Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 60 - Emergency Medical Transportation Services
Subchapter B - Ambulance Service/Provider Responsibilities
Section I-6055 - Emergency Medical Response Vehicles (Sprint Vehicles)

Universal Citation: LA Admin Code I-6055

Current through Register Vol. 50, No. 9, September 20, 2024

A. Emergency Medical Response Vehicle Qualifications. The vehicle may be on either an automobile or truck chassis, have four or more wheels and must have the following external markings:

1. all numbering and lettering shall be reflective;

2. the unit number shall be displayed in numerals 3 inches high or greater on the rear and both sides of the vehicle;

3. the agency's name shall appear on both sides of the vehicle in lettering 3 inches high or greater, or with a logo that is 6 inches or greater in size;

4. the agency's name or logo shall appear on the trunk or rear door in lettering 3 inches high. Agency logos must be specific to the agency and on file with the department; and

5. the vehicle's markings shall indicate its designation as an emergency medical response vehicle such as sprint car, supervisor, chief, special services, etc. No markings on the vehicle may imply that it is an ambulance.

B. Equipment and Supplies

1. All vehicle units must have a FCC type accepted two-way radio communication system for day-to-day communications. The emergency medical response vehicle's dispatch center(s) and/or point(s) of dispatch must be capable of interactive two-way radio communications within all of the service's defined area.

2. In addition to the day-to-day communication system, all emergency medical response vehicles must have a two-way radio with disaster communications capability on the very high frequency (VHF) broadband frequency designated by the FCC to be V-MED 28 or the national EMS mutual aid frequency, also known as the Hospital Emergency Activation Radio (HEAR) system (155.340) MHz with carrier squelch, ENCODER optional.

a. Direct communication with a physician and hospital must be conducted through:

i. HEAR;

ii. wireless telephone;

iii. Radio Telephone Switch Station (RTSS); or

iv. Med. 10 System, etc.

3. All emergency medical response vehicles must be equipped with at least the following:

a. one fire extinguisher, 10 B:C (secured and identified);

b. one set of three triangle reflectors (or cyalume light sticks or traffic cones);

c. one flashlight, two "C" minimum;

d. one current USDOT Hazardous Materials Guidebook;

e. per each crew member, one hard hat and safety goggles (ANZI spec) or fire fighter's helmet with face shield; and

f. per each crew member, one pair of leather or nomex gauntlet gloves.

4. All emergency medical response vehicles must have the following basic life support medical supplies:

a. one portable suction unit;

b. one suction tubing, wide bore (if required);

c. one rigid pharyngeal/tonsillar wide bore suction;

d. one suction catheter 5 or 6 or 5/6;

e. one suction catheter, 14 or larger;

f. one portable oxygen cylinder, D, Jumbo D, or E, appropriate color:

i. maximum of 2000 to 2200 psi, minimum of 500 psi;

g. one variable flow regulator for portable oxygen cylinder with wrench;

h. one oxygen nonrebreather mask with tubing, adult;

i. one oxygen nonrebreather mask with tubing, pediatric;

j. one oxygen nasal prongs with tubing;

k. one bag valve mask, adult;

l. one bag valve mask, pediatric;

m. one oral airway, adult;

n. one oral airway, child;

o. one oral airway, infant;

p. one extremity splint device, long;

q. one extremity splint device, short;

r. one long spine immobilization device with at least 3 points of confinement:

i. a clamshell device may be used;

s. one cervical immobilization device;

t. one extrication-type cervical collar, pediatric, small;

u. one extrication-type cervical collar, pediatric, medium;

v. one extrication-type cervical collar, pediatric, large;

w. one extrication-type cervical collar, adult, small;

x. one extrication-type cervical collar, adult, medium;

y. one extrication-type cervical collar, adult, large;

z. one burn sheet, sterile;

aa. ten small sterile dressings 4" x 4", at least 2 per packet;

bb. four large sterile dressings at least 5" x 9";

cc. one multi-trauma dressing (at least 10" x 30") or 1" x 24" military ABD dressing;

dd. two triangular bandages, manufactured;

ee. four complete rolls of roller bandage, soft gauze, at least 2 inches wide;

ff. one roll each of Hypoallergenic medical adhesive tape, 1" and 2";

gg. two occlusive dressings, 3" x 8" or larger or commercial chest seal;

hh. one liter normal saline for irrigation in plastic container;

ii. one supra glottis airway approved by Louisiana EMS Certification Commission;

jj. one tube of oral glucose gel or paste, 12.5 grams, cake icing will suffice;

kk. one epinephrine auto-injector, adult, .30 mg;

ll. one epinephrine auto-injector, pediatric, .15 mg;

mm. one 5 grain (325 mg) aspirin tablet or four 81 grain pediatric aspirin tablets;

nn. one Albuterol, 2.5 mg with appropriate delivery device;

oo. one two-way radio communication device, EMS Disaster (VMED 28);

pp. one two-way radio communications device, EMT to physician;

qq. one two-way radio communication device, EMT to dispatch;

rr. one disposable OB kit;

ss. one roll of aluminum foil or a silver swaddler;

tt. one stethoscope;

uu. one blood pressure cuff, adult;

vv. one blood pressure cuff, pediatric;

ww. one pair EMT shears, either issued to vehicle or individual;

xx. one blanket;

yy. twenty-five triage tags;

zz. one sharps container, 1 quart; and

aaa. one Supraglottic airway, approved by the Louisiana EMS Certification Commission.

5. All emergency medical response vehicles that are not staffed and equipped to the EMT-paramedic level must carry an automated external defibrillator (either automatic or semi-automatic) with the appropriate lead cables and at least two sets of the appropriate disposable electrodes. If the automated defibrillator is also capable of manual defibrillation, then an appropriate lock out mechanism (such as an access code, computer chip, or lock and key) to prevent unauthorized use of the device by those persons not authorized to manually defibrillate must be an integral part of the device.

6. All emergency medical response vehicles must carry infection control equipment as follows:

a. one box of gloves, non sterile exam;

b. one box of gloves, non latex;

c. one pair per crew member, full peripheral glasses with surgical face mask or fluid shields;

d. one per crew member, N-95 mask;

e. one per crew member, disposable, impervious coveralls, gown, jumpsuit;

f. one pair per crew member, disposable, impervious shoe covers;

g. one bottle or 12 towelettes, commercial, anti-microbial hand cleaner;

h. one readily identifiable bio hazard disposal bag;

i. one per crew member, chemical resistant, full coverage, hooded coverall;

j. one pair per crew member, chemical resistant footwear;

k. one roll of chemical resistant sealant tape (not duct tape);

l. one pair per crew member, chemical resistant goggles with a minimum of N-95 mask;

m. one per crew member, incident command vest with florescent trim and appropriate logos; and

n. one per crew member Mark I kits (.7 mg atropine and 2 PAM-V).

7. The following must be carried by intermediate level and paramedic level emergency medical response vehicles:

a. two bags of IV fluid for KVO lines, D5W or isotonic 0.9% NaCl in at least 250 cc bags:

i. all IV fluids must be in plastic bags or jugs, not glass bottles, unless medically indicated otherwise;

b. 1000 cc of Lactated ringers or isotonic 0.9% NaCl in at least 2 approved containers;

c. one macrodrip IV administration set

d two minidrip IV administration sets;

e. one three way stopcock extension tubing;

f. one each, over-the-needle IV catheters, 1.5" long, 14, 16, 18, 20, and 22 gauge;

g. one intraosseous needle of choice;

h. one venous tourniquet;

i. one 1 cc syringe with .1 cc graduations;

j. one 3 to 6 cc syringe;

k. one 30 cc or larger syringe;

l. one 21 to 23 gauge hypodermic needle;

m. one 24 to 26 gauge hypodermic needle; and

n. six antiseptic prep pads.

8. The following must be carried by all paramedic level emergency medical response vehicles:

a. one pair of McGill forceps, adult;

b. one pair of McGill forceps, pediatric;

c. one tube or five packets of water soluble lubricating jelly (non cellulose);

d. one endotracheal tube, uncuffed (3.0 to 3.5);

e. one endotracheal tube, uncuffed, 4.0 to 4.5;

f. one endotracheal tube, uncuffed, 5.0 to 5.5;

g. one endotracheal tube, cuffed, 6.0 to 6.5;

h. one endotracheal tube, cuffed, 7.0 to 7.5;

i. one endotracheal tube, cuffed, 8.0 to 8.5;

j. one stylette, adult;

k. one stylette, pediatric;

l. one laryngoscope handle with batteries and bulb;

m. one set of spare batteries and bulb;

n. one laryngoscope blade, straight, size 0;

o. one laryngoscope blade, straight, size 1;

p. one laryngoscope blade, straight, size 2;

q. one laryngoscope handle, straight or curved, size 4;

r. one monitor defibrillator with electrodes, lead cables, defib pads or jel;

s. one glucometer, CLIA approved;

t. one pediatric dosing chart;

u. one end title CO2 detection or monitoring device;

v. analgesics:

i. one aspirin 5 grain or four 81 mg; and

ii. morphine *, 10 mg/ml;

w. anti-arrhythmics:

i. three Adenosine, 6 mg;

ii. four Atropine, pf, 1 mg;

iii. one Calcium Chloride, 10 percent, 1 gram;

iv. three Amiodorone (pre-filled), 150 mg or four Lidocaine, 100 mg pf bolus; and

v. one Lidocaine, pm, 1 gram;

x. anti-convulsive:

i. one Valium *, 10 mg/2 ml; and

ii. one Mag Sulfate, 2 grams;

y. anti-histamine:

i. Benadryl,50 mg;

z. bronchodilators:

i. one Albuterol, 2.5 mg*, inhalation;

aa. cardio-vascular:

i. one Dopamine, pm, 200 mg; and

ii. three NTG, .4 mg Tablet or spray;

bb. diabetic control:

i. one D50W, 50 cc; and

ii. one Glucagon, 1 mg;

cc. loop diuretic:

i. one Bumex, 2 mg; or

ii. one Lasix; 80 mg;

dd. narcotic antagonist:

i. one Naloxone, 2 mg;

ee. vasopressors, 4 mg total:

i. two Epinephrine, 1 mg 1:1,000;

ii. two Epinephrine, 1 mg 1:10,000; and

iii. Vasopressin (optional), 1 mg

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

NOTE: Laryngoscopes may be reusable or disposable.

*-or alternative drug approved by parish or component medical society.

Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.

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