No. 30954 (Amendment): R426-15-203. Vehicle Supply Requirements

DAR File No.: 30954
Filed: 02/06/2008, 01:46
Received by: NL

RULE ANALYSIS

Purpose of the rule or reason for the change:

The change updates the rule to reflect current standards of care practiced in emergency medical services (EMS).

Summary of the rule or change:

The changes remove obsolete medications from the mandatory required lists for each level of service; adds medications to reflect current standards of care; and creates an optional medication category to allow agencies to more effectively structure their drug lists to meet the needs of their communities by allowing the addition of drugs from the list without the need of a rule waiver.

State statutory or constitutional authorization for this rule:

Title 26, Chapter 8a

Anticipated cost or savings to:

the state budget:

There will be no cost or savings to the state budget from this rule change because it neither increases or decreases workload.

local governments:

The changes may reduce the cost of maintaining a long list of required drugs that are not used by the service but were required under existing rule. The estimated savings could be as high as $350 per agency or $84,050 per year statewide. The change is structured to allow a transition period from the former drug to the new required drug. This will allow the agency to replace the drugs through attrition. The replacement drugs are similar in cost. Since agencies can bill for drugs and supplies at a price that is fair and competitive with similar products in the local area, there will be no increased overall cost to agencies.

small businesses and persons other than businesses:

No small businesses with less than 50 employees are affected by this rule. The changes may reduce the cost of maintaining a long list of required drugs that are not used by the service but were required under existing rule. The estimated savings could be as high as $350 per agency or $1,400 per year statewide. The change is structured to allow a transition period from the former drug to the new required drug. This will allow the agency to replace the drugs through attrition. The replacement drugs are similar in cost. Since agencies can bill for drugs and supplies at a price that is fair and competitive with similar products in the local area, there will be no increased overall cost to agencies. Individuals who are treated by EMS providers will experience a negligible change in costs for drugs used in their treatment because the most commonly used drugs have similar costs on the existing and new drug lists.

Compliance costs for affected persons:

The change is structured to allow a transition period from the former drug to the new required drug. This will allow the agency to replace the drugs through attrition. The replacement drugs are similar in cost. Since agencies can bill for drugs and supplies at a price that is fair and competitive with similar products in the local area, there will be no increased overall cost to agencies.

Comments by the department head on the fiscal impact the rule may have on businesses:

The transition period contained in the rule change allows for the transition from former to new drug requirements through attrition. This will minimize the potential cost of compliance. The new required drugs are similar in cost as the drug being replaced. The reduction in the number of required drugs has the potential to reduce costs to the agencies. A. Richard Melton, Acting Executive Director

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Health
Health Systems Improvement, Emergency Medical Services
CANNON HEALTH BLDG
288 N 1460 W
SALT LAKE CITY UT 84116-3231

Direct questions regarding this rule to:

Guy Dansie at the above address, by phone at 801-538-9171, by FAX at 801-538-6808, or by Internet E-mail at [e-mail]

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

03/31/2008

This rule may become effective on:

04/07/2008

Authorized by:

David N. Sundwall, Executive Director

RULE TEXT

R426. Health, Health Systems Improvement, Emergency Medical Services.

R426-15. Licensed and Designated Provider Operations.

R426-15-203. Vehicle Supply Requirements.

(1) In accordance with the licensure or designation type and level, the permittee shall carry on each permitted vehicle the minimum quantities of supplies, medications, and equipment as described in this subsection. Optional items are marked with an asterisk.

EQUIPMENT AND SUPPLIES FOR BASIC QUICK RESPONSE

2 Blood pressure cuffs, one adult, one pediatric

2 Stethoscopes, one adult and one pediatric or combination

2 Heavy duty shears

2 Universal sterile dressings, 9"x5", 10"x8", 8"x9", or equivalent

12 Gauze pads, sterile, 4"x4"

8 Bandages, self-adhering, soft roller type, 4"x5 yards or equivalent

2 Rolls of tape

4 Cervical collars, one adult, one child, one infant, plus one other size

2 Triangular bandages

2 Boxes of gloves, one box non-sterile and one box latex free or equivalent

[ 2 Concentrated oral glucose tubes or equivalent

] 1 Portable jump kit stocked with appropriate medical supplies

AIRWAY EQUIPMENT AND SUPPLIES

1 Portable or fixed suction, with wide bore tubing and rigid pharyngeal suction tip

2 Bag mask ventilation units, one adult, one pediatric, with adult, child, and infant size masks

1 Baby syringe, bulb type, separate from the OB kit

3 Oropharyngeal airways, with one adult, one child, and one infant size

3 Nasopharyngeal airways, one adult, one child, and one infant

2 Non-rebreather or partial non-rebreather oxygen masks, one adult and one pediatric

1 Nasal cannula, adult

1 Portable oxygen apparatus, capable of metered flow with adequate tubing

AUTOMATIC DEFIBRILLATOR EQUIPMENT AND SUPPLIES

1 Defibrillator, automatic portable battery operated, per vehicle or response unit

2 Sets of electrode pads for defibrillation

REQUIRED DRUGS

650mg Aspirin

2 Epineph[e]rine auto-injectors, one standard and one junior (Preloaded syringes with age appropriate dosage of epinephrine 1:1000 is an acceptable substitute for auto-injectors)

2 Concentrated oral glucose tubes or equivalent

50 Grams Activated Charcoal

OPTIONAL DRUGS

Acetaminophen elixir 160mg/5ml

Nerve Antidote Kits (Mark I Kits or DuoDote)

EQUIPMENT AND SUPPLIES FOR AN INTERMEDIATE QUICK RESPONSE

2 Blood pressure cuffs, one adult, one pediatric

2 Stethoscopes, one adult and one pediatric or combination

2 Heavy duty shears

2 Universal sterile dressings, 9"x5", 10"x8", 8"x9", or equivalent

12 Gauze pads, sterile, 4"x4"

8 Bandages, self-adhering, soft roller type, 4"x5 yards or equivalent

2 Rolls of tape

4 Cervical collars, one adult, one child, one infant, plus one other size

2 Triangular bandages

2 Boxes of gloves, one box non-sterile and one box latex free or equivalent

2 Concentrated oral glucose tubes or equivalent

1 Portable jump kit stocked with appropriate medical supplies

1 Glucose measuring device

AIRWAY EQUIPMENT AND SUPPLIES

1 Portable or fixed suction, with wide bore tubing and rigid pharyngeal suction tip

2 Bag mask ventilation units, one adult, one pediatric, with adult, child, and infant size masks

1 Baby syringe, bulb type, separate from the OB kit

3 Oropharyngeal airways, with one adult, one child, and one infant size

3 Nasopharyngeal airways, one adult, one child, and one infant

2 O2 masks, non-rebreather or partial non-rebreather, one adult and one pediatric

1 Nasal cannula, adult

1 Portable oxygen apparatus, capable of metered flow with adequate tubing

2 Small volume nebulizer container for aerosol solutions

1 Laryngoscope with batteries curved and straight blades with bulbs and two extra batteries and two extra bulbs*

1 Water based lubricant, one tube or equivalent*

7 Endotracheal tubes, one each: cuffed 8, 7.5, 7, 6, uncuffed 5, 4, 3*

2 Stylets, one adult and one pediatric*

1 Device for securing the endotracheal tube*

2 Endotracheal tube confirmation device*

2 Flexible sterile endotracheal suction catheters from 5-12 french*

2 Oro-nasogastric tubes, one adult, and one pediatric *

AUTOMATIC DEFIBRILLATOR EQUIPMENT AND SUPPLIES

1 Defibrillator, automatic portable battery operated, per vehicle or response unit

2 Sets of electrode pads for defibrillation

IV SUPPLIES

10 Alcohol or Iodine preps

2 IV start kits or equivalent

12 Over-the-needle catheters, two each, sizes 14g, 16g, 18g, 20g, 22g and 24g

2 Arm boards, two different sizes

2 IV tubings with micro drip chambers

3 IV tubings with standard drip chambers

5 Extension tubings

4 Syringes, one 30 or 60cc, one 10cc, one 5cc, and one 3cc

1 Sharps container

1 Safety razor

1 Vacutainer holder

4 Vacutainer tubes

REQUIRED DRUGS

2 25gm Activated Charcoal

1 2.5mg premixed Albuterol Sulfate[ or equivalent]

2 Atropine Sulfate 1mg each

[1]2 25gm preload[ 20mg/cc] Dextrose 50% or Glucagon (must have at least 1 D50)

1 1cc (1mg/1cc) Epinephrine 1:1,000

2 Epinephrine 1:10,000 1mg each

2 Naloxone HCL 2mg each[ or equivalent]

1 bottle[ or] 0.4mg Nitroglycerine (tablets or spray)

650mg Aspirin

4,000cc Ringers Lactate or Normal Saline

OPTIONAL DRUGS

Acetaminophen elixirer 160mg/5ml

Nerve Agent Antidote kits (Mark I Kits or DuoDote)

CyanoKit

EQUIPMENT AND SUPPLIES FOR A BASIC AMBULANCE

2 Blood pressure cuffs, one adult, one pediatric

2 Stethoscopes, one adult and one pediatric or combination

2 Pillows, with vinyl cover or single use disposable pillows

2 Emesis basins, emesis bags, or large basins

1 Fire extinguisher, with current inspection sticker, of the dry chemical type with a rating of 2A10BC or halogen extinguisher of minimum weight 2.5 - 10 pounds

2 Head immobilization devices or equivalent

2 Lower extremity traction splints or equivalent, one adult and one pediatric

2 Non-traction extremity splints, one upper, one lower, or PASG pants

2 Spine boards, one short and one long (Wood must be coated or sealed)

2 Heavy duty shears

2 Urinals, one male, one female, or two universal

1 Printed Pediatric Reference Material

2 Blankets

2 Sheets

6 Towels

2 Universal sterile dressings, 9"x5", 10"x8", 8"x9", or equivalent

12 Gauze pads, sterile, 4"x4"

8 Bandages, self-adhering, soft roller type, 4"x5 yards or equivalent

2 Rolls of tape

4 Cervical collars, one adult, one child, one infant, plus one other size

2 Triangular bandages

2 Boxes of gloves, one box non-sterile and one box latex free or equivalent

1 Obstetrical kit, sterile

[ 2 Concentrated oral glucose tubes or equivalent

] 2 Occlusive sterile dressings or equivalent

1 Car seat, approved by Federal Safety standard

1 Portable jump kit stocked with appropriate medical supplies

2 Preventive T.B. transmission masks

2 Protective eye wear (goggles or face shields)

2 Full body substance isolation protection, or one for each crew member

1 Thermometer or equivalent

1 Water based lubricant, one tube or equivalent

2 Biohazard bags

1 Disinfecting agent for cleaning vehicle and equipment of body fluids

1 Glucose measuring device

AIRWAY EQUIPMENT AND SUPPLIES

1 Portable or fixed suction, with wide bore tubing and rigid pharyngeal suction tip

2 Bag mask ventilation units, one adult, one pediatric, with adult, child, and infant size masks

1 Baby syringe, bulb type, separate from the OB kit

3 Oropharyngeal airways, with one adult, one child, and one infant size

3 Nasopharyngeal airways, one adult, one child, and one infant

4 Non-rebreather or partial non-rebreather oxygen masks, two adult and two pediatric

2 Nasal cannulas, adult

1 Portable oxygen apparatus, capable of metered flow with adequate tubing

1 Permanent large capacity oxygen delivery system

AUTOMATIC DEFIBRILLATOR EQUIPMENT AND SUPPLIES

1 Defibrillator, automatic portable battery operated, per vehicle or response unit

2 Sets of electrode pads for defibrillation

REQUIRED DRUGS

1 500cc Irrigation solution

650mg Aspirin

2 Epineph[e]rine auto-injectors, one standard and one junior (Preloaded syringes with age appropriate dosage of epinephrine 1:1000 is an acceptable substite for auto-injectors)

2 Concentrated oral glucose tubes or equivalent

50 Grams Activated Charcoal

OPTIONAL DRUGS

Acetaminophen elixir 160mg/5ml

Nerve Antidote Kits (Mark I Kits or DuoDote)

EQUIPMENT AND SUPPLIES FOR AN INTERMEDIATE AMBULANCE

2 Blood pressure cuffs, one adult, one pediatric

2 Stethoscopes, one adult and one pediatric or combination

2 Pillows, with vinyl cover or single use disposable pillows

2 Emesis basins, emesis bags, or large basins

1 Fire extinguisher, with current inspection sticker, of the dry chemical type with a rating of 2A10BC or halogen extinguisher of minimum weight 2.5 - 10 pounds

2 Head immobilization devices or equivalent

2 Lower extremity traction splints or equivalent, one adult and one pediatric

2 Non-traction extremity splints, one upper, one lower, or PASG pants

2 Spine boards, one short and one long (Wood must be coated or sealed)

2 Heavy duty shears

2 Urinals, one male, one female, or two universal

1 Printed Pediatric Reference Material

2 Blankets

2 Sheets

6 Towels

2 Universal sterile dressings, 9"x5", 10"x8", 8"x9", or equivalent

12 Gauze pads, sterile, 4"x4"

8 Bandages, self-adhering, soft roller type, 4"x5 yards or equivalent

2 Rolls of tape

4 Cervical collars, three adult and one pediatric or equivalent

2 Triangular bandages

2 Boxes of gloves, one box non-sterile and one box latex free or equivalent

1 Obstetrical kit, sterile

2 Concentrated oral glucose tubes or equivalent

2 Occlusive sterile dressings or equivalent

1 Car seat, approved by Federal Safety standard

1 Portable jump kit stocked with appropriate medical supplies

2 Preventive T.B. transmission masks

2 Protective eye wear (goggles or face shields)

2 Full body substance isolation protection or one for each crew member

1 Thermometer or equivalent

2 Biohazard bags

1 Disinfecting agent for cleaning vehicle and equipment of body fluids

1 Glucose measuring device

AIRWAY EQUIPMENT AND SUPPLIES

1 Portable or fixed suction, with wide bore tubing and rigid pharyngeal suction tip

2 Bag mask ventilation units, one adult, one pediatric, with adult, child, and infant size masks

1 Baby syringe, bulb type, separate from the OB kit

3 Oropharyngeal airways, with one adult, one child, and one infant size

3 Nasopharyngeal airways, one adult, one child, and one infant

4 Non-rebreather or partial non-rebreather oxygen masks, two adult and two pediatric

2 Nasal cannulas, adult

1 Portable oxygen apparatus, capable of metered flow with adequate tubing

1 Permanent large capacity oxygen delivery system

2 Small volume nebulizer container for aerosol solutions

1 Laryngoscope with batteries curved and straight blades with bulbs and two extra batteries and two extra bulbs *

1 Water based lubricant, one tube or equivalent*

7 Endotracheal tubes, one each: cuffed 8, 7.5, 7, 6, uncuffed 5, 4, 3*

2 Stylets, one adult and one pediatric*

1 Device for securing the endotracheal tube*

2 Endotracheal tube confirmation device*

2 Flexible sterile endotracheal suction catheters from 5-12 french*

2 Oro-nasogastric tubes, one adult, and one pediatric *

AUTOMATIC DEFIBRILLATOR EQUIPMENT AND SUPPLIES

1 Defibrillator, automatic portable battery operated, per vehicle or response unit

2 Sets of electrode pads for defibrillation

IV SUPPLIES

10 Alcohol or Iodine preps

2 IV start kits or equivalent

12 Over-the-needle catheters, two each, sizes 14g, 16g, 18g, 20g, 22g and 24g

2 Arm boards, two different sizes

2 IV tubings with micro drip chambers

3 IV tubings with standard drip chambers

5 Extension tubings

4 Syringes, one 30 or 60cc, one 10cc, one 5cc, and one 3cc

1 Three-way stopcock

1 Sharps container

1 Safety razor

1 Vacutainer holder

4 Vacutainer tubes

2 Intraosseous needles, two each, 15 or 16, and 18 guage*

REQUIRED DRUGS

2 25gm Activated Charcoal

2 2.5mg premixed Albuterol Sulfate[ or equivalent]

2 Atropine Sulfate 1mg each

2 Dextrose 50% or Glucagon (must have at least 1 D50)

4 1cc (1mg/1cc) Epinephrine 1:1,000

2 Epinephrine 1:10,000 1mg each

2 100 mg preload Lidocaine

2 10mg Morphine Sulfate

2 Naloxone HCL 2mg each[ or equivalent]

1 bottle or 0.4mg Nitroglycerine (tablets or spray)

1 2gm Lidocaine IV Drip

1 500cc Irrigation solution

650mg Aspirin

4,000cc Ringers Lactate or Normal Saline

OPTIONAL DRUGS

Acetaminophen elixir 160mg/5ml

Fentanyl

Midazolam

Nubain

Promethazine

Zofran

Nerve Agent Antidote kits (Mark I Kits or DuoDote)

CyanoKit

EQUIPMENT AND SUPPLIES FOR AN INTERMEDIATE ADVANCED AMBULANCE

2 Blood pressure cuffs, one adult, one pediatric

2 Stethoscopes, one adult and one pediatric or combination

2 Pillows, with vinyl cover or single use disposable pillows

2 Emesis basins, emesis bags, or large basins

1 Fire extinguisher, with current inspection sticker, of the dry chemical type with a rating of 2A10BC or halogen extinguisher of minimum weight 2.5 - 10 pounds

2 Head immobilization devices or equivalent

2 Lower extremity traction splints or equivalent, one adult and one pediatric

2 Non-traction extremity splints, one upper, one lower, or PASG pants

2 Spine boards, one short and one long (Wood must be coated or sealed)

2 Heavy duty shears

2 Urinals, one male, one female, or two universal

1 Printed Pediatric Reference Material

2 Blankets

2 Sheets

6 Towels

2 Universal sterile dressings, 9"x5", 10"x8", 8"x9", or equivalent

12 Gauze pads, sterile, 4"x4"

8 Bandages, self-adhering, soft roller type, 4"x5 yards or equivalent

2 Rolls of tape

4 Cervical collars, three adult and one pediatric or equivalent

2 Triangular bandages

2 Boxes of gloves, one box non-sterile and one box latex free or equivalent

1 Obstetrical kit, sterile

2 Concentrated oral glucose tubes or equivalent

4 Occlusive sterile dressings or equivalent

1 Car seat, approved by Federal Safety standard

1 Portable jump kit stocked with appropriate medical supplies

2 Preventive T.B. transmission masks

2 Protective eye wear (goggles or face shields)

2 Full body substance isolation protection or one for each crew member

1 Thermometer or equivalent

2 Biohazard bags

1 Disinfecting agent for cleaning vehicle and equipment of body fluids

1 Glucose measuring device

AIRWAY EQUIPMENT AND SUPPLIES

1 Portable or fixed suction, with wide bore tubing and rigid pharyngeal suction tip

2 Bag mask ventilation units, one adult, one pediatric, with adult, child, and infant size masks

1 Baby syringe, bulb type, separate from the OB kit

3 Oropharyngeal airways, with one adult, one child, and one infant size

3 Nasopharyngeal airways, one adult, one child, and one infant

2 Magill forceps, one adult and one child

4 Non-rebreather or partial non-rebreather oxygen masks, two adult and two pediatric

2 Nasal cannulas, adult

1 Portable oxygen apparatus, capable of metered flow with adequate tubing

1 Oxygen saturation monitor

1 Permanent large capacity oxygen delivery system

2 Small volume nebulizer container for aerosol solutions

1 Laryngoscope with batteries curved and straight blades with bulbs and two extra batteries and two extra bulbs

1 Water based lubricant, one tube or equivalent

7 Endotracheal tubes, one each: cuffed 8, 7.5, 7, 6, uncuffed 5, 4, 3

2 Stylets, one adult and one pediatric.

1 Device for securing the endotracheal tube

2 Endotracheal tube confirmation device

2 Flexible sterile endotracheal suction catheters from 5-12 french

2 Oro-nasogastric tubes, one adult, and one pediatric

DEFIBRILLATOR EQUIPMENT AND SUPPLIES

1 Portable cardiac monitor/defibrillator/pacer with adult and pediatric capabilities

2 Sets Electrodes or equivalent

2 Sets Combination type defibrillator pads or equivalent

2 Combination type TCP Pads or equivalent

IV SUPPLIES

10 Alcohol or Iodine preps

2 IV start kits or equivalent

12 Over-the-needle catheters, two each, sizes 14g, 16g, 18g, 20g, 22g and 24g

2 Arm boards, two different sizes

2 IV tubings with micro drip chambers

3 IV tubings with standard drip chambers

5 Extension tubings

4 Syringes, one 30 or 60cc, one 10cc, one 5cc, and one 3cc

1 Three-way stopcock

1 Sharps container

1 Safety razor

1 Vacutainer holder

4 Vacutainer tubes

2 Intraosseous needles, two each, 15 or 16, and 18 guage

REQUIRED DRUGS

2 25gm Activated Charcoal

[ 3 6mg Adenosine

] 2 2.5mg premixed Albuterol Sulfate or equivalent

2 Atropine Sulfate 1mg

2 Dextrose 50% or Glucagon (must have 1 D50)

2 10mg [vials

]either Diazepam or Midazolam, or both. However, Diazepam is not required after July 1, 2008

1 Epinephrine 1:1,000 15mg or equivalent

2 Epinephrine 1:10,000 1mg each

[ 2 Furosemide 40mg each

] 2 100 mg preload Lidocaine

2 10mg Morphine Sulfate

2 Naloxone HCL 2mg each[ or equivalent]

1 Bottle [or ]0.4mg Nitroglycerine (tablets or spray)

1 2gm Lidocaine IV Drip

1 500cc Irrigation solution

650mg Aspirin

4,000cc Ringers Lactate or Normal Saline

OPTIONAL DRUGS

Acetaminophen elixir 160mg/5ml

Adenosine

Fentanyl

Furosemide

Promethazine

Zofran

Nerve Agent Antidote kits (Mark I Kits or DuoDote)

CyanoKit

EQUIPMENT AND SUPPLIES FOR PARAMEDIC SERVICES

2 Blood pressure cuffs, one adult, one pediatric

2 Stethoscopes, one adult and one pediatric or combination

1 Thermometer or equivalent

1 Glucose measuring device

2 Head immobilization devices or equivalent

2 Lower extremity traction splints or equivalent, one adult and one pediatric

2 Non-traction extremity splints, one upper, one lower, or PASG pants

2 Spine boards, one short and one long. Wooden boards must be coated or sealed

1 Full body pediatric immobilization device. (Paramedic transfer units excluded)

2 Heavy duty shears

2 Blankets

2 Towels

2 Universal sterile dressings, 9"x5", 10"x8", 8"x 9", or equivalent

12 Gauze pads, sterile, 4" x 4".

8 Bandages, self-adhering, soft roller type, 4"x 5 yards or equivalent

2 Rolls of tape

4 Cervical collars, three adult and one pediatric or equivalent

2 Triangular bandages

2 Boxes of gloves, one box non-sterile and one box latex free or equivalent

2 Pairs Sterile gloves

1 Obstetrical kits, sterile

4 Occlusive sterile dressings or equivalent

1 Portable jump kit stocked with appropriate medical supplies

2 Emesis basins, emesis bags, or large basins

1 Printed Pediatric Reference Material

AIRWAY EQUIPMENT AND SUPPLIES

1 Portable or fixed suction, with wide bore tubing and rigid pharyngeal suction tip

1 Oxygen saturation monitor

1 Baby syringe, bulb type separate from the OB kit

1 Laryngoscope with batteries curved and straight blades with bulbs and two extra batteries and two extra bulbs

1 Water based lubricant, one tube or equivalent

18 Endotracheal tubes, two each, uncuffed 3, 4 and 5, cuffed 5.5, 6, 6.5, 7, 7.5, 8

1 Device for securing the endotracheal tube

2 Endotracheal tube confirmation devices

2 Flexible sterile endotracheal suction catheters from 5-12 french

3 Oropharyngeal airways, one adult, one child, and one infant size

3 Nasopharyngel airways, one adult, one child, and one infant size

2 Magill forceps, one child and one adult

1 Portable oxygen apparatus, capable of metered flow with adequate tubing

2 Oro-nasogastric tubes, one adult, and one pediatric

4 Non-rebreather or partial non-rebreather oxygen masks, two adult and two pediatric

2 Nasal cannulas, adult

2 Bag mask ventilation units, one adult, one pediatric, with adult, child, and infant size masks

2 Stylettes, one pediatric and one adult

2 Tongue blades

1 Meconium aspirator

1 Cricothyroidotomy kit or equivalent

2 Small volume nebulizer container for aerosol solutions

DEFIBRILLATOR EQUIPMENT AND SUPPLIES

1 Portable cardiac monitor/defibrillator/pacer with adult and pediatric capabilities

2 Sets Electrodes or equivalent

2 Sets Combination type defibrillator pads or equivalent

2 Sets Electrode wire sets or equivalent. (One only for paramedic transfer service)

2 Combination type TCP Pads or equivalent

IV SUPPLIES

10 Alcohol or iodine preps

2 IV start kits or equivalent

12 Over-the-needle catheters, two each, sizes 14g, 16g, 18g, 20g, 22g, 24g

4 Intraosseous needles, two each, 15 or 16 gauge and two 18 guage

2 Arm boards, two different sizes

2 IV tubings with micro drip chambers

3 IV tubings with standard drip chambers

2 IV tubings with blood administration sets

5 Extension tubings

6 Syringes with luer lock, two each 3cc, 10cc, 60cc

1 Cath tipped syringe, 30cc or 60cc

2 Three-way stopcocks

1 Sharps container

1 Vacutainer holder

2 Vacutainer multiple sample luer adapters

4 Vacutainer tubes

SAFETY AND PERSONAL PROTECTION EQUIPMENT

2 Preventive T.B. transmission masks

2 Protective eye wear (goggles or face shields)

2 Biohazard bags

2 Full body substance isolation protection or one for each crew member

1 Disinfecting agent for cleaning vehicle and equipment of body fluids

2 Protective headware

2 Pair leather gloves

2 Reflective safety vests or equivalent

REQUIRED DRUGS

2 [Bottles ]Activated Charcoal 25gm each

2 Albuterol Sulfate 2.5mg pre-mixed[ or equivalent]

2 Atropine Sulfate 1mg

650mg Aspirin

2 Dextrose 50% or Glucagon (must have at least 1 D50)

2 10 mg of either Diazepam [10mg each]or Midazolam, or both. However, Diazepam is not required after July 1, 2008.

2 Diphenhydramine 50mg each

2 either Dopamine HCL 400mg each or 2 mics/mil Epinephrine drip (2cc Epinephrine 1:1000 to 1000cc LR or NS), or both

1 Epinephrine 1:1,000 15mg[ or equivalent]

2 Epinephrine 1:10,000 1mg each

[2 Furosemide 40mg each]Fentanyl 200 mcg

2 Lidocaine 100mg each or 450mg Amioderone or both

1 Lidocaine IV drip 2g

[ 2 Meperidine 100mg each

] 2 Morphine Sulfate 10mg each

4 Naloxone HCL 2mg each[ or equivalent

] 1 Bottle Nitroglycerine 0.4mg [or equivalent ](tablets or spray)

[ 2 Oxytocin 20units each

] 2 Promethazine HCL 25mg each or Zofran 8mg, or both

1 Sodium Bicarbonate 10mEq

2 Sodium Bicarbonate 50mEg each

1 Irrigation solution, 500cc

[ 4 Ammonia capsules

] 4,000cc Ringers Lactate or Normal Saline

[1]4 Normal Saline for injection/inhalation[ (nebulizer and saline locks)]

OPTIONAL DRUGS

Acetaminophen 160mg/5ml

Adenosine

Atrovent

Calcium Chloride

Furosemide

Haldol

Lorazapam

Magnesium Sulfate

Meperidine

Oxytocin

Vasopressin

Nerve Agent Antidote kits (Mark I Kits or DuoDote)

CyanoKit

(2) If a licensed or designated agency desires to carry different equipment, supplies, or medication from the vehicle supply requirements, it must submit a written request from the off-line medical director to the Department requesting the variance. The request shall include:

(a) a detailed training outline;

(b) protocols;

(c) proficiency testing;

(d) support documentation;

(e) local EMS Council or committee comments; and

(f) a detailed letter of justification.

(3) All equipment, except disposable items, shall be so designed, constructed, and of such materials that under normal conditions and operations, it is durable and capable of withstanding repeated cleaning. The permittee:

(a) shall clean the equipment after each use in accordance with OSHA standards;

(b) shall sanitize or sterilize equipment prior to reuse;

(c) may not reuse equipment intended for single use;

(d) shall clean and change linens after each use; and

(e) shall store or secure all equipment in a readily accessible and protected manner and in a manner to prevent its movement during a crash.

(4) The permittee shall have all equipment tested, maintained, and calibrated in accordance with the manufacturer's standards.

(a) the permittee shall document all equipment inspections, testing, maintenance, and calibrations. Testing or calibration conducted by an outside service shall be documented and available for Department review.

(b) a permittee required to carry any of the following equipment shall perform monthly inspections to ensure its ability to function correctly:

(i) defibrillator, manual or automatic;

(ii) autovent;

(iii) infusion pump;

(iv) glucometer;

(v) flow restricted, oxygen-powered ventilation devices;

(vi) suction equipment;

(vii) electronic Doppler device;

(viii) automatic blood pressure/pulse measuring device;

(ix) pulse oximeter.

(c) for all pieces of required equipment that require consumables for the operation of the equipment; power supplies; electrical cables, pneumatic power lines, hydraulic power lines, or related connectors, the permittee shall perform monthly inspections to ensure their correct function.

(5) A licensee shall:

(a) store all medications according to the manufacturers' recommendations for temperature control and packaging requirements; and

(b) return to the supplier for replacement any medication known or suspected to have been subjected to temperatures outside the recommended range.

 

KEY: emergency medical services

Date of Enactment or Last Substantive Amendment: [November 1, 2005]2008

Notice of Continuation: October 1, 2004

Authorizing, and Implemented or Interpreted Law: 26-8a