Current through Register Vol. 35, No. 18, September 24, 2024
All transport medical rescue agencies shall stock and equip
transport medical rescue vehicles with the minimum equipment and supplies
required in this rule to be stocked in non-transport medical rescue vehicles by
non-transport medical rescue agencies. Additionally, all transport medical
rescue agencies shall stock and equip transport medical rescue vehicles with
the following minimum equipment and supplies. Supplies shall be maintained in
sufficient quantities to assure the safe and adequate provision of emergency
medical services in response to one or multiple incidents.
A.
Patient compartment:
(1) multi-level stretcher (may be power
assisted, two-person);
(2) shoulder
/ chest and lower extremity straps (capable of securing adult and pediatric
patients);
(3) pillow (disposable,
with a vinyl cover or a rolled blanket);
(4) blankets;
(5) stretcher pad (bed) covers (e.g.,
sheets);
(6) patient restraints
(two ankle and two wrist, leather or nylon);
(7) sharps container;
(8) emesis basins (emesis bags or
equivalent); and
(9) body
bags.
B.
Pharmocological equipment for first response through ALS:
(1) appropriate medications with the contents
established and approved by the service medical director, within applicable
N.M. scopes of practice, with a list of contents and earliest expiration dates
affixed to the outside of the kit; drug kits must be maintained in a temperate,
controlled environment and shall not be left unsecured; and
(2) mark I plus kit.
C.
Pediatrics:
(1) pediatric restraint system or car seat
(may be a fold-down jumpseat with a child restraint system);
(2) obstetrical kit (sterile package), to
include at a minimum: a receiving blanket, a sterile bulb aspirator, a wrapped
sanitary napkin, a sterile pair of scissors or scalpel blade, four-inch gauze
pads, one pair of sterile gloves, two cord clamps and a plastic bag for
placenta; all items shall be kept in a container with an identifying label that
specifies the contents;
(3) foil
blanket; and
(4) pediatric drug
dosage tape or chart.
D.
Intravenous therapy:
(1)
intravenous solution (normal saline) (1000 ml);
(2) intravenous catheters (various
sizes);
(3) intraosseous
needles;
(4) tubing/infusion
kits;
(5) pediatric fluid volume
control device (i.e., burretrol or volutrol); and
(6) arm boards (for pediatrics).
E.
Immobilization
devices:
(1) extremity immobilization
devices (two full arms and two full legs, or equivalent);
(2) short spinal extrication device (KED or
equivalent), infant or pediatric immobilization; equipment shall be identified
for the safe transport of infant / pediatric patients, as approved by the EMS
agency's medical director with guidelines and operating procedures provided by
the agency / department;
(3)
pediatric immobilization device (as approved by the department); equipment
shall be identified for the safe transport of infant / pediatric patients, as
approved by the EMS agency's medical director with guidelines and operating
procedures provided by the agency / department;
(4) spine boards (long; at least 16" wide by
72" in length with a minimum of three straps);
(5) lateral cervical immobilization devices
(commercial devices, foam blocks, blanket rolls);
(6) cervical immobilization collars (hard
type, minimum two adult, two medium, two child); and
(7) traction splint (lower extremity,
adjustable).
F.
Rescue/extrication equipment:
(1) tarp
or blankets;
(2) seatbelt cutter or
trauma shears;
(3) spring loaded
center punch / window punch;
(4)
rescue ax or halligan tool;
(5)
flathead screwdriver (minimum six inches);
(6) three-pound hammer;
(7) hacksaw with extra bimetal-type
blades;
(8) duct tape;
(9) one ton "come-a-long" winch;
(10) rescue-rated chains or straps (minimum
of two);
(11) hydraulic spreader /
cutter / ram (combi-tool);
(12) air
chisel-air cylinder, regulator, air hose (optional);
(13) air bags-air cylinder, regulator, air
hose (optional);
(14) winch with
recovery straps and blocking equipment; and
(15) stabilization equipment (cribbing,
blocks, struts).
