MAC/OAC Approved Edits
2026 June
- PD-2030.25 - Advanced Life Support Inventories
- PD-2210.04 - Emergency Medical Responder (EMR) Scope of Practice
- PD-2501.05 - Emergency Medical Dispatch Priority Reference System (EMD PRS)
- PD-5001.08 - Equipment and Supply Shortages
- PD-5056.06 - MIH
- PD-5100.18 - Interfacility Transfers: ALS/CCT Program Requirements
- PD-5101.16 - Interfacility Transfers: Medical Control
- PD-5102.18 - IFTs
- PD-5550.18 - Biomedical Maintenance
- PD-6003.02 - ALS IFT Hospital Requirements
- PD-6004.02 - ALS IFT Agency Requirements
- PD-6005.02 - ATV Utilization
- PD-6006.02 - Blood Infusion
- PD-6007.02 - IV Infusion
- PD-8001.22 - Adult Allergic Reaction Anaphylaxis
- PD-8003.04 - Seizure
- PD-8017.16 - Dystonic Reaction
- PD-8038.16 - Shock - SUNDOWNED
- PD-8062.12 - Behavioral Crisis/Restraint
- PD-8808.20 - Vascular Access
- PD-8827.14 - 12-Lead
- PD-8844.02 - SMR
- PD-9002.18 - Pediatric Allergic Reaction Anaphylaxis
- PD-9006.23 - Pediatric Medical Cardiac Arrest
- PD-9008.03 - Pediatric Seizures
- PD-9013.18 - Pediatric Shock
- PD-9016.16 - Pediatric Parameters
2026 March
- PP-2033 Determination of Death
- PP-2105 Patient Elopement After Arrival to Hospital
- PP-2105 Patient Elopement After Arrival to Hospital - Draft
- PP-2527 STEMI System Data Elements
- PP-2528 Stroke System Data Elements
- PP-2530 Trauma Center Designation
- PP-5010 Transfer of Care Non-Transporting Paramedic to Transporting EMT/Paramedic
- PP-5050 Destination
- PP-5052 Trauma Destination
- PP-5053 Trauma Triage Criteria
- PP-5057 MIH Buprenorphine
- PP-6000 Trauma Care System General Provision
- PP-8007 Abdominal Pain
- PP-8015 Trauma
- PP-8024 Cardiac Dysrhythmias
- PP-8029 Hazardous Materials
- PP-8031 Non-Traumatic Cardiac Arrest
- PP-8032 Traumatic Cardiac Arrest
- PP-8066 Pain Management
- PP-8069 Buprenorphine
- PP-9001 Pediatric Airway Obstruction by Foreign Body and Respiratory Arrest
- PP-9018 Pediatric Pain Management
- PP-9021 Pediatric Behavioral Crisis Restraint
2025 December
- PP-2030 Advanced Life Support Inventories
- PP-2524 Extended Ambulance Patient Off-Load Times (APOT)
- PP-4050 Certification-Accreditation Review Process
- PP-4150 EMT Certification Renewal
- PP-4510 EMT Training Program
- PP-4511 Advanced EMT Training Program
- PP-4520 Paramedic Training Program
- PP-5050 Destination
- PP-5203 Transport Guidelines - Sobering Center Facility
- PP-5205 Transport Guidelines - Mental Health Facility
- PP-7600 Quality Improvement Plan
- PP-7601 Quality Improvement Program-Technical Advisory Group (TAG)
- PP-8060 Stroke
- PP-8063 Nausea-Vomiting
- PP-9013 Pediatric Shock
- PP-9014 Pediatric Cardiac Dysrhythmias
- PP-9017 Pediatric Trauma
2025 September
- PP-2002 Naloxone Leave Behind
- PP-2003 BLS Tiered Response System
- PP-2004 Patient Privacy
- PP-2007 Trauma Hospital Data Elements
- PP-2010 Medical Advisory Committee
- PP-2020 Operational Advisory Committee
- PP-2026 Trauma Improvement Committee
- PP-2500 EMS Aircraft Designation Requirements
- PP-2510 Designation Requirements for Ground Based Advanced Life Support (ALS) Service Providers
- PP-2520 Hospital Emergency Service Downgrade or Closure Impact Evaluation Report
- PP-2525 Prehospital Notification
- PP-4003 Emergency Medical Services Liaison Officer (ELO)
- PP-4055 Criminal Background Checks
- PP-4303 EMR Program Requirements and Approval
- PP-5011 Paramedic-AEMT to EMT Transfer of Care
- PP-8025 Burns
- PP-8028 Environmental Emergencies
- PP-8042 Childbirth
- PP-9006 Pediatric Medical Cardiac Arrest
- PP-9007 Pediatric Diabetic Emergencies
- PP-9008 Pediatric Seizures
- PP-9011 Pediatric Overdose
2025 June
- PP-2080 EMS Organ Donor Information- Sundown
- PP-2085 Do Not Resuscitate (DNR)
- PP-2101 Patient Initiated Refusal of Service and/or Transport
- PP-2200 Medical Oversight
- PP-2210 EMR Scope of Practice
- PP-2220 EMT Scope of Practice
- PP-2221 Paramedic Scope of Practice
- PP-2223 Paramedic Scope of Practice Utilization
- PP-2305 EMS Patient Care Report-Completion and Distribution
- PP-2511 Infectious Disease Ambulance Response Team (IDART)
- PP-2529 Stroke Receiving Center Designation
- PP-4006 Reporting Responsibilities of Relevant Employers
- PP-4302 Continuing Education Provider
- PP-5001 Equipment and Supply Shortages
- PP-6002 Stroke Critical Care System General Provisions
- PP-8002 Diabetic Emergencies
- PP-8003 Seizures
- PP-8004 Suspected Narcotic Overdose
- PP-8026 Respiratory Distress
- PP-8031 Non-Traumatic Cardiac Arrest
- PP-9003 Pediatric Respiratory Distress Reactive Airway Disease, Asthma, Bronchospasm, Croup, or Stridor
- PP-9004 Pediatric Burns- Flowchart
- PP-9004 Pediatric Burns
2025 March
- PP-2001 Document Management System
- PP-2027 Stroke Care Committee
- PP-2028 STEMI Care Committee
- PP-2030 Advanced Life Support Inventories
- PP-2032 Controlled Substance
- PP-2033 Determination of Death
- PP-2036 Medical Scene Authority
- PP-2039 Physician and or Registered Nurse at the Scene
- PP-2055 On-Viewing Medical Emergencies by ALS and BLS Providers
- PP-2060 Hospital Services
- PP-2526 STEMI Receiving Center Designation
- PP-4400 Paramedic Accreditation to Practice
- PP-4510 EMT Training Program
- PP-4520 Paramedic Training Program
- PP-6001 STEMI Critical Care System General Provision
- PP-8837 Pediatric Airway Management
- PP-9001 Pediatric Airway Obstruction by Foreign Body and Respiratory Arrest
- PP-9002 Pediatric Allergic Reaction Anaphylaxis
- PP-9003 Pediatric Respiratory Distress Reactive Airway Disease, Asthma, Bronchospam, Croup, or Stridor
- PP-9004 Pediatric Burns
2024 December
- PP-2521 Ambulance Patient Offload Time (APOT)
- PP-2523 Administration of Naloxone
- PP-4160 EMR Initial Certification and Recertification
- PP-4200 Mobile Intensive Care Nurse (MICN) Certification
- PP-4201 Mobile Intensive Care Nurse (MICN) - Recertification
- PP-4202 Mobile Intensive Care Nurse (MICN) Course
- PP-4503 Public Safety EMT AED Service Provider Approval
- PP-4504 AED Medical Control
- PP-4521 Triage to Alternate Destination Training Center
- PP-5200 Triage to Alternated Destination Program Requirements
- PP-5201 Triage to Alternate Paramedic Eligibility Requirements
- PP-5202 Sobering Center Designation
- PP-5203 Transport Guidelines - Sobering Center
- PP-5204 Mental Health Facility Designation
- PP-5205 Transport Guidelines – Mental Health Facility
- PP-9020 Pediatric Nausea and or Vomiting
- PP-9020 Pediatric Nausea and or Vomiting
- PP-9020 Pediatric Nausea and or Vomiting
- PP-9020 Pediatric Nausea and or Vomiting
- PP-9020 Pediatric Nausea and or Vomiting
- PP-9020 Pediatric Nausea and or Vomiting
- PP-9020 Pediatric Nausea and or Vomiting
2024 June
- PD-2210 EMR Scope of Practice
- PD-2501 Emergency Medical Dispatch (EMD)
- PD-5001 Equipment and Supply Shortages
- PD-5050 Destination
- PD-5550 Bio-Medical Maintenance
- PD-8001 Allergic Reaction Anaphylaxis
- PD-8017 Dystonic Reaction
- PD-8018 Overdose and-or Poison Ingestion
- PD-8024 Cardiac Dysrhythmias
- PD-8038 Shock
- PD-8044 Spinal Motion Restriction (SMR)
- PD-8062 Behavioral Crisis-Restraint
- PD-8065 Hemorrhage
- PD-8808 Vascular Access
- PD-8827 12-Lead ECG
- PD-9016 Pediatric Parameters
- PD-9021 Pediatric Behavioral Crisis-Restraint
- PP-2103 Off-Duty Provision of ALS by Sacramento County Accredited Paramedics
- PP-5100 Interfacility Transfers-ALS-CCT Program Requirements
- PP-5102 Interfacility Transfers