California Emergency Medical Services Authority Forms

The California Emergency Medical Services Authority (EMSA) is responsible for ensuring the availability and accessibility of high-quality emergency medical services (EMS) in the state of California. EMSA works to develop, implement, and evaluate statewide EMS systems, protocols, and regulations. They also provide guidance and support to local EMS agencies, hospitals, and other healthcare providers, with the aim of promoting effective emergency medical care and improving patient outcomes. The authority also plays a vital role in disaster preparedness and response, coordinating resources and assisting local agencies during emergency situations.

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Documents:

34

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This document is a form used for creating a Hospital Incident Management Team (HIMT) chart in California. It helps hospitals organize their teams for incident management during emergencies.

This document is used for verifying the competency of an individual's skills in California. It is typically used in professional or vocational settings to ensure that individuals have the necessary skills to perform their job duties.

This form is used for requesting approval of an undefined scope of practice in the state of California.

This document is for individuals or organizations who want to be informed about updates and news related to the Emergency Medical Services Authority (EMSA) in California. Joining this mailing list allows you to stay informed about important developments in the field of emergency medical services in the state.

This Form is used for requesting information in the state of California.

This form is used for notifying the California government about a change of address.

This document is for organizations applying for approval to provide continuing education for prehospital emergency medical services personnel in California.

This document for the Ambulance Strike Team/Medical Task Force Leader in California provides a task list and performance standards. It outlines the responsibilities and skills required for this position.

This form is used for paramedics in California to report their accreditation information.

This form is used for applying for epinephrine certification in California.

This form is used for requesting temporary recognition of out-of-state EMS personnel who are responding on mutual aid in California.

This document outlines the agreement between ambulance workers and their employer regarding strike times in California.

This document provides a quick reference guide on the integration of EMS (Emergency Medical Services) with law enforcement during active shooter events in California. It includes important information and procedures to ensure coordinated response and the safety of the public.

This document provides a quarterly report on the activities and enforcement efforts of the Paramedic Enforcement Unit in California. It highlights the actions taken to ensure compliance and maintain the quality of paramedic services in the state.

This Form is used for documenting and transferring patients to alternate destinations through the Community Paramedicine/Triage program in California.

This document is a sample request template for a Monkeypox vaccine administration during an emergency order in the state of California.

This form is used for applying for an initial out-of-state paramedic license in the state of California.

This form is used for applying for an initial in-state paramedic license in California.

This Form is used for paramedics in California to apply for the renewal of their audit renewal license.

This document is an appendix of the Triage to Alternate Destination Toolkit specific to California. It provides additional information and instructions for implementing triage protocols during emergencies or incidents.

This document provides a checklist for the Epinephrine Training Program in California. It includes the necessary steps and guidelines for conducting the training program.

This document provides a checklist for continuing education providers in California. It outlines the important steps and requirements for offering and maintaining continuing education programs in the state.

This form is used for authorizing a credit card payment for a training program in California.

This document is a request for revision of the Local Optional Scope of Practice (Losop) in California. It pertains to the scope of practice for certain professions or industries within the state. The request seeks to make changes or updates to the existing Losop guidelines.

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