Oklahoma Administrative Code
Title 310 - Oklahoma State Department of Health
Chapter 641 - Emergency Medical Services
Subchapter 11 - Specialty Care Ambulance Service
Section 310:641-11-12 - Equipment for specialty care transport vehicles (air and ground)
Universal Citation: OK Admin Code 310:641-11-12
Current through Vol. 42, No. 1, September 16, 2024
(a) The tampering, modification, or removal of the manufacturer's expiration date is prohibited.
(b) Licensed specialty care ambulance services shall ensure that all recalled, outdated, misbranded, adulterated, or deteriorated fluids, supplies, and medications are removed from ambulances immediately.
(c) The medical control physician will authorize all equipment and medications placed on the units for patient care.
(1) The authorized
equipment and medications will be detailed on a unit checklist and will match
the equipment and supplies with detailed defined minimums needed to treat
patients in the manner in the agency approved protocols. The checklist will
also meet the requirements described in the ambulance file section of this
subchapter.
(2) The medications
authorized by the medical director will be detailed on the unit checklist to
include the number, weight, and volume of the medication
containers.
(d) At a minimum, the following equipment and supplies will be present on each specialty care unit when transported specialty care patients:
(1) age and size appropriate oropharyngeal
and nasopharyngeal airways, single wrapped for sanitation purposes;
(2) functioning portable suction device with
age and size appropriate tubing and tips;
(3) age and size appropriate bag-valve-mask
resuscitators;
(4) portable
(secured in each vehicle) and wall mounted oxygen sets, with age and size
appropriate tubing cannulas and masks;
(5) spare portable oxygen cylinder, secured
to manufacturing specifications;
(6) Bandaging materials to include:
(A) two (2) burn sheets clean wrapped and
marked in plastic bag that need not be sterile.
(B) fifty (50) sterile 4"x4"
dressings.
(C) six (6) sterile
6"x8" or 8"x10" dressings.
(D) ten
(10) roller bandages, 2" or larger.
(E) four (4) rolls of tape (minimum of one
(1") inch width).
(F) four (4)
sterile occlusive dressings, 3" x 8" or larger.
(G) four (4) triangular bandages.
(H) one (1) pair of bandage
scissors.
(7) Fracture
immobilization devices to include:
(A) one
(1) adult and one (1) pediatric traction splint or equivalent device capable of
adult and pediatric application.
(B) two (2) upper and two (2) lower extremity
splints in adult and pediatric sizes.
(C) short spine board or vest type
immobilizer, including straps and accessories as described within the agency
protocols.
(D) two (2)adult and one
(1) pediatric size long spine board including straps and head immobilization
devices.
(E) two (2) rigid or
adjustable extrication collars in large, medium, small adult sizes, and
pediatric sizes for children ages 2 years or older and one (1) infant collar.
Collars shall not be foam or fiber filled.
(8) Miscellaneous medical equipment to
include:
(A) one (1) infant, one (1) child,
two (2) adult, and one (1) extra-large blood pressure cuffs;
(B) stethoscope, one (1) adult and one (1)
pediatric sizes.
(C) obstetrical
kit with towels, 4"x4" dressing, umbilical tape, bulb syringe, cord cutting
device, clamps, sterile gloves, aluminum foil, and blanket.
(D) universal communicable disease precaution
equipment including gloves, mask, goggles, gown, and other universal
precautions.
(E) blood-glucose
measurement equipment per medical direction and Department approval.
(F) CPAP per medical direction and Department
approval.
(9) Other
mandatory equipment to include:
(A) Two (2)
appropriately labeled or designated waste receptacles for:
(i) waste that is contaminated by bodily
fluids or potentially hazardous infectious waste, and
(ii) waste that does not present a biological
hazard, such as plastic or paper products that are not contaminated.
(B) two way radio communication
equipment utilizing VHF frequency 155.3400 as detailed in this Chapter and
through the Statewide Interoperability Governing Body.
(C) one (1) sturdy, lightweight, all-level
cot for the primary patient that is compliant with the vehicle manufacturing
standards in place at the time of purchase.
(D) at least three (3) strap type restraining
devices (chest, hip, and knee), and compliant shoulder harness shall be
provided per stretcher, cot, and litter (not less than two (2") inches wide,
nylon, easily removable for cleaning, two (2) piece assembly with quick release
buckles).
(E) electronic or paper
patient care run reports.
(F) two
(2) fire extinguishers; one (1) in the cab of the unit, and one in the patient
compartment of the vehicle each mounted in a manner that allows for quick
release and is compliant with the ambulance manufactures building standards.
Each extinguisher is to be dry powder, ABC, and a minimum of five (5)
pounds.
(G) two (2) operable
flashlights;
(H) all ambulance
equipment and supplies shall be maintained in accordance with sanitation
requirements in this Chapter. Additionally, sterility shall be maintained on
all sterile packaged items.
(I)
digital or strip type thermometer and single use probes.
(J) six (6) instant cold packs.
(K) one (1) length/weight based drug dose
chart or tape.
(L) a minimum of two
(2) DOT approved reflective vests.
(M) As approved by local medical direction, a
child restraint system or equipment for pediatric patients, as provided under
the limits of the agency license.
(e) All assessment and medical equipment utilized for patient care will be maintained in accordance with the manufactures guidelines. Documentation will be maintained at the agency showing that periodic tests, maintenance, and calibration are being conducted in accordance with the manufactures requirements. These types of equipment include, but are not limited to, gurneys or stretchers, suction devices, pulse oximetry, glucometers, capnography monitors, end-tidal co2 monitors, CPAP/BiPAP devices, ventilators, and blood pressure monitors.
Disclaimer: These regulations may not be the most recent version. Oklahoma 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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