Health System Compliance Division Inspection Department Ambulance Inspection Checklist Class III Advanced Life Support (ALS)

Size: px
Start display at page:

Download "Health System Compliance Division Inspection Department Ambulance Inspection Checklist Class III Advanced Life Support (ALS)"

Transcription

1 Health Authority - Abu Dhabi ھيئة الصحة - أبو ظبي Health System Compliance Division Inspection Department Ambulance Inspection Checklist Class III Advanced Life Support (ALS) A- Ventilation and Airway Equipment - Suction Apparatus and accessories: Portable Suction Installed (fixed) suction Wide bore tubing Rigid Pharyngeal or tonsillar curved suction tip (adult & pediatric) Flexible suction catheters F -4F Min Qty each each Yes No - Portable oxygen equipment Portable oxygen cylinder Constant flow regulator with adjustable flow rate 3- Installed fixed oxygen equipment (Min patients) Fixed oxygen tank Remaining tank- pressure gauge Variable flow regulator Wall mounted standard oxygen port with quick disconnect 4- Oxygen administration equipment Laryngoscope handle with extra batteries & bulbs, adult & pediatric. Laryngoscope blades, straight & curved, adult, child, & infant sizes. Endotracheal tubes (cuffed, un-cuffed) adult, child, & infant sizes. 0-mL non-luerlock syringes Stylettes for endotracheal tubes, adult & pediatric Magill forceps, adult & pediatric Nasogastric tubes, adult & pediatric sizes. End-tidal CO detectors (colorimetric or quantitative Nasal cannula (adult, child, & infant sizes) Transparent non-re-breathing and valve-less mask (adult, child, & infant sizes) Oxygen mask (adult, child, & infant sizes) & oxygen tubing (adequate length) Pocket mask with one way valve each each 0 each each each each each each

2 - Bag valve mask resuscitators hand operated self b re-expanding bag with O reservoir/ accumulator (adult & infant sizes) each clear mask (adult, child, & infant sizes) each Clear disposable valves 6- Airways Nasopharyngeal sizes (adult, child, & infant) Oropharyngeal sizes (adult, child, & infant) each each B- Monitoring and Defibrillation (licensed trained team) - Portable, battery-operated monitor/defibrillator With tape write-out/recorder, defibrillator pads, quicklook paddles or hands-free patches, ECG leads, adult & pediatric chest attachment electrodes, adult & pediatric paddles, with capability to provide electrical discharge below watt-seconds. Transcutaneous cardiac pacemaker (either standalone unit or integrated into monitor/defibrillator) 3. Pulse oximetry with adult & pediatric probes sets C- Immobilization Devices -Rigid cervical collars for adult, child, & infant (small, medium, & large sizes) or adjustable. - Head immobilization device (not sand bag) firm padding or commercial device 3- Lower extremity (femur) traction devices supporting slings/ padded ankle hitch/ padded pelvic support / traction strap (adult & child sizes) 4- Upper and lower extremity immobilization devices joint above and joint below fracture (adult & child sizes) rigid support appropriate material (cardboard, metal, pneumatic, vacuum, wood or plastic) each each sets packs - Radiolucent backboards (long, short) and extraction device used for head immobilization,spine immobilization, head to feet immobilization. sets D- Dressings and Bandages - Sterile burn sheets - Triangular bandages

3 3- Sterile Dressings abdominal pad. 4x4 gauze sponges 4- Sterile gauze rolls (various sizes) - Non sterile Elastic bandages (various sizes) 6- Sterile occlusive dressing 3x8 or larger 7- Adhesive tape Various sizes of or 3 hypo-allergic Various sizes of or 3 adhesive E- Communication - Installed two-way radio communication 0 each each 0 each each each - Cellular phone F- Obstetrical - Separate sterile kit containing at least : towels, 4 4 dressing, sterile scissors, bulb suction, towels, blanket, surgical gloves, sterile disposable scalpel, cord clamps, and plastic bag for placenta disposal. - Thermal absorbent blanket and head cover, aluminum foil roll, or appropriate heat-reflective material (enough to cover new born). G- Compartment - Clean - A/C and humidity control 3- Electric (internal/ external) supply bulbs 4- Spacious - Secure 6- Fridge or ice container for refrigerated medications 7- Fire extinguisher 8- Flash lights with extra batters and bulbs. kits 0- Stair chair or equivalent seated transport device. - Ambulance wheeled cot with mounted cot fastening system - Folding stretcher H- Miscellaneous - Sphygmomanometer (cuff size for infant, pediatric, adult) - Stethoscope (pediatric/adult) 3- Length/weight based chart for pediatric equipment sizing 4- Thermometer with low temperature capability 3

4 - Heavy bandage or paramedic scissors for cutting clothing, belts and boots. 6- Cold packs 7-Sterile saline solution for irrigation. 8- I.V administration set (microdrip & macrodrip). 9- Blankets, sheets, linen, or paper, pillows pillowcase, and towels 0- Disposable standard sharps containers - Disposable emesis bags or basins - Disposable bedpan 3- Disposable urinal 4- Patient care charts/ forms - Syringes (0ml x, 30ml x,0ml x, 3ml x,ml x) 6- Gauge needles (various sizes). 7- Glucometer or blood glucose measuring device (with reagent strips) 8- Tourniquet 9- Intravenous arm boards, adult & pediatric 0- Intravenous catheters different sizes - Alcohol & povidone-iodine wipes - Crystalloid solutions, Ringer's lactate or normal saline, & dextrose % in water. 3. Nebulizer 4- Blank Labels I- Infection Control (all equipments should be latex-free) - Eye protection (full peripheral glasses or goggles, or face Shield - Masks and or HEPA masks 3- Gloves non sterile/ sterile, Jumpsuits or gowns, Shoe Covers. 4- Disinfectant hand wash - Disinfectant solution for cleaning equipments 6- Disposable trash bags and biohazard bags pack /each each each each each packet each each J- Medication. Activated Charcoal (Suspension). Albuterol nebulization (Ventolin ) 3. Antibacterial lubricating jelly (Sterile Lubricating Jelly). 4. Aromatic Ammonia. Glucose (Oral/ IV) 6. IV Fluids (Various dissolution, sizes and concentration) 7. Sulfadiazine silver (burn cream) 8. Paracetamol!gm IV 9. Metochlorpopramide and or Ondansetrone bottles vial 0 boxes Vial 0 Vials 4

5 * Sealed code box supervised and controlled by the EMT-P, verifying content after each trip, checked by the pharmacist for expired items, arranged inside as per attached chart mainly including the following; - Adenosine 6mg/ml - Aminophylline 0mg/0ml 3- Amiodarone 0mg 4- Aspirin 300mg tablets ( EC) - Atropine sulfate 0.6mg/ml 6- Calcium Chloride 0% (0ml) 7- Calcium Gluconate 0% (g/0ml) 8- Dextrose 0% (g/0ml) 9- Dextrose 0% in water (0, 00, 000 ml) 0- Diazepam 0mg injection -Diazoxide 300mg/0ml - Digoxin 0.mg/ml (0.mg/ml) 3- Diphenhydramine 0mg/ml 4- Dobutamine 0mg - Dopamine 00mg/ml 6- Epinephrine mg/0 (IV) 7- Furosemide 0mg/ml 8- Glucagon -mg vial 9- Haldol mg/ml 0- Heparin Sodium 0units/ ml - Hydrocortisone 0mg/ml - Insulin soluble (Human) 3- Labetolol 00mg/0ml 4- Lidocaine 00mg/ ml (preload) -Magnesium Sulfate 0% (g/ml) 6- Methylpresnisolone 80mg/ml 7- Morphine Sulfate 0mg/ml 8- Naloxone 0.4mg/ml X amp 9- Nitroglycerin Spray (Sublingual) 30- Norepinephrine mg/ml (4ml) 3- Normal Saline injection 3- Phentolamine 0mg/Vial 33- Phenytoin 0mg/ ml 34- Pralidoxine Chloride g/vial 3- Procainamide 000mg/ 0ml 36- Propranolol mg/ml 37- Sodium Bicarbonate 0 Meq/0 ml Syrin (8.4%) 38- Sodium Bicarbonate 0ml Ped Syringe 39- Sterile Water for injsection 0ml 40-Thiamine 00mg/ml 4- Verapamil mg/ml Vials vials 3 Amp 3 vials 3 Amp amp amp syrin Bags syrin vials Amp Amp 0 tabs vials Tubex 4 Amp amp amp Vials 4 vials vials Vials Vials Vials Syri Vials Amp Vial Amp Cans Amp Bags Vials Vials Vial Vials Vials 3 Amp Syrin Syrin

6 K-Optional Advanced Equipment - Portable automatic ventilator - Alternative airway devices (double lumen tube airway) 3- Umbilical vein catheters different sizes L- Operating personnel (EMT-P and EMT-) Certified Well trained each each NOTE: All perishable and heat sensitive materials (plastic and silicon items, e.g. oxygen masks, intubation tubes, syringes, etc.) should be stored in appropriate labeled transport bags in an easily accessible location, i.e. Emergency Department and maintained in a complete and prepared condition. M- Facility Name: Ambulance Tag #: N-Comments:... O- Inspectors Name/ Signature: - Name: Sig: Date: - Name: Sig: Date: P- Inspection Department Manager Opinion/Conclusion: Name: Sig: Date: 6

7 7

NCCEP Standards. NCCEP Standards for EMS Equipment

NCCEP Standards. NCCEP Standards for EMS Equipment NCCEP Standards NCCEP Standards for EMS Equipment Performance Standards 2009 . The baseline equipment required in all systems (including Specialty Care Transport Programs) with EMS personnel credentialed

More information

OFFICIAL AIR AMBULANCE, GROUND AMBULANCE, AND FIREFIGHTING AGENCY INVENTORY

OFFICIAL AIR AMBULANCE, GROUND AMBULANCE, AND FIREFIGHTING AGENCY INVENTORY OFFICIAL AIR AMBULANCE, GROUND AMBULANCE, AND FIREFIGHTING AGENCY INVENTORY Pursuant to Health District EMS Regulations Sections 900.100 and 1000.100 any Air Ambulance or Ground Ambulance that is permitted

More information

Ground Vehicle Supply Requirements for EMR Quick Response Units.

Ground Vehicle Supply Requirements for EMR Quick Response Units. Ground Vehicle Supply Requirements for EMR Quick Response Units. Ring cutters 2 Blood pressure cuffs, one adult, one pediatric 2 Stethoscopes, one adult and one pediatric or combination 2 Heavy duty shears

More information

PRACTICE GUIDELINE EM006. RESUSCITATION TROLLEY EQUIPMENT General Practice rooms In-hospital: wards, clinics, and other non-emergency areas

PRACTICE GUIDELINE EM006. RESUSCITATION TROLLEY EQUIPMENT General Practice rooms In-hospital: wards, clinics, and other non-emergency areas PRACTICE GUIDELINE EM006 RESUSCITATION TROLLEY EQUIPMENT General Practice rooms In-hospital: wards, clinics, and other non-emergency areas This Practice Guideline sets out the minimum recommended contents

More information

SECTION OF EMERGENCY MEDICAL SERVICES MINIMUM REQUIRED EQUIPMENT LIST PARAMEDIC

SECTION OF EMERGENCY MEDICAL SERVICES MINIMUM REQUIRED EQUIPMENT LIST PARAMEDIC MINIMUM REQUIRED EQUIPMENT LIST PARAMEDIC Trauma Dressing (2) Isolation Kits (2) OB Kit (1) - must contain Bulb syringe Betadine Solution (1 Bottle) Hemostat Window Punch Scalpel Exam Gloves (1 Box) Sterile

More information

CONTRA COSTA HEALTH SERVICES EMERGENCY MEDICAL SERVICES

CONTRA COSTA HEALTH SERVICES EMERGENCY MEDICAL SERVICES CONTRA COSTA HEALTH SERVICES EMERGENCY MEDICAL SERVICES AMBULANCE EQUIPMENT AND SUPPLY REQUIREMENTS. Vehicles a. Ambulance vehicles shall meet standards specified in Title 3, California Code of Regulations,

More information

ALS Ambulance. Limited (L-ALS) Laryngoscope blades (Adult) straight 1 set 1 set N/A 1 set

ALS Ambulance. Limited (L-ALS) Laryngoscope blades (Adult) straight 1 set 1 set N/A 1 set NAPA COUNTY EMS AGENCY Minimum Equipment Requirements ADMINISTRATIVE POLICY 4004 The following list is applicable to all EMS providers within Napa County. This list is not all inclusive and serves as a

More information

Pediatric Equipment for Ground Ambulances

Pediatric Equipment for Ground Ambulances Pediatric Equipment for Ground Ambulances All equipment recommendations in this document have been developed and collaborated with by the following groups: American Academy of Pediatrics American College

More information

CONTRA COSTA HEALTH SERVICES EMERGENCY MEDICAL SERVICES

CONTRA COSTA HEALTH SERVICES EMERGENCY MEDICAL SERVICES First Responder Equipment List CONTRA COSTA HEALTH SERVICES EMERGENCY MEDICAL SERVICES I. PURPOSE The purpose of this policy is to establish minimum emergency medical equipment requirements for First Responder

More information

GENERAL INSTRUCTIONS. The regulations can be downloaded from the Section s web site at: http://www.chems.alaska.gov 2 AS 18.08.084

GENERAL INSTRUCTIONS. The regulations can be downloaded from the Section s web site at: http://www.chems.alaska.gov 2 AS 18.08.084 GENERAL INSTRUCTIONS Attached is a copy of the application for use by out-of-hospital ground emergency medical services. This application can be used for either initial certification or recertification.

More information

Class 1 Facility: General Anesthesia

Class 1 Facility: General Anesthesia EMERGENCY CART MEDICATION AND EQUIPMENT Class 1 Facility: General Anesthesia Top of Cart: Defibrillator/Lead II Monitoring Equipment ACLS algorithms and drug information (binder or laminated cards for

More information

PENNSYLVANIA DEPARTMENT OF HEALTH EMERGENCY MEDICAL SERVICES OFFICE. Vehicle # ALS Mobile Care and BLS Inspection Checklist

PENNSYLVANIA DEPARTMENT OF HEALTH EMERGENCY MEDICAL SERVICES OFFICE. Vehicle # ALS Mobile Care and BLS Inspection Checklist PENNSYLVANIA DEPARTMENT OF HEALTH EMERGENCY MEDICAL SERVICES OFFICE Vehicle # ALS Mobile Care and BLS Inspection Checklist I. GENERAL INFORMATION: Date Stickers: Yes No Decals: Yes No Name of Ambulance

More information

Enables MDA Medical Teams to categorize victims in mass casualty scenarios, in order to be able to triage and treat casualties

Enables MDA Medical Teams to categorize victims in mass casualty scenarios, in order to be able to triage and treat casualties MDA Disposable ALS + BLS Medical Ambulance Equipment Prices shown in CDN. Funds Items Description Picture Mass Casualty ID tag 1000 units = $350 Enables MDA Medical Teams to categorize victims in mass

More information

AHA Instructor Renewal

AHA Instructor Renewal AHA Instructor Renewal Thank you for your continuing on as American Heart Association AHA Instructor! In this packet you will we have provided information on: A detailed outline of the process to renew

More information

Ground Ambulance Equipment and Supply List

Ground Ambulance Equipment and Supply List This is the minimum equipment and supplies required on-board during response and patient transport for BLS (Class B) and ALS (Class C) EMS vehicles. All equipment must be operational. When applicable,

More information

Fortnight commencing:

Fortnight commencing: RESUSCITATION TROLLEY BASIC CONTENTS AND LAYOUT - CHECKLIST Fortnight commencing: DESCRIPTION MONITOR/DEFIB TRAY Lifepak12/15 monitor/defib (Therapy Cable Attached) Battery support unit connected to Lifepak

More information

ALS Training Equipment Checklist. County of Training Institute Training Institute Accreditation # Inspected By

ALS Training Equipment Checklist. County of Training Institute Training Institute Accreditation # Inspected By Training Equipment Checklist Training Institute Name Date Inspected County of Training Institute Training Institute Accreditation # Inspected By Types of Programs Conducted: Paramedic Paramedic Refresher

More information

APPLICATION FORM FOR ADVANCED LIFE SUPPORT AMBULANCE. (For Certification by Committee for Registration of Ambulances in Delhi)

APPLICATION FORM FOR ADVANCED LIFE SUPPORT AMBULANCE. (For Certification by Committee for Registration of Ambulances in Delhi) APPLICATION FORM FOR ADVANCED LIFE SUPPORT AMBULANCE (For Certification by Committee for Registration of Ambulances in Delhi) 1. Applicant Details Name of the Applicant : (in Block letters) Name of the

More information

Emergency Medical Services Division. ALS Bike Medic Program Policies and Procedures August 15, 2014

Emergency Medical Services Division. ALS Bike Medic Program Policies and Procedures August 15, 2014 Emergency Medical Services Division ALS Bike Medic Program Policies and Procedures August 15, 2014 Edward Hill EMS Director Robert Barnes, M.D. Medical Director Table of Contents I. GENERAL PROVISIONS:...

More information

County of Kern. Emergency Medical Services. ALS BOAT MEDIC PROGRAM May 13, 2013

County of Kern. Emergency Medical Services. ALS BOAT MEDIC PROGRAM May 13, 2013 County of Kern Emergency Medical Services ALS BOAT MEDIC PROGRAM May 13, 2013 Ross Elliott Director Robert Barnes, M.D. Medical Director Table of Contents I. GENERAL PROVISIONS:... 1 II. ALS BOAT MEDIC

More information

SAN LUIS OBISPO COUNTY EMERGENCY MEDICAL SERVICES AGENCY PREHOSPITAL POLICY

SAN LUIS OBISPO COUNTY EMERGENCY MEDICAL SERVICES AGENCY PREHOSPITAL POLICY SAN LUIS OBISPO COUNTY EMERGENCY MEDICAL SERVICES AGENCY PREHOSPITAL POLICY Reference Policy No: 210 [01/15/2013] Formerly Policy No: 121A Effective Date: 05/01/1998 Supersedes: N/A Review Date: 05/01/2010

More information

DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT. Health Facilities and Emergency Medical Services Division

DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT. Health Facilities and Emergency Medical Services Division DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT Health Facilities and Emergency Medical Services Division 6 CCR 1015-3 Chapter 4 Licensure of Ground Ambulance Services Rules Pertaining To Emergency Medical

More information

TRANSPORT PROTOCOLS FOR PATIENTS ON AN INTRA-AORTIC BALLOON PUMP

TRANSPORT PROTOCOLS FOR PATIENTS ON AN INTRA-AORTIC BALLOON PUMP TRANSPORT PROTOCOLS FOR PATIENTS ON AN INTRA-AORTIC BALLOON PUMP Courtesy of Datascope Corp. Clinical Support Services Department TABLE OF CONTENTS Objectives of the Transport Team 2 Interfacility Transfer

More information

Aerospace Medical Association

Aerospace Medical Association Paulo M. Alves, MD Anthony D. Evans, MBChB Frank S. Pettyjohn, MD Claude Thibeault, MD Aerospace Medical Association Medical Guidelines for Airline Travel In-flight Medical Care Reviewed and accepted by

More information

SUBJECT: BASIC LIFE SUPPORT AMBULANCE EQUIPMENT REFERENCE NO. 710

SUBJECT: BASIC LIFE SUPPORT AMBULANCE EQUIPMENT REFERENCE NO. 710 SUBJECT: BASIC LIFE SUPPORT AMBULANCE EQUIPMENT REFERENCE NO. 70 POLICY: NOTE: Ambulances dedicated for infant transportation or when staffed and equipped for use in conjunction with newborn intensive

More information

CITY OF HOUSTON Department of Health and Human Services Emergency Medical Services Program

CITY OF HOUSTON Department of Health and Human Services Emergency Medical Services Program Ambulance Service Permit Application Process New Applicants: Please read and complete the following application carefully. Make sure all information is accurate to prevent a delay in verification and processing.

More information

Central DuPage Hospital EMS Equipment / Medication List License Plate: Supplies Ordered By: Care AMB T/P AMB AIRWAY

Central DuPage Hospital EMS Equipment / Medication List License Plate: Supplies Ordered By: Care AMB T/P AMB AIRWAY Central DuPage Hospital EMS Equipment / Medication List 06 Department Name: Date: Checked By: Vehicle Number: System Inspection: PASS FAIL License Plate: Supplies Ordered By: VIN: Supply Order Date: ITEM

More information

CITY OF HOUSTON Department of Health and Human Services Emergency Medical Services Program

CITY OF HOUSTON Department of Health and Human Services Emergency Medical Services Program Ambulance Service Permit Application Process New Applicants: Please read and complete the following application carefully. Make sure all information is accurate to prevent a delay in verification and processing.

More information

OPERATIONAL INSTRUCTION

OPERATIONAL INSTRUCTION HEALTH DEPARTMENT OF WESTERN AUSTRALIA OPERATIONAL INSTRUCTION Enquiries to: Susanne Williams Number: OP 0642/95 (09) 222 4075 Date: 26 September 1995 Supersedes: File No: 94-02185 Subject: EMERGENCY RESUSCITATION

More information

PLEASE NOTE. For more information concerning the history of these regulations, please see the Table of Regulations.

PLEASE NOTE. For more information concerning the history of these regulations, please see the Table of Regulations. PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to September 1, 2013. It is intended for information and reference purposes

More information

Premier Pharmaceutical, Medical Equipment, Supply and Distribution FAQs

Premier Pharmaceutical, Medical Equipment, Supply and Distribution FAQs Premier Pharmaceutical, Medical Equipment, Supply and Distribution FAQs Who is the Lead Agency for the Pharmaceutical, Medical Equipment, and Supply Contract? Dane County Wisconsin RFP# 113102. Who is

More information

Equipment List. Equipment Quantity Needed Lessons Needed

Equipment List. Equipment Quantity Needed Lessons Needed Equipment List The following table lists the equipment needed for this course. Use the lesson map or cue sheet to make sure you have all the equipment you need for each station. The equipment used for

More information

EQUIPMENT FOR GROUND AMBULANCES Summary of Changes 2009-2014

EQUIPMENT FOR GROUND AMBULANCES Summary of Changes 2009-2014 EQUIPMENT FOR GROUND AMBULANCES Summary of Changes 2009-2014 American Academy of Pediatrics American College of Emergency Physicians American College of Surgeons Committee on Trauma Emergency Medical Services

More information

PAEMS BLS Non-Transport Supply List (Use in conjunction with IDPH Non-Transport Vehicle Inspection Form)

PAEMS BLS Non-Transport Supply List (Use in conjunction with IDPH Non-Transport Vehicle Inspection Form) PAEMS BLS Non-Transport Supply List (Use in conjunction with IDPH Non-Transport Vehicle Inspection Form) 5 Triangular bandages 10 Rolls kling/self-adhering roller bandages 6 Trauma dressings 20 Sterile

More information

Emergency Medical Services Advanced Level Competency Checklist

Emergency Medical Services Advanced Level Competency Checklist Emergency Services Advanced Level Competency Checklist EMS Service: Current License in State of Nebraska: # (Copy of license kept in file at station) Date of joining EMS Service: EMS Service Member Name:

More information

MLIB Safety Program First Aid Equipment

MLIB Safety Program First Aid Equipment and Supplies Inventory Checklist First aid equipment, supplies and facilities must be kept clean, dry and ready for use, and be readily accessible at any time a worker works in the workplace. Inventory

More information

Standard Paramedic Kit. Primary Response Bag. Front Pocket (loose)

Standard Paramedic Kit. Primary Response Bag. Front Pocket (loose) Standard Paramedic Kit Primary Response Bag Front Pocket (loose) Manual BP kit (3 different sizes) 1 pouch Small Sharps box 1 Front Pocket (in pouch/module) Glucometer 1 Water for Injections: 10ml 5 BM

More information

Registration of Ambulances

Registration of Ambulances GOVERNMENT OF NATIONAL CAPITAL TERRITORY OF DELHI (HEALTH & FAMILY WELFARE DEPARTMENT) ROOM No.905,9 th FLOOR, A WING, DELHI SECRETARIAT, NEW DELHI Registration of Ambulances The Committee of Health and

More information

Title: EMT Equipment List Owner: LD Approval Date: September September 2015

Title: EMT Equipment List Owner: LD Approval Date: September September 2015 Title: EMT Equipment List 2015 Owner: LD Approval Date: September 2015 September 2015 Assessment Name: Vital Signs Unique Identifier: EMT_SSMA_P001 Level / Section: EMT / Patient Assessment Current Version:

More information

Face Mask. High Risk Latex Exam Gloves - 10mil. High Risk Latex Exam Gloves - 15mil. Black Latex Gloves. Black Nitrile Gloves.

Face Mask. High Risk Latex Exam Gloves - 10mil. High Risk Latex Exam Gloves - 15mil. Black Latex Gloves. Black Nitrile Gloves. Reorder No. Item Description Face Mask 2295 N95 Particulate Respirator Mask, molded, 12/20/Cs High Risk Latex Exam Gloves - 10mil 2310 High Risk Latex Exam Glove P/F - Sm 10mil 10/50/Cs 2311 High Risk

More information

109-2-13 Standards for fixed-wing ambulance aircraft and equipment. (a) Each air

109-2-13 Standards for fixed-wing ambulance aircraft and equipment. (a) Each air 109-2-13 Standards for fixed-wing ambulance aircraft and equipment. (a) Each air ambulance operator shall comply with all Federal Aviation Regulations as contained in 14 C.F.R. Parts 91 and 135, as in

More information

The Emergency Department Cork University Hospital. Pre-hospital Care Standard Operating Procedure Medical Equipment Bag & Drug s Bag Contents

The Emergency Department Cork University Hospital. Pre-hospital Care Standard Operating Procedure Medical Equipment Bag & Drug s Bag Contents The Emergency Department Cork University Hospital Pre-hospital Care Standard Operating Procedure Medical Equipment Bag & Drug s Bag Contents APPROVED: Dr. Stephen Cusack, Medical Director, Emergency Department,

More information

Located On IV Pole Front of cart- Arrest Board

Located On IV Pole Front of cart- Arrest Board ADULT CRASH CART Adult Crash Cart First Supply To Expire Located On IV Pole Front of cart- Arrest Board In a Sleeve (back of cart) Top of cart Clipboard Zoll- checklist Exam gloves- 1 box under defib ACLS

More information

THE TEXAS EMS FOR CHILDREN VOLUNTARY PEDIATRIC RECOGNITION PROGRAM

THE TEXAS EMS FOR CHILDREN VOLUNTARY PEDIATRIC RECOGNITION PROGRAM THE TEXAS EMS FOR CHILDREN VOLUNTARY PEDIATRIC RECOGNITION PROGRAM July 18, 2014 Dear EMS Agency Administrator: It is my pleasure to introduce a new voluntary statewide initiative that is being sponsored

More information

ARTICLE 4.03 AMBULANCE SERVICE* Division 1. Generally

ARTICLE 4.03 AMBULANCE SERVICE* Division 1. Generally ARTICLE 4.03 AMBULANCE SERVICE* Division 1. Generally Sec. 4.03.001 Penalty for violation Any person violating the provisions of this article shall be punished as provided in section 1.01.009. Sec. 4.03.002

More information

Procedure Code A4215 22 Insulin pen needles A4230 Infusion set for external insulin pump, non needle cannula type A4231 Infusion set for external

Procedure Code A4215 22 Insulin pen needles A4230 Infusion set for external insulin pump, non needle cannula type A4231 Infusion set for external A4215 22 Insulin pen needles A4230 Infusion set for external insulin pump, non needle cannula type A4231 Infusion set for external insulin pump, needle type A4232 Syringe with needle for external insulin

More information

E q u i pm e n t f o r A m b u l a n c e s

E q u i pm e n t f o r A m b u l a n c e s American College of Surgeons CommittEE on Trauma American College of Emergency Physicians national Association of Ems Physicians pediatric Equipment Guidelines CommittEE Emergency medical services for

More information

ALFRED I. dupont HOSPITAL FOR CHILDREN CODE BLUE RESPONSE TEAM ROLES

ALFRED I. dupont HOSPITAL FOR CHILDREN CODE BLUE RESPONSE TEAM ROLES ALFRED I. dupont HOSPITAL FOR CHILDREN CODE BLUE RESPONSE TEAM ROLES CODE LEADER: PICU/ES/PEDS Attending or PGY 3 Directs all code blue activities, assigns all roles Gives orders for medications, fluids,

More information

CIVIL AVIATION REQUIREMENTS SECTION 2 AIRWORTHINESS SERIES X PART III DATED 12 TH JUNE, 1997 EFFECTIVE: 1 st MARCH 2011

CIVIL AVIATION REQUIREMENTS SECTION 2 AIRWORTHINESS SERIES X PART III DATED 12 TH JUNE, 1997 EFFECTIVE: 1 st MARCH 2011 GOVERNMENT OF INDIA OFFICE OF THE DIRECTOR GENERAL OF CIVIL AVIATION TECHNICAL CENTRE, OPP. SAFDARJUNG AIRPORT, NEW DELHI-110 003 CIVIL AVIATION REQUIREMENTS SECTION 2 AIRWORTHINESS SERIES X PART III DATED

More information

Authorized Procedure List

Authorized Procedure List Agency Name: Authorized Procedure List Agency Director Signature: Medical Director Signature: Airway Airway Assessment Oxygen Therapy--Nasal Cannula Oxygen Therapy--Non Rebreather Mask Oxygen Therapy-Partial

More information

(a) A fixed-wing air medical provider that advertises and/or operates in Texas is required to have a valid Texas EMS Provider License.

(a) A fixed-wing air medical provider that advertises and/or operates in Texas is required to have a valid Texas EMS Provider License. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 DRAFT 3 157.13 November 19, 2006 157.12 Fixed-Wing Air Medical Operations (a) A fixed-wing

More information

Emergency Medications Approved for Use at VAPAHCS

Emergency Medications Approved for Use at VAPAHCS Table 1: Medications (PAD GM&S) Emergency Medications Approved for Use at VAPAHCS PAD GM&S (See HCSM 11-12-35 Attachment A CPR Committee Atropine 1mg/10ml syringe X 3 Normal saline 1000ml bag X 2 Sodium

More information

VOLUNTARY AMBULANCE INSPECTION PROGRAM SEAL OF EXCELLENCE

VOLUNTARY AMBULANCE INSPECTION PROGRAM SEAL OF EXCELLENCE Maryland Institute for Emergency Medical Services Systems VOLUNTARY AMBULANCE INSPECTION PROGRAM SEAL OF EXCELLENCE Voluntary Ambulance Inspection Program Standards Effective March, 00 Table of Contents

More information

CHAPTER 64J-1 Emergency Medical Services

CHAPTER 64J-1 Emergency Medical Services CHAPTER 64J-1 Emergency Medical Services 64J-1.001 64J-1.002 64J-1.003 64J-1.004 64J-1.005 64J-1.006 64J-1.007 64J-1.008 64J-1.009 64J-1.010 64J-1.011 64J-1.012 64J-1.013 64J-1.014 64J-1.015 64J-1.017

More information

Stretcher Transportation Services

Stretcher Transportation Services Stretcher Transportation Services Standards for Safety and Quality s in Hospital Contracts with STS Providers April 20, 2015 Version 1.0 Implementation Branch Health System Performance and Accountability

More information

Crash Cart Drugs Drugs used in CPR. Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University

Crash Cart Drugs Drugs used in CPR. Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Crash Cart Drugs Drugs used in CPR Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Introduction A list of the drugs kept in the crash carts. This list has been approved by the

More information

ESIC MODEL HOSPITAL CUM ODC

ESIC MODEL HOSPITAL CUM ODC ESIC MODEL HOSPITAL CUM ODC M.I.D.C. ANDHERI (E), MUMBAI 400 093. Telefax : 022 28203266 EPBX 28367203-07. Email :- ms-andheri@esic.nic.in EMHA/Mum/Ambulance/AG/ /2013 Dt-10/01/2015 To, Sub: Sealed quotations

More information

Target groups: Paramedics, nurses, respiratory therapists, physicians, and others who manage respiratory emergencies.

Target groups: Paramedics, nurses, respiratory therapists, physicians, and others who manage respiratory emergencies. Overview Estimated scenario time: 10 15 minutes Estimated debriefing time: 10 minutes Target groups: Paramedics, nurses, respiratory therapists, physicians, and others who manage respiratory emergencies.

More information

Instructor Transfer. Please know that the transfer process can take up to 30 days.

Instructor Transfer. Please know that the transfer process can take up to 30 days. INSTRUCTOR TO KEEP PAGES 1-2 Instructor Transfer Thank you for your interest in aligning as an American Heart Association Instructor with EMT Associates! In this packet you will find the process to complete

More information

NOTICES. Approved and Required Medications Lists for Emergency Medical Services Agencies and Emergency Medical Services Providers

NOTICES. Approved and Required Medications Lists for Emergency Medical Services Agencies and Emergency Medical Services Providers NOTICES Approved and Required Medications Lists for Emergency Medical Services Agencies and Emergency Medical Services Providers [45 Pa.B. 5451] [Saturday, August 29, 2015] Under 28 Pa. Code 1027.3(c)

More information

UC Davis Medical Center Emergency Medicine Airway Equipment: Contents, Cleaning and Stocking

UC Davis Medical Center Emergency Medicine Airway Equipment: Contents, Cleaning and Stocking UC Davis Medical Center Emergency Medicine Airway Equipment: Contents, Cleaning and Stocking Introduction: Due to the large volume of critically ill patients who present for care at the U.C. Davis Emergency

More information

3. Part II must be completed by the instructor or authorized official representing the educational program where you obtained your initial training.

3. Part II must be completed by the instructor or authorized official representing the educational program where you obtained your initial training. Dear Applicant: KANSAS BOARD OF EMERGENCY MEDICAL SERVICES RECOGNITION OF NON-KANSAS CREDENTIALS 900 SW JACKSON AVENUE, SUITE 1031, TOPEKA, KS 66612 785-296-7296 FAX: 785-296-6212 The attached form must

More information

Medications or therapeutic solutions may be injected directly into the bloodstream

Medications or therapeutic solutions may be injected directly into the bloodstream Intravenous Therapy Medications or therapeutic solutions may be injected directly into the bloodstream for immediate circulation and use by the body. State practice acts designate which health care professionals

More information

NOTICES DEPARTMENT OF HEALTH

NOTICES DEPARTMENT OF HEALTH NOTICES DEPARTMENT OF HEALTH Approved Drugs for ALS Ambulance Services [43 Pa.B. 3060] [Saturday, June 1, 2013] Under 28 Pa. Code 1005.11 (relating to drug use, control and security), the following drugs

More information

Allergy Emergency Treatment Protocol

Allergy Emergency Treatment Protocol Allergy Emergency Treatment Protocol I. Initial evaluation of possible allergic reaction a. Cease administration of allergenic extracts b. Notify physician c. Record vital signs: blood pressure, pulse,

More information

Scope of Practice Approved by the State Board of EMS (EMS Board), within the Division of EMS of the Ohio Department of Public Safety

Scope of Practice Approved by the State Board of EMS (EMS Board), within the Division of EMS of the Ohio Department of Public Safety Scope of Practice Approved by the State Board of EMS (EMS Board), within the Division of EMS of the Ohio Department of Public Safety This document offers an at-a-glance view of the Scope of Practice for

More information

Occupational Health & Safety. First Aid in Saskatchewan Workplaces

Occupational Health & Safety. First Aid in Saskatchewan Workplaces Occupational Health & Safety First Aid in Saskatchewan Workplaces Occupational Health and Safety Division Table of Contents General Requirements...3 Exemptions...3 First Aid Training...3 First Aid Supplies...5

More information

MEDICAL SUPPORT, TRAINING, AND CASUALTY EVACUATION

MEDICAL SUPPORT, TRAINING, AND CASUALTY EVACUATION 1. GENERAL MEDICAL SUPPORT, TRAINING, AND CASUALTY EVACUATION 1.1 Appropriate medical support and a workable casualty/medical evacuation procedure is one of the principles of mine/uxo clearance and shall

More information

109-2-11 Standards for type V air ambulance vehicles and equipment. (a) The operator shall ensure that the patient compartment is configured in

109-2-11 Standards for type V air ambulance vehicles and equipment. (a) The operator shall ensure that the patient compartment is configured in 109-2-11 Standards for type V air ambulance vehicles and equipment. (a) The operator shall ensure that the patient compartment is configured in such a way that air medical personnel have adequate access

More information

JOINT POLICY STATEMENT

JOINT POLICY STATEMENT JOINT POLICY STATEMENT EQUIPMENT FOR GROUND AMBULANCES American Academy of Pediatrics American College of Emergency Physicians American College of Surgeons Committee on Trauma Emergency Medical Services

More information

Version 2.0. December Emergency Health Services Branch Ministry of Health and Long-Term Care

Version 2.0. December Emergency Health Services Branch Ministry of Health and Long-Term Care Provincial Equipment Standards for Ontario Ambulance Services Version 2.0 December 2011 Emergency Health Services Branch Ministry of Health and Long-Term Care Table of Contents Introduction 1.0 Scope

More information

Union EMS Local Formulary July 18, 2014

Union EMS Local Formulary July 18, 2014 July 18, 2014 Forward The intent of the Union EMS Local Formulary is to provide guidance during the implementation and use of the 2012 NCCEP Protocols, Policies and Procedures to the ALS and BLS Professionals

More information

Procedure 36 Assembling And Priming A Basic Administration Set. Procedure 42 Applying A Transparent Film Dressing To An Intravenous Infusion Site

Procedure 36 Assembling And Priming A Basic Administration Set. Procedure 42 Applying A Transparent Film Dressing To An Intravenous Infusion Site Chapter 7 Intravenous Therapy Procedure 36 Assembling And Priming A Basic Administration Set Procedure 37 Inserting A Peripheral IV In An Adult Procedure 38 Inserting A Heparin Lock Procedure 39 Inserting

More information

STUDENT CLINICAL BOOK

STUDENT CLINICAL BOOK STUDENT CLINICAL BOOK 10/29/2013 Table of Contents STUDENT CLINICAL BOOK REQUIREMENTS:... 1 BOOK ATTESTATION PAGE... 3 STUDENT CLINICAL MANUAL... 4 CLINICAL SIGN IN SHEET... 5 CLINICAL EVALUATION PROGRESS

More information

ED PATIENT INTERFACILITY TRANSFERS

ED PATIENT INTERFACILITY TRANSFERS Page 1 ED PATIENT INTERFACILITY TRANSFERS APPROVED: EMS Medical Director EMS Administrator 1. Purpose 1.1. To provide guidance for emergency departments on ground ambulance transport of patients that require

More information

Advanced Life Support Rotorcraft Ambulance Service Provider

Advanced Life Support Rotorcraft Ambulance Service Provider ARTICLE 3. AIR AMBULANCES Rule 1. Definitions 836 IAC 3-1-1 Definitions Authority: IC 16-31-2-7 Sec. 1. The definitions in 836 IAC 1-1-1 apply throughout this article. (Indiana Emergency Medical Services

More information

Grading Criteria: Scenario grading is based upon, but not limited to the most current editions of the following references as of December 31, 2015:

Grading Criteria: Scenario grading is based upon, but not limited to the most current editions of the following references as of December 31, 2015: Chief Mike Haygood 2016 Broward Invitational ALS Competition ALS TEAM INFORMATION 1 ALS Team Competition Eligibility: Each team will be composed of three (3) paramedics who must function in the out-of-hospital

More information

Chapter 47 Assessment-Based Management While carrying out the assessment in a way, a Paramedic is constantly thinking and reasoning.

Chapter 47 Assessment-Based Management While carrying out the assessment in a way, a Paramedic is constantly thinking and reasoning. 1 2 3 4 5 6 7 8 9 10 11 Chapter 47 Assessment-Based Management While carrying out the assessment in a way, a Paramedic is constantly thinking and reasoning. Inverted Pyramid of Assessment Based Management

More information

Required Ground and Air Ambulance Equipment and Supplies

Required Ground and Air Ambulance Equipment and Supplies Required Ground and Air Ambulance Equipment and Supplies [Correction] An error occurred in this document which appeared at 39 Pa.B. 6172 (October 17, 2009). The correct version is as follows: Under 28

More information

Chapter 60. Emergency Medical Transportation Services Subchapter A. General Provisions PUBLIC HEALTH GENERAL

Chapter 60. Emergency Medical Transportation Services Subchapter A. General Provisions PUBLIC HEALTH GENERAL Louisiana Administrative Code June 2015 284 Chapter 60. Emergency Medical Transportation Services Subchapter A. General Provisions 6001. Definitions Advanced Life Support (ALS) emergency medical care administered

More information

Legal Supplement Part B Vol. 52, No. 51 19th April, 2013 245 REGULATIONS

Legal Supplement Part B Vol. 52, No. 51 19th April, 2013 245 REGULATIONS Legal Supplement Part B Vol. 52, No. 51 19th April, 2013 245 LEGAL NOTICE NO. 58 REPUBLIC OF TRINIDAD AND TOBAGO THE EMERGENCY AMBULANCE SERVICES AND EMERGENCY MEDICAL PERSONNEL ACT, 2009 REGULATIONS MADE

More information

In the process of developing a prevention programme in collaboration with international experts on emergency sports medicine, we have created the:

In the process of developing a prevention programme in collaboration with international experts on emergency sports medicine, we have created the: FIFI{ For the Came. For the WorLd. To the members of FIFA Circular no. 1360 Zurich, June 2013 SG/tre/jdv FIFA Medical Emergency Bag Dear Sir or Madam, During the FIFA Congress 2012 in Budapest, it was

More information

(a) A rotor-wing air medical provider that advertises and/or operates in Texas is required to have a valid Texas EMS Provider License.

(a) A rotor-wing air medical provider that advertises and/or operates in Texas is required to have a valid Texas EMS Provider License. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 DRAFT 7 157.12 November 19, 2006 157.12 Rotor-Wing Air Medical Operations (a) A rotor-wing

More information

NC Department of Health and Human Services Division of Medical Assistance. 2008 Local Education Agencies Cost Report Questions and Answers

NC Department of Health and Human Services Division of Medical Assistance. 2008 Local Education Agencies Cost Report Questions and Answers General Exhibit 1 1) Q. When is LEA cost reporting process effective? A. The cost reporting process is effective as of 7/18/07. 2) Q. What months are covered in the first LEA cost report? A. The first

More information

How to safely collect blood samples from persons suspected to be infected with highly infectious blood-borne pathogens (e.g.

How to safely collect blood samples from persons suspected to be infected with highly infectious blood-borne pathogens (e.g. How to safely collect blood samples from persons suspected to be infected with highly infectious blood-borne pathogens (e.g. Ebola) Step 1: Before entering patient room, assemble all equipment (1 st part)

More information

Scope of Practice Approved by State Board of Emergency Medical, Fire and Transportation Services Division of EMS, Ohio Department of Public Safety

Scope of Practice Approved by State Board of Emergency Medical, Fire and Transportation Services Division of EMS, Ohio Department of Public Safety Scope of Practice Approved by State Board of Emergency Medical, Fire and Transportation Services Division of EMS, Ohio Department of Public Safety This document offers an at-a-glance view of the Scope

More information

Required Ground and Air Ambulance Equipment and Supplies

Required Ground and Air Ambulance Equipment and Supplies PA Bulletin, Doc. No. 09-1949 http://www.pabulletin.com/secure/data/vol39/39-43/1949.html Page 1 of 10 Required Ground and Air Ambulance Equipment and Supplies [Correction] [39 Pa.B. 6290] [Saturday, October

More information

Title 15 - Mississippi Department of Health. Office of Health Protection. Bureau of Emergency Medical Services

Title 15 - Mississippi Department of Health. Office of Health Protection. Bureau of Emergency Medical Services Title 15 - Mississippi Department of Health Part III Subpart 31 Chapter 01 AMBULANCE SERVICE LICENSURE 100 Ambulance Service Licensure 100.01 41-59-9. License and permit required. From and after October

More information

Requirements and Standards for Paramedic Organizations

Requirements and Standards for Paramedic Organizations ARTICLE 2. ADVANCED LIFE SUPPORT Rule 1. Definitions 836 IAC 2-1-1 Definitions Authority: IC 16-31-2-7 Sec. 1. The definitions in 836 IAC 1-1-1 apply throughout this article. (Indiana Emergency Medical

More information

Guidelines for First Aid Kits in School and Colleges

Guidelines for First Aid Kits in School and Colleges Department of Education Learners first, connected and inspired Guidelines for First Aid Kits in School and Colleges Department of Education Guidelines for First Aid Kits in School and Colleges Every school/college

More information

NOTICES. Required Ground and Air Ambulance Equipment and Supplies. [41 Pa.B. 2296] [Saturday, April 30, 2011]

NOTICES. Required Ground and Air Ambulance Equipment and Supplies. [41 Pa.B. 2296] [Saturday, April 30, 2011] http://www.pabulletin.com/secure/data/vol41/41-18/739.html Page 1 of 9 NOTICES Required Ground and Air Ambulance Equipment and Supplies [41 Pa.B. 2296] [Saturday, April 30, 2011] Under 28 Pa. Code 1005.10(c)

More information

The Phoenix Document An Evolution from National Standard Curriculum to the Virginia EMS Education Standards

The Phoenix Document An Evolution from National Standard Curriculum to the Virginia EMS Education Standards The Phoenix Document An Evolution from National Standard Curriculum to the Virginia EMS Education Standards Training Levels Included: Emergency Medical Responder (EMR) Last Revised: January 19, 2011 Page

More information

Prehospital Care Interfacility Transportation

Prehospital Care Interfacility Transportation Prehospital Care Interfacility Transportation A Guide for Skilled Nursing, Medical Care Facilities, & Physicians Revised March 2015 1 Table of Contents Use of Interfacility Ambulance Services... 3 System

More information

Health Technician skills checklist Health Services Department Lincoln Public Schools TEMPERATURE

Health Technician skills checklist Health Services Department Lincoln Public Schools TEMPERATURE Rev. 2/07 Health Technician skills checklist TEMPERATURE 1. Explain to student what you are going to do. 2. Wait for Welch-Allyn thermometer to beep, then apply probe cover. Make sure probe cover is secure.

More information

Gotta- Have- It Chart

Gotta- Have- It Chart Gotta- Have- It Chart One area of heartbreak at state and national HOSA competitive events is a failure to bring the needed supplies/materials to an event for orientation or competition. Every year competitors

More information

Date: 1/12/06 Initiated by: AFS-220 AAM-210

Date: 1/12/06 Initiated by: AFS-220 AAM-210 Advisory Circular Subject: EMERGENCY MEDICAL EQUIPMENT Date: 1/12/06 Initiated by: AFS-220 AAM-210 1. What is the purpose of this advisory circular (AC)? AC No: 121-33B This AC provides guidance about

More information

Title 15: Mississippi Department of Health. Part 12: Bureau of Emergency Medical Services. Subpart 31: Emergency Medical Services

Title 15: Mississippi Department of Health. Part 12: Bureau of Emergency Medical Services. Subpart 31: Emergency Medical Services Title 15: Mississippi Department of Health Part 12: Bureau of Emergency Medical Services Subpart 31: Emergency Medical Services Chapter 1 AMBULANCE SERVICE LICENSURE Subchapter 1 Ambulance Service Licensure

More information

Medical Surgical Nursing Skills List

Medical Surgical Nursing Skills List Medical Surgical Nursing Skills List Read each of the required clinical skills for a Registered Nurse working on a typical acute medical-surgical unit. Write the number that corresponds to the level of

More information

MODULE 1: Definition, Sources and Characteristics of Healthcare Waste

MODULE 1: Definition, Sources and Characteristics of Healthcare Waste MODULE 1: Definition, Sources and Characteristics of Healthcare Waste Module Overview Define healthcare waste Describe sources and examples of healthcare waste Describe general characteristics of healthcare

More information

03 LC 30 0483 A BILL TO BE ENTITLED AN ACT

03 LC 30 0483 A BILL TO BE ENTITLED AN ACT 0 LC 0 0 Senate Bill By: Senator Jackson of the 0th A BILL TO BE ENTITLED AN ACT To amend Chapter of Title of the Official Code of Georgia Annotated, relating to emergency medical services, so as to provide

More information