opens in new tab or window
Skip to main content
Quick Links
Employee Services
Newsroom
Employment
Feedback
English
Select this as your preferred language
Select a language to translate to
English
Select this as your preferred language
County of Fresno - Home - Logo
Open
Search
Menu
Services
Sub-menu
Assistance Programs
Vote-By-Mail Ballot Status
Adult Social Services
Apply for a Permit (Permit Portal)
Child Welfare Services
Code Enforcement
County Jail Inmate Information
e-File Business Property Statements
GIS Mapping Applications
Library Catalog Search
Library Research Database
Fresno County Connect App
Pay Traffic Fines
Property Tax Information and Payments
Property Owner's Protection Alert
Public Records Request
Recorded Documents Search
Request County Building Inspection
Veterans Service Office
View Health Inspections
Resources
Sub-menu
American Rescue Plan
Americans With Disabilities Act
Board of Supervisors Meeting Agendas
CARES Act Funding
County Bid Process
County Ordinance Code
Fentanyl Danger in Fresno County
Flood Protection
Fresno County Emergency
Sub-menu
Red Cross Disaster Relief Donations
Returning Home After a Fire
Fresno County Jobs
Fresno County Office Holiday Closures
Fresno County Resource List
HOMELESS RESPONSE
Juror Information
Property Management
Recycling and Solid Waste Information
Redistricting
SB272 Enterprise System Catalog
Traffic Safety
Voter Guide
Warming Centers
Partner: Cal Fire
Partner: Fresno County Office of Education
Partner: Superior Court of Fresno
Departments
Sub-menu
Agricultural Commissioner
Sub-menu
About Us
CE & Event Calendar
Pest & Disease Prevention
Pesticide Safety
Commodity Standardization Programs
Weights & Measures
Submit a Complaint
Presentar una Queja
Annual Crop & Livestock Report
Recursos Para Trabajadores Y Comunidades en Español
COVID-19 Resources for Agricultural Employers
Department FAQs
Assessor
Sub-menu
Assessed Value Lookup
Parcel Maps
Property Tax Exemptions
Transferring Tax Base to Another Property
Assessed Value Appeals
Assessor Forms
Real Property Assessments
New Construction Reassessment Exclusions
Change in Ownership Reassessment Exclusions
Business Personal Property
Assessment Roll
Mapping Division
Mailing Address Changes
California Land Conservation Act
Mills Act
Assessor Press Releases
Frequently Asked Questions
Tract and Parcel Map Recordation
Auditor-Controller/Treasurer-Tax Collector
Sub-menu
About Us
Property Tax Payments
Revenue Collections Unit
Unclaimed Property Lookup
Business Licenses
Property Tax Information
Fraud Hotline
Publications
Contact Information
County Oversight Board
Behavioral Health
Sub-menu
Behavioral Health is
Care & Services
Providers
For Professionals
Need to Make a Payment?
Board of Supervisors
Sub-menu
Brian Pacheco
Garry Bredefeld
Luis Chavez
Ernest Buddy Mendes
Nathan Magsig
Board Briefing Reports
Budget
County Administrative Policies
County Charter
Find Your District
Meeting Information
Office Location
Ordinance Code
REQUEST FOR ISSUANCE OF RECOGNITION
REQUEST FOR ADJOURNMENT IN MEMORY
Child Support Services
Sub-menu
CalWORKS Cases
Contact the DCSS
DCSS Forms
How to Change Your Child Support Order
License & Passport Information
Services We Provide
Frequently Asked Questions
Support Process
Clerk of the Board of Supervisors
Sub-menu
About the Clerk of the Board
Assessment Appeals
Boards, Commissions and Committees
Claims for Damages
Form 700s & Conflict of Interest Codes
Land Use Appeals
Maps for Recordation
County Administrative Office
Sub-menu
American Rescue Plan (ARPA)
Americans With Disabilities Act (ADA)
Budget Files
Staff Directory
CARES Act Funding and The Coronavirus Relief Fund
Code Enforcement
Economic Development
Federal Legislative Platform
Fresno County Public Information Office
Homeless Response
State Legislative Platform
Video Messages
Vision, Mission, Guiding Principles
Fresno County Emergency Information
County Clerk/Registrar of Voters
Sub-menu
County Clerk - Clerk Services
Elections
Voter Data & Maps
County Counsel
District Attorney
Sub-menu
About Us
Contact Us
Bureau of Investigations (BOI)
Fentanyl Awareness
Victim Resources
Career Opportunities
Frequently Asked Questions (FAQs)
News Releases
Community Events
Fresno County Employees' Retirement Association
General Services
Sub-menu
Facility Services
Fleet Services
Purchasing Services
Security & Parking Services
Human Resources
Sub-menu
Employee Benefits
Employment Services
Frequently Asked Questions
Intern Hub
Careers
Labor Relations
Office Location
References
Risk Management
General Liability
Salary Resolution
Join our team!
Information Technology Services Department
Sub-menu
Broadband Strategic Plan
GIS – Geographic Information Systems
SB272 – Enterprise System Catalog
Work for Us
Goals and Accomplishments
Executive Team
Fresno County Library
Probation Department
Sub-menu
About Probation
Adult Services
Realignment Services (AB 109/Pretrial)
Juvenile Services
Juvenile Justice Campus
Crime Victim Services
Community and Councils Partnerships
Probation Human Resources
Email Probation
Contact Probation
Employment Opportunities
Law Offices of the Public Defender
Sub-menu
Post-Conviction Assistance
Specialty Courts
Juvenile Justice
Proposition 57
Helpful Links
Frequently Asked Questions
Contacting the Public Defender Office
Employment Opportunities
Public Health
Sub-menu
Public Health Nursing
Children's Medical Services
Environmental Health
Community Health
Epidemiology, Surveillance & Data Management
Health Policy and Wellness
Emergency Services
News and Media
About Us
COVID-19
Public Health Communication
Health Messages for Medical Providers
Healthy Families Fresno County
Birth and Death Certificates
Fresno County Rural Mobile Health (RMH) Program
Public Works and Planning
Sub-menu
Administration
Maps and GIS Information
Apply for a Building Permit via Citizens Portal
Code Enforcement
Construction Bidding Opportunities
Divisions of Public Works and Planning
Flood Protection and Planning
General Plan
Household Hazardous Waste
Landfill Operations
Parks
Planning and Land Use
Forms
Customer Satisfaction Survey for Public Works
Recycling and Solid Waste Disposal
Request For Proposals
Surveyor's Office
Traffic Control
Purchasing
Recorder
Sub-menu
Death Certificate
Birth Certificate
Marriage Certificate
Order Online
Recorded Documents
Property Owner's Protection Alert
Military Discharge
Fee Schedule
Forms & Common Questions
Recorder Contacts
News & Updates
Fresno County Sheriff
Social Services
Sub-menu
Adult Services
Assistance Programs
Veterans Service Office
DSS Administration
DSS Community Events Calendar
I Want To...
Sub-menu
Apply for Assistance
Apply for a Position with the County
Apply for Housing Assistance
Become a Resource Family
Contact In-Home Support Services
File for Divorce
Find Urgent Care or Telehealth
Find Food in Fresno County
Get a Marriage License
Get a Passport
License My Dog
Look Up My Parcel
Order a Birth Certificate
Pay DPH Environment Health Invoice Online
Pay Property Tax Bill Online
Report Abuse
Report an Animal Bite (Rabies Control)
Submit My IHSS Timesheet
Visit Fresno County
Visit a County Park
Search
You Are Here :
Home
/
Departments
/
Public Health
/
Emergency Services
/
Emergency Medical Services (EMS)
/
CCEMSA Policies and Procedures
Public Health
Open side
Menu
Public Health Nursing
Sub-menu
Babies First
Black Infant Health (BIH)
Child Care Health Linkages Program
Child Health and Disability Prevention (CHDP) Program
Child Ride Safe Program
Community Health Teams
Comprehensive Perinatal Services Program (CPSP)
Health Care Program for Children in Foster Care (HCPCFC)
Maternal Child and Adolescent Health
Sub-menu
Resource Guide
Fresno County Breastfeeding Resource Directory
Nurse-Family Partnership (NFP)
Safe Sleep and Sudden Infant Death Syndrome (SIDS)
Public Health Nursing Program
Fresno County Breastfeeding Coalition
Family Health Nursing
Children's Medical Services
Sub-menu
California Children's Services (CCS)
Medical Therapy Program
Provider Resources
Grievances
Medically Indigent Services Program (MISP)
Genetically Handicapped Persons Program (GHPP)
Medi-Cal Dental
Environmental Health
Sub-menu
Body Art Program
Sub-menu
Plan Check
Practitioners Requirements
Body Art Facility Permit Information
Body Art Complaints
Temporary Body Art Events
Consumer Food Program
Sub-menu
Mobile Food Vendors
Cottage Food Operations
Unpermitted Food Vendors
Food Safety Videos
Food Safety Certifications and Classes
Food Facility Permit Information
Consumer Food Community Events
Food Safety During Temporary Power Outages
Consumer Food Links
Consumer Food Plan Check
HazMat Compliance: The Designated CUPA
Hazardous Materials Business Plans
Sub-menu
California Environmental Reporting System CERS
California Accidental Release Prevention Program (CALARP)
Underground Storage Tank Program (UST)
Aboveground Storage Tanks
Hazardous Waste(s)
Onsite Treatment of Hazardous Waste
Hazmat Compliance Information and FAQs
Emergency Response Team
Institutional Health
Land Use Program
Lead Hazard Control Program
Sub-menu
Lead-Safe Housing Registry
What is Lead Poisoning?
Lead-Safe Work Practices
Protect your Family from Lead Hazards – HUD Grant Program
Lead Contractors
Liquid Waste
Milk Inspection Program
Organized Camps
Rabies and Animal Control Program
Recreational Health
Sub-menu
Other Recreational Health Links
California Department of Public Health – CDPH
Water Safety
Solid Waste Local Enforcement Agency (LEA)
Substandard Housing
Sub-menu
Substandard Housing FAQ
Vector Control
Water Surveillance Program
Sub-menu
Well Permitting Program
State Small Water Systems
www.fresnohealthinspections.org
Environmental Health FAQ
Substandard Housing FAQ
Inspection Reports
Sub-menu
fresnohealthinspections.org
Animal Services
Environmental Health Permit Fee and Ordinance
Community Health
Sub-menu
Communicable Disease Investigation Program
Sub-menu
Mpox (Monkeypox)
Mosquito Borne Illness
Pertussis Information
School Health
HIV - AIDS Reporting Requirements and Forms
Valley Fever
Measles
Childhood Lead Poisoning Prevention Program (CLPPP)
Tuberculosis
Sub-menu
Tuberculosis in Fresno County
Reporting Requirements
TB FAQs
TB Laws in California
Sexually Transmitted Diseases
Sub-menu
Family Planning
Immunizations
Congenital Syphilis Case Management Program (CSCMP)
Epidemiology, Surveillance & Data Management
Sub-menu
Epidemiology Main Page
Birth and Death Certificates
Public Health Laboratory
Sub-menu
Lab Services for Medical Providers and Facilities
Test Specific Specimen Collection and Transport Guidelines
Specimen Labeling and Transport
Lab Forms
Additional Resources
Reporting Diseases
Epidemiology - FAQ
Fresno County Department of Public Health Reports and Statistics
Sub-menu
Overview of Reported Communicable Diseases
Sexually Transmitted Infections
Mortality
Maternal and Child Health Reports
Respiratory Illness and Issues Reports
Additional Topics
Fresno County Health Priority Index
Medical Marijuana Identification Card Program
Sub-menu
MMIC - Frequently Asked Questions
MMIC - Application Procedure
MMIC - Legislative Background
MMIC - Forms and Applications
Holiday Closures
Fresno County Infectious Materials Ordinance
Sub-menu
Important Notice
Billboard (Infectious Materials Ordinance)
Note Stack
Health Policy and Wellness
Sub-menu
Meet Our Staff
CalFresh Healthy Living
Local Oral Health Program
Tobacco Prevention Program (TPP)
CLAS Standards Training
Health Disparities
Health Equity
Emergency Services
Sub-menu
Emergency Medical Services (EMS)
Sub-menu
EMS Certification
Forms
EMS Training
CCEMSA Policies and Procedures
Special Memos
Continuous Quality Improvement
EMS Committees
County Operations
Disaster Services
StatusNet911
EMS System Reports
Find an Urgent Care Center
EMS Administration
Public Health Emergency Preparedness (PHEP)
Sub-menu
Biological Agent and Diseases (BIOTERRORISM)
Emerging Infectious Diseases
News and Media
Sub-menu
News Releases
About Us
Sub-menu
Contact Public Health
Correctional Health
Map and Directions to Public Health
Map to West Fresno Regional Center
Notice of Privacy Practices
Fresno County Food Map
COVID-19
Sub-menu
COVID-19 Businesses
COVID-19 Data
COVID-19 Guidance and Resources
Public Health Communication
Sub-menu
News and Media
News Releases
Health Messages
Reedley Facility
Public Health Notices
Community Health Assessment and Community Health Improvement Plan
Health Messages for Medical Providers
Sub-menu
COVID-19 Vaccine Info for Providers
Mpox Information for Providers
Healthy Families Fresno County
Birth and Death Certificates
Fresno County Rural Mobile Health (RMH) Program
Welcome to
CCEMSA Policies and Procedures
CCEMSA Policies and Procedures
Draft Policies
Special Memorandums
General
Dispatcher Certification/Recertification Checklist
EMT Certification/Recertification Checklist
MICN Certification/Recertification Checklist
Paramedic Accreditation/Reaccreditation Checklist
Drug Box Review
Final Approved Abbreviations List
001-099 Administration
001 Table of Contents
011 EMS Policy Implementation
020 Medical Control
021 Medical Control Committee
022 Regional Hospital Advisory Committee
100-199 Personnel Policies
110 Prehospital Personnel: License Accreditation and Certification Review Process
111 EMT Training Program Approval
111.2 Public Safety First Aid Training Programs
112 EMT Certification
113 EMT Challenge Certification
114 EMT Recertification
115 EMT Record Keeping and Fees
119 Scope of Practice for EMT
119.2 Scope of Practice for Public Safety First Aid Personnel
122 Advanced EMT (AEMT) Certification
124 Advanced-EMT (AEMT) Recertification
129 Scope of Practice for Advanced EMT (AEMT)
131 Paramedic Training Program Approval
133 Paramedic Accreditation
134 Paramedic Continued Accreditation/Continuing Education
136 Critical Care Paramedic Accreditation
137 Critical Care Paramedic Continued Accreditation
139 Paramedic Scope of Practice
141 MICN Training Program Approval
142 MICN Certification
144 MICN Recertification/Continuing Education
151 Base Hospital Physician Training Program Approval
152 Base Hospital Physician Certification
153 Base Hospital Physician Recertification
162 EMS Dispatcher Certification
164 EMS Dispatcher Recertification
168 EMS Dispatcher - Continuing Education Requirements
200-299 EMS Prehospital Providers
200 Authorization of Ambulance Provider Agencies in Fresno County
201 Authorization of Ambulance Provider Agencies in Kings County
202 Authorization of Ambulance Provider Agencies in Madera County
203 Authorization of Ambulance Provider Agencies in Tulare County
205 Fresno County Rural Ambulance Contractor Reimbursement Program
205 Attachment A - Auditor-Controller Uncollectible Accounts Form
205 Attachment B - Fresno County EMS Uncollectibles Request Form
210 Ambulance Ordinance Licensure Implementation
211.1 First Responder/EMT AED Service Provider
212 Administration of Naloxone by Law Enforcement/First Responders
241 Approval of Paramedic Provider and Advanced EMT Provider Agencies
242 Approval of Critical Care Paramedic Provider Agencies
243 Fireline and Urban Search and Rescue Paramedic Response
244 EMS Training Officer
245 Paramedic Triage to Alternate Destination Program
251 Prehospital Liaison Officer
261 Special Rescue Team
291 Equipment Standards - EMS Units
293 Drug and Solution Standards
300-399 Facilities
311 Base Hospital Criteria
311.1 AED Base Hospital
312 Base Hospital Medical Director
312.1 AED Medical Director
313 Prehospital Liaison Nurse
314 Receiving Hospital Liaison Nurse
320 STEMI Critical Care System Overview
321 STEMI Receiving Center and STEMI Referring Hospital Standards
322 STEMI Receiving Center and STEMI Referring Hospital Designation
323 STEMI Critical Care System Monitoring/Data Management
330 Trauma System Overview
331 Trauma Facility Designation
332 Trauma System Monitoring
333 Trauma Center Criteria
334 Trauma Registry Data Collection
340 Impact Evaluation of Reduction or Closure of Hospital Emergency Services
341 Scope of Practice During Interfacility Transports
342 Guidelines for Transfer Agreements Between Acute Care Hospitals
351 Pediatric Critical Care Center Designator
352 Pediatric Critical Care Center Criteria
353 Pediatric Staffing and Equipment Guidelines for Emergency Departments
360 Stroke Critical Care System Overview
361 Stroke Center Standards
362 Stroke Center Designation
363 Stroke Critical Care System Monitoring/Data Management
400-499 Communications
400 EMS Communications System Overview
401 EMS Dispatch Center Requirements
402 Management of Medical 9-1-1 Calls in Fresno County
403 Incident Notification
405 EMS Dispatch Policy
406 Suspension of Priority 3 - Non-Emergency Medical Ambulance Responses
407 First Responder Unit Transports
408 Helicopter Dispatch
410 Request for Search and Rescue Operations
411 STAR Rescue Team Dispatch
412 On-Scene Security (Holdbacks)
415 StatusNet911
510 BLS Protocols
510 Basic Life Support (BLS) Protocols
510.01 Table of Contents
510.02 Basic Life Support Call-Ins
510.03 Prehospital Rendezvous
510.04 Prehospital Use of Oxygen
510.05 Tracheostomy Care/Suctioning
510.06 Spinal Motion Restriction
510.07 Monitoring IVs
510.08 Cardiac Arrest - Medical Adult
510.09 Cardiac Arrest - Trauma
510.10 Chest Pain
510.11 Respiratory Distress
510.12 Airway Obstruction
510.13 Altered Level of Consciousness
510.14 Syncope (Any Transient Loss of Consciousness)
510.15 Seizures
510.16 Stroke
510.17 Ingestion/Poisoning
510.18 Abdominal Emergencies (Medical and Trauma)
510.19 Shock (Hypotension)
510.20 Head Trauma
510.21 Chest Trauma
510.22 Orthopedic Trauma
510.23 Soft Tissue Injuries
510.24 Ear Injuries
510.25 Eye Injuries
510.26 Burns
510.27 Hyperthermia
510.28 Hypothermia
510.29 Frostbite
510.30 Near-Drowning
510.31 Snakebite
510.32 Stings/Bites (Allergic Reactions and Anaphylactic Shock)
510.33 Childbirth
510.34 Behavioral Emergencies
510.35 Pediatric Respiratory Distress
510.36 Pediatric Arrest-Medical
530 Paramedic Protocols
530 Paramedic Treatment Protocols
530.01 Table of Contents
530.02 General Procedures
530.03 Cardiac Arrest - Medical Adult
530.04 Cardiac Arrest - Trauma
530.05 Dysrhythmias
530.07 Ventricular Tachycardia with Pulses
530.10 Bradydysrhythmias - Ventricular Rate Less Than 60
530.11 Paroxysmal Supraventricular Tachycardia
530.12 Atrial Fibrillation
530.13 Coronary Ischemic Chest Discomfort
530.14 Shortness of Breath with Bronchospasm (Including COPD and Asthma)
530.15 Shortness of Breath with Pulmonary Edema (Including CHF)
530.16 Respiratory Distress
530.17 Airway Obstruction - Foreign Body
530.18 Altered Mental Status and Syncope
530.19 Seizures
530.20 Ingestion/Poisoning
530.21 Shock (Non-Traumatic)
530.22 Allergic Reactions and Anaphylactic Shock
530.23 Trauma
530.24 Burns
530.25 Near-Drowning
530.26 Snakebite
530.27 Behavioral Emergencies
530.28 Dystonic Reactions to Phenothiazine Drugs
530.29 Vaginal Bleeding
530.30 Childbirth
530.31 Neonatal Resuscitation (Patients less than 24 Hours of Age)
530.32 Pediatric Primary Survey
530.33 Pediatric Arrest-Medical
530.36 Pediatric Bradycardia
530.37 Pediatric Tachycardia with Pulses
530.38 Pediatric Respiratory Distress (Epiglottitis, Asthma, Bronchiolitis, Croup)
530.39 Pediatric Shock (Non-Traumatic)
530.40 Suspected Stroke
530.41 Nausea and/or Vomiting
530.42 Adult Pain Management
530.43 Pediatric Pain Management
530.44 Ventilators (Automatic Transport) ATV
Drug Box Review
540 Critical Care Paramedic Protocols
540 Critical Care Paramedic Treatment Protocols
540.01 Table of Contents
540.02 General Procedures
540.03 Amiodarone Hydrochloride Infusion
540.04 Blood/Blood Product Infusion
540.05 Glycoprotein IIb/IIIa Receptor Inhibitors Infusion
540.06 Heparin Infusion
540.07 Lidocaine Infusion
540.08 Midazolam Infusion for Intubated Patients
540.09 Morphine Sulfate Infusion
540.10 Nitroglycerin Infusion
540.11 Potassium Chloride Infusion
540.12 Sedation for Ventilator/Agitated Patients
540.13 Sodium Bicarbonate Infusion
540.14 Thoracostomy Tubes
540.15 Total Parenteral Nutrition
540.16 Ventilators (Automatic Transport) - ATV
540.17 Norephinephrine Infusion
540.18 Magnesium Sulfate Infusion
540.19 Fentanyl Infusion (Sublimaze)
540.20 Dopamine Hydrochloride Infusion
540.21 Calcium Channel Blocker Infusion
540.22 Epinephrine Infusion
541-599 Operations
541 Identification of EMS Personnel
542 Prehospital Division of Responsibility
543 Turnover Responsibilities Between Prehospital Units
544 Criteria for Receiving and Base Hospital Contact
544 Adult RMCT Patient (18-years and older) Refusal of Care and Transportation Screening Form
544 Minor RMCT Patient (under 18 years old) Refusal of Care and Transportation Screening Form
545 Reporting ALS Without Base Hospital Contact
546 Refusal of Emergency Care and Transportation
546 Risks of Refusal of Care or Transport Form
547 Patient Destination
547.1 Hospital Diversion of Ambulance Patients
548 Code 3 Transport
549 Initiation/Termination of CPR in the Medical Patient
550 Initiation/Termination of CPR in the Trauma Patient
551 Conduct at the Scene of a Deceased Person
552 Out of County Transports
553 ALS Interfacility Transports
554 Non-Acute Care Facility or Physician's Office to Hospital Transport
555 Physician at the Scene Medical Direction
556 Exposure to Blood and/or Body Fluids
560 Blood Pressure Testing by EMS Personnel
561 Emergency Equipment at the Scene
562 Patient Transports from Multiple Incident Sites
564 Guidelines for Do Not Resuscitate
565 Maintenance of Patient Controlled Therapy
566 Use of Pre-Hospital Hotline Numbers - Base Hospitals
567 Delivering Patients to Receiving Hospitals
568 Nerve Agent Exposure
570 Emergency Medical Services Abuse Policy
571 Assess and Refer
600-699 Disaster
600 Multi-Casualty Incident Response Overview and Summary
610 Multi-Casualty Incident Management - Dispatch Operations
620 Multi-Casualty Incident Management - Prehospital Operations
630 Multi-Casualty Incident Management - Base Hospital/Disaster Control Facility Operations
640 EMS Agency Staff Responsibilities
690 Hazardous Materials Incident
690.1 Clinical Management of Patients Exposed to Hazardous Materials
700-899 Local EMS Agency
702 Continuing Education Providers
703 Continuous Quality Improvement
704 Quality Improvement Reporting
704 Quality Improvement Report Form
704 Quality Improvement Tracking Form
811 Prehospital Care Report
812 First Responder Prehospital Care Report - BLS - UNDER REVISON
Hours
Sunday
Closed
Monday
08:00 AM–04:00 PM
Tuesday
08:00 AM–04:00 PM
Wednesday
08:00 AM–04:00 PM
Thursday
08:00 AM–04:00 PM
Friday
08:00 AM–04:00 PM
Saturday
Closed
Hours are excluding
County Holidays
.
Contact Us
Address(es)
Mailing
: PO Box 11867, Fresno CA 93775-1867
Street
: 1221 Fulton St., 5th Floor, Fresno, CA 93721
Phone (Main)
(559) 600-3387
Fax
(559) 600-7691
Email
ccemsa@fresnocountyca.gov
Back to top