SANTA CLARA COUNTY PREHOSPITAL CARE POLICY REVISION INVENTORY LIST- MAY Policy Title Proposed Modification

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1 201 Emergency Medical Technician (EMT) Certification REVISION: 1. Eligibility requirements updated. 2. Live scan language was updated to reflect correct terminology. 3. Applicants will be required to schedule an appointment to apply for certification and recertification. 4. New language was added to clarify the certification process once all documents have been received. 5. Language was added to clarify what is required for recertification. To include applications should be submitted at least 30 days in advance. 6. A new CE log was added to the Policy so applicants will not have to bring copies of their CE s with them to the Agency. 7. Under lapsed requirements all items that are required for recertification were listed. 8. A statement was added about concurrent certification, EMT s with disciplinary actions from other agencies, and a statement on the falsification of documents. 204 Paramedic Intern Recognition REVISION: 1. The process for application and recognition as an intern was explained step-by-step. 2. Live scan process was clarified. 3. That the application process must be completed in 30 days. 4. A statement on the falsification of documents was added. 1 Page

2 205 Paramedic Accreditation REVISION: 1. Optional scope items were deleted, since the state moved them into the basic scope of practice on April 1, The application process was explained step-by-step. 3. Process was added if an applicant fails the accreditation process three times. 4. A section on continuous accreditation was added and listed the requirements for to maintain accreditation. 5. Transfer of accreditation process was clarified. 6. A section was added to that address a lapse of accreditation. 7. A section was added to address mutual aid response out of County. 8. A statement on the falsification of documents was added. 300 ALS/BLS Provider Approval REVISION: 1. BLS level added to Policy. 2. Requires that private ambulance providers meet the standards of the Ambulance Code. 3. Clarified the process for becoming a new ALS/BLS provider in the County. 401 Interfacility Transport-Ground Ambulance REVISION: 1. Section VIII, A, 2 Added information from Guidelines for Transfer Poster to the Policy. 2 Page

3 409 Primary Stroke Center Standards NEW: 1. Lists the standards that a County designated Stroke Center must meet to maintain designation. 410 STEMI Receiving Center Designation Process 411 Stroke Care System Quality Improvement Committee NEW: 1. Defines the designation process for a receiving facility to become designated as a STEMI Receiving Center in County. NEW: 1. Defines the responsibilities, membership, attendance requirements and documentation for the Stroke Care System Quality Improvement Committee. 412 Stroke Center Designation Process NEW: 1. Defines the designation process for a receiving facility to become designated as a Primary Stroke Center in County. 413 Stroke Registry Standards NEW: 1. Defines the process and data elements collected to monitor the County Stroke System. 414 STEMI Registry Standards NEW: 1. This policy separates out the registry standards from Policy 408 STEMI Receiving Center Standards. 3 Page

4 415 Cardiac Care System Quality Improvement Committee NEW: 1. Defines the responsibilities, membership, attendance requirements and documentation for the Cardiac Care System Quality Improvement Committee. 617 EMS System Identification REVISION: 1. Requires that applicant make an appointment for initial or renewal of an ID badge. 2. Clarified the requirement for government identification when submitting an application. 3. Issuance of System ID was updated. 700-A11 Respiratory Distress REVISION: 2. Update includes 2010 AHA standards for oxygen administration. 3. The section titled Purpose is added for clarity. 700-A15 Poisoning and Overdose REVISION: 2. The section titled Purpose is added for clarity. 700-A16 Trauma REVISION: 2. Update includes 2010 AHA standards for oxygen administration. 4 Page

5 700-A19 Smoke Inhalation REVISION: 2. Sodium Thiosulfate was previously removed from this policy through administrative order. 3. Guidelines referring to Sodium Thiosulfate are removed. 700-A20 Psychiatric Emergencies REVISION: 2. The section titled Purpose is added for clarity. 3. Subsection B: Voluntary Patients with Psychiatric Emergencies, under BLS treatment is added. 700-A22 Excited Delirium NEW: 1. This policy provides clinical guidelines to EMS providers for treating patients that present with signs and symptoms of excited delirium. 700-M01 Advanced Airway Management REVISION: 1. Format changes made to multiple sections of the policy. 700-M08 Intraosseous Infusion REVISION: 2. The humeral site is added to the policy. 5 Page

6 700-M12 Continuous Positive Airway Pressure REVISION: 2. Two new indications are added: Asthma attack and COPD exacerbation. 3. Changes have been made to the Equipment and Procedure sections. 700-M13 Automated CPR Devices NEW: 1. Policy to describe the use of county approved automated CPR devices in the prehospital setting for non-traumatic cardiac arrests in patients that are 18 years and older. 700-P01 Neonatal Resuscitation REVISION: 2. The section titled Purpose is added for clarity. 700-P08 Pediatric Respiratory Distress REVISION: 2. The section titled Purpose is added for clarity. 3. Sodium Thiosulfate has been removed from the smoke inhalation section of the policy through administrative order. 700-P12 Pediatric Trauma REVISION: 2. Update includes 2010 AHA standards for oxygen administration. 6 Page

7 700-P17 Pediatric Smoke Inhalation REVISION: 2. Sodium Thiosulfate is removed from the protocol through administrative order. 3. Guidelines referring to Sodium Thiosulfate are removed. 700-S01 Ventricular Assist Devices NEW: 1. This policy provides guidelines to EMS providers for treating patients that have ventricular assist devices. 700-S05 Routine Medical Care Pediatric REVISION: 2. Update includes 2010 AHA standards for oxygen administration. EMS Form #904 Emergency Medical Technician (EMT) Continuing Education Log NEW: 1. Continuing Education Log for EMTs to list their CE s. EMS Form #907 EMS Form #910 EMS Form #911 Prehospital Care Asset Self- Inspection Program EMS Field Supervisor Application EMS Field Acting Supervisor Application REVISION: 1. Mileage/hours was added. 2. Vin Number was added. 3. CCT Paramedic ambulance was deleted. DELETION: 1. Material was removed. DELETION: 1. Material was removed. 7 Page

8 # TBD Life Hazard Procedures NEW: 1. Developed to identify standards related to life hazards by nongovernmental EMS providers and to make governmental partners aware of these standards so that they may be considered as part of the overall incident management strategy. 2. Addresses conditions which governmental partners may suspend patient care as necessary when a life-hazard exists. 8 Page

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