New Mexico Administrative Code
Title 18 - TRANSPORTATION AND HIGHWAYS
Chapter 3 - MOTOR CARRIER GENERAL PROVISIONS
Part 14 - AMBULANCE SERVICES
Section 18.3.14.18 - ADVANCED LEVEL AMBULANCE SERVICES
Universal Citation: 18 NM Admin Code 18.3.14.18
Current through Register Vol. 35, No. 18, September 24, 2024
A. Service requirements: An ambulance service shall meet the following requirements before it provides any advanced level treatments or procedures, including special skills:
(1) If an ambulance service represents itself
or labels its vehicles as a provider of service at any level above EMT basic,
that advanced level of care and treatment shall be provided 24 hours a day,
every day of the year, except in those unusual situations where there are
overlapping calls, disasters, or similar unforeseen circumstances.
(2) At least one trained and licensed
advanced provider must respond to a call and accompany the patient in the
patient compartment of the ambulance.
B. Additional supplies and equipment requirements: The following additional items are required for advanced level ambulance services:
(1) one
semi-automatic monitor-defibrillator for EMT intermediate or manual/semi
automatic monitor - defibrillator for EMT paramedic, as specified in the EMS
scopes of practice and local medical protocol; (note: these devices require
specific training and medical director approval prior to use);
(2) assorted arm boards in infant, child and
adult sizes;
(3) assorted
intravenous catheters in sizes 14-24 gauge;
(4) assorted macro-drip IV devices to infuse
intravenous fluids into adults (15 drops per cc or better);
(5) assorted micro-drip IV devices to manage
IV administration to infants and children; these may be burettes, micro-drip
tubing or in-line volume controllers;
(6) two intra-osseous access
devices;
(7) one pediatric drug
dosage chart or tape; this may include charts listing the drug dosages in
milliliters or milligrams per kilogram, pre-calculated doses based on weight,
or a tape that generates appropriate equipment sizes and drug doses based on
the patient's height or weight;
(8)
assorted intravenous (IV) fluids that comply with the EMS scopes of practice;
these fluids shall be stored within the manufacturers recommended temperature
range at all times until use;
(9)
one laryngoscope with straight or curved blades in infant, child and adult
sizes; spare bulbs and batteries shall be readily available;
(10) two adult stylets for endotracheal
tubes; if service has special skill approval for pediatric (under age 12)
intubation, two pediatric stylets must be in stock;
(11) one each pediatric and adult magill
forceps;
(12) assorted endotracheal
tubes in sizes: uncuffed 2.5-6.0 if service has special skill approval for
pediatric (under age 12) intubation and cuffed 6.0-8.0;
(13) assorted medications and resuscitation
medications that are allowed in the EMS scopes of practice and local medical
protocol; these medications shall be stored within the manufacturer's
recommended temperature range at all times;
(14) adult and pediatric sized
supraglottic/laryngeal airways, and multi-lumen airways as approved by the
service's medical director.
Disclaimer: These regulations may not be the most recent version. New Mexico 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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