Current through September 16, 2024
1. To be used as an air ambulance, an
aircraft, whether a fixed- or rotary-wing type, must meet the requirements set
forth in 14 C.F.R. Part 135, including by means of receiving a current
endorsement by a nationally accredited air ambulance organization, including,
without limitation, the Commission on the Accreditation of Medical Transport
Systems, meet an equivalent national standard set forth by the Federal Aviation
Administration or, in addition to meeting other applicable requirements set
forth in this chapter:
(a) Be designed and
maintained in a safe and sanitary condition;
(b) Have sufficient space for storage of
medical equipment and medical supplies which may be locked against unauthorized
entry;
(c) Be designed to
accommodate at least one stretcher;
(d) Have a door of sufficient size to allow a
stretcher to be loaded without rotating it more than 30 degrees about the
longitudinal axis or 30 degrees about the lateral axis; and
(e) Have the climate controlled in the cabin
of the aircraft to prevent extremes in temperature that would adversely affect
the care of a patient.
2. The stretcher or litter must:
(a) Be positioned in the aircraft so as to
allow the attendant a clear view of and access to any part of the patient's
body that may require attention. The attendant must always have access to the
patient's head and upper body.
(b)
Be of sufficient size to carry full length and in the supine position a person
whose height is at least equal to the 95th percentile of all adult patients in
the United States.
(c) Have a rigid
surface suitable for performing cardiac compressions.
(d) Be constructed of material that may be
cleaned and disinfected after each use.
(e) Have a mattress or pad that is impervious
to liquids.
(f) Be capable of
elevating the head of the patient to a 45-degree angle from the base.
3. Each air ambulance must, when
in use as such:
(a) Have an electrical system
capable of servicing the power needs of all medical equipment for patient care
carried on board the aircraft. The electricity may be supplied by the
electrical system of the aircraft or by a portable source carried in the
aircraft. Any modification to the electrical system on the aircraft must be
approved by the Federal Aviation Administration.
(b) Have adequate interior lighting, so that
patient care can be given and patient status monitored without interfering with
the vision of the pilot.
(c) Have
adequate tie-down fixtures within the aircraft for securing any additional
equipment as necessary.
(d) Have a
system for air-to-ground communications that provides for the exchange of
information internally among the crew and provides for air-to-ground exchange
of information between members of the crew and agencies appropriate to the
mission, including, but not limited to:
(1)
The physician or registered nurse who is providing instructions of medical
care.
(2) The dispatch
center.
(3) If the air ambulance is
used to transport patients from the scene of an emergency, a law enforcement
agency.
(e) Be equipped
with survival equipment appropriate for mountain, desert and water environments
for the continuation of patient care.
4. A fixed-wing aircraft must not be operated
as an air ambulance unless it is capable of pressurizing the cabin
5. The installation of any medical equipment
in a fixed- or rotary-wing aircraft must be in a manner consistent with any
applicable requirements of the Federal Aviation Administration and must receive
the approval of the Federal Aviation Administration.
6. Any fixed- or rotary-wing aircraft that is
used as an air ambulance must carry the equipment and medical supplies
specified for that aircraft set forth in a written inventory that is filed with
the Division by the service and included in the written protocols used by the
service.
Bd. of Health,
Ambulance Reg. §§ 10.001-10.003, eff. 12-3-73; A and renumbered as
§§ 10.1-10.4.2, 2-28-80-NAC A 10-14-82; 5-18-92; R182-01, 3-5-2002; A
by
R024-14, eff. 10/24/2014
NRS
450B.120,
450B.130
