Current through Register Vol. 43, No. 39, September 26, 2024
(a)
Each ground ambulance shall meet the vehicle and equipment standards that are
applicable to that type of ambulance.
(b) Each ground ambulance shall have the
ambulance license prominently displayed in the patient compartment.
(c) The patient compartment size shall meet or
exceed the following specifications:
(1)
Headroom: 60 inches; and
(2) length:
116 inches.
(d) Each
ambulance shall have a heating and cooling system that is controlled separately
for the patient and the driver compartments. The air conditioners for each
compartment shall have separate evaporators.
(e) Each ambulance shall have separate
ventilation systems for the driver and patient compartments. These systems shall
be separately controlled within each compartment. Fresh air intakes shall be
located in the most practical, contaminant-free air space on the ambulance. The
patient compartment shall be ventilated through the heating and cooling
systems.
(f) The patient compartment
in each ambulance shall have adequate lighting so that patient care can be given
and the patient's status monitored without the need for portable or hand-held
lighting. A reduced lighting level shall also be provided. A patient compartment
light and step-well light shall be automatically activated by opening the
entrance doors. Interior light fixtures shall not protrude more than 11/2
inches.
(g) Each ambulance shall have
an electrical system to meet maximum demand of the electrical specifications of
the vehicle. All conversion equipment shall have individual fusing that is
separate from the chassis fuse system.
(h) Each ground ambulance shall have lights and
sirens as required by K.S.A. 8-1720 and K.S.A. 8-1738, and amendments
thereto.
(i) Each ground ambulance
shall have an exterior patient loading light over the rear door, which shall be
activated both manually by an inside switch and automatically when the door is
opened.
(j) The operator shall mark
each ground ambulance licensed by the board as follows:
(1) The name of the ambulance service shall be
in block letters, not less than four inches in height, and in a color that
contrasts with the background color. The service name shall be located on both
sides of the ambulance and shall be placed in such a manner that it is readily
identifiable to other motor vehicle operators.
(2) Any operator may use a decal or logo that
identifies the ambulance service in place of lettering. The decal or logo shall
be at least 10 inches in height and shall be in a color that contrasts with the
background color. The decal or logo shall be located on both sides of the
ambulance and shall be placed in such a manner that the decal or logo is readily
identifiable to other motor vehicle operators.
(3) Each ground ambulance initially licensed by
the board before January 1, 1995 that is identified either by letters or a logo
on both sides of the ground ambulance shall be exempt from the minimum size
requirements in paragraphs (1) and (2) of this subsection.
(k) Each ground ambulance shall have a
communications system that is readily accessible to both the attendant and the
driver and is in compliance with K.A.R. 109-2-5(a).
(l) An operator shall equip each ground
ambulance as follows:
(1) At least two annually
inspected ABC free extinguishers or comparable free extinguishers, which shall be
secured;
(2) either two portable,
functional flashlights or one flashlight and one spotlight;
(3) one four-wheeled or six-wheeled,
all-purpose, multilevel cot with an elevating head and at least two safety straps
with locking mechanisms;
(4) one
urinal;
(5) one bedpan;
(6) one emesis basin or convenience
bag;
(7) one complete change of
linen;
(8) two blankets;
(9) one waterproof cot cover;
(10) one pillow;
(11) a no-smoking sign posted in the patient
compartment and the driver compartment; and
(12) mass-casualty triage tags.
(m) The operator shall equip each
ground ambulance with the following internal medical systems:
(1) An oxygen system with at least two outlets
located within the patient compartment and at least 2,000 liters of storage
capacity, with a minimum oxygen level of 200 psi. The cylinder shall be in a
compartment that is vented to the outside. The pressure gauge and regulator
control valve shall be readily accessible to the attendant from inside the
patient compartment; and
(2) a
functioning, on-board, electrically powered suction aspirator system with a
vacuum of at least 300 millimeters of mercury at the catheter tip. The unit shall
be easily accessible with large-bore, nonkinking suction tubing and a large-bore,
semirigid, nonmetallic oropharyngeal suction tip.
(n) The operator shall equip each ground
ambulance with the following medical equipment:
(1) A portable oxygen unit of at least
300-litter storage capacity, complete with pressure gauge and flowmeter and with
a minimum oxygen level of 200 psi. The unit shall be readily accessible from
inside the patient compartment;
(2) a
functioning, portable, self-contained battery or manual suction aspirator with a
vacuum of at least 300 millimeters of mercury at the catheter tip and a
transparent or translucent collection bottle or bag. The unit shall be fitted
with large-bore, nonkinking suction tubing and a large-bore, semirigid,
nonmetallic oropharyngeal suction tip, unless the unit is self-contained;
and
(3) currently dated supplies,
medications, and equipment as authorized by the scope of practice and protocols,
in accordance with the applicable list of supplies, medications, and equipment
approved by the medical director.
(o) The operator shall equip each ground
ambulance with the following blood-borne and body fluid pathogen protection
equipment in a quantity sufficient for crew members:
(1) Surgical or medical protective
gloves;
(2) protective goggles,
glasses or chin-length clear face shields;
(3) filtering masks that cover the mouth and
nose;
(4) nonpermeable, full-length,
long-sleeve protective gowns;
(5) a
leakproof, rigid container clearly marked as "Bio-hazard" for the disposal of
sharp objects; and
(6) a leakproof,
closeable container for soiled linen and supplies.
(p) If an operator's medical protocols or
equipment list is amended, a copy of these changes shall be submitted to the
board by the ambulance service operator within 15 days of implementation of the
change. Equipment and supplies obtained on a trial basis or for temporary use by
the operator shall not be required to be reported to the board by an
operator.
