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

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1 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 minimum required equipment list only. and first responder providers are required to carry both and equipment items. (9-1-1 / IFT) 1 st Unit access to current Napa County EMS Treatment Guidelines / Policies Monitor-Defibrillator^ AED 1 AED ECG cables 2 1 N/A Optional 12-Lead cables 1 1 N/A Optional ECG paper (extra) 1 1 N/A Optional Electrodes (single) - Adult N/A Optional Pediatric N/A Optional Patches - Adult Pediatric Waveform Capnography (In-line) 2 1 N/A Optional Extra battery 1 1 N/A Optional Automatic Implanted Defibrillator Magnet 1 1 N/A Optional Thermometer 1 1 N/A Optional Airway Management King LTD Size 3 (Small Adult) 1 1 N/A 1 King LTD Size 4 (Medium Adult) 1 1 N/A 1 King LTD Size 5 (Adult) 1 1 N/A 1 Magill forceps - Adult 1 1 N/A 1 Magill forceps - Pediatric 1 1 N/A Optional Laryngoscope handle - Adult 1 1 N/A 1 Laryngoscope handle - Pediatric 1 1 N/A Optional Extra batteries (1 set for each) 2 1 N/A 1 Extra bulbs (if applicable) 1 1 N/A Optional Effective Date: Revised Date: Page 1 of 9

2 1 st Laryngoscope blades (Adult) straight 1 set 1 set N/A 1 set Laryngoscope blades (Pediatric) straight 1 set 1 set N/A Optional Laryngoscope blades (Adult) curved 1 set 1 set N/A 1 set Laryngoscope blades (Pediatric) curved 1 set 1 set N/A Optional Intubation stylet - Adult 1 1 N/A 1 Intubation stylet - Pediatric 1 1 N/A Optional Endotracheal tubes: #2.5, uncuffed 1 1 N/A Optional #3.0, uncuffed/cuffed 1 1 N/A Optional #3.5, cuffed 1 1 N/A Optional #4.0, cuffed 1 1 N/A Optional #4.5, cuffed 1 1 N/A Optional #5.0, cuffed 1 1 N/A Optional #6.0, cuffed 1 1 N/A 1 #7.0, cuffed 1 1 N/A 1 #8.0, cuffed 1 1 N/A 1 #9.0, cuffed 1 1 N/A 1 Tube Tamer or equivalent (Adult) 1 1 N/A 1 Tube Tamer or equivalent (Pediatric) 1 1 N/A Optional Cricothyrotomy Insertion Kit 1 1 N/A Optional Pleural Decompression Kit 2 1 N/A 1 Commercial Chest Seal 2 1 N/A 1 Nebulizer (Hand-held) HHN 2 1 N/A 1 CPAP Device (7.5 cm H20) with Standard Mask 1 1 N/A Optional - Large Mask 1 1 N/A Optional - Small Mask 1 1 N/A Optional Nebulizer adaptor for CPAP 1 1 N/A Optional Page 2 of 9

3 1 st Pharmaceuticals Albuterol 0.083% 5mg in 6mL NS 6 4 N/A 2 Adenosine (6mg vials) 30mg 30mg N/A 12mg Amiodarone 450mg 450mg N/A 450mg Aspirin, chewable (81mg) 1 bottle 1 bottle N/A 1 bottle Atropine Sulfate (1mg pre-load) 2 1 N/A Optional Atropine Sulfate MDV (multi-dose vial) 1 1 N/A Optional Benadryl, 50mg/mL vial 2 1 N/A 1 Calcium chloride, 1 Gm/10mL pre-load 1 1 N/A Optional Dextrose 10% 3 2 N/A 1 Dopamine (400mg) vial or pre-mix 1 1 N/A Optional Epinephrine 1:10,000, 1 mg/10ml pre-load 6 4 N/A 3 Epinephrine 1:1000, 1mg/1mL vial 2 2 N/A 1 Ipratropium (Atrovent) 0.5mg in 3mL NS 2 2 N/A 1 Hydroxycobalamin (CyanoKit) ++ Optional Optional N/A Optional Lidocaine 100mg 1 1 N/A Optional Naloxone hydrochloride 2mg 2 1 1^^ 1 Nitroglycerin Paste (If transport time to facility is >30 minutes) Nitroglycerin, 0.4mg/sl tablets or spray, 0.4mg per dose 2 1 N/A Optional 1 bottle 1 bottle N/A 1 bottle Ondansetron 4mg tab 4 2 N/A 2 Ondansetron 4mg vial 4 2 N/A 2 Sodium Bicarb, 100 meq/50 ml 1 1 N/A TBD Midazolam (Versed) 5mg/mL Fentanyl 100mcg Controlled Substance and Administration logs current to date NS 100cc bag (if not carrying Dopamine pre-mix) 2 Total 10mg 2 Total 200mcg 2 Total 10mg 2 Total 200mcg N/A N/A TBD TBD 1 1 N/A Optional 1 1 N/A Optional NS 500cc bag Optional Optional N/A Optional NS 1000cc bag 4 2 N/A 1 Page 3 of 9

4 1 st IV / Supplies** NS Flush, 10cc 6 3 N/A 1 Saline locks with extension 4 2 N/A 1 Luer locks 4 2 N/A Optional Micro drip IV tubing 2 2 N/A Optional Macro drip IV tubing 2 2 N/A 1 14 gauge catheter, over the needle 2 2 N/A 1 16 gauge catheter, over the needle 2 2 N/A 1 18 gauge catheter, over the needle 4 4 N/A 2 20 gauge catheter, over the needle 4 4 N/A 2 22 gauge catheter, over the needle 2 2 N/A 1 Intraosseous (EZ-IO) drill 1 1 N/A Optional Intraosseous Needles (15mm) 1 1 N/A Optional Intraosseous Needles (25mm) 1 1 N/A Optional Intraosseous Needles (45mm) 1 1 N/A Optional Syringes: 1cc 8 4 2^^ 1 3cc (twin-pak) 8 4 2^^ 1 5cc (twin-pak) 4 2 N/A 1 10cc (twin-pak) 8 4 N/A 1 Needles: ** 60cc 2 1 N/A Optional 25 gauge - or IM administration equivalent 4 2 2^^ 1 "Sharps" container, large in rig 1 0 N/A N/A "Sharps" container, small box / bag 1 1 1^^ 1 IV Arm board (small) 1 1 N/A Optional MAD (mucosal atomization device) 2 1 1^^ 1 Alcohol prep pads ^^ 5 Chlorhexidine prep pads ^^ 5 Glucometer 1 1 N/A 1 Page 4 of 9

5 1 st Lancets 6 4 N/A 3 Length based resuscitation tape 1 1 N/A Optional QuikClot Gauze (Roll) 2 2 N/A 1 ^ providers must carry an AED * providers must carry these items ^^ LOSOP item (optional) ++ LOSOP item (optional) ** All needles shall meet the Cal OSHA Safer Sharps requirements Backboards must be padded. Vacuum splints or mattress preferred Page 5 of 9

6 EQUIPMENT / 1 st Respon se LOSOP Epinephrine Autoinjector 1: mg 1^^ 1^^ 1^^ Optional Epinephrine Autoinjector 1: mg 1^^ 1^^ 1^^ Optional Oral glucose 15g Duodote or Mark 1 Kit Atropine / Pralidoxime (2-pam) Airway Management Optional Optional Optional Optional Airways: Oropharyngeal 1 set 1 set 1 set 1 set Nasopharyngeal (Sizes 28,30,32,34) 1 each 1 each 1 each 1 set KY Jelly Adult (non-rebreather) Pediatric (non-rebreather) Optional Adult (cannulas) Pediatric (cannulas) Optional Pulse Oximeter (Adult capable) 1 1 Optional Optional Pulse Oximeter (Pediatric capable) 1 1 Optional Optional Fixed oxygen in vehicle with regulator / O 2 button (M or larger) 1 N/A N/A N/A D cylinder O Oxygen extension tubing Optional Bag/valve mask with reservoir (Adult) Bag/valve mask with reservoir (Pediatric) Bag/valve mask with reservoir (Infant) 1 1 1~ 1~ Neonatal (Mask only) Optional Trauma / Supplies Trauma Dressing (minimum 10x30) TBD Abd pad (minimum 8x9) TBD 4" x 4" sterile compresses TBD Petroleum gauze (4x4) Rolled gauze bandages Page 6 of 9

7 40" triangular bandages EQUIPMENT / 1 st Respon se Bandage shears Tourniquet (CAT, SOF or the MAT ) " roll adhesive tape " roll adhesive tape Band-Aids (Box) 1 Box 1 Box 8 each 8 each Burn sheets, sterile Optional Cervical collars, (X-Collar only) 2 set 2 set 2 set Optional Cold packs Traction Splint - Adult Optional KED Optional TPOD Pelvic Binder Optional Splints: (small, medium & large) 2 each 2 each 1 each Optional Stretchers: gurney 1 N/A N/A N/A Backboard / Scoop and/or CombiCarrier II Stair Chair or equivalent 1 Optional Optional N/A Optional Fasplint (Halfback) Optional Optional Optional Optional Fasplint (Fullbody) Optional Optional Optional Optional RedVac or equivalent Optional Optional Optional Optional Spider Straps or equivalent Optional Pedi-Board or equivalent with straps 1 Optional Optional Optional Suction Equipment Portable (battery powered) Optional Wall unit 1 N/A N/A Optional Suction liners/basins (if applicable) Optional Connecting tubing Optional Pharyngeal tonsil tip (rigid/hard) Optional Soft Suction 2 2 Optional Optional Masks - surgical Page 7 of 9

8 Masks N95 / P EQUIPMENT Personal Protective Equipment (PPE) Gloves, disposable box (latex free) 1 box of each size S M L XL / 1 st Respon se 1 each 1 each 1 each 2 sets Protective equipment: Hard hats (with goggles or equivalent) Optional Leather palmed gloves (pair) Optional High visibility vest (DOT approved) Optional Irrigation Equipment Water, sterile, 1000 cc Optional Saline, sterile, 1000 cc Optional Linen: Pillow Optional Pillow cases Optional Blankets (Yellow/CHP) Optional Sheet Optional Manual blood pressure cuffs - Adult Thigh cuff Optional Pediatric Stethoscopes Triage tags (2012 DMS Wristband 05420) Felt tip marker Clipboard VHF Radio 1 each 1 each 1 each 1 each Bedpan and urinal Optional Emesis basins or equivalent Obstetrical kit, sterile Optional Restraints (Hard or soft) 1 set 0 0 Optional Access to Napa County map Optional Flashlight, six-volt or equivalent Optional Page 8 of 9

9 Triangle reflectors or 30-min flares EQUIPMENT 1 set or 6 flares / 1 set or 6 flares 1 set or 6 flares 1 st Respon se Optional Fire extinguisher Optional Mechanical CPR Device Required on select EMS Vehicles ^ providers must carry an AED * providers must carry these items ^^ LOSOP item (optional) ++ LOSOP item (optional) ~ providers / L- may choose to carry an infant mask only ** All needles shall meet the Cal OSHA Safer Sharps requirements Backboards must be padded. Vacuum splints or mattress preferred Page 9 of 9

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