Draft Policies

Use this Comment Form to provide your comments and feedback regarding the draft policies to the EMS Agency.
EMS Policy and Procedure Comment Form

Policy Review will end January 26th, 2018 and become effective February 1, 2018.

242.00 – Mobile Intensive Care Field Nurse (MICFN) (New)

View Draft Policy 242.00 – Mobile Intensive Care Field Nurse (MICFN) (New)

This new policy is to provide California licensed Registered Nurses (RNs) authorization to practice as a Mobile Intensive Care Field Nurse (MICFN) within the Merced County EMS System and to integrate RNs as a specialized resource for prehospital response, transport, and care of patients.


243.00 – Mobile Intensive Care Flight Paramedic (MICFP) (New)

View Draft Policy 243.00 – Mobile Intensive Care Flight Paramedic (MICFP) (New)

This new policy is to provide California licensed Paramedics authorization to practice as a Mobile Intensive Care Flight Paramedic (MICFP) within the Merced County EMS System and to integrate Flight Paramedics into the EMS System as a specialized resource for prehospital response, transport, and care of patients.


302.00 – ALS/BLS Tiered Dispatch and Ambulance Response (Priority 1, 2 and 3) (New)

View Draft Policy 302.00 – ALS/BLS Tiered Dispatch and Ambulance Response (Priority 1, 2 and 3) (New)

This new policy establishes standards and guidelines for Merced County Emergency Medical Services utilizing Emergency Medical Dispatch (EMD) standards to dispatch ambulances in a tiered manner.  


460.00 – Prehospital Rendezvous (New)

View Draft Policy 460.00 – Prehospital Rendezvous (New)

BLS Rendezvous with an ALS unit can be an effective method of delivering care to the critically ill or injured patients; however, travel time or patient destination make it impractical in some situations.  This new policy is intended to enhance the tiered BLS/ALS dispatch and response system.


542.00 – Patient Refusal of Emergency Medical Service, Refusal Against Medical Advice (AMA) & Qualify for Release at Scene (RAS) (Revised)

View Draft Policy 542.00 – Patient Refusal of Emergency Medical Service, Refusal Against Medical Advice (AMA) & Qualify for Release at Scene (RAS) (Revised)

This newly revised policy provides updated AMA and RAS information as well as clearly articulating what level of prehospital EMS Personnel are authorized to sign AMA and RAS forms.


630.00 – Ambulance Patient Offload Time (APOT) Calculating and Reporting (New)

View Draft Policy 630.00 – Ambulance Patient Offload Time (APOT) Calculating and Reporting (New)

This new policy adopts the California EMS Authority’s methodologies for measuring and reporting on a quarterly basis Ambulance Patient Offload Time (APOT) and Delay (APOD) as required by AB 1223 (O’Donnell, 2015) and California Health and Safety Code Section 1797.120. and 1797.225.