Current through Register Vol. 46, No. 12, March 20, 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.
