Emergency Medical Services

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EMS Policies	EMS Committees
EMS Standing Orders	Agency Operations Center (AOC)
EMS Procedures	Ambulance Performance
Upcoming Policies & Standing Orders	APOT Reports & Dashboards
MICN Base Hospital Treatment Guidelines	Medical Forms
Bi-Directional Data Exchange Project	EMS Licensing and Certification
OC-MEDS	Orange County Healthcare Coalition (OCHCC)

Upcoming EMS Committee Meetings

Meeting	Date/Time	Location
Facilities Advisory Committee (FAC)	May 12, 2026 @ 9:00AM	See Agenda
County Prehospital Advisory Committee (CPAC)	May 13, 2026 @ 1:00PM	See Agenda

For more information about upcoming meetings and events, click here.

Upcoming Policies - 50-day Comment Period

Policy	Links	Dates
OCEMS Policy 777.00 - Interfacility Transport Advanced Life Support (IFT-ALS) Service Provider Criteria (DRAFT) - REDLINE	Announcement Letter (#5817) Comment Form	Open: 03/31/2026 at 8am Close: 05/20/2026 at 8am

Policy

Links

Dates

OCEMS Policy 777.00 - Interfacility Transport Advanced Life Support (IFT-ALS) Service Provider Criteria (DRAFT) - REDLINE

Announcement Letter (#5817)

Comment Form

Open: 03/31/2026 at 8am

Close: 05/20/2026 at 8am

EMS System Reports

Reports / Category	Update Cadence
Ambulance Patient Offload Time (APOT) / Daily	Ongoing / Real time
Hospital Diversion Dashboard and Tables	Weekly
All Injury Dashboard	Quarterly
EMS Licensing / Certification (Personnel and Ambulance Licensing)	Quarterly

Notifications

Letter / Memo / Report	Date
#5827 Policy Update 04-2026	04/01/2026
#5826 Policy Update Reminder 04-2026	04/01/2026
#5825 Maximum Ground Ambulance Rates - Effective July 1, 2026	04/01/2026
#5824 Notification of Hospital(s) APOT Standard Exceedance for February 2026 Data	03/30/2026
#5821 EMS Administrator Announcement	03/27/2026
2026 EMSAAC Conference Save the Date	05/27/2026
#5791 Notification of Hospital(s) APOT Standard Exceedance for January 2026 Data	02/24/2026
#5772 OCEMS Licensing System Scheduled Downtime and URL Change Notice	02/10/2026
#5757 Notification of Hospital(s) APOT Standard Exceedance for December 2025 Data	02/02/2026
#5720 Notification of Hospital(s) APOT Standard Exceedance for November 2025 Data	12/29/2025
#5708 Temporary Increase in Monthly Diversion Hours Through January 31, 2026	12/22/2025
#5680 EMS Memo Hospital Name Change UCIMC to UCI Health-Orange	12/09/2025
#5664 Notification of Hospitals APOT Standard Exceedance for October 2025 Data	11/24/2025
#5653 Notice that OC Global Medical Center will no longer be designated as a Stroke Neurology Receiving Center (SNRC)	11/03/2025
#5648 Transition to NEMSIS v3.5.1 - Update #2	10/24/2025
#5624 New and Updated EMS Policies, Procedures, and Standing Orders	10/20/2025
#5605 OC-MEDS PCRS Update - Transition to NEMSIS v3.5.1	09/29/2025
#5587 APOT ePCR Data Element Compliance with AB 40	09/10/2025
#5589 Hospital Name Changes Rady Children's Hospital Orange County	09/10/2025
#5554 911 Med Care by outside MD	08/12/2025
#5516 South Coast Global OB Memo	07/21/2025
#5512 Suspension of SNRC Designation for OCGMC	07/17/2025
Pediatric Drowning Lecture Flyer	07/08/2025
#5475 Revision to Maximum Emergency Ground Ambulance Rates - Effective July 1, 2025	06/26/2025
#5462 MEMO ALS No-Contact Communications Trial-OCFA Cell Phone	05/10/2025
#5447 Contraindications Update for Ketorolac (Toradol)	05/12/2025
#5434 OC-MEDS PCRS Updates 05.06.2025	05/06/2025
#5391 MEMO OCEMS Prehospital/CQI Coordinator	03/13/2025
#5390 New and Updated EMS Polices, Procedures and Standing Orders	03/12/2025
#5387 Patient Care by 911 ERCs	03/10/2025
#5359 MEMO EMS Director Update	02/19/2025
#5316 Change in Meeting Date for TAC	12/16/2024
#5303 - EMS Analytics Coordinator Announcement	12/12/2024
#5245 UCI Health Labor Strike	11/13/2024
#5241 Fluid Shortage	11/07/2024
#5188 New and Updated EMS Policies, Procedures and Standing Orders	10/01/2024
#5184 RFP Trauma Interest	09/26/2024
#5140 OCEMS Personnel Chief Announcement	08/14/2024
#5015 Policy 650.00 50-Day Comment	04/24/2024
#4991 Hospital Name Changes	04/10/2024
#4988 SNRC Neurology Coverage	04/08/2024
#4962 New and Updated EMS Policies, Procedures, and Standing Orders	03/15/2024
#4933 Software for Hospital Destination	02/16/2024
#4882 Transportation Advisory Committee Meeting 1-3-24 CANCELLATION NOTICE	12/27/2023
#4880 Clarification of OCEMS Policy #310.96	12/20/2023
#4817 AEMT Application Closure	10/31/2023
#4754 Revision to EMS Fees - Effective 07.01.2024	10/16/2023
#4750 Ambulance RFP Public Opportunity	10/03/2023
#4752 Policy Update October 2023	09/27/2023
#4723 Trauma Coordinator Announcement	09/05/2023
#4722 NEMSIS v3.5 Transition - Final Implementation Guidance	09/01/2023
#4729 Orange County EMS DRAFT Policy Posted for Public Comment (Policy 510.00)	08/31/2023
#4715 Orange County EMS DRAFT Policy Posted for Public Comment (Policy 645.00)	08/31/2023
#4718 Shortage of Midazolam / Authorization for up to Six Months Past Expiration	08/24/2023
#4692 Revision to Maximum Emergency Ground Ambulance Rates - Effective July 1, 2023	07/31/2023
#4651 New Policies and Clarifications/Updates of Existing EMS Documents and NEMSIS v3.5 Transition Update	07/05/2023
#4638 NEMSIS v3.5 Transition Update #3	06/08/2023
#4633 Systems and Standards Chief Announcement	06/07/2023
#4568 New Policies and Clarifications/Updates of Existing EMS Documents	03/16/2023
#4550 EMS System Notice for CGMC ERC Designation Revocation	02/02/2023
#4539 Extension of Current OCEMS Policies and Directives for Managing Increasing APOTs and Diversion Hours	02/01/2023
#4530 Assistant EMS Director Announcement	01/10/2023
#4528 EMS Facilities Coordinator Announcement	01/10/2023
#4522 - NEMSIS v3.5 Implementation Plan	01/03/2023
#4520 - Maximum Ground Ambulance Rates	12/27/2022
#4514 - Payments by Check / Personnel Certification Processing	12/20/2022
#4477 - Refresher Memo Regarding EMS Interventions	12/05/2022
#4462 - Health Emergency Crisis from RSV in Orange County	11/03/2022
Press Release - Public Health Emergency Declaration and County Local State of Emergency	10/31/2022
Proclamation of a Local Health Emergency	10/31/2022
Health Officer Declaration of Public Health Emergency	10/31/2022
Press Release - Preventive Measures Against RSV Due to High Hospitalizations	10/29/2022
#4441 - ED Sat in ReddiNet	10/11/2022
#4427 - New Policies and Clarifications/Updates of Existing EMS Documents	09/07/2022
#4412 - PUBLIC COMMENT PERIOD - Proposed Emergency Ambulance Rates Adjustment	08/17/2022
#4410 - Authorization to Bypass Hospitals with High APOT	08/16/2022
#4299 - BinaxNOW for Healthcare Memo	03/28/2022
#4296 - Additional 6 Month Delay in Designating Policy 300.30 as Mandatory	03/25/2022
#4292 - New Policies and Clarifications/Updates of Existing EMS Documents	03/17/2022
#4285 - Active Restricted EMT Certification Update	03/03/2022
#4284 - California Waiver Extension Through June 30, 2022	03/03/2022
#4283 - Active Restricted EMT Certification	03/02/2022
#4260 - Reauthorization of Ambulance Diversion	02/08/2022
#4246 - Clarifications to Ambulance Memo #4212	01/18/2022
#4245 - Lifting Suspension for SNRC Designation - Saddleback Memorial	01/14/2022
#4212 - Temporary Suspension of Diversion and Actions to Reduce APOTs	12/29/2021
#4190 - Shortage of Epinephrine Pre-filled Syringes	12/20/2021
#4178 - Immediate Suspension of SNRC Designation - Saddleback Memorial	12/15/2021
#4165 - Emergency Ambulance - IFT-ALS (In Service)	11/18/2021
#4151 - Mandatory Diversion for Long APOTs	11/04/2021
#4079 - EMS Chief Pharmacist Announcement	10/25/2021
#4138 - Emergency Ambulance - IFT-ALS	10/19/2021
#4124 - New Policies and Clarifications of Existing EMS Documents	10/01/2021
#4120 - Proposed Emergency Medical Services Provider Fees	10/01/2021
#4085 - EMT Renewal and Training Program Update	08/26/2021
#4078 - Health Emergency Management Section Chief Announcement	08/20/2021
#4073 - Medical / Health Resource Requests	08/06/2021
#4071 - Voluntary Actions Needed to Improve Ambulance Patient Offload Times (APOT) and Ambulance Diversion Hours	08/04/2021
#4035 - New Policies and Clarifications/Updates of Existing EMS Documents	06/29/2021
#3950 - Clarifications and Updates of Existing EMS Documents	03/19/2021

To view archived notifications (EMS System letters/memos), click here. To view archived MHOAC Reports, click here.

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Quick Links

Upcoming EMS Committee Meetings

Upcoming Policies - 50-day Comment Period

EMS System Reports

Notifications

Health Disaster Preparedness

County Administered 911 Emergency Ambulance EOAs

OC-Medical Emergency Data System

Licensing & Certification

Orange County Trauma System Services Survey

Resources

EMS Committee and Advisory Groups

EMS Policies, Procedures Standing Orders

EMS Ambulance Performance

Education Training Programs

Health Emergency Management

Disaster Management

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EMS System Reports

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