TO:

ALS and BLS Ambulance Providers Fire Service Providers Base and Receiving Hospitals EMS Training Programs and CE Providers Other Interested Parties

FROM:

Karen Petrilla, EMS Specialist

RE:

30-day Public Comment Period

DATE:

31 January 2008

Attached you will find a draft revisions for policies 2200

-

Confidential Incident Review Process and

5230 -

ALS Communication Standard renamed Radio Communication Standard

The 30-day public comment period for these policies will end MONDAY, March 3rd. All comments for consideration should be in written format and received by the EMS Agency no later than 5pm on this day. Comments may be either mailed, emailed, or fax’d using the numbers /addresses below: Fax:

Riverside County EMS Agency Attn: Karen (951) 358 – 5160

Email: [email protected] USPS:

Riverside County EMS Agency PO Box 7600 Riverside, CA 92513 - 7600 Attn: Karen

Attachments

Page 1 of 6 ADMINISTRATION:

Quality Assessment / Improvement

Policy: 2200 Date: draft

CONFIDENTIAL INCIDENT REVIEW PROCESS 1.

2.

Definition of Incident Levels (EMS Agency can upgrade or downgrade) 1.1 Level 1A 1.1.1 Minor pPolicy violations that do not involve patient care. 1.1.2 Disrupted communication with treatment in compliance with protocol. Compliance in protocol with disrupted communications. 1.2 Level 2 1.2.1 Recurrent Level 1 incidents. 1.2.2 1.3Non-compliance with treatment protocols or policies without potential for patient harm. 1.32

Level 3B 1.3.1 Recurrent Level 2 incidents. Care rendered or ordered outside scope of practice as defined by 1.3.32.1 Riverside County EMS policies and procedures. 1.3.42.2 Suspected alcohol or drug abuse with potential to affect patient care. 1.3.52.3 Intentional falsification or tampering of legal documents.

1.43

Level 4C 1.43.1 Immediate threat to Public Health and Safety (Section 1798.200). 1.43.2 Recurrent Level 3 incidents. Non-compliance with treatment protocols or policies with the potential for patient harm.

Initiation of Confidential Incident Review Process 2.1 2.2 2.23

2.34

All incidents should be resolved at the lowest possible administrative level. Reporting Agency - the individual or agency which first discovers or becomes aware of the situation/incident. Designated Agent 2.23.1 For EMT-Is and EMT-Ps: QA/CQI Coordinator of their authorized BLS/ALS provider. 2.23.2 For MICNs, Base Hospital Physicians (BHP) and other Base Hospital personnel: Base Hospital Paramedic Prehospital Liaison Nurse (PLN). 2.23.3 All other agencies: Employer QA/CQI Coordinator or EMS Agency. Coordinating Agency 2.34.1 If the personnel involved are from a Base Hospital and an ALS Provider Agency, the Base Hospital will be the coordinating agency. 2.34.2 If the personnel are from an ALS provider agency only, the provider QA/CQI Coordinator will review the incident.

Page 2 of 6 ADMINISTRATION:

Quality Assessment / Improvement

Policy: 2200 Date: draft

CONFIDENTIAL INCIDENT REVIEW PROCESS

2.34.3 If any agency other than the Base Hospital or ALS provider are is involved, the EMS Agency will coordinate the incident review or assign a Coordinating Agency as necessary. 2.45

Submission of Initial Incident Review Report 2.45.1 Only one incident review report needs to be submitted. This should be done by the reporting agency/individual. 2.45.2 The form should be filed with the assigned Designated Agent. 2.5.3 Sharing of audio recordings, incident reports, and other documentation between agencies is encouraged to help resolve identified issues.

2.56

Level 1 or 2A 2.56.1 Agency receiving the initial report will forward it to the Designated Agent of the involved personnel. 2.56.2 The involved personnel will be notified by their Designated Agent of the initiation of the Incident Review process. 2.6.3 All level A incidents will be forwarded to the EMS Agency on a quarterly basis in summary form. 2.6.4 Sharing of audio recordings, incident reports, and other documentation between agencies is encouraged to help resolve identified issues.

2.67

Level 3B 2.67.1 The agency discovering the incident and receiving the initial Incident Review form will initiate the Confidential Incident Review Process by notify within 72 hours contacting the Designated Agent(s) of the involved personnel and the EMS Agency. 2.67.2 The Coordinator of the review will be the EMS Agency Designated Agents from all involved agencies shall work together to review the incident. 2.7.3 The Coordinating Agency shall be the agency that initiated the Confidential Incident Review Process. 2.6.37.4Involved personnel will be notified by their Designated Agent. 2.7.5 Once a resolution has been reached between the Designated Agents, or if a resolution cannot be reached between the Designated Agents, the Designated Agent from the agency that discovered the incident shall be responsible for notifying the EMS Agency of the incident. 2.7.5.1 Under no circumstances shall the EMS Agency be notified of a Level B incident greater than 2 weeks after the initiation of the initial review. 2.7.6 Sharing of audio recordings, incident reports, and other documentation between agencies is encouraged to help resolve identified issues.

Page 3 of 6 ADMINISTRATION:

Quality Assessment / Improvement

Policy: 2200 Date: draft

CONFIDENTIAL INCIDENT REVIEW PROCESS Level 4C 2.78.1 The agency discovering the incident and receiving the initial Incident Review form will notify IMMEDIATELY the Designated Agent(s) of the involved personnel and the EMS Agency. 2.78.2 The Coordinator of the review will be the EMS Agency. 2.78.3 Involved personnel will be notified by their Designated Agent. 2.8.4 Sharing of audio recordings, incident reports, and other documentation between agencies is encouraged to help resolve identified issues. Review Process 3.1 Level 1A 3.1.1 Involved personnel will be notified by the Designated Agent and a copy of the first notice will be kept by that agency. (Exception: Controlled drug incidents to be filed at the Base Hospital per Base policy). 3.1.2 Involved personnel will be notified of the requirements and the issues will be clearly verbalized and documented to all involved parties. 3.1.23 Response from involved personnel will be required within 2114 calendar days. 3.1.34 If no response within 2114 calendar days, a 2nd notice will be sent via certified mail. 3.1.45 If no response to 2nd notice within 2114 days, the EMS Agency will be notified. Failure to comply will be referred to the appropriate Designated Agent for possible disciplinary action. 3.1.56 Review of responses and decisions regarding disposition will be done by the Designated Agent. 3.1.67 In all cases, the Coordinating Agency is responsible for concluding the review. 2.78

3.

3.2

Level 2B 3.2.1 Involved personnel will be notified by the Designated Agent of the initiation of a Level 2 incident. A copy of the first notice is to be kept by that agency. Additional copies may be sent to other involved agencies as needed. Immediate notification (within 72 hours) of involved personnel by the Reporting Agency. Other involved agencies shall be notified if appropriate. 3.2.2 Response from personnel will be required within 21 calendar days. (NOTE: The Designated Agent may wish to require a shorter time line on Level 2 issues. Involved personnel will be notified of the requirements and the issues will be clearly verbalized and documented to all involved parties. 3.2.3 If no response within 21 days, a 2nd notice will be sent. The Coordinating Agency shall be the agency that initiated the Confidential Incident Review Process.

Page 4 of 6 ADMINISTRATION:

Quality Assessment / Improvement

Policy: 2200 Date: draft

CONFIDENTIAL INCIDENT REVIEW PROCESS

3.2.4

3.2.5

3.2.6

3.2.7

4.

3.2.3.1 If the issues identified cannot be resolved between the involved agencies, the EMS Agency will become the Coordinating Agency. If no response to the 2nd notice within 21 days, the EMS Agency will be notified. Failure to comply will be referred to the appropriate supervisory personnel for possible disciplinary action. Response from involved personnel will be required within 14 calendar days. Base Hospital Medical Director may be involved in Level 2 incidents. If no response within 14 calendar days, a 2nd notice will be sent via certified mail. In all cases, the Coordinating Agency is responsible for concluding the review. If no response to 2nd notice within 14 calendar days, the EMS Agency will be notified. Failure to comply will be referred to the appropriate Designated Agent for possible disciplinary action. In all cases, the Coordinating Agency is responsible for concluding the review.

3.3

Level 3 3.3.1 Immediate notification (within 72 hours) of involved personnel and the EMS Agency by the Reporting Agency. Other involved agencies should be notified if appropriate. 3.3.2 The EMS Agency directs the review. The incident process may include review of pertinent medical records including the PCR, Base Hospital work sheet and the recorded tape. A formal interview with involved personnel to review the facts may be arranged through the involved personnel’s Designated Agent. 3.3.3 The time frame for returning response forms by the involved personnel will be determined by the EMS Agency. 3.3.4 Statute of limitations is one year per identified problem.

3.43

Level 4C 3.43.1 Immediate notification (within 72 hours if weekend or holiday) of involved personnel and the EMS Agency by the Reporting Agency. Other involved agencies should be notified if appropriate. 3.43.2 The EMS Agency directs the review. The incident process may include review of pertinent medical records including the PCR, Base Hospital report form and the recorded tape audio recordings of the call. A formal interview with involved personnel to review the facts may be arranged through the involved personnel’s Designated Agent. 3.43.3 The time frame for returning response forms by the involved personnel will be determined by the EMS Agency.

Counseling/Remediation 4.1 Level 1A

Page 5 of 6 DMINISTRATION:

Quality Assessment / Improvement

Policy: 2200 Date: draft

CONFIDENTIAL INCIDENT REVIEW PROCESS

4.1.1

Decisions regarding the need for counseling and/or remediation will be decided by the Designated Agent. 4.1.2 The Designated Agency may involve the Base Hospital Physician in the counseling and remediation phases of Level A issues. Expectations of specific remediation shall be clearly defined and be signed or acknowledged verbally by involved personnel. Outcome of counseling and/or remediation are to be maintained by the Designated Agent. 4.2

4.3

Level 2B 4.2.1 The Designated Agent may involve the Base Hospital Physician in the counseling and remediation phases of Level 2 issues. Expectations of specific remediations shall be clearly defined and be signed or acknowledged verbally by involved personnel. Outcome of counseling and/or remediation are to be maintained by the Designated Agent. Level 3 4.3.1 Consequences Decisions for Level 3B issues are decided on a case by case basis after all the fact finding has been done. 4.32.2 The Designated Agent will develop recommendations on disposition following the review of a case. These recommendations will be forwarded to or discussed with the EMS Medical Director, EMS Agency Director and an EMS Specialist. The final decision regarding the disposition will be made by the EMS Medical Director.

4.43

Level 4C 4.43.1 Consequences Decisions for Level 4C issues are decided on a case by case basis after all the fact finding has been done. 4.43.2 All Level 4C EMT-P reviews will be in accordance with Title 22, Division 9, Chapter 4, Sections 100173-100175 and Sections 100206100228. 4.43.3 All Level 4C EMT-I, EMD, and EMT-I certification, EMT-P accreditation and MICN authorization reviews will be in accordance with Title 22, Division 9, Chapter 6. 4.43.4 The Designated Agent will develop recommendations on case disposition following the review of a case. These recommendations will be discussed with the involved personnel and the EMS Medical Director, EMS Agency Director and an EMS Specialist. The final decision regarding the disposition will be made by the EMS Medical Director.

4.54

The disposition of Level 3B and 4C issues may include but is not limited to: 4.54.1 Case review and counseling on the specific issues with a focused quality assessment review to monitor for recurrence for a period of six months. 4.54.2 Didactic courses for remediation. 4.54.3 Supervised field care audit with a written outcome summary. 4.54.4 Supervised clinical time with a written outcome summary.

Page 6 of 6 ADMINISTRATION:

Quality Assessment / Improvement

Policy: 2200 Date: draft

CONFIDENTIAL INCIDENT REVIEW PROCESS

4.54.5 Didactic remediation with case scenarios. 4.54.6 Topic-oriented research. 4.54.7 Development of in-service or written paper on a specific topic with supervised review. 4.54.8 PCR review with a written outcome summary. 4.54.9 Focused quality assessment review of ongoing care including but not limited to: PCR review, liaison ride-along and tape review. 4.54.10Implementation of disciplinary process with the potential outcome of action taken on certification/accreditation/authorization.

5.

4.65

Written agreement will include but is not limited to: 4.65.1 Identification of specific problem(s). 4.65.2 Recommendations. 4.65.3 Consequences for failure to comply. 4.65.4 Identification of specific written future expectations including the expected time frame for these expectations to be completed.

4.76

Personnel will sign in person an acknowledgement of the counseling, recommendations and/or remediation.

Summary of Incident Review Process 5.1 All information gathered will be forwarded to the Designated Agent. A written summary and the initial Incident Report form will be submitted to the EMS Agency as noted below: 5.1.1 All incidents should be resolved at the lowest possible administrative level. 5.1.12 Level 2A incidents will be forwarded to the EMS Agency on a quarterly basis in summary form. 5.1.23 Level 3B incidents will be submitted: at the conclusion of the review. 5.1.3.1 When the involved agencies have reached a resolution of the incident, but before closing the incident. 5.1.3.2 When the involved agencies are unable to reach a resolution of the incident. 5.1.34 Level 4C incidents will be submitted at the conclusion of the review. 5.1.45 In all Level 3B and 4C cases, a follow-up report will be sent to the reporting agency. If the reporting agency has questions or concerns regarding the summary, they are to notify the EMS Agency.

Page 1 of 4 OPERATIONS:

General Policy (BLS/ALS)

Policy: 5230 Date: Draft 5

RADIO COMMUNICATION STANDARD PURPOSE 1. The purpose of this policy is to facilitate radio communication interoperability, define the standard of radio frequencies for Emergency Medical Service (EMS) providers and describe the guidelines to be observed by prehospital and hospital emergency medical personnel operating in Riverside County. The use of these frequencies for their designated purposes is to be strictly adhered to. RADIO ETIQUETTE 2. Radio traffic is expected to be professional at all times and to conform with the rules and regulations of the Federal Communications Commission (FCC). Use of frequencies for other than intra-agency or interagency communication as or authorized by those agencies during a specific incident is prohibited. 2.1. Clear text communication shall be utilized during radio communications. 2.2. Use of the complete radio call sign is important in all radio communication, and is particularly essential when interfacing with other agencies and on larger incidents. 2.2.1. Call signs for Private Ambulance units shall coincide with the respective unit or assignment proceeded by resource type, e.g.: BLS units - “AMR 110”, “Mission 22” ALS units - “AMR Medic 345”, “Blythe Medic 220” 2.2.2. Call signs for all portable radio devices shall correspond to the assigned unit/resource call sign immediately proceeded by “HT”, e.g. “HT AMR 110”, “HT Medic 345” 2.3.Fire Department Units shall use the assigned call signs designated by their respective agencies. RADIO COMMUNICATION PROCEDURES 3. All Ambulance resources within the Riverside County operating area must maintain radio communications capability as specified in this policy at all times. 3.1.Two-way communications between EMS/Ambulance dispatch centers and the Responsible Fire Dispatch Center will occur for all emergency medical responses requiring a joint response. 3.2.The Responsible Fire Dispatch Center will designate the response frequencies for use by responding Public Safety resources and should be formatted as part of the initial dispatch information communicated to the EMS/Ambulance dispatch center. 3.3.EMS/Ambulance dispatch centers will inform the appropriate Responsible Fire Dispatch Center of the responding unit’s identifier following receipt of all dispatch information from the Responsible Fire Dispatch Center. This can happen concurrently with acknowledgement of receipt of the call. 3.4.The EMS/Ambulance dispatch center will notify the responding private ambulance units of assigned frequencies and responding units shall monitor the assigned public safety frequency throughout the response and while on-scene. 3.5.Two-way communication between on-scene incident command, and Ambulance units shall occur as needed to facilitate a timely, safe and effective emergency medical response. 3.6.All communications initiated by the on-scene Incident Commander to the responding

Page 2 of 4 OPERATIONS:

General Policy (BLS/ALS)

Policy: 5230 Date: Draft 5

RADIO COMMUNICATION STANDARD ambulance unit shall be acknowledged by the unit. HOSPITAL RESPONSIBILITIES 4. Base hospitals shall ensure that their medical control (COR frequencies), EMS/MedNet and prehospital dedicated recorded telephone lines are fully functional and operational at all times to include regular checks of all systems. 4.1. Radio communication disruptions must be reported to surrounding hospitals and EMS dispatch centers, so that field resources may contact alternate Hospitals. Additionally, the Riverside County EMS Agency shall be notified of all communication disruptions. 5. All receiving hospitals shall have an EMS/MedNet radio in, or immediately accessible to, the emergency department for the purpose of receiving patient information from inbound ambulances. 6. All hospitals shall have a ReddiNet terminal for interfacility and/or intercounty emergency / disaster communication. Hospitals shall assure appropriate placement and operation of ReddiNet terminals to facilitate their readiness and usage. All essential information regarding Hospital status and bed availability must be updated on a continuous basis for the rapid and efficient coordination of patient destinations in the event of a multicasualty incident. SPECIFIC FREQUENCY REQUIREMENTS 7. All Ambulance resources shall be capable of communicating with the ECC of the Riverside County Fire Department, EMS providers at the scene, local fire agencies, and with designated Receiving Hospitals in Riverside County. All EMS vehicles shall have immediate access to all frequencies listed in the Riverside County Radio Frequency Annex. Note: EMS providers that need or require additional CAL Fire/Riverside County Fire frequencies must contact the Riverside County Fire Department Communications Manager. 8. The following are descriptions of the County and State licensed radio frequencies utilized within the Riverside County EMS System and their specified usage. 8.1. The Riverside County Information Systems, Radio Division is responsible for the following frequencies: 8.1.1. MEDNET 1 (155.265 PL 110.9 hz Encode/Decode) This frequency is to be used by ambulances to advise hospital emergency departments (EDs) of inbound patients. 8.1.2. MEDNET 2 (155.295 PL 110.9 hz Encode/Decode) This frequency is to be used by AMR to dispatch and coordinate emergency ALS ambulances within western Riverside County.

NOTE: It is not appropriate to use the MEDNET frequencies for patient or medication orders unless the ALS unit is unable to establish base hospital contact via the UHF (COR) frequencies or a cellular telephone.

Page 3 of 4 OPERATIONS:

General Policy (BLS/ALS)

Policy: 5230 Date: Draft 5

RADIO COMMUNICATION STANDARD 8.2. AMR is responsible for the following frequencies, with permission given to Riverside County Fire Department to utilize them: 8.2.1. MEDNET 3 (155.355 PL 110.9 hz Encode/Decode) This frequency is to be used by AMR – (Riverside, Hemet, Pass Area) to dispatch emergency ALS ambulances in the western section of the County, and the Riverside County Emergency Operations Center to coordinate medical activities in the western section of the County in the event of a disaster. 8.2.2 MEDNET 4 (155.205 PL 110.9 hz Encode/Decode) This frequency is to be used by AMR – Desert to dispatch emergency ALS ambulances in the eastern section of the County, and the Riverside County Emergency Operations Center in Indio to coordinate medical activities in the eastern section of the County in the event of a disaster. 8.3 The California State Office of Emergency (OES) is responsible for the following frequency: 8.2.2. CALCORD (156.075 No Tone) CALCORD is a California Coordination frequency, provided by the California State Office of Emergency Services, which is a unit to unit frequency for onscene coordination during Health Department declared emergencies and for medical management of multicasualty incidents. This frequency is often used for ground to air communication. The Riverside County Fire Department and the Riverside County Health Services Agency have permits to operate on this frequency. 8.4. The Riverside County Sheriff’s Office is responsible for the following frequencies. These frequencies are to be used by emergency medical services personnel to patch in and communicate with SO at the scene.(SO utilizes 800 MHz system) 8.4.1. Western Co. Sheriff’s Interface (trans 154.890 PL 110.9 hz Enc/Decode rvc 158.850 carrier squelch) 8.4.2. Coachella Valley Sheriff’s Interface (trans 158.760 PL 110.9 hz Encode/Decode rvc 159.090 carrier squelch) 8.4.3. Eastern Co. Sheriff’s Interface (trans 154.890 PL 192.8 hz Enc/Decode rvc 158.850 carrier squelch) 8.5. The Hospital Association of Southern California (H.A.S.C.) is responsible for the following frequency (Optional Frequency): 8.5.1. HEAR (Local - 155.340, Regional - 155.280) The Hospital Emergency Administrative Radio (HEAR) is a hospital to hospital radio network that links most hospitals in southern California. Authorization to use HEAR is granted by H.A.S.C. The purpose of this radio net, during a major disaster, is to provide hospital status reports to and/or request assistance from Riverside County EOC or the Medical Health Operational Area Coordinator (MHOAC). 8.5.2 ReddiNet

Page 4 of 4 OPERATIONS:

General Policy (BLS/ALS)

Policy: 5230 Date: Draft 5

RADIO COMMUNICATION STANDARD This is a microwave and internet communications systems linking hospitals, providers and public health officials. It is used in the management of EMS daily operations (diversion status, MCI coordination) as well as being the major interfacility disaster communications system. 8.6 The following frequencies are designated EMS frequencies for on-line medical control communications with base hospitals. All ALS units shall have the capacity to make base hospital contact for medical direction via either these frequencies or cellular telephone. Those ALS providers within the Riverside County operational area electing to use these frequencies for the primary mode of base hospital contact shall ensure that their radios are maintained in good working order. Note: MEDNET frequencies are to be utilized ONLY when communication can not be executed via the normal route. Channel 1 2 3 4 5 6 7 8

Transmit 468.000 468.025 468.050 468.075 468.100 468.125 468.150 468.175

Receive 463.000 463.025 463.050 463.075 463.100 463.125 463.150 463.175

Assigned to Desert, Inland RCRMC Eisenhower JFK, Hemet open (formerly Hemet) Riv Comm open (formerly Menifee) All Base Hospitals (for use in major disaster)

PL Tones:

8.6.1

A = 173.8 B = 167.9 Radio ECG telemetry is optional within Riverside County.

GENERAL 9. The Riverside County EMS Agency reserves the right to grant waivers to the requirements of this policy on an as needed basis. The request for waiver must stipulate the reasons for the request and a statement as to the alternative method proposed for meeting the communications requirements being waived.

Riverside County Radio Frequency Annex

1 RRU 1 2 RRU 2 3 RRU 3

RX FREQ 151.3850 151.1750 151.1300

4 RVC CMD 1

154.1000

0.0

156.0000

0.0

W

5 RVC CMD 2

151.0250

0.0

156.2400

0.0

W

7 SUPPORT 5

154.1450

0.0

154.1450

167.9

W

8 SUPPORT 6

154.4450

0.0

154.4450

167.9

W

9 SUPPORT 7

154.1300

0.0

154.1300

167.9

W

MT DAVID/ Cactus will be removed tbd

10 SUPPORT 8 11 SUPPORT 9 12 SUPPORT 10 13 SUPPORT 11

153.7700 154.1750 154.7550 156.1050

0.0 0.0 0.0 0.0

153.7700 154.1750 154.7550 156.1050

167.9 167.9 167.9 123.0

W W W W

HEMET/ THOMAS MTN W WTR/ BG MRIA/ RIV CACTUS PINE COVE / Idyllwild FPD

16 CDF CMD1 17 CDF CMD2 18 CDF CMD3

151.3550 151.2650 151.3400

0.0 0.0 0.0

159.3000 159.3300 159.3450

0.0 0.0 0.0

W W W

CDF COMMAND 1 CDF COMMAND 2 CDF COMMAND 3

21 PSP LOC 22 PSP TAC 23 CDR LOC

154.3550 154.3100 154.4150

0.0 0.0 0.0

153.8900 154.3100 159.1650

123.0 123.0 131.8

W W W

24 CDR TAC

154.2350

0.0

154.2350

131.8

W

25 COR-NOR 26 COR TAC 1 27 COR TAC 2 28 MUR LOC 29 MUR SUP 30 MUR TAC 31 HEM LOC 32 HEM TAC 33 SD RED 1 34 ONT FIRE 35 MAB FD 36 BLY VFD 37 IMP TAC

154.2350 158.7450 158.8050 154.4000 154.0400 153.8300 154.0100 154.1450 155.0850 154.0250 150.3450 151.0850 154.4300

0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

159.1650 158.7450 158.8050 154.4000 150.7750 153.8300 150.7900 154.1450 155.0850 154.0250 150.3450 151.0850 154.4300

103.5 103.5 103.5 146.2 146.2 146.2 123.0 192.8 103.5 103.5 141.3 118.8 110.9

W W W W W W W W W W W W W

38 TEM CITY

151.4750

0.0

151.4750

123.0

W

PALM SPRG LOCAL PALM SPRG TAC / SD CITY CAT CITY LOCAL CAT CITY TAC / SD RANCHO CORONA - NORCO CORONA - NORCO CORONA - NORCO MURIETTA LOCAL / LACO MURIETTA SUPPORT MURIETTA TAC HEMET CITY LOCAL HEMET CITY TAC SAN DIEGO CO ONTARIO CITY FIRE FEDERAL FIRE SERIVCE C/C ON RPTR SYSTEM IMPERIAL CO TAC / LACO TEMECULA CITY INTERFACE

39 LAQ CITY 1

159.0600

0.0

156.2400

110.9

N

LA QUINTA CITY HALL local Gov.

40 LAQ CITY 2

155.8050

0.0

153.8450

110.9

N

LA QUINTA STA 70 local Gov

DISPLAY

RX CTCSS

TX FREQ

TX CTCSS

W/N

0.0 0.0 0.0

159.3600 159.2850 158.9250

0.0 0.0 0.0

W W W

LP

NOTES CDF RRU LOCAL NET 1 CDF RRU LOCAL NET 2 CDF RRU LOCAL NET 3 RVC LOCAL CMD NET (RRU 4) RVC LOCAL CMD NET NEW BOX SPRINGS/ BLACK ROCK ELS PEAK/ CHUCKAWALLA

41 COCH V DN

155.1450

0.0

155.1450

167.9

W

42 S/R

155.1600

0.0

155.1600

110.9

W

43 BDC GRN

154.1900

0.0

154.1900

0.0

W

44 BDC RED

154.3250

0.0

154.3250

0.0

W

45 BDC 1

151.1450

0.0

151.4750

0.0

W

46 BDC 3

155.1150

0.0

153.9650

0.0

W

DISPLAY 47 CDF TAC 2 48 CDF TAC 5 49 CDF TAC 10 50 CDF TAC 13 51 CDF TAC 22

RX FREQ 151.1600 151.2500 151.4000 151.4750 159.4050

RX CTCSS 0.0 0.0 0.0 0.0 0.0

TX FREQ 151.1600 151.2500 151.4000 151.4750 159.4050

TX CTCSS 0.0 0.0 0.0 0.0 0.0

W/N W W W N W

53 RVC TAC 1 54 RVC TAC 2 55 RVC TAC 3 56 RVC TAC 4 57 RVC TAC 5

154.3400 154.4150 154.0100 154.2500 158.8200

0.0 0.0 0.0 0.0 0.0

154.3400 154.4150 154.0100 154.2500 158.8200

0.0 0.0 0.0 0.0 0.0

W W W W W

59 TSC CH 1 60 TSC CH 2 61 TSC CH 3 62 TSC CH 4 63 TSC CH 5 64 F COM A 65 F COM B 66 MED 1 67 MED 2 68 MED 3 69 MED 4 70 CALCORD

151.8200 151.8800 151.9400 154.5700 154.6000 163.1000 168.3500 155.2650 155.2950 155.3550 155.2050 156.0750

0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

151.8200 151.8800 151.9400 154.5700 154.6000 163.1000 168.3500 155.2650 155.2950 155.3550 155.2050 156.0750

0.0 0.0 0.0 0.0 0.0 0.0 0.0 110.9 110.9 110.9 110.9 0.0

W W W W W N N W W W W W

72 RSO WEST

154.8900

0.0

158.8500

110.9

W

73 RSO CNT

158.7600

0.0

159.0900

110.9

W

74 RSO EAST

154.8900

0.0

158.8500

192.8

W

86 TEST CH 1

159.3600

0.0

0.0

W

87 TEST CH 2

159.2850

0.0

0.0

W

88 TEST CH 3

158.9250

0.0

0.0

W

COACHELLA VAL DSTR NET SEARCH & RESCUE TEAM SAN BERN CO - GREEN TAC SAN BERN CO - RED TAC SAN B CO 800 Interface Valley SAN B CO 800 Interface Mtn

LP

NOTES CDF TAC 2 RRU/SLU TAC CDF TAC 5 BDU/MVU TAC CDF TAC 10 RRU TAC CDF TAC 13 CDF TAC 22 RRU TAC RVC TAC 1 / LACO RVC TAC 2 RVC TAC 3 / VENTURA CO RVC TAC 4 / SBC RVC TAC 5

X X X X X X X

HT ONLY Common User MURS HT ONLY Common User MURS HT ONLY Common User MURS HT ONLY Common User MURS HT ONLY Common User MURS Federal Common HT & Mobile Federal Common HT & Mobile MED 1 Medic Use Only MED 2 Medic Use Only MED 3 Medic Use Only MED 4 Medic Use Only CALCORD BOX, COR, ELS, MT DAVID (1) WTWATER, S. ROSA, CACTUS (1) CHUCK, BLK ROCK, BIG MARIA (1)

RADIO SERVICE TEST (RRU 1) RADIO SERVICE TEST (RRU 2) RADIO SERVICE TEST (RRU 3)

Standard CDF Tones

CTCSSTone:

Frequency:

CTCSSTone:

Frequency:

1

110.9 Hz

9

100.0 Hz

2

123.0 Hz

10

107.2 Hz

3

131.8 Hz

11

114.8 Hz

4

136.5 Hz

12

127.3 Hz

5

146.2 Hz

13

141.3 Hz

6

156.7 Hz

14

151.4 Hz

7

167.9 Hz

15

162.2 Hz

8

103.5 Hz

16

192.8 Hz

Riverside City Frequencies 1 2 3 4 5 6

PRI 1 COM 2 COM 3 TAC 4 TAC 5 TAC 6

8 9 10 11 12 13 14

COM 2E TAC 9 PDFD SIM 1 SIM 2 SIM 3 Pager

RX 460.575 RX 460.6 RX 460.625 RX 453.6 RX 458.6 RX 460.125 RX 465.1125 RX 460.1125 RX 453.925 RX 453.925 RX 460.575 RX 460.6 RX 460.625 Based

7

TAC 7

DEC DEC DEC DEC DEC DEC

123 97.4 123 167.9 186.2 210.7

TX 465.575 TX 465.6 TX 465.625 TX 453.6 TX 458.6 TX 460.125 TX 465.1125

ENC ENC ENC ENC ENC ENC

DEC 103.5 DEC 123 DEC123 DEC 123 DEC 97.4 DEC 123 On

TX TX TX TX TX TX

15

RIC SIM

RX 453.425

DEC 110.9

TX 453.425

ENC 110.9

FIRE

16

RIC COM

RX 453.425

DEC 110.9

TX 458.425

ENC 110.9

FIRE

DEC 233.6

465.6 453.925 458.925 460.575 460.6 460.625 Your

123 97.4 123 167.9 186.2 210.7

FIRE FIRE FIRE FIRE FIRE FIRE

PRIMARY 1 COMMAND 2 COMMAND 3 TACTICAL CHANNEL 4 TACTICAL CHANNEL 5 TACTICAL CHANNEL 6

ENC 233.6

FIRE

TACTICAL CHANNEL 7

ENC 97.4 ENC 123 ENC 123 ENC 123 ENC 97.4 ENC 123 Station

FIRE FIRE FIRE FIRE FIRE FIRE Tones

COMMAND 2 EAST TACTICAL CH FD & PD REPEATER CH FD & PD SIMPLEX FOR PRIMARY 1 SIMPLEX FOR PRIMARY 2 SIMPLEX FOR PRIMARY 3 See Tone Page RADID INTERVENTION CREW TAC RAPID INTERVENTION CREW