Introduction

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 prehospital care system.

Any questions and feedback regarding should be directed to the EMS Agency through the Field Feedback Form for immediate review and response. 

100–STANDARDS: DEFINITIONS AND ABBREVIATIONS

101 - Approved Definitions

102 - Approved Abbreviations

200–EMS SYSTEM

201 - Mission, Values and Vision

202 - Applications Standards Criteria and Review Mechanisms for Advanced Life Support Providers

203 - Emergency Medical Dispatch Program

204 - Committees

205 - Emergency Ambulance and First Response Unit Standards

206 - EMS Policy and Protocol Updates

207 - Ambulance Response and Transport Restrictions

208 - SFO Paramedic Program

209 - Mobile Stroke Unit Program

300–PERSONNEL AND PROGRAM STANDARDS

301 - EMT Certification

302 - Paramedic Accreditation

303 - Emergency Medical Dispatcher Authorization

305 - Public Safety Automatic External Defibrillation Program

306 - BLS Agency and Public Safety Optional Skills

307 - Prehospital Continuing Education Provider

308 - Emergency Medical Technician Training Program

400–COMMUNICATIONS

401 - EMS Radio Communications System

402 - EMS Radio Operations

403 - Prehospital Personnel Safety

404 - Base Hospital Communications

405 - Base Hospital and Receiving Center Reports

406 - Central Patient Routing

500–OPERATIONS

501 - Equipment Required At Scene

502 - Authority At Scene

503 - Physician at Scene

504 - Cancelling or Downgrading an EMS Response

505 - Patient Destination Determination

506 - EMS Supervisor Role

507 - Determining Death

508 - Search for Donor Card

509 - Utilization of EMS Aircraft

510 - Intercounty Emergency Responses

511 - Special Response Areas

512 - Safely Surrendered Baby Program

513 - Law Enforcement Requesting an EMS Response

514 - Patient Extrication in Limited Access Areas

515 - Reporting of Suspected Abuse

516 - Fireline Paramedics

517 - Tactical Emergency Medical Support Team

518 - Confidentiality of Patient Information

519 - Receiving Hospitals

520 - Management of Controlled Substances

521 - Refusal of Emergency Medical Care or Transport

522 - Stroke Triage and Destination

523 - EMS Event Reporting

524 - EMS System Issue Resolution

525 - Patient Restraint

526 - Multi-Casualty Incidents

528 - ALS to BLS Downgrade

600–FACILITIES

601 - Base Hospital Standards and Designation

602 - Ambulance Diversion

603 - Hospital Emergent Interfacility Transfers

604 - Trauma Center Standards

605 - STEMI Receiving Center Standards and Designation

700–DATA COLLECTIONS AND SYSTEM EVALUATION

701 - Documentation Standards

702 - Transmission of Cardiac Monitor Data

703 - EMS Data Collection and Reporting

800–EMERGENCY MEDICAL DISPATCH

900–REFERENCES 

901 - Multicasualty Incident Plan

902 - STEMI Data Dictionary

903 - Paramedic Accreditation Evaluation Form

904 - Controlled Substance Administration and Restock Form

905 - Emergency Medical Care Committee Bylaws

906 - Medical Advisory Committee Bylaws