SUFFOLK COUNTY BLS AND ALS POLICY MANUAL 2024 EDITION - Policy Manual

Sep 23, 2026

EMS System Basic and Advanced Life Support policy manual for Suffolk County provides evidence-based, consensus-driven guidance for EMS patient care under the NY Collaborative Patient Care Protocols. It outlines flexible policy principles for clinical decision-making and emphasizes that protocols do not replace provider judgment or experience. The manual specifies administrative and medical sections, including medical control, regional treatments, roles of on-scene physicians, documentation, quality assurance, and advanced airway and airway-related management.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages28

Reading Time1 h 11 min

AccessFree to download

Section A: General Administrative Policies

Suffolk County Medical Control

Regional Treatments

Role of On-Scene Physicians

Role of On-Scene Physician-Extenders

Other On-Scene Healthcare Professionals

EMS Providers

Selection of Destination Hospital

Hospital Diversion

Refusal of Medical Assistance (RMA)

RMA Suffolk County Medical Control Criteria

Medevac Service

Documentation

Quality Assurance and Quality Improvement

Management of the Patient with an Advanced Airway

EMS Dispatch, Crew Confirmation, and Mutual Aid Policy

Controlled Substances

ALS Equipment in Private Vehicles

Area of Operation

Interaction Between Levels of EMS Providers

Patient Transfers

ALS Preceptors

Mobile Stroke Unit

Section B: Medical Guidelines

Pediatric ALS Standards

Pilot Programs

Non-Emergency Transportation

Continuous Quality Improvement Plan

BLS Provider Credentialing and Authorization

EMS System Basic and Advanced Life Support Policy Manual SUFFOLK COUNTY BLS AND ALS POLICY MANUAL 2024 EDITION Acknowledgements Thank you for the hard work of the many individuals who contributed to the development and updates of this document from REMAC, REMSCO, and Suffolk County EMS. Introduction These policies are intended to guide and direct patient care provided by EMS under the NY Collaborative Patient Care Protocols. They reflect the current evidence-based practice and consensus of content experts. These policies are designed to work alongside the collaborative protocols and are not intended to be absolute treatment documents, rather, as principles and directives which are sufficiently flexible to accommodate the complexity of patient management. No policy can be written to cover every situation that a provider may encounter, nor are protocols a substitute for good judgment and experience. Providers are expected to utilize their best clinical judgment and deliver care and procedures according to what is reasonable and prudent for specific situations. However, it will be expected that any deviations from policy or protocol shall be documented and reviewed, according to regional procedure. Table of Contents Section A: General Administrative Policies............................................................................................................ 4 1. Suffolk County Medical Control: ................................................................................................................................ 4 2. Regional Treatments: ................................................................................................................................................. 4 3. Role of On-Scene Physicians: ..................................................................................................................................... 4 4. Role of On-Scene Physician-Extenders: ..................................................................................................................... 6 5. Other On-Scene Healthcare Professionals: ................................................................................................................ 6 6. EMS Providers: ........................................................................................................................................................... 6 7. Selection of Destination Hospital:.............................................................................................................................. 6 8. Hospital Diversion: ..................................................................................................................................................... 8 9. Refusal of Medical Assistance (RMA):........................................................................................................................ 8 10. RMA Suffolk County Medical Control Criteria: .......................................................................................................... 9 11. Medevac Service: ....................................................................................................................................................... 9 12. Documentation: ....................................................................................................................................................... 11 13. Quality Assurance and Quality Improvement: ......................................................................................................... 11 14. Management of the Patient with an Advanced Airway: .......................................................................................... 11 15. EMS Dispatch, Crew Confirmation, and Mutual Aid Policy: ........................................ Error! Bookmark not defined. 16. Controlled Substances: ............................................................................................

FAQs

What is the purpose of the Suffolk County BLS and ALS policy manual?

The policies guide and direct EMS patient care under the NY Collaborative Patient Care Protocols, reflecting current evidence-based practice and expert consensus.

Are EMS policies intended to replace clinical judgment?

No. The manual stresses that protocols are not absolute treatment documents and do not replace good judgment and experience.

What should happen if a provider deviates from a policy or protocol?

Any deviations are expected to be documented and reviewed according to the regional procedure.

Sep 23, 2026

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