Policies, Procedures, and Protocols
Policies, procedures, and protocols define how emergency medical services are delivered across the County. These documents provide standardized guidance to support safe, consistent, and high-quality care.
- Clinical and operational protocols
- System policies and requirements
- Guidance for providers and system partners
- Updates to standards and procedures
These materials help ensure that care is coordinated and aligned across the emergency medical services system.
2000 EMS System
- 2001 Document Management System
- 2002 Naloxone Leave Behind
- 2003 BLS Tiered Response System
- 2004 Patient Privacy
- 2007 Trauma Hospital Data Elements
- 2010 Medical Advisory Committee
- 2020 Operational Advisory Committee
- 2026 Trauma Improvement Committee
- 2027 Stroke Care Committee
- 2028 STEMI Care Committee
- 2030 Advanced Life Support Inventories
- 2032 Controlled Substance
- 2033 Determination of Death
- 2036 Medical Scene Authority
- 2039 Physician and/or Registered Nurse at the scene
- 2055 On-Viewing Medical Emergencies by ALS and BLS Providers
- 2060 Hospital Services
- 2080 EMS Organ Donor Information
- 2085 Do Not Resuscitate (DNR)
- 2101 Patient Initiated Refusal of EMS Assessment, Treatment and/or Transport
- 2105 Patient Elopement After Arrival to Hospital
- 2200 Medical Oversight
- 2210-Emergency Medical Responder (EMR) Scope of Practice
- 2220 EMT Scope of Practice
- 2221 Paramedic Scope of Practice
- 2223 Paramedic Scope of Practice Utilization
- 2305 EMS Patient Care Report- Completion and Distribution
- 2500 EMS Aircraft Designation Requirements
- 2501 Emergency Medical Dispatch Priority Reference System (EMD PRS)
- 2510 Designation Requirements for Ground Based ALS Service Providers
- 2511 Infectious Disease Ambulance Response Team (IDART)
- 2512 Designation Requirements for Administration of Naloxone by Law Enforcement First Responders
- 2520 Hospital Emergency Service Downgrade or Closure Impact Evaluation Report
- 2521 Ambulance Patient Offload Time (APOT) Data Collection and Reporting
- 2523 Administration of Naloxone by First Responders
- 2524 Extended Ambulance Patient Off-Load Times (APOT)
- 2525 Prehospital Notification
- 2526 STEMI Receiving Center Designation
- 2527 STEMI System Data Elements
- 2528 Stroke System Data Elements
- 2529 Stroke Receiving Center Designation
- 2530 Trauma Center Designation
4000 Accreditation/Certification Program Approval
- 4003 EMS Liaison Officer
- 4006 Reporting Responsibilities of Relevant Employers
- 4050 Certification-Accreditation Review Process
- 4055 Criminal Background Checks
- 4100 EMT Certification
- 4150 EMT Certification Renewal
- 4160 Emergency Medical Responder (EMR) Initial Certification
- 4200 MICN Certification
- 4201 MICN Recertification
- 4202 Mobile Intensive Care Nurse (MICN) Course
- 4302 Continuing Education Provider
- 4303 Emergency Medical Responder (EMR) Program Requirements and Approval
- 4400 Paramedic Accreditation to Practice
- 4503 Public Safety EMT AED Service Provider Approval
- 4504 AED Medical Control
- 4510 EMT Training Program
- 4520 Paramedic Training Program
- 4521 Triage to Alternate Destination Training Curriculum
- 4525 Public Safety First Aid Optional Skills Approval Training
5000 Transportation/Patient Destination
- 5001 Equipment and Supply Shortages
- 5010 Transfer of Care Non-Transporting Paramedic to Transporting EMT/Paramedic
- 5011 Paramedic/AEMT to EMT Transfer of Care
- 5050 Destination
- 5052 Trauma Destination
- 5053 Trauma Triage Criteria
- 5057 MIH Buprenorphine
- 5060 Hospital Status Change
- 5070 Hospital Transfer Agreements
- 5100 Interfacility Transfers- ALS/CCT Program Requirements
- 5101 Interfacility Transfers: Medical Control
- 5102 Interfacility Transfers
- 5200 Triage to Alternate Destination Program Requirements
- 5201 Triage Paramedic Eligibility Requirements
- 5202 Sobering Center Designation Policy
- 5203 Transport Guidelines - Sobering Center
- 5204 Mental Health Facility Designation Policy
- 5205 Transport Guidelines - Mental Health Facility
5500 Equipment/Supplies/Vehicles
6000 Critical Care Systems
7500 Disaster Medical Service
- 7500 Disaster Medical Services Plan
- 7501 MCI Critique
- 7508 SALT
- 7509 Out of County Response
- Sacramento County Mass Casualty Incident (MCI) Plan
- Sacramento County MCI Plan - Feedback Form
- Sacramento County MCI Plan - Forms
- Sacramento County MCI Plan - Patient Distribution Chart
- Sacramento County MCI Plan - Patient Tracking Form
8000 Adult Treatment Policies
- 8001 Allergic Reaction / Anaphylaxis
- 8002 Diabetic Emergencies
- 8003 Seizures
- 8004 Suspected Narcotic Overdose
- 8007 Abdominal Pain
- 8015 Trauma
- 8017 Dystonic Reaction
- 8018 Overdose and/or Poison Ingestion
- 8020 Respiratory Distress: Airway Management
- 8024 Cardiac Dysrhythmias
- 8025 Burns
- 8026 Respiratory Distress
- 8027 Symptomatic Nerve Agent Exposure-Treatment
- 8028 Environmental Emergencies
- 8030 Discomfort-Pain of Suspected Cardiac Origin
- 8031 Non-Traumatic Cardiac Arrest
- 8032 Traumatic Cardiac Arrest
- 8038 Shock
- 8042 Childbirth and Obstetric Emergencies
- 8060 Stroke
- 8062 Behavioral Crisis/Restraint
- 8063 Nausea and Vomiting
- 8065 Hemorrhage
- 8066 Pain Management
- 8067 Sepsis/Septic Shock
- 8068 General Medical Complaint
- 8069 FLOWCHART Buprenorphine
8800 Skills
- 8805 Intubation: Stomal
- 8808 Vascular Access
- 8810 Transcutaneous Cardiac Pacing
- 8827 12-Lead ECG
- 8829 Noninvasive Ventilation (NIV)
- 8830 Supraglottic Intubation
- 8831 Intranasal Medication Administration
- 8833 Ventricular Assist Device
- 8837- Pediatric Airway Management
- 8844 Spinal Motion Restriction (SMR)
9000 Pediatric Treatment Policies
- 9001 Pediatric Airway Obstruction by Foreign Body and Respiratory Arrest
- 9002 Pediatric Allergic Reaction-Anaphylaxis
- 9003 Pediatric Respiratory Distress-Reactive Airway Disease, Asthma, Bronchospasm, Croup, or Stridor
- 9004 Pediatric Burns
- 9004 FLOWCHART Pediatric Burns
- 9005 Pediatric Traumatic Cardiac Arrest
- 9005 FLOWCHART Pediatric Traumatic Cardiac Arrest
- 9006 Pediatric Medical Cardiac Arrest
- 9007 Pediatric Diabetic Emergencies
- 9008 Pediatric Seizures
- 9009 Pediatric Neonatal Resuscitation
- 9011 Pediatric Overdose
- 9013 Pediatric Shock
- 9014 Pediatric Cardiac Dysrhythmias
- 9016 Pediatric Parameters
- 9017 Pediatric Trauma
- 9018 Pediatric Pain Management
- 9019 Pediatric Brief Resolved Unexplained Event (BRUE)
- 9019 FLOWCHART Pediatric BRUE
- 9020 Pediatric Nausea and/or Vomiting
- 9020 FLOWCHART Pediatric Nausea and/or Vomiting
- 9021 Pediatric Behavioral Crisis Restraint
Trail Study Policies
- PP 8070- Prehospital Blood
- PP 9008sp- Pediatric Seizure Trial Study - ONLY FOR USE by Sacramento City Fire Department
- PP 5055- Telehealth
- PP 4151- AEMT Initial Certification
- PP 2224- AEMT Scope of Practice
- PP 2521sp- Ambulance Patient Offload Times (APOT)- UCDMC Pilot
- PP 8067sp- Sepsis / Septic Shock - Applies ONLY to AlphaOne UCDMC Pilot Study
- PP 5056- Mobile Integrated Health (MIH) Pilot Program
- PP 4154- AEMT Certification Renewal