SECTION 310:641-11-12. Equipment for specialty care transport vehicles (air and ground)

(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(b)   Licensed specialty care ambulance services shall ensure that all recalled, outdated, misbranded, adulterated, or deteriorated fluids, supplies, and medications are removed from ambulances immediately.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 will be detailed on a unit checklist described in the ambulance file section of this subchapter.

(2)   The medications authorized by the medical director will be detailed on the unit checklist described in the ambulance files section of this subchapter, 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, suction devices, pulse oximetry, glucometers, capnography monitors, end-tidal co2 monitors, CPAP/BiPAP devices, ventilators, and blood pressure monitors.

[Source: Amended and renumbered from 310:641-3-47 at 33 Ok Reg 1529, eff 9-11-16]