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2024 EMS Policies

General information

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