Standing Written Orders
Standing Written Orders
Ada County Paramedics’ Standing Written Orders (SWO) are the procedures our paramedics and EMTs follow while working on emergency calls in the field. Our SWOs are the result of adherence to nationally-recognized guidelines, with input from local Emergency Medical Services and overseen by the Ada County/City Emergency Services System (ACCESS.) They have been developed through a process of research, discussion and consensus and showcase our highly-esteemed standards of practice. We are humbled that many other EMS agencies around the nation replicate both our SWOs and the level of care we provide to each of our patients.
Current Version – SWOsCombined-01Nov2023
Standing Written Order Attention – The above documents are intended to be printed double sided. Use this table of contents to view PDFs of specific orders, appendices, or drug references. Additionally, the following files are available in a single document.
NOTE: Individual Protocols are updated. (See below)
General
- G-01_ Foundations of Patient Care
- G-02_ Medical Direction
- G-03_ Hospital Destination Protocol
- G-04_ Special Resuscitation Situations
- G-05_ Airmedical Response
- G-06_ Pre-hospital Integration of Care Protocol
- G-07-Medical-Monitoring-for-Incident-Rehab
- G-08 Special Needs Populations
- G-09 Patient Refusal and Documentation Procedure
- G-10 EMS Incident Documentation
- G-11 Emergent Inter-Facility Transfers
Cardiovascular Emergencies
Medical Emergencies
- M-01 General Medical Care
- M-02 Adult Reactive Airway Emergencies W BLS NEB
- M-03 Adult Hypotension and Shock
- M-04 Adult CVA
- M-05 Adult Seizure Activity
- M-06 Adult Hypoglycemia
- M-07 Adult Hyperglycemia
- M-08 Adult Vomiting Severe Nausea Vertigo
- M-09 Dehydration and Rehab
- M-10 Allergic Reactions
- M-11 Adult Pain Control
- M-12 Adult Heat Emergencies
- M-13 Adult Cold Emergencies
- M-14 Adult Behavioral Emergencies Combative Patients
- M-15 Sedation for Painful Procedures
- M-16 Epistaxis
- M-17 Electrolyte Imbalances
- M-18 Infectious Disease
Toxicological Emergencies
- R-01 Toxicological Emergencies W AEMT
- R-02 Opiate Overdose W OM Naloxone
- R-03 Hyperdynamic Overdose
- R-04 TCA Overdose
- R-05 Organophosphate Carbamate Nerve Agent Exposure
- R-06 Calcium Channel Blocker Beta Blocker Overdose
- R-07 Sedative Overdose
- R-08 Cyanide-Hydrogen Sulfide Poisoning
- R-09 Withdrawal Syndromes
- R-10 Carbon Monoxide Toxicity
Obstetrical Emergencies
Pediatric Medical Emergencies
- PM-01 Pediatric General Medical Care
- PM-02 Pediatric Respiratory Emergencies wNebs
- PM-03 Allergic Reaction
- PM-04 Pediatric Seizures
- PM-05 Pediatric Hypotension Shock
- PM-06 Pediatric Hyper Hypoglycemia W AEMT
- PM-07 Pediatric Pain Control
- PM-08 Pediatric Nausea, Vomiting, Vertigo, and Dehydration
- PM-09 Pediatric Toxicological Emergencies
- PM-10 General Newborn Care
Appendices
- APPX-01 Basic Airway Support Procedures
- APPX-02 Adv Airway Support Supplement
- APPX-03 Intubation Procedures
- APPX-03.1 McGrath Video Laryngoscope
- APPX-04 Supraglottice Airway Procedures
- APPX-05 Cricothyrotomy (Surgical Needle)
- APPX-06 CPAP
- APPX-07 Nebulized Bronchodilator Treatment
- APPX-08 Needle Thoracostomy
- APPX-09 LUCAS Chest Compression System
- APPX-10 Cardiac Monitoring Procedures
- APPX-11 AED Protocol
- APPX-12 Vagal Maneuver Procedure
- APPX-13 Stroke Assessment
- APPX-14 Intraosseous Infusion Procedures
- APPX-15 EZ-IO Infusion System
- APPX-16 TSE and Code Critical
- APPX-17 Selective spinal motion restriction
- APPX-18 CAT Tourniquet or other similar device
- APPX-19 Patellar Reduction Procedure
- APPX-20 Taser Care Supplement
- APPX-21 Nasal Rectal Medication Procedure
- APPX-22 Duodote Procedures
- APPX-23 Childbirth
- APPX-24 Safe Haven Guidelines
- APPX-25 Patient Handoff Guidelines
- APPX-26 In-Field Death POST DRN
- APPX-27 S.O.A.P. Guidelines
- APPX-28 Abbreviations
- APPX-29 Blood Draw
- APPX-30 High Performance Resuscitation
- APPX-31 Treat-and Release Checklists
- APPX-32 Ventilator Use
- APPX-33 Monitoring of Thoracostomy tubes
- APPX-34 Infusion Pumps
- APPX-35 Viral Infectious Disease Screening Triage
- APPX-36 Alternative Destination Checklists
- APPX-38_ Medication_Administration_Cross_Check
Drug Index
- RX Acetylsalicyclic Acid
- RX Albuterol Sulfate
- RX Adenosine
- RX Amiodorone
- RX Atropine Sulfate
- RX Calcium Chloride
- RX Cyanokit
- RX Dextrose 50 in Water
- RX Diazepam
- RX Diltiazem
- RX Diphenhydramine Hydrochloride
- RX Dopamine Hydrochloride
- RX-Droperidol
- RX Epinephrine
- RX Etomidate
- RX Famotidine
- RX Fentanyl Citrate
- RX Glucagon
- RX Haloperidol
- RX Hydromorphone
- RX Ipratroprium Bromide
- RX Ketamine Hydrochloride
- RX Lidocaine Hydrochloride
- Rx Lorazepam
- RX Magnesium Sulfate
- RX Methylprednisolone
- RX Midazolam
- RX Morphine Sulfate
- RX Naloxone
- RX Nitroglycerin
- RX Nor-Epinephrine
- RX Ondanstetron HCL
- RX Oral Glucose
- RX Oxytocin
- RX Phenylephine
- RX Ranitidine
- RX Rocuronium Bromide
- RX Sodium Bicarbonate
- RX Succinylcholine Chloride
- RX Tetracaine Hydrochloride
- RX Tranexamic Acid (TXA)
- RX Vecuronium
Interfacility Transport
- RX-IFT Antibiotics
- RX-IFT Beta Blockers
- RX-IFT BLOOD PRODUCTS
- RX IFT Clevidipine
- RX-IFT Diltiazem INFUSION
- RX-IFT Dobutamine
- RX-IFT Fentanyl Citrate
- RX-IFT Heparin
- RX-IFT Insulin Infusion
- RX-IFT Levetiracetam
- RX-IFT Mannitol
- RX-IFT Midazolam
- RX-IFT Naloxone
- RX-IFT NICARDIPINE
- RX-IFT Nitroglycerin
- RX-IFT Nor-Epi
- RX-IFT PHENYLEPHINE
- RX-IFT Phenytoin
- RX-IFT Potassium
- RX-IFT PROPOFOL
- RX-IFT Proton Pump Inhibitors
- RX-IFT Sodium Nitroprusside
- RX-IFT Thrombolytics Fibrinolytics
- RX-IFT Vasopressin Infusion