OAR 333-255-0072
Ground Ambulance Equipment Requirements

(1) A licensed ambulance service must ensure that appropriate equipment and all ancillary supplies necessary for the proper use of equipment is available in the ambulance vehicle, is in satisfactory working condition, is maintained in accordance with manufacturer requirements, and is stored in a sanitary and secure manner that protects the viability and safe operation of medications and equipment.

(2) Required equipment for a ground ambulance providing basic life support includes but is not limited to:

(a) Installed medical oxygen cylinder with a capacity of at least 3,000 liters and having not less than 500 psi:

(A) The installed medical oxygen cylinder must be located in a vented compartment; and

(B) The compartment shall not be utilized for storage of any non-secured equipment. No combustible items shall be stored in the oxygen compartment;

(b) Oxygen pressure regulator:

(A) The oxygen must be delivered by a single-stage regulator which is set to at least 50 psi;

(B) The pressure regulator controls must be accessible from inside the patient compartment; and

(A) The flow meter must be readable from the EMS provider seat and squad bench; and

(B) The flow meter must be adjustable over a minimum range of 0 to 15 liters per minute;

(d) Portable medical oxygen cylinder with a capacity of at least 300 liters and having not less than 500 psi:

(A) The oxygen must be delivered by a yoke regulator with a pressure gauge and non-gravity-dependent flow meter that is visible and accessible to the medical personnel; and

(B) The flow meter must be adjustable over a minimum range of 0 to 15 liters per minute;

(e) Spare portable oxygen cylinder that is full, tagged, sealed and securely mounted;

(f) Oxygen non-rebreathing masks with tubing:

(A) Pediatric — 2; and

(B) Adult — 3;

(g) Oxygen nasal cannula with tubing that is transparent and disposable:

(A) Pediatric — 2; and

(B) Adult — 3;

(h) Bag-valve-mask ventilation device reservoir and masks in neonate, infant, pediatric and adult sizes. The device(s) must:

(A) Have a standard universal adapter;

(B) Be operable with or without an oxygen supply; and

(i) Nebulizer, if reflected by standing orders;

(j) Continuous Oxygen Saturation Monitor in pediatric and adult sizes;

(k) Endtidal CO2 detection device;

(l) Oropharyngeal airways in infant, pediatric and adult sizes;

(m) Supraglottic airway devices in pediatric and adult sizes;

(n) Nasopharyngeal airways in assorted sizes;

(o) Two suction apparatus that shall:

(A) Be electrically powered or battery powered with pressure regulator;

(B) If battery powered, have enough back-up batteries to maintain suction during routine transport;

(C) Have adequate supply of wide-bore tubing, commercial rigid pharyngeal curved suction tips and flexible suction catheters in assorted sizes;

(D) Have collection canisters, either disposable or sealable liners, with adequate capacity;

(p) Cardiac monitoring equipment including, at a minimum, a portable battery operated automatic external defibrillator (AED) with pediatric capabilities;

(q) A wheeled stretcher:

(A) Capable of securely fastening to the ambulance body;

(B) Having restraining devices for the legs, pelvis, torso and two over the shoulder straps;

(D) Capable of having the head of the stretcher tilted upwards to a 60-degree semi-sitting position;

(r) Appropriately-sized child restraint system(s) that, at a minimum, covers a weight range of between 10 and 99 pounds. Only the manufacturer’s recommendations for the weight or size of the patient should be considered when selecting the appropriate device for the specific child being transported;

(s) Fracture immobilization equipment, including but not limited to:

(A) Traction splints capable of pediatric and adult application;

(B) Extremity splints in pediatric and adult sizes;

(D) Pelvic sling in small, standard and extra-large sizes by June 15, 2019;

(E) Scoop stretcher, folding or non-folding type with necessary restraining devices with sufficient supplies for spinal motion restriction;

(F) Short backboard or equivalent with necessary restraining devices with sufficient supplies for spinal motion restriction;

(G) Long backboard with necessary restraining devices with sufficient supplies for spinal motion restriction;

(H) Pediatric backboard with necessary restraining straps with sufficient supplies for spinal motion restriction;

(t) Miscellaneous equipment, including but not limited to:

(A) Bandages and dressings in assorted sizes;

(B) Bandage shears;

(D) Adhesive (consider hypo-allergenic) tape in assorted sizes;

(E) Commercially manufactured arterial tourniquet;

(F) Emesis containers;

(G) Stethoscope: pediatric and adult;

(H) Aneroid sphygmomanometer in pediatric, adult and bariatric sizes;

(I) Hypothermia thermometer;

(J) Disposable obstetrical kit;

(K) Chemical heat and cold packs assorted;

(L) Urinals: female and male, one each;

(M) Bedpan;

(N) Set of extremity restraining devices;

(O) Blood glucose level testing kit or blood glucose level test strips;

(P) A quick reference guide or other reference material that provides appropriate guidance for pediatric drug dosing and equipment sizing;

(Q) Medications and fluids as authorized by the EMS medical director, appropriate to the level of care being provided;

(R) Linen supplies and replacements sufficient to cover wheeled stretchers;

(S) Commercially packaged or sterile burn sheets; and

(T) Irrigation solution;

(u) Personal protection equipment sufficient for crew and patient(s), including but not limited to:

(A) Non-latex disposable gloves;

(B) Disposable face masks;

(D) Protective eyewear;

(E) Disposable isolation gowns;

(F) Commercial antimicrobial hand cleanser;

(G) Surface cleaning disinfectant;

(H) Sharps container for the patient care compartment and a separate container for each kit that contains needles; and

(I) Infectious waste disposal bags;

(v) Security and rescue equipment, including but not limited to:

(A) Fire extinguisher, 5lb. (2A-10BC type) — mounted and readily accessible in either the driver’s or patient compartment;

(B) Road flares, red colored chemical lights, the number and burning time to equal at least 180 minutes, or a minimum of six reflective triangles;

(D) Leather gloves sufficient for crew;

(E) Reflective vests for each crew member; and

(F) Adequate extrication equipment for agencies that provide initial response without the response of other rescue apparatus or equipment;

(w) The U.S. Department of Transportation, 2016 “Emergency Response Guidebook, (A Guidebook for First Responders During the Initial Phase of a Dangerous Goods/Hazardous Materials Transportation Incident)”;

(x) Triage tags — 25 each;

(y) Oregon Trauma System Identification Bracelets — 5 each;

(z) Supplies necessary to complete a patient care report as required by OAR 333-250-0310 (Patient Care Report);

(aa) A copy of standing orders dated within one year and signed by the EMS medical director;

(bb) A universal “No Smoking” sign conspicuously displayed in the driver’s and patient compartment; and

(cc) A universal “Fasten Seatbelt” sign conspicuously displayed in the driver’s compartment.

(3) Required equipment for a ground ambulance providing advanced life support must meet the equipment requirements specified in section (2) of this rule and include, but not limited to:

(a) Cardiac monitoring equipment:

(A) A portable battery powered manual monitor defibrillator capable of recording an ECG reading;

(B) ECG electrodes, adult and pediatric;

(D) Patient cables — 2; and

(E) ECG paper.

(b) 6 liters physiologic isotonic crystalloid solution or combinations thereof;

(d) Vascular access devices:

(A) Over-the-needle catheters in assorted sizes 24-gauge through 14-gauge;

(B) Specifically-designed needles or device with needles for intraosseous infusions;

(D) Syringes of various sizes;

(E) Needles of various sizes including sizes suitable for intramuscular injections; and

(e) A commercially manufactured quick reference guide that provides appropriate guidance for pediatric drug dosing and equipment sizing.

(4) If an ambulance is providing advanced life support and the ambulance is staffed with a Paramedic or ambulance based clinician, the ground ambulance shall have all the equipment identified in section (3) of this rule and include, but not limited to:

(a) Nasogastric tubes in assorted sizes;

(b) Cardiac monitoring equipment which must be capable of transcutaneous cardiac pacing, 12 lead ECG, and may be a stand-alone unit or integrated in the monitor and defibrillator unit; and

(A) Primary and secondary laryngoscopic device, adult and pediatric;

(B) Endotracheal tubes in assorted sizes, adult and pediatric;

(D) Intubation stylettes — adult and child; and

(E) Chest decompression equipment.

(5) A ground ambulance shall have two-way radio communication equipment to provide reliable contact between the ambulance and central dispatch, the receiving hospital, and online medical direction.

(6) A licensed ambulance service has until June 15, 2019 for its ambulance vehicles to comply with subsection (4)(b) of this rule.

Source: Rule 333-255-0072 — Ground Ambulance Equipment Requirements, https://secure.sos.state.or.us/oard/view.action?ruleNumber=333-255-0072.

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OAR 333-255-0072 Ground Ambulance Equipment Requirements

OAR 333-255-0072
Ground Ambulance Equipment Requirements