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Emergency Medical Services

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Mission

To assure the safety and health of Kern County residents by setting and enforcing standards; providing training, outreach, and education; establishing partnerships; and encouraging continual quality improvement in emergency medical service care.

Emergency Medical Services (EMS) includes the system of services organized to provide rapid response to serious medical emergencies, including immediate medical care and patient transport to definitive care in an appropriate hospital setting. EMS includes:

  • Public safety dispatch
  • Fire services first response and treatment
  • Private ground and air ambulance response, treatment and transport
  • Law enforcement agencies
  • Hospitals and specialty care centers
  • Training institutions and programs for EMS personnel
  • Managed care organizations
  • Preventative health care
  • Citizen and medical advisory groups

Policies

Dispatch and Communications (2000 series)

Disaster (3000 series)

Hospital / Specialty Care Centers (4000 series)


Stroke System of Care


STEMI System of Care


Emergency Medical Services for Children


Trauma Care


Burn Center

Emergency Medical Technician (5000 series)

 

Paramedic (6000 series)

Public Safety First Aid (7000 series)

Training Programs (8000 series)

Response Units (9000 series)

 

EMS Aircraft (10000 series)

Certification (EMT-I, EMT-P, MICN, EMD)

All-Purpose Application Form

All Purpose Application Form(PDF)

For certification, re-certification, accreditation, and re-accreditation for EMT-I, Paramedic, MICN, or EMD.

EXPIRED EMT? START HERE

In-County status refers to an EMT-1 who lives in Kern County at the time of certification or is employed by a Kern County EMS provider

Lapse in Certification:

Expired 0 to 6 months (PDF)
Expired 6 to 12 months (PDF)
Expired 12 months or more (PDF)

 

Out-of-County: Does not live or work in Kern County

Lapse in Certification:

Expired 0 to 6 months (PDF)
Expired 6 to 12 months (PDF)
Expired 12 months or more

EMT-I

Instructions for EMT-1 Certification.
EMT-1 Initial Certification (In County)(PDF)
EMT-1 Initial Certification (Out of County)(PDF)
EMT-1 Optional Scope of Practice (PDF)

Instructions for those certified as EMT-1 that are seeking re-certification, who have not already expired.
In-County EMT-1 Re-certification (PDF)
Out-of-County EMT-1 Re-certification (PDF)
Skills Form(PDF)
Authorized Skills Verification Signers
EMT Live Scan Application Form (PDF)
Live Scan application instructions (PDF)
Criminal background checks are required prior to certification or re-certification as an EMT-1.

Mobile Intensive Care Nurse (MICN)

Emergency Medical Dispatcher (EMD)

EMD Certification (PDF)
EMD Live Scan Form (PDF)
EMD Re-certification (PDF)
Live scan finger printing is required prior to accreditation or re-accreditation as an EMD.

Meeting Schedule

EMS System Collaborative Meeting

Standing meeting rotation –  1st Thursday of every other month at 2 p.m.

EMS Quality Improvement Meetings

  • March 15, 2018
  • June 21, 2018
  • September 20, 2018 – Canceled
  • December 20, 2018

 

EMS Quality Improvement Daily Schedule

  • 8:30–9:30 EMD QI
  • 9:30–10:30 STEMI QI
  • 10:30–11:30 STOKE QI
  • 1:30–2:30 TRAUMA QI
  • 2:30–3:30 PEDIATRIC QI
  • 3:30–4:30 GENERAL QI

 

Medical Director Forum

  • May 3, 2018 – 1 p.m.
  • September 6, 2018 – 1 p.m.

 

Medical Innovation Forum

  • March 1, 2018 – 2 p.m.
  • November 1, 2018 – 2 p.m.

 

Agency Medical Director Meeting

  • March 1, 2018 – 1 p.m.
  • November 1, 2018 – 1 p.m.

 

Emergency Medical Care Advisory Board (EMCAB)

Emergency Medical Care Advisory Board (EMCAB)

EMCAB Information and Membership (to Board of Supervisors website)
EMCAB By Laws – Board of Supervisor approved 6/16/2015

EMCAB meetings are live streamed on YouTube. Search for KernPublicHealth channel to view.

Ambulance

Ambulance Rates

KERN COUNTY AMBULANCE RATES (Effective October 19, 2018)

Rate Category Hall Ambulance
Service
Operational Areas
1,2,4,5,8,9,11
Delano Ambulance
Service
Operational Areas
3
Liberty Ambulance
Service
Operational Areas
6,7
 

BLS Base Rate


1,857.30


1,646.49


1,876.96

 

ALS Base Rate


2,095.61


1,791.49


2,284.96

 

Critical Care Base Rate


3,973.85



2,700.00

 

Emergency Call/Unscheduled


112.00


105.00


105.00

 

Oxygen Use


79.00


80.00


90.00

 

Night Call (7 to 7)


89.00


100.00


125.00

 

Mileage (per mile) ALS/BLS


31.00


29.00


34.00

 

Fuel Surcharge


0.33


0.18


0.18

 

Allowable ALS/BLS per mile charge


31.33


29.18


34.18

 

Mileage (per mile) CCT


35.00



35.00

 

Waiting Time/15 minutes


35.00


55.00


51.00

 

Spinal Immobilization


45.00


140.00


114.00

 

Electrocardiogram


75.00


100.00


175.00

 

Splinting


30.00


50.00


85.00

 

Major Trauma/Medical


85.00


50.00


180.00

 

Disposable Supplies


Up to 500.00


Up to 750.00


Up to 900.00

 

Extra Attendant


42.50 + 1.00/mile



150.00

 

Advanced Airway Maintenance


60.00


60.00


125.00

 

Medication Administration


Varies


15.00


82.00

 

Venipuncture


32.00


40.00


140.00

 

Pulse Oximetry


57.00


50.00


78.00

 

Special Handling


65.00 to 100.00



225.00

 

Non-Transport Dry Run


Up to 5,000.00


0 to 5,000.00


0 to 5,000.00

 

BLS Standby Rate/hour


158.89


124.68


165.57

 

ALS Standby Rate/hour


204.12


161.47


210.53

 

Last Baseline Established


May 21, 2014


June 11, 2014


May 21, 2014

 

First COLA


July 1, 2015


July 1, 2015


July 1, 2015

 

Second COLA


July 1, 2016


July 1, 2016


July 1, 2016

 

Third COLA




 

Fourth COLA




Ambulance Ordinance

Ambulance Performance Standards

Reporting Templates

EOA Reports

EOA1     EOA1 Map

EOA1 Jan2018


EOA1 Feb2018


EOA1 Mar2018


EOA1 Apr2018


EOA1May2018


EOA1 June2018


EOA1July2018


EOA1Aug2018


EOA1Sept2018


Oct 2018


Nov 2018


Dec 2018


Annual Tally 2018

     

EOA2

    EOA2 Map

EOA2 Jan2018


EOA2 Feb2018


EOA2 Mar2018


EOA2 Apr2018


EOA2 May2018


EOA2 June2018


EOA2July2018


EOA2Aug2018


EOA2Sept2018


Oct 2018


Nov 2018


Dec 2018


Annual Summary 2018

     

EOA3     EOA3 Map

EOA3 Jan2018


EOA3 Feb2018


EOA3 Mar2018


EOA3 Apr2018


EOA3 May2018


EOA3 June2018


EOA3July2018


EOA3Aug2018


EOA3Sept2018


Oct 2018


Nov 2018


Dec 2018


Annual Summary 2018

     

EOA4     EOA4 Map

EOA4 Jan2018

EOA4 Feb2018

EOA4 Mar2018

EOA4 Apr2018


EOA4 May2018


EOA4 June2018


EOA4July2018


EOA4Aug2018


EOA4Sept2018


Oct 2018


Nov 2018


Dec 2018


Annual Tally 2018

     

EOA5

    EOA5 Map

EOA5 Jan2018


EOA5 Feb2018


EOA5 Mar2018


EOA5 Apr2018


EOA5 May2018


EOA5 JUNE2018


EOA5July2018


EOA5Aug2018

EOA 5 merged with EOA 4





Annual Tally 2018

     

EOA6     EOA6 Map

EOA6 Jan2018


EOA6 Feb2018


EOA6 Mar2018


EOA6 Apr2018


EOA6 May2018


EOA6 June2018


EOA6July2018


EOA6Aug2018


EOA6Sept2018


Oct 2018


Nov 2018


Dec 2018


Annual Tally 2018

     

EOA7     EOA7 Map

EOA7 Jan2018


EOA7 Feb2018


EOA7 Mar2018


EOA7 Apr2018


EOA7 May2018


EOA7 June2018


EOA7July2018


EOA7Aug2018


EOA7Sept2018


Oct 2018


Nov 2018


Dec 2018


Annual Tally 2018

     

EOA8

    EOA8 Map

EOA8 Jan2018


EOA8 Feb2018


EOA8 Mar2018


EOA8 Apr2018


EOA8 May2018


EOA8 June2018


EOA8July2018


EOA8Aug2018


EOA8Sept2018


Oct 2018


Nov 2018


Dec 2018


Annual Tally 2018

     

EOA9     EOA9 Map

EOA9 Jan2018


EOA9 Feb2018


EOA9 Mar2018


EOA9 Apr2018


EOA9 May2018


EOA9 June2018


EOA9July2018


EOA9Aug2018


EOA9Sept2018


Oct 2018


Nov 2018


Dec 2018


Annual Tally 2018

     

EOA11     EOA11 Map

EOA11 Jan2018


EOA11 Feb2018


EOA11 Mar2018


EOA11 Apr2018


EOA11 MAY2018


EOA11 June2018


EOA11July2018


EOA11Aug2018


EOA11Sept2018


Oct 2018


Nov 2018


Dec 2018


Annual Tally 2018

     

Pine Mountain Club Paramedic First Responder

    OA58 Map

PMC Jan2018


PMC Feb2018


PMC Mar2018


PMC Apr2018


PMC May2018


PMC June2018


PMC July2018


PMC Aug2018


PMC Sept2018


Oct 2018


Nov 2018


Dec 2018


Annual Tally 2018

EMSA Regulations

Hospitals

Public Comments

Against Medical Advise(AMA) Policy – Public Comment – August 7, 2018 to September 6, 2018

Paramedic First Responder Policy – Public Comment – August 7, 2018 to September 6, 2018

Paramedic Preceptor Policy – Public Comment – August 7, 2018 to September 6, 2018

EMT Protocols – Public Comment – February 9th, 2018 – March 12, 2018

HP-CPR – Public Comment – February 2nd, 2018 – March 5th, 2018

Offload to Triage Policy – Public Comment – February 2nd, 2018 – March 5th, 2018

Stroke System of Care – Public Comment – October 6th, 2017 – November 24th, 2017

Please submit comments to Chris Niswonger

Public Access/Layperson AED Implementation Guidelines – Public comment period from January 26, 2017 through February 26, 2017. Please submit comments to Jeff Fariss.

Rotor-Wing Air Ambulance Performance Standards – Public comment period from January 20, 2017 through February 20, 2017. Please submit comments to Jana Richardson

Disaster Preparedness

Kern Medical Reserve Corps

The Kern Medical Reserve Corps (KMRC) was founded in 2006 through Kern County Department of Public Health Services to coordinate the efforts of volunteers with medical and non-medical backgrounds to respond in the event of an emergency incident throughout Kern County. Start your membership today by registering on the Disaster Healthcare Volunteer (DHV) web page. For more information regarding KMRC please call 661-321-3000 for assistance.

 

Medical Reserve Corps (MRC)

Purpose – to develop teams of medical, non-medical and mental health volunteers who are pre-screened, pre-credentialed and pre-trained to effectively augment healthcare facilities and workers in their local communities

Disaster Healthcare Volunteers Of California (DHV)

What is it?

A secure database of disaster volunteers nationwide

Who should register on it?

All KMRC members. In order to become an active KMRC member, you must be registered on the DHV.

What are the benefits of registering on the DHV?

  • This database will be used to activate and schedule KMRC members to disaster/emergency service
  • Medical licenses are verified on a daily basis
  • Members can indicate if they would like to be deployed outside Kern County and/or outside California

How do I register on it?

  • www.healthcarevolunteers.ca.gov
  • Set up your personal account
  • Check “yes” to affiliate with MRC. Check “yes” to affiliate with KMRC.
  • Indicate your deployment preference – Kern County only, outside Kern County and/or outside California

What do I do after I register on the DHV?

  • Respond as soon as you can to messages you receive from the DHV
  • Update your account as your personal information (i.e. contact info) changes

KMRC volunteers are encouraged to participate in the trainings below to ensure they are ready to deploy to local, state or federal requests for assistance.

 

Volunteers Building Strong, Healthy, and Prepared Communities

In any disastrous event, local healthcare resources may be overwhelmed and additional medical, non-medical and mental health volunteers will be needed.

KMRC volunteers can play a crucial role in making this happen by being part of a pre-identified, pre-credentialed and pre-trained team of potential responders.

KMRC is a unit of the national Medical Reserve Corps (MRC).  KMRC is sponsored by the Kern County Department of Public Health.  In an official local disaster or emergency, KMRC volunteers will be activated under the Kern County Emergency Operations Plan.

Benefits of KMRC Membership:

  • Be part of a volunteer team that can be called to service efficiently to help our communities recover as quickly as possible
  • Reduce injuries, save lives
  • Be trained in disaster response

KRMC Member

  • DHV Registration
  • KMRC Orientation (contact KMRC Coordinator for details)
  • IS-100.b Introduction to the Incident Command System (Include hyperlink) http://training.fema.gov/is/courseoverview.aspx?code=IS-100.b

Core Training

  • Kern County Emergency Operations Center (EOC) & Emergency Communications Center (ECC) tour (contact KMRC Coordinator for details)
  • SEMS/NIMS Introductory Class (contact KMRC Coordinator for details)
  • First Aid/CPR trained to your appropriate level (contact KMRC Coordinator for details)

Red Star Member – Eligible for local deployment

White Star Member – Eligible for state deployment

Blue Star Member – Eligible for federal deployment

  • Homeland Security Exercise and Evaluation Program (HSEEP) Training (contact KMRC Coordinator for details)
  • ICS-300 Intermediate ICS for Expanding Incidents (contact KMRC Coordinator for details)
  • ICS-400 Advanced ICS (contact KMRC Coordinator for details)
  • IS-102.c Preparing for Federal Disaster Operations: FEMA Response Partners

Dianne Campbell: campbelld@kerncounty.com

 

FAQs

  1. How do I join?
    Register online at DHV Registration Page
  2. Who can join?
    Members must be 18 years of age or older
    Medical (licensed and non-licensed), non-medical and mental health personnel
  3. What will my obligation be?
    Attend New Member Orientation to get a photo ID, sign paperwork so you can be covered by Workers’ Comp at an official KMRC training or if activated to a disaster/emergency and learn disaster response skills
    Follow KMRC protocols and KMRC Code of Conduct (see KMRC Handbook for details)
  4. Can I join if I live and/or work outside Bakersfield?
    Yes! Every city/town in Kern County needs its own KMRC Team! Our goal is to have members throughout Kern County.
  5. What will I do in an emergency?
    No one will be asked to work outside the scope of his/her training or license. Medical volunteers may be asked to perform triage, treatment, mass vaccinations, first aid, or work in hospitals, clinics, shelters or Alternate Care Sites. Non-medical members may be asked to do clerical work, crowd control, supplies, computers, safety/traffic, translation or a variety of support functions. Mental health professionals may be asked to provide disaster critical incident stress management support.
  6. Do I have to work at a disaster if I’m called?
    No. Your family and job come first.
    You can accept or refuse any disaster volunteer assignment.
  7. Can I be called to disasters outside Kern County? Outside California?
    Yes, if you want to. The choice is always yours.
  8. How will medical licenses be checked?
    After registering with Disaster Healthcare Volunteers of California (DHV), the DHV system verifies the status on a daily basis of those who possess medical licenses.
  9. How will I be called to work at a local disaster?
    After joining, all KMRC members will be directed to register on the Disaster Healthcare Volunteers of California (DHV) website.
    This website will send messages about disasters to all KMRC members.
    Assignments will be described and KMRC members will be given directions to respond if they can accept an assignment, if they cannot accept an assignment, or if they need more information.
    After members accept an assignment, they will be given directions about where to report, when to report, and what their assignment will be.
  10. How do I learn disaster response techniques?
    Attend KMRC trainings
    Participate in KMRC drills and exercises
    Take online training classes (see Training Opportunities page)

Kern County Health Care Coalition

Entities that sign the PPA are asked to participate in KCHCC. The group meets quarterly to plan for coordinated emergency responses. By actively participating in KCHCC, members benefit from shared information and resources, local training, drills and exercises for staff education and enrollment in the California Health Alert Network (CAHAN).

Mission Statement

The mission of Kern County Health Care Coalition (KCHCC) is to bring local public, private, and non-profit organizations together for the purpose of collaborative disaster medical health planning and training.  Collaterally, grant-funding streams that include the Public Health Emergency Preparedness Program (PHEP), CDC (bioterrorism and pan flu), Homeland Security, Regional Disaster Medical Health, and the Hospital Preparedness Program (HPP), are represented in this venue to promote efficiency through inter-disciplinary coordination.

Return on Investment

The Kern County Health Care Coalition (KCHCC) invites you to join us. Membership includes many valuable elements that will assist your agency in preparedness efforts. In addition to your participation, we place a high value on coalition members’ benefits which include, but are not limited to the following:

  • Support prior to, during, and after incidents of significance.
  • Assistance with facility Preparedness Assessments and Hazard Vulnerability Assessment Plans.
  • Assistance with implementing and review of Emergency Operation Plans.
  • Opportunity to network.
  • Provision of an information sharing environment wherein like-agencies are able to share best practices/lessons learned.
  • Support actions that promote more efficient use of resources during exercises and actual events through coordinated emergency preparedness and response.
  • Assistance with understanding requirements and regulations from (CMS) Centers for Medicare & Medicaid Services Emergency Preparedness Final Rule as they apply to specific facilities and operations.
  • Eligibility for membership in ReddiNet a web-based emergency medical communications data system that monitors and reports hospital, patient, and emergency event status that also allows for resource requests to be placed in real time during a disaster event.

2018 Quarterly Schedule

Please join us at:

Kern County Public Health Services Department
1800 Mt. Vernon Avenue, Bakersfield, CA
1st Floor, San Joaquin Room
1:00 P.M. – 4:00 P.M.

 

Date Exercise

Oct. 10, 2018


Tabletop


Nov. 14, 2018


Functional

For more information or to get involved:
Charles Brockett (661) 868-5211

brockettc@kerncounty.com

EMS Fund

Are you submitting paper claims to Kern County’s Emergency Medical Services Fund? Two-thirds of EMS Fund claims are now submitted electronically! Filing your claims electronically provides several advantages over paper claims.

Filing your claims electronically provides several advantages:

  • Claims are processed more quickly
  • Data entry errors are eliminated
  • Notification of coding errors or rejected claims is immediate
  • You have a record of all claims that have been submitted and processed
  • Administrative costs are reduced, leaving more money to reimburse you for services

Please help us to serve you better. Contact us today at (661) 321-3000 to enroll in the electronic claims process.

 

EMS Fund: Fiscal Year 2018-2019