Current through Register Vol. 46, No. 39, September 25, 2024
The governing authority of any ambulance service which, as
a part of its response system, utilizes emergency ambulance service vehicles
other than an ambulance to bring personnel and equipment to the scene, must
have policies in effect for equipment, staffing, individual authorization,
dispatch and response criteria, and maintain appropriate insurance
coverage.
(a) A waiver of the
equipment requirements for emergency ambulance service vehicles may be granted
by the department when the service provides an acceptable plan to the
department demonstrating how appropriate staff, equipment and vehicles will
response to a call for emergency medical assistance. The affected regional EMS
councils will be solicited for comment on the service's waiver
request.
(b) Any emergency
ambulance service vehicle other than an ambulance shall be equipped and
supplied with emergency care equipment consisting of:
(1) 12 sterile 4 inches x 4 inches gauze
pads;
(2) adhesive tape, three
rolls assorted sizes;
(3) six rolls
conforming gauge bandage, assorted sizes;
(4) two universal dressings, minimum 10
inches x 30 inches;
(5) six 5
inches x 9 inches (minimum size) sterile dressings or equivalent;
(6) one pair of bandage shears;
(7) six triangular bandages;
(8) sterile normal saline in plastic
container (1/2 liter minimum) within the manufacturer's expiration
date;
(9) one air occlusive
dressing;
(10) one liquid glucose
or equivalent;
(11) disposable
sterile burn sheet;
(12) sterile
obstetric kit;
(13) blood pressure
sphygmomanometers cuff in adult and pediatric sizes and stethoscope;
(14) three rigid extrication collars capable
of limiting movement of the cervical spine. These collars shall include small,
medium and large adult sizes; and
(15) carrying case for essential equipment
and supplies.
(c) Oxygen
and resuscitation equipment consisting of:
(1) portable oxygen with a minimum 350-liter
capacity with pressure gauge, regulator and flow meter medical "D" size or
larger. The oxygen cylinder must contain a minimum of 1,000 pounds per square
inch;
(2) manually operated
self-refilling bag valve mask ventilation devices in pediatric and adult sizes
with a system capable of operating with oxygen enrichment and clear adult, and
clear pediatric size masks with air cushion;
(3) four individually wrapped or boxed
oropharyngeal airways in a range of sizes for pediatric and adult
patients;
(4) two each: disposable
non-rebreather oxygen masks, and disposable nasal cannula individually
wrapped;
(5) portable suction
equipment capable, according to the manufacturer's specifications, of producing
a vacuum of over 300 m.m. Hg when the suction tube is clamped and including two
plastic large bore rigid pharyngeal suction tips, individually wrapped;
and
(6) pen light or
flashlight.
(d) A
two-way voice communications enabling direct communication with the agency
dispatcher and the responding ambulance vehicle on frequencies other than
citizens band.
(e) 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 ABC fire extinguisher or any
extinguisher having a UL rating of 10BC.
(f) Extrication equipment consisting of:
(1) one short backboard or equivalent capable
of immobilizing the cervical spine of a seated patient. The short backboard
shall have at least two 2 inches x 9 feet long web straps with fasteners unless
straps are affixed to the device; and
(2) one blanket.
