Emergency Medical Services

DSC_1319

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)

EMS System Report

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

All-Purpose Application Form

All Purpose Application Form

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

EMT-I

Instructions for EMT-1 Certification.
EMT Initial-Cert-20181221

Instructions for those certified as EMT-1 that are seeking re-certification, who have not already expired.
EMT-Recert-20181221
Skills Form(PDF)
Authorized Skills Verification Signers
livescan_applic (EMT)
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)

MICN-Initial-20181221
MICN-Re-Accred-20181221
MICN SCHEDULE  2019(PDF)
livescan_application (MICN)
Live Scan application instructions (PDF)
Live scan finger printing is required prior to accreditation or re-accreditation as an MICN

Emergency Medical Dispatcher (EMD)

EMD-Initial-20181221
livescan_application (EMD)
EMD-Recert-20181221
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

  • 2019
    • March 21, 2019
      • April 3, 2019
    • June 20, 2019
    • September 19, 2019
    • December 19, 2019

      Meeting Schedule

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

Medical Director Forum

  • May 2, 2019 – 1 p.m.
  • September 5, 2019 – 1 p.m.

Emergency Medical Resposne Steering Committee

  • March 7, 2019 – 1 p.m.
  • November 7, 2019 – 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 Bylaws – EMCAB approved 2/14/2019

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


2171.13

 

ALS Base Rate


2,095.61


1,791.49


2,662.40

 

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


34.18

 

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


199.36

 

ALS Standby Rate/hour


204.12


161.47


253.50

 

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

EOA1Oct2018

EOA1Nov2018

EOA1Dec 2018

Annual Tally-EOA 1 Hall-Jan-Sep

Annual Tally-EOA 1 Hall-Oct-Dec

   
EOA1     EOA1_Map
EOA1Jan2019 EOA1Feb2019 EOA1Mar2019 EOA1Apr2019
       
       
       

EOA 2     EOA2_Map

EOA2 Jan2018

EOA2 Feb2018

EOA2 Mar2018

EOA2 Apr2018

EOA2 May2018

EOA2 June2018

EOA2July2018

EOA2Aug2018

EOA2Sept2018

EOA2Oct2018

EOA2Nov2018

EOA2Dec2018

Annual Tally-EOA 2 HALL-Jan-Sep

Annual Tally-EOA 2 HALL-Oct-Dec    
EOA 2     EOA2_Map
EOA2Jan2019 EOA2Feb2019 EOA2Mar2019 EOA2Apr2019
       
       
       

EOA3     EOA3_Map

EOA3 Jan2018

EOA3 Feb2018

EOA3 Mar2018

EOA3 Apr2018

EOA3 May2018

EOA3 June2018

EOA3July2018

EOA3Aug2018

EOA3Sept2018

EOA3Oct2018

EOA3Nov2018

EOA3Dec2018

Annual Tally-EOA 3 DELANO-Jan-Sep

Annual Tally-EOA 3 DELANO-Oct-Dec    
EOA3     EOA3 Map
EOA3Jan2019 EOA3Feb2019 EOA3Mar2019 EOA3Apr2019
       
       
       

EOA4     EOA4_Map

EOA4 Jan2018

EOA4 Feb2018

EOA4 Mar2018

EOA4 Apr2018

EOA4 May2018

EOA4 June2018

EOA4July2018

EOA4Aug2018

EOA4Sept2018

EOA4Oct2018

EOA4Nov2018

EOA4Dec2018

Annual Tally-EOA 4 HALL-Jan-Sep

Annual Tally-EOA 4 HALL-Oct-Sep    
EOA4     EOA4 Map
EOA4Jan2019 EOA4Feb2019 EOA4Mar2019 EOA4Apr2019
       
       
       

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

EOA6Oct2018

EOA6Nov2018

EOA6Dec2018

Annual Tally-EOA 6 Liberty-Jan-Sep

Annual Tally-EOA 6 Liberty-Oct-Dec    
EOA6     EOA6 Map
EOA6Jan2019 EOA6Feb2019 EOA6Mar 2019 EOA6Apr2019
       
       
       

EOA7     EOA7 Map

EOA7 Jan2018

EOA7 Feb2018

EOA7 Mar2018

EOA7 Apr2018

EOA7 May2018

EOA7 June2018

EOA7July2018

EOA7Aug2018

EOA7Sept2018

EOA7Oct2018

EOA7Nov2018

EOA7Dec2018

Annual Tally-EOA 7 Liberty-Jan-Sep

Annual Tally-EOA 7 Liberty-Oct-Dec    
EOA7     EOA7 Map
EOA7Jan2019 EOA7Feb2019 EOA7Mar2019 EOA7Apr2019
       
       
       

EOA8

    EOA8_Map

EOA8 Jan2018

EOA8 Feb2018

EOA8 Mar2018

EOA8 Apr2018

EOA8 May2018

EOA8 June2018

EOA8July2018

EOA8Aug2018

EOA8Sept2018

EOA8Oct2018

EOA8Nov2018

EOA8Dec2018

Annual Tally-EOA 8 HALL-Jan-Sep

Annual Tally-EOA 8 HALL-Oct-Dec    
EOA8     EOA8_Map
EOA8Jan2019 EOA8Feb2019 EOA8Mar2019 EOA8Apr2019
       
       
       

EOA9     EOA9_Map

EOA9 Jan2018

EOA9 Feb2018

EOA9 Mar2018

EOA9 Apr2018

EOA9 May2018

EOA9 June2018

EOA9July2018

EOA9Aug2018

EOA9Sept2018

EOA9Oct2018

EOA9Nov2018

EOA9Dec2018

Annual Tally-EOA 9 HALL-Jan-Sep

Annual Tally-EOA 9 HALL-Oct-Dec    
EOA9     EOA9_Map
EOA9Jan2019 EOA9Feb2019 EOA9Mar2019 EOA9Apr2019
       
       
       

EOA11     EOA11_Map

EOA11 Jan2018

EOA11 Feb2018

EOA11 Mar2018

EOA11 Apr2018

EOA11 MAY2018

EOA11 June2018

EOA11July2018

EOA11Aug2018

EOA11Sept2018

EOA11Oct2018

EOA11Nov2018

EOA11DEC2018

Annual Tally-EOA 11 Hall-Jan-Sep

Annual Tally-EOA 11 Hall-Oct-Dec    
EOA11     EOA11_Map
EOA11Jan2019 EOA11Feb2019 EOA11Mar2019 EOA11Apr2019
       
       
       

EVENTS

Hospitals

Public Comments

STEMI System of Care Policy Update - Public Comment - June 24, 2019 through July 23, 2019

Kern EMS Abuse Policy - Public Comment - June 7, 2019 to July 8th, 2019

Special Event Policy - Public Comment - June 7, 2019 to July 8th, 2019

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 - Second Public Comment Period - December 12, 2018 to January 12, 2019

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.

2019 Quarterly Schedule

Please join us at:

Kern County Public Health Services Department
1800 Mt. Vernon Avenue, Bakersfield, CA
1st Floor, San Joaquin Room
10:00 P.M. – 12:00 P.M.

Date Event
February 13, 2019 Quarterly Meeting
April 17, 2019 Quarterly Meeting
July 31, 2019 Quarterly Meeting
September 25, 2019 Tabletop Exercise
November 20, 2019 Functional Exercise

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 18-19

Pulsepoint App

You know the difference early CPR and defibrillation can make in a Sudden Cardiac Arrest event. Fifty-seven percent of U.S. adults say they’ve had CPR training, and most would be willing to use CPR or an AED to help save a stranger’s life. Yet only 11% say they’ve used CPR in an actual emergency—that’s a number we can increase together.

When that emergency call comes in your team will be ready. But what if someone was already at the scene, applying lifesaving CPR and defibrillation until the EMS team arrived? With PulsePoint, your dispatch system immediately alerts CPR-trained bystanders about a nearby SCA event through the free PulsePoint Respond mobile app, and lets them know the location of the closest AED.

Get the app. Locate AEDs. Help Save Lives.

 

Download the Pulsepoint App today: https://www.pulsepoint.org/