Santa Cruz County EMS Agency TOC Table of Contents Section 100: The EMS System .............................................................................. 7 Policy 101: Quality Improvement Program ..............................................................................................................7 Policy 102: Trauma System Organization and Management .................................................................................. 14 Policy 103: Trauma System Data Collection and Management ............................................................................... 16 Policy 104: Trauma Service Area ........................................................................................................................... 18 Policy 105: Trauma Mutual Aid and Coordination with Neighboring System .......................................................... 19 Policy 106: Blank ..................................................................................................................................................20 Policy 107: Trauma Quality Improvement and System Evaluation .......................................................................... 21 Policy 108: Stakeholder Participation.................................................................................................................... 22 Policy 109: 911 System Provider Roles .................................................................................................................. 23 Policy 110: Policy Development and Implementation ............................................................................................ 25 Policy 111: Unusual Occurrence Reporting ............................................................................................................ 26 Section 200: Personnel Credentials ................................................................... 28 Policy 201: Paramedic Accreditation ..................................................................................................................... 28 Policy 202: EMT Challenge ....................................................................................................................................31 Policy 203: EMT Certification, Recertification and Accreditation Procedures .......................................................... 32 Policy 204: Criminal Background Check ................................................................................................................. 36 Policy 205: Blank ..................................................................................................................................................40 Policy 206: EMT Disciplinary Process ..................................................................................................................... 41 Policy 207: Mobile Intensive Care Nurse Continuing Education and Continuing Service Requirements .................... 48 Policy 208: EMS Responder Scope of Practice........................................................................................................ 49 Section 300: System Providers .......................................................................... 53 Policy 301: Minimal Equipment and Medications for First Responder and Transport Units ..................................... 53 Policy 302: EMT Training Programs ....................................................................................................................... 54 Policy 303: Continuing Education Providers .......................................................................................................... 63 Policy 304: Training Program Suspension or Revocation ........................................................................................ 64 Policy 305: Agency Approval for EMT Optional Skills ............................................................................................. 68 Policy 306: Emergency Medical Dispatch (EMD) .................................................................................................... 74 David Ghilarducci MD EMS Medical Director Page 1 of 396 Santa Cruz County EMS Agency TOC Table of Contents Policy 307: Permitting of Ambulance and Non-Transport Providers ....................................................................... 79 Section 400: Facilities ....................................................................................... 93 Policy 401: Emergency Department Approved for Pediatrics ................................................................................. 93 Policy 402: STEMI Receiving Centers ................................................................................................................... 101 Policy 403: Trauma Patient Interfacility Transfers ............................................................................................... 102 Section 500: Documentation and Data Systems .............................................. 103 Policy 501: Approved Abbreviations ................................................................................................................... 103 Policy 502: Patient Care Record and Transfer of Care Document .......................................................................... 104 Section 600: Operational Policies .................................................................... 108 Policy 601: Guidelines for Medical Control Orders ............................................................................................... 108 Policy 602: Field Transfer of Care ........................................................................................................................ 110 Policy 603: First Responder BLS Ambulance Intercept ......................................................................................... 112 Policy 604: Attendant Level of Care in ALS/BLS Combination units ...................................................................... 114 Policy 605: Field Interaction with Health Care Providers ...................................................................................... 115 Policy 606: Air Ambulances ................................................................................................................................ 117 Policy 607: Patient Destination ........................................................................................................................... 120 Policy 608: Patient Refusal of Care, Against Medical Advice or Release at Scene .................................................. 122 Policy 609: Base Station Guidelines .................................................................................................................... 126 Policy 610: Law Enforcement on Scene ............................................................................................................... 129 Policy 611: On-Scene Medical Control ................................................................................................................. 132 Policy 612: Resource Response and Management ............................................................................................... 135 Policy 613: Determination of Death in The Field .................................................................................................. 138 Policy 614: DNR, Advance Directives and End of Life Options .............................................................................. 143 Policy 615: Emergency Department Diversion and Bypass ................................................................................... 150 Policy 616: Interfacility Transfers ........................................................................................................................ 153 Policy 617: Out-of-County Transports ................................................................................................................. 158 Policy 618: Critical Ambulance Demand Mitigation ............................................................................................. 160 Policy 619: Suspected Child, Elder and Dependent Adult Abuse Reporting ........................................................... 163 Policy 620: Intranasal Naloxone by Law Enforcement .......................................................................................... 168 Policy 621: Patient Acuity Guidelines .................................................................................................................. 171 David Ghilarducci MD EMS Medical Director Page 2 of 396 Santa Cruz County EMS Agency TOC Table of Contents Policy 622: Patient Restraint............................................................................................................................... 174 Policy 623: Mass Casualty Incidents .................................................................................................................... 176 Policy 624: Emergency Worker Rehabilitation ..................................................................................................... 178 Policy 625: Trauma Transport and Destination .................................................................................................... 179 Policy 626: Trauma Triage .................................................................................................................................. 183 Policy 627: Emergency Department Trauma Re-Triage ........................................................................................ 185 Policy 628: