Indiana Administrative Code (Last Updated: December 20, 2016) |
Title 836. INDIANA EMERGENCY MEDICAL SERVICES COMMISSION |
Article 836IAC3. AIR AMBULANCES |
Rule 836IAC3-2. Advanced Life Support Rotorcraft Ambulance Service Provider |
Section 836IAC3-2-6. Equipment list
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(a) The advanced life support rotorcraft ambulance service provider organization shall ensure that the following basic life support and advanced life support equipment is carried on board each rotorcraft ambulance at the time of dispatch:
(1) Portable suction apparatus, capable of a minimum vacuum of three hundred (300) millimeters of mercury, equipped with wide-bore tubing and other rigid and soft pharyngeal suction tips.
(2) Oropharyngeal airways (adult, child, and infant sizes).
(3) Nasopharyngeal airways (small, 20-24 french; medium, 26-30 french; large, 30 french or greater).
(4) Bag mask ventilation units, hand operated, one (1) unit in each of the following sizes, each equipped with clear face masks and oxygen reservoirs with oxygen tubing:
(A) Adult.
(B) Child.
(C) Infant (mask only).
(D) Neonatal (mask only).
(5) Portable oxygen equipment of at least three hundred (300) liters capacity (D size cylinder) with yoke, medical regulator, pressure gauge, and nondependent flowmeter.
(6) Oxygen delivery devices shall include the following:
(A) High concentration devices, two (2) each, in adult, child, and infant sizes.
(B) Low concentration devices, two (2) in adult size.
(7) Blood pressure manometer, one (1) each in the following cuff sizes:
(A) Large adult.
(B) Adult.
(C) Child.
(8) Stethoscope in adult size.
(9) Wound care supplies to include the following:
(A) Sterile gauze pads four (4) inches by four (4) inches.
(B) Airtight dressing.
(C) Adhesive tape, two (2) rolls.
(D) Bandage shears.
(10) Rigid extrication collars, two (2) each capable of the following sizes:
(A) Pediatric.
(B) Small.
(C) Medium.
(D) Large.
(11) Portable defibrillator with self-contained cardiac monitor and ECG strip writer and equipped with defibrillation pads or paddles, appropriate for both adult and pediatric defibrillation, that will not interfere with the aircraft's electrical and radio system.
(12) Endotracheal intubation devices, including the following equipment:
(A) Laryngoscopes with spare batteries and bulbs.
(B) Laryngoscope blades (adult and pediatric, curved and straight).
(C) Disposable endotracheal tubes, a minimum of two (2) each, sterile packaged, in sizes 3, 4, 5, 6, 7, 8, and 9 millimeters inside diameter.
(13) Medications, intravenous fluids, administration sets, syringes, and needles will be specified by the air-medical director identifying types and quantities.
(b) Additional equipment and supplies approved by the supervising hospital shall be identified by the rotorcraft ambulance service provider organization's air-medical director and reported in writing to the agency for initial certification and recertification.
(c) All drugs shall be supplied by the supervising hospital, or by written arrangement with a supervising hospital, on an even exchange basis. Lost, stolen, or misused drugs shall only be replaced on order of the advanced life support rotorcraft ambulance service provider organization air-medical director. All medications and advanced life support equipment are to be supplied by order of the medical director. Accountability for distribution, storage, ownership, and security of medications is subject to applicable requirements as determined by the medical director, pharmacist, and the United States Department of Justice Drug Enforcement Administration. (Indiana Emergency Medical Services Commission; 836 IAC 3-2-6; filed Oct 11, 1988, 11:05 a.m.: 12 IR 373; filed May 15, 1998, 10:25 a.m.: 21 IR 3923; filed Apr 4, 2002, 9:08 a.m.: 25 IR 2497; filed Jun 11, 2004, 1:30 p.m.: 27 IR 3555; readopted filed Jul 29, 2010, 8:07 a.m.: 20100825-IR-836100267RFA; readopted filed Oct 31, 2016, 1:48 p.m.: 20161130-IR-836160328RFA)