(Including KCEMS-Specific protocols, policies and procedures)
I. INTRODUCTION 2-1-2007
A. CONTENTS 3-1-2008
B. FORMAT PROTOCOL 7-22-98
II. PROTOCOLS
A. ASSESSMENT
1. PATIENT ASSESSMENT 7-1-04
B. ENVIRONMENTAL
1. BURNS - (CHEMICAL, ELECTRIC, THERMAL, RADIATION) 7-22-98
2. DROWNING/NEAR DROWNING 7-22-98
3. HYPERTHERMIA 7-22-98
4. HYPOTHERMIA/FROSTBITE 2-1-2007
5. POISONING (INGESTION, TOXIC EXPOSURE, BITES/STINGS) 2-1-2007
C. MEDICAL
1. ABDOMINAL PROBLEMS 7-22-98
2. ALLERGIC REACTION/ANAPHYLAXIS 3-22-01
3. ALTERED MENTAL STATUS 7-1-04
4. BEHAVIORAL EMERGENCIES 7-22-98
5. CARDIAC
a. ASYSTOLE & PEA 2-1-2007
b. BRADYCARDIA/HEARTBLOCK 2-1-2007
c. CARDIAC ARREST 2-1-2007
d. CARDIOGENIC SHOCK 2-1-2007
e. (REMOVED)
f. SUPRAVENTRICULAR TACHYCARDIA
(Narrow-Complex Tachycardia) 2-1-2007
g. VENTRICULAR ECTOPY (Removed) 2-1-2007
h. VENTRICULAR FIBRILLATION 2-1-2007
i. VENTRICULAR TACHYCARDIA (Wide-Complex Tachycardia) 2-1-2007
6. NON-CARDIAC CHEST PAIN 6-11-02
a. ACUTE CORONARY SYNDROME 2-1-2007
7. CNS ILLNESS 11-13-02
8. GENERAL WEAKNESS/ILLNESS 3-1-08
9. HEMORRHAGE (NON-TRAUMATIC) 6-29-00
10. HYPERTENSIVE CRISIS 7-22-98
11. NEWBORN ASSESSMENT, TREATMENT AND RESUSCITATION 2-1-2007
12. OBSTETRICAL EMERGENCIES 5-3-00
13. RESPIRATORY DISTRESS 3-1-08
14. SEIZURES 8-1-05
15. SHOCK 3-22-01
16. SYNCOPE 7-22-98
D. TRAUMA
1. AMPUTATED PARTS 7-22-98
2. CHEST INJURY 7-22-98
3. HEAD AND SPINAL INJURY 8-1-00
4. ALLEGED SEXUAL ASSAULT 7-22-98
5. SOFT TISSUE AND ORTHOPEDIC INJURY 3-1-08
6. TRAUMA 3-22-01
PROTOCOL - Kent County Emergency Medical Services - Specific
E. DISASTER PROTOCOL (4-03) (See supplement) 5-2003
F. CBRNE PROTOCOLS/POLICIES – STATE MODEL (WMR FORMAT)
1. GENERAL CBRNE IDENTIFICATION OF AGENTS 2-1-2007
2. CHEMICAL EXPOSURE 2-1-2007
a. CYANIDE EXPOSURE TREATMENT 2-1-2007
b. NERVE AGENT/ORGANOPHOSPHATE EXPOSURE 2-1-2007
3. COMMUNICABLE DISEASE 2-1-2007
4. PRE-HOSPITAL (EMS) MCA MUTUAL AID AGREEMENT 2-1-2007
5. MEDDRUN 2-1-2007
a. PRE-DEPLOYMENT OF MEDDRUN PENDING
6. CHEMPACK 2-1-2007
7. MASS CASUALTY PENDING
III. PROCEDURES
A. AIRWAY / OXYGENATION PROCEDURE 2-1-2007
B. ELECTRICAL THERAPY 3-1-08
C. MEDICATION ADMINISTRATION 3-1-08
D. OBSTRUCTED AIRWAY 7-22-98
E. PAIN MANAGEMENT 3-1-08
F. PATIENT RESTRAINT 5-3-00
G. PATIENT SEDATION 11-13-02
H. PLEURAL DECOMPRESSION 2-1-2007
I. MAST APPLICATION 7-22-98
J. RADIO COMMUNICATIONS 7-22-98
a. Kent County Addendum 10-30-03
K. VAGAL MANEUVERS 7-22-98
L. VASCULAR ACCESS 8-1-05
M. EPI-PEN 8-1-05
P. 12 LEAD EKG 8-1-05
PROCEDURES - Kent County Emergency Medical Services- Specific
N. ALBUTEROL NEBULIZER 3-10-03
O. CPAP ADMINISTRATION 3-1-08
IV. POLICIES - West Michigan Regional
A. ABUSE OR NEGLECT (SUSPECTED) 7-22-98
B. DEAD ON SCENE 11-3-03
C. DO NOT RESUSCITATE POLICY 7-1-04
D. HELMET REMOVAL POLICY 7-22-98
E. MEDICO-LEGAL REPORTING 7-22-98
F. PHYSICIAN INTERVENER (ON-SCENE PHYSICIAN INTERVENTION) 7-1-04
G. PATIENT PRIORITIZATION POLICY 1-1-05
H. PATIENT REFUSAL OF CARE OR TRANSPORTATION (AMA) 2-1-2007
1. REFUSAL INFORMATION SHEET (Removed)
2. REFUSAL CHECKLIST (Removed)
I. TREATMENT & TRANSPORT OF MINOR PATIENT POLICY 7-22-98
J. VIOLENT/HAZARDOUS SCENE 7-22-98
JA. PUBLIC ACCESS DEFIBRILLATOR UTILIZATION POLICY 7-1-04
JB. MEDICAL EVALUATION AND REHAB POLICY 8-1-05
JC. HEALTH INSURANCE PORTABILITY & ACCOUNTABILITY ACT POLICY 2-1-2007
JD. COMPLAINT INVESTIGATION AND RESOLUTION POLICY 2-1-2007
JE. DISCIPLINARY ACTION APPEAL POLICY 2-1-2007
JF. DUE PROCESS AND DISCIPLINARY ACTION POLICY 2-1-2007
JG. QUALITY IMPROVEMENT POLICY 2-1-2007
JH. REGIONAL PROTOCOL AGREEMENT 2-1-2007
JI. RESPONSIBILITIES OF THE PARTICIPANTS IN THE MEDICAL CONTROL AUTHORITY SYSTEM POLICY 2-1-2007
POLICIES - Kent County Emergency Medical Services - Specific
K. AUTHORIZATION FOR MEDICAL CONTROL PRIVILEGES 1-20-03
L. CANCELLATION/DOWNGRADE OF CALL 3-1-08
M. COMMUNICATIONS FAILURE 4-15-97
N. DEVIATION FROM SYSTEM PROTOCOL 8-15-95
O. DRUG BOX
1. EXCHANGE PROCEDURE 2-1-2007
2. IV DRUG BAG CONTENTS 1-25-08
3. PACK CONTENTS 9-5-98
P. EMS MEDICAL RECORD 4-15-97
Q. EMERGENCY MEDICAL HELICOPTER 4-10-03
R. INFECTION CONTROL 4-10-03
S. INTER-HOSPITAL TRANSFER & CRITICAL CARE 11-3-03
T. MAST EXCHANGE/ REPLACEMENT POLICY 4-1-93
U. HOSPITAL FACILITIES REROUTING 7-15-95
V. PATIENT TRANSPORTATION POLICY 8-1-05
W. PERSONNEL NUMBER POLICY 1-1-92
X. MEDICAL PRIORITY DISPATCH POLICY 2-1-2007
Y. ALS EMS OFF-DUTY ACTIVITY POLICY 4-1-93
Z. ALTERNATIVE TRANSPORT POLICY 10-1-94
AA. MEDICAL DIRECTION OVERRIDE POLICY 10-1-94
AB. REQUEST FOR AMBULANCE SERVICES POLICY 8-1-96
AC. TRANSPORTATION OF AN APPARENT INTOXICATED PATIENT POLICY 3-4-02
AD. MEDICAL INCIDENT REVIEW AND CORRECTIVE ACTION POLICY 2-9-99
AE. NOTIFICATION OF MEDICAL DIRECTOR POLICY 12-18-03
AF. EMS AED INSTRUCTION POLICY 11-13-02
AG. PEDIATRIC POLICY 1-1-05
AH. POISON CENTER NOTIFICATION POLICY 6-10-03
TEMP PRE-DIVERT POLICY 7-1-04
AJ. REQUIRED EQUIPMENT POLICY 2-1-07
AK. IDENTIFICATION CARD POLICY 8-1-05
AL. EPI-PEN SUPPLY AND RESTOCKING PROCEDURE 8-1-05
AM. CPAP BREATHING CIRCUIT EXCHANGE POLICY 3-1-08
V. MEDICATION REFERENCES
2-PAM-CHLORIDE 8-1-05
ADENOSINE &nbs
