 Rev 8/2011
Paramedic Prehospital Care Report Form (Handwritten) Documentation - 2  
EMS System Resolution Documentation - 3  
Patient Contact Documentation - 4  
SECTION NINE: QUALITY IMPROVEMENT
Emergency Medical Dispatch Quality (Improvement) Assurance Quality Improvement -1  
AMR-San Mateo Quality Improvement Plan Quality Improvement - 2  
Clinical Incident Reporting, Investigation, Resolution Quality Improvement - 3  
SECTION ELEVEN: S.M.A.R.T. PROGRAM
Table of Contents SMART - TOC  
SMART Program Overview SMART - 1  
Adult Assessment & Referral SMART - 2  
Pediatric Assessment & Referral SMART - 3  
Intoxicated Patient SMART - 4