Current through Register Vol. 46, No. 12, March 20, 2024
All ambulances in a certified ambulance service shall be
equipped with the following unless exempted pursuant to section
800.25 of this
Part:
(a) Patient transfer equipment
consisting of:
(1) wheeled ambulance cot
capable of supporting the patients in the Fowlers position;
(2) a device capable of carrying a second
recumbent patient;
(3) a device
enabling ambulance personnel to carry a sitting patient over stairways and
through narrow spaces where a rigid litter cannot be used. The requirements of
paragraphs (2) and (3) of this subdivision may be satisfied by use of one
combination device capable of both operations;
(4) all litters and cots used to transport
patients shall be secured using crash resistant fasteners. The ambulance shall be
equipped with securing devices such that two patient carrying devices can be
simultaneously secured; and
(5)
ambulance cots and other patient carrying devices shall be equipped with at least
two, two inch wide web straps with fasteners to secure the patient to the device
and the cot.
(b) Airway,
ventilation, oxygen and suction equipment consisting of:
(1) a manually operated self-refilling adult
size bag valve mask ventilation device capable of operating with oxygen
enrichment and clear adult size masks with air cushion;
(2) four oropharyngeal airways in adult
sizes;
(3) portable oxygen with a
minimum 350 liter capacity (medical "D" size) with pressure gauge, regulator and
flow meter and one spare cylinder, medical "D" size or larger. The oxygen
cylinders must contain a minimum of 1000 PSI pressure;
(4) an in-ambulance oxygen system with a
minimum 1200 liter capacity (two medical "E" size) with yoke(s), or CDC fitting,
pressure gauges, regulators, and flow meters capable of delivering oxygen to two
patients at two different flow rates of up to 15 liters per minute
simultaneously;
(5) four each,
non-rebreather oxygen masks, and four nasal cannulae;
(6) portable suction equipment capable,
according to the manufacturers specifications, of producing a vacuum of over 300
millimeters of mercury when the suction tube is clamped. This will meet the
800.24(b)(7) requirement if equipped to operate off the ambulance electrical
system;
(7) installed adjustable
suction capable of producing a vacuum of over 300 millimeters of mercury when
tube is clamped; and
(8) two plastic
Yankauer type wide bore pharyngeal tips individually wrapped.
(c) Immobilization equipment
consisting of:
(1) one full size (at least 72
inches long and 16 inches wide) backboard with necessary straps capable of
immobilizing the spine of a recumbent patient;
(2) one half length spinal immobilization
device with necessary straps capable of immobilizing the spine of a sitting
patient;
(3) one traction splinting
device for the lower extremity; and
(4) two of each of the following size padded
boards, with padding at least 3/8 inches thick:
(i) 4 1/2 feet by 3 inches;
(ii) 3 feet by 3 inches or equivalent
device;
(iii) 15 inches by 3 inches
or equivalent device;
(5)
one sets of rigid extrication collars capable of limiting movement of the
cervical spine. The set shall include large, medium and small adult size rigid
extrication collars which permit access to the patient's anterior neck;
and
(6) a device or devices capable
of immobilizing the head of a patient who is secured to a long
backboard.
(d) Bandaging
and dressing supplies consisting of:
(1) 24
sterile gauze pads 4 inches by 4 inches;
(2) three rolls adhesive tape in two or more
sizes;
(3) 10 rolls of conforming
gauze bandages in two or more sizes;
(4) two sterile universal dressings
approximately 10 inches by 30 inches;
(5) 10 large sterile dressings five inches by
nine inches minimum;
(6) one pair
bandage shears;
(7) two sterile bed
size burn sheets;
(8) six triangular
bandages;
(9) one liter of sterile
normal saline in plastic container(s) within the manufacturer's expiration date;
and
(10) roll of plastic or aluminum
foil or equivalent sterile occlusive dressing.
(e) Emergency childbirth supplies in a kit,
consisting of the following sterile supplies:
(1) disposable gloves;
(2) scissors or scalpel;
(3) umbilical clamps or tape;
(4) bulb syringe;
(5) drapes; and
(6) one individually wrapped sanitary
napkin.
(f) Miscellaneous
and special equipment in clean and sanitary condition consisting of:
(1) linen and pillow on wheeled ambulance cot
and spare pillow, two sheets, two pillow cases, and two blankets;
(2) four cloth towels;
(3) one box facial tissues;
(4) two emesis containers;
(5) one adult size blood pressure cuff with
gauge;
(6) stethoscope;
(7) carrying case for essential emergency care
equipment and supplies;
(8) four
chemical cold packs;
(9) one male
urinal;
(10) one bed pan;
(11) two sets masks and/or goggles or
equivalent;
(12) two pair disposable
rubber or plastic gloves;
(13) one
liquid glucose or equivalent;
(14)
six sanitary napkins individually wrapped; and
(15) one pen light or flashlight.
(g) Safety equipment consisting of:
(1) six flares or three U.S. Department of
Transportation approved reflective road triangles;
(2) one battery lantern in operable condition;
and
(3) one Underwriters' Laboratory
rated five pound U.L. rated ABC chemical fire extinguisher or any extinguisher
having a U.L. rating of 10BC.
(h) Pediatric equipment consisting of:
(1) pediatric bag valve mask, equipped with
oxygen reservoir system;
(2) clear
face masks in newborn, infant and child sizes, inflatable rim (or mask with
minimal under-mask volume) to fit above;
(3) two each nasal cannula, and two each oxygen
masks including non-rebreather in the pediatric size;
(4) two each oropharyngeal newborn, infant and
child size airways;
(5) sterile
suction catheters, two each in sizes 5, 8 and 10 french;
(6) two sterile DeLee type suction catheters
#10 or modified suction traps, or two small bulb syringes;
(7) one sterile single use disposable oxygen
humidification setup;
(8) child and
infant size blood pressure cuffs with gauges;
(9) one rigid extrication collar in pediatric
size;
(10) one pediatric stethoscope
(interchangeable type acceptable); and
(11) one commercially prepared infant
swaddler.