OC MEDIC / FIELD RESOURCES
Full document library.
Standing orders, medications, procedures, and destination guidance for Orange County clinicians.
MEDICATIONSAdult drug guide ↗I-15 · OCEMSWEIGHT-BASED REFERENCEPediatric drug guide ↗I-20 · OCEMSCONTACT & COORDINATIONBase hospitals ↗220.00 · OCEMSRECEIVING CENTERSSpecialty destinations ↗240.30 · OCEMSMEDICAL CONTROLBase contact criteria ↗310.00 · OCEMSINCIDENT OPERATIONSMCI response plan ↗MCI · OCEMS
Reference library
282 referencesI-15Medications
Adult / Adolescent Standing Order Drug Guide
I-20Medications
Pediatric Medication Volume Dose by Weight
SO-C-010Standing orders
Cardiopulmonary Arrest - Adult / Adolescent Non-Traumatic
SO-P-040Standing orders
Cardiopulmonary Arrest - Pediatric
SO-M-025Standing orders
Suspected Acute Stroke or Intracranial Hemorrhage (Stroke Triage Criteria)
SO-M-055Standing orders
Suspected Sepsis
SO-M-035Standing orders
Respiratory Distress
SO-M-015Standing orders
Allergic Reaction / Anaphylaxis
SO-T-005Standing orders
General Injury and Trauma - Adult / Adolescent
SO-ALSStanding orders
ALS General Standing Orders - OCEMS Accredited Paramedic
PR-085Procedures
10% Dextrose Solution Administration
B-030Procedures
12-Lead EKG Placement Procedure
PR-105Procedures
12-Lead Electrocardiography
310.00Operations
9-1-1 Advanced Life Support Base Contact, Standing Order, and Transport Criteria
352.00Operations
9-1-1 Ambulance Transport Provider - Provision of Service in County Admin. Non-Exclusive Areas
705.00Operations
ALS / PAU Activation / Reactivation
850.00Operations
ALS Communications Assignments
PR-004Procedures
APGAR Score
I-10Standing orders
Abbreviations and Definitions
SO-M-005Standing orders
Abdominal or Flank Pain, Non-Traumatic
430.10Operations
Accreditation to Practice - Paramedic
SO-P-035Standing orders
Acute Respiratory Distress - Pediatric
PR-150Procedures
Administration of Intramuscular Influenza Vaccine
B-050Procedures
Administration of Oral Glucose
SO-AEMTStanding orders
Advanced EMT Standing Orders
310.15Operations
Advanced Licensed Health Care Professional On Scene - Practitioner on Scene
325.00Operations
Advanced Life Support (ALS) Provider Unit Minimum Inventory
655.01Criteria & destinations
Agreement to Provide Services as a Comprehensive Children's Emergency Receiving Center
660.00Criteria & destinations
Agreement to Provide Services as a Trauma Center
655.00Criteria & destinations
Agreement to Provide Services as an Emergency Receiving Center
325.05Operations
Air Rescue Unit Inventory
PR-005Procedures
Airway Management: Tracheostomy Special Situations
SO-P-060Standing orders
Allergic Reaction / Anaphylaxis - Pediatric
SO-M-020Standing orders
Altered Mental Status
SO-P-065Standing orders
Altered Mental Status - Pediatric
715.00Operations
Ambulance Ordinance No. 3517
730.10Operations
Ambulance Rules and Regulations - Air Ambulance Provider Criteria
730.15Operations
Ambulance Rules and Regulations - Air Rescue - BLS/ALS Air Rescue Service Provider Criteria
720.20Operations
Ambulance Rules and Regulations - Complaint Processing
720.70Operations
Ambulance Rules and Regulations - Ground Ambulance Communications Equipment
720.30Operations
Ambulance Rules and Regulations - Ground Ambulance Design, Documentation & Equipment
720.40Operations
Ambulance Rules and Regulations - Ground Ambulance Provider Inspection
720.60Operations
Ambulance Rules and Regulations - Ground Ambulance Provider Policies, Procedures & Documentation
720.50Operations
Ambulance Rules and Regulations - Ground Ambulance Vehicle Inspections and Permits
730.20Operations
Ambulance Rules and Regulations - Prehospital Air Ambulance and Air Rescue Service Activation
PR-240Procedures
Ambulance Transport Ventilator
SO-T-015Standing orders
Amputation Injuries - Adult / Adolescent
SO-P-025Standing orders
Amputation Injuries - Pediatric
PR-015Procedures
Amputation Management
330.57Operations
Application of Restraints by EMS Personnel
355.00Operations
Approval to Use EMT and Paramedic SOP During Scheduled / Special Event Standby
720.00Operations
Attachment II - Appendix II Ambulance Contract Cities
340.00Operations
Authorized Registered Nurse (ARN)
SO-FR-003Standing orders
Automated External Defibrillator (AED)
B-040aProcedures
Automatic Chest Compression Device - Band Design
B040bProcedures
Automatic Chest Compression Device - Plunger Design
420.00Operations
Background Checks and California Central Registry Requirements for EMT Certification/Recertification
640.00Criteria & destinations
Base Hospital / Facility Program: Approval / Designation Process and Appeal Procedures
610.00Criteria & destinations
Base Hospital Criteria
385.05Operations
Base Hospital QA/QI Review Process
SO-B-001Standing orders
Basic Life Support Standing Orders
SO-P-045Standing orders
Bradycardia - Pediatric
SO-E-005Standing orders
Burn (Thermal, Electrical, Chemical) - Adult
SO-P-095Standing orders
Burn (Thermal, Electrical, Chemical) - Pediatric
SO-F-06Standing orders
Carbon Monoxide Evaluation
SO-C-045Standing orders
Cardiac Arrest with Left Ventricular Assist Device (LVAD)
630.00Criteria & destinations
Cardiovascular Receiving Center Criteria
SO-C-015Standing orders
Chest Pain of Suspected Cardiac Origin or Suspected Angina Equivalent Symptoms
PR-020Procedures
Combitube Placement
600.05Criteria & destinations
Community (Spoke) ERC Assignments to Base Hospitals
650.05Criteria & destinations
Community (Spoke) Hospital Assignments to Adult Stroke-Neurology Receiving Centers
680.00Criteria & destinations
Comprehensive Children's Emergency Receiving Center Designation Criteria
PR-120Procedures
Continuous Positive Airway Pressure (CPAP)
385.00Operations
Continuous Quality Improvement Plan
130.10Operations
County Paramedic Advisory Subcommittee Bylaws
130.20Operations
County Paramedic Advisory Subcommittee Membership
000.00Operations
Cover Page
SO-T-020Standing orders
Crush Injury - Adult / Adolescent
SO-P-030Standing orders
Crush Injury - Pediatric
330.51Operations
DNR, POLST, End of Life Options
090.00Operations
Definitions
310.10Operations
Determination of 9-1-1 Dispatched Patient Transport to an Appropriate Facility - Hospice
SO-F-01Standing orders
Diarrhea or Nausea/Vomiting
170.10Operations
Disaster Advisory Group Bylaws
SO-E-010Standing orders
Diving - Decompression Sickness / Air Embolism - Adult / Adolescent
B-035Procedures
DuoDote Antidote Autoinjector
100.10Operations
EMCC (State Authority: Health & Safety Code)
530.00Operations
EMS Continuing Education (CE) Provider Application - Attachment 1
530.00Operations
EMS Continuing Education (CE) Provider Approval
510.05Operations
EMS Monitoring of Approved Training Programs
150.10Operations
EMS Quality Assurance Board Bylaws
150.20Operations
EMS Quality Assurance Board Membership
185.00Operations
EMS STEMI CQI Advisory Committee
180.00Operations
EMS Stroke CQI Advisory Committee
455.00Operations
EMT Certification Review Process - Health & Safety Code 1798.200(c) - Attachment 1
510.10Operations
EMT Skills Competency Verification Process
510.10Operations
EMT Skills Competency Verifiers - Attachment A
510.00Operations
EMT Training Program Application Attachment
700.00Operations
EMT-P Service Provider Criteria
120.10Operations
Education and Training Advisory Subcommittee Bylaws
120.20Operations
Education and Training Advisory Subcommittee Membership
210.00Operations
Emergency 9-1-1 Dispatch Paramedic Service Providers
PR-010Procedures
Emergency Access of Pre-Existing Vascular Access Devices (PVAD)
350.00Operations
Emergency Ambulance Transport Provider Criteria; County Administered Non-Exclusive Areas
100.30Operations
Emergency Medical Care Committee Bylaws
410.00Operations
Emergency Medical Technician (EMT) Certification and Recertification
455.00Operations
Emergency Medical Technician Certification Review Process
510.00Operations
Emergency Medical Technician Training Program Criteria
600.10Criteria & destinations
Emergency Receiving Center - Resource Listing
600.00Criteria & destinations
Emergency Receiving Center Criteria
300.50Operations
Emergency Receiving/Specialty Center Data Reporting Criteria
PR-030Procedures
Endotracheal Intubation (including ETCO2)
B-045Procedures
Epinephrine Auto Injector (BLS Optional Equipment)
PR-003Procedures
Estimate of Body Surface Area Burned and Disposition
SO-RELStanding orders
Evaluation without EMS Treatment or Transport (Release in Field)
SO-B-RELStanding orders
Evaluation without Treatment or EMS Transport (Release in Field)
330.20Operations
Evaluation, Treatment and/or Transport of Minors
SO-F-04Standing orders
Eye Irrigation
110.10Operations
Facilities Advisory Subcommittee Bylaws
110.20Operations
Facilities Advisory Subcommittee Membership
470.00Operations
Fees: Certification, Licensing and Designation
330.40Operations
First Responder Use of Automated External Defibrillator (AED)
SO-FR-001Standing orders
First Responder: Naloxone Administration
SO-P-015Standing orders
General Injury and Trauma - Pediatric
B-002Procedures
Glasgow Coma Scale (Score)
PR-002Procedures
Glasgow Coma Scale (Score)
B-055Procedures
Glucometer (BLS Optional Equipment)
SO-B-003Standing orders
Glucose Oral Administration
715.00Operations
Ground Emergency Ambulance Service Rates Adjustment
310.96Operations
Guidelines for Diversion Status and APOT Standard
853.00Operations
Hospital Emergency Administrative Radio (H.E.A.R) Network Validation
330.85Operations
Hospital Emergency Response Team
PR-130Procedures
Hydroxocobalamin for Cyanide Toxicity
SO-M-010Standing orders
Hyperglycemia - Adult / Adolescent
SO-O-010Standing orders
Hypertensive Disorders of Pregnancy
B-060Procedures
Imminent Childbirth in the Field
615.00Criteria & destinations
Impact Evaluation of Reduction/Closure of Hospital Emergency Services
330.25Operations
Infant Safe Surrender
310.20Operations
Interfacility Transfer Between Acute Care Hospitals Using EMS Transport Providers - Attachment A
777.00Operations
Interfacility Transport Advanced Life Support (IFT-ALS) Service Provider Criteria
PR-126Procedures
Intranasal (IN) Naloxone Administration Using Syringe and Atomizer Device
PR-125Procedures
Intranasal (IN) Transmucosal Medication Administration
398.00Operations
Intranasal Naloxone by Public Safety First Responders
398.01Operations
Intranasal Naloxone by Public Safety First Responders Competency Review
PR-115Procedures
Intraosseous Infusion
PR-045Procedures
Jugular Vein Cannulation - External
PR-70Procedures
Ketamine Analgesia
PR-075Procedures
Ketorolac for Patient Analgesia
PR-140Procedures
King Airway
398.05Operations
Law Enforcement First Responder Agencies Approved to Administer Naloxone
SO-P-110Standing orders
Left Ventricular Assist Device (LVAD) - Pediatric
200.00Operations
Licensed EMS Medical Transportation Providers
220.00Criteria & destinations
List of Base Hospitals
240.40Criteria & destinations
List of Cardiovascular Receiving Centers
530.00Operations
List of Continuing Education (CE) Course Offerings - Attachment 2
230.00Criteria & destinations
List of Emergency Receiving Centers
240.20Criteria & destinations
List of Stroke Neurology Receiving Centers
240.10Criteria & destinations
List of Trauma Receiving Centers
900.00Operations
MCI Worksheet Attachment 1 - Mass Casualty Incident Response Plan - BH
900.00Operations
MCI Worksheet Attachment 2 - Mass Casualty Incident Response Plan - Med Com
714.00Operations
Maximum Emergency Ground Ambulance Rates ***CURRENT THRU 06/30/2026***
714.00Operations
Maximum Emergency Ground Ambulance Rates ***UPDATE 07/01/2026***
500.00Operations
Mobile Intensive Care Nurse (MICN)
400.00Operations
Mobile Intensive Care Nurse (MICN) Authorization
PR-220Procedures
Monitoring Heparin Infusion during Interfacility Transports
PR-210Procedures
Monitoring Neuromuscular Blockade during Interfacility Transports
PR-225Procedures
Monitoring Nitroglycerin Infusion during Interfacility Transports
PR-233Procedures
Monitoring TPA during Interfacility Transports
PR-215Procedures
Monitoring Thoracostomy (Chest) Tubes during Interfacility Transports
900.00Operations
Multi-Casualty Incident (MCI) Response Plan
SO-B-002Standing orders
Naloxone Administration
SO-C-025Standing orders
Narrow Complex QRS Complex Tachycardia
SO-C-030Standing orders
Narrow QRS Complex Tachycardia - Irregular Rhythm - Adult/Adolescent
SO-FR-005Standing orders
Nasopharygeal Airway (NPA)
SO-M-060Standing orders
Nausea / Vomiting
SO-P-090Standing orders
Nausea / Vomiting - Pediatric
PR-060Procedures
Needle Thoracostomy - Adult/Adolescent
PR-065Procedures
Needle Thoracostomy - Pediatric
SO-P-010Standing orders
Newborn Care
SO-E-015Standing orders
Non-Fatal Drowning
SO-P-100Standing orders
Non-Fatal Drowning - Pediatric
240.30Criteria & destinations
OC Specialty Service (6-2026)
300.10Operations
OC-MEDS - Clinical Document Standards
300.40Operations
OC-MEDS - Confidentiality of Health Care Information
300.30Operations
OC-MEDS - EMS Provider Prehospital Care Reporting and Data Submission Process
300.20Operations
OC-MEDS - System Management and Downtime Process
300.31Operations
OC-MEDS Data Dictionary
300.31Operations
OC-MEDS Data Dictionary - Attachments
300.20Operations
OC-MEDS- System Management and Downtime Process - Attachment 1 (Downtime PCR)
050.00Operations
OCEMS Agency, County of Orange Resolution
315.00Operations
OCEMS EMT Scope of Practice: EMS-OCEMS Accredited
315.00Operations
OCEMS EMT Scope of Practice: Field Reference Guide - Attachment I
330.47Operations
OCEMS Optional Scope of Practice Petition Procedure
505.00Operations
Orange County Ambulance Driver / Attendant License - Training Program Requirements
415.00Operations
Orange County Ambulance Driver/Attendant License
250.00Operations
Orange County Approved EMT and Paramedic Training Programs
070.05Operations
Orange County EMS Organization Chart
Operations
Orange County Fire Chiefs Association - MCI Plan 2019
SO-FR-004Standing orders
Oropharyngeal Airway (OPA)
SO-F-02Standing orders
Over the Counter (OTC) Medications
SO-FR-002Standing orders
Oxygen Administration
PR-150.10Procedures
Paramedic Administration of Intramuscular Influenza and/or COVID-19 Vaccine to the Public
330.70Operations
Paramedic Assessment Unit (PAU)
635.00Criteria & destinations
Paramedic Receiving Center / Base Hospital: Survey / Resurvey
520.00Operations
Paramedic Training Program Criteria
520.00Operations
Paramedic Training Program Provider Application - Attachment 1
360.00Criteria & destinations
Paramedic Triage to Alternate Destination (TAD) - Behavioral Health
450.00Operations
Paramedic/Mobile Intensive Care Nurse Informal Performance Review
PR-025Procedures
Passive Ventilation Procedure
B-001Procedures
Pediatric Assessment Triangle
PR-001Procedures
Pediatric Assessment Triangle
620.01Criteria & destinations
Pediatric Trauma Center Criteria
080.00Operations
Policy and Procedure Review Process
SO-P-120Standing orders
Pre-Existing Endotracheal Intubation Requiring Sedation - Pediatric
PR-040Procedures
Pregnancy Emergency Delivery
330.96Operations
Prehospital Exposures
PR-230Procedures
Preparation and Dosing of Push Dose Epinephrine - Adult/Adolescent
PR-205Procedures
Preparation and Dosing of Push Dose Epinephrine - Pediatric
SO-M-030Standing orders
Psychiatric / Behavioral Emergencies
SO-P-070Standing orders
Psychiatric / Behavioral Emergencies - Pediatric
535.00Operations
Public Safety Personnel First Aid Training Program
535.00Operations
Public Safety Personnel First Aid Training Program - Attachment 1
455.00Operations
Recommended Guidelines for Disciplinary Orders and Conditions of Probation (EMT) - Attachment 2
160.10Operations
Regional Trauma Operations Committee Bylaws
SO-F-03Standing orders
Rehabilitation / Rehydration
380.00Operations
Review of OCEMS Policy by a Base Hospital Physician
355.00Operations
Scheduled Event - Appendix A
SO-M-080Standing orders
Sedation for Endotracheal or LMA Intubation - Adult / Adolescent
SO-P-075Standing orders
Seizure / Convulsion - Pediatric
SO-M-040Standing orders
Seizure / Convulsions - Adult / Adolescent
310.20Operations
Service Provider Transport and Dispatch Criteria for Interfacility Transfers between Acute Care Hospitals
SO-M-045Standing orders
Shock (Symptomatic Hypotension)
SO-P-080Standing orders
Shock (Symptomatic Hypotension) - Pediatric
SO-AMAStanding orders
Signing Against Medical Advice (AMA) in the Field
510.10Operations
Skills Competency Verification Form - Attachment B
SO-E-030Standing orders
Snake Envenomation
SO-B-004Standing orders
Snake Envenomation - Adult / Adolescent
SPC-SO-001Standing orders
Special Deployment (Fireline) Tactical Medical / ALS Air Rescue SO
355.00Operations
Special Event - Appendix B
B-005Procedures
Spinal Motion Restriction (SMR)
B-005PProcedures
Spinal Motion Restriction (SMR) - Pediatric
PR-900Procedures
State of Emergency - Use of Spacer-Metered Dose Inhaler in Place of Nebulizer for Administration of Albuterol
650.10Criteria & destinations
Stroke Registry Data Dictionary
650.00Criteria & destinations
Stroke-Neurology Receiving Center Designation Criteria
SO-M-050Standing orders
Substance Overdose / Poisoning - Adult / Adolescent
SO-P-085Standing orders
Substance Overdose / Poisoning - Pediatric
PR-135Procedures
Supraglottic Airway Device Placement - Adult/Adolescent
330.30Operations
Suspected Child Abuse Reporting Guidelines
330.35Operations
Suspected Dependent Adult/Elder Abuse Reporting Guidelines
645.00Criteria & destinations
Suspension or Revocation of Specialty Center, ERC, Training Program, Base Hospital, or 911/IFT-ALS Provider Designation
SO-C-020Standing orders
Symptomatic Bradycardia - Adult/Adolescent
PR-095Procedures
Synchronized Cardioversion
000.00Operations
Table of Contents
330.80Operations
Tactical Casualty Care
330.75Operations
Tactical Medicine
SO-T-025Standing orders
Taser - Adult / Adolescent
706.00Operations
Temporary ALS Unit Activation
SO-E-025Standing orders
Thermal
SO-P-105Standing orders
Thermal Disorders - Pediatric
FR-010Procedures
Tourniquets
B-010Procedures
Tourniquets: Indications and Procedure
PR-110Procedures
Transcutaneous Pacing (TCP)
330.60Operations
Transfer of Patient Care: Paramedic to Air Ambulance Medical Flight Crew
B-009Procedures
Transport of Police Dogs (K9) Injured in the Line of Duty
309.00Operations
Transport of Police K9 Dogs Injured in Line of Duty
140.00Operations
Transportation Advisory Subcommittee Bylaws
140.20Operations
Transportation Advisory Subcommittee Membership
620.00Criteria & destinations
Trauma Center Criteria
635.10Criteria & destinations
Trauma Receiving Center: Survey / Resurvey Process
620.07Criteria & destinations
Trauma System Design
620.11Criteria & destinations
Trauma System Market & Advertising by Trauma Centers & Prehospital Care Providers
620.13Criteria & destinations
Trauma Systems Public Information and Education
310.30Criteria & destinations
Trauma Triage
310.31Criteria & destinations
Trauma Triage Algorithm
SO-T-010Standing orders
Traumatic Cardiopulmonary Arrest - Adult / Adolescent
SO-P-020Standing orders
Traumatic Cardiopulmonary Arrest - Pediatric
330.15Operations
Treatment Without Base Contact Communication Failure
310.80Operations
Updates of Standing Orders / Base Hospital Treatment Guidelines / Procedure Guidelines
SO-O-015Standing orders
Vaginal Bleeding During Pregnancy
SO-C-040Standing orders
Wide QRS Complex Tachycardia with a Pulse - Adult/Adolescent
330.50Operations
Withholding Prehospital CPR for the Obviously Dead
SO-F-05Standing orders