vehicles shall be inspected at least annually by OEMS and shall conform to the
following design and equipment standards:
(A) Minimum 60? head room in patient
compartment measured from floor aisle space to head liner.
(B) Minimum 114? interior length in patient
compartment from inside back door to rear of driver's compartment.
(C) Minimum 12? unobstructed aisle space bet
primary patient stretcher and any obstruction for full length of primary
patient stretcher on one side.
Ability to achieve and maintain an average patient compartment temperature of
65°-70° regardless of weather conditions.
(E) Electrical intercom or signal lights or
an open partition to permit exchange of patient condition information between
patient compartment and driver.
Sufficient secure storage to permit secure loading and confinement of all items
which could move freely about patient area in the event of a collision or roll
(G) Rotating or flashing
warning lights visible 360° about vehicle.
(H) Mechanical and/or electrical
(I) Two-way radio
communications that are compatible with the state approved communications
system and will allow communicating with communications coordinating centers
(e.g. regional communications centers, central emergency medical dispatch),
dispatch and/or directly to the hospital.
(J) Exterior identification visible on two
opposite sides of vehicle showing the name of the service the vehicle is
ambulance vehicle shall meet or exceed the design criteria of General Services
Administration Specifications KKK-A-1822, as amended, with the following
exceptions and/or substitutions [Federal specification number shown in
parenthesis ( ) ]:
(i) Spare tire
(ii) Tire changing tools
(iii) Engine high idle
speed control, automatic (220.127.116.11)
(iv) Internal 12 volt d.c. power
(v) 115 volt a.c. utility
(vi) Utility power
connector (18.104.22.168) - optional
(vii) Electrical 115 volt a.c. receptacles
(viii) Solid state
front bumpers (22.214.171.124)
Interior storage accommodations (3.11.3)
(xi) Exterior storage accommodations
equipment and storage (126.96.36.199)
(xiii) Storage compartments and cabinet
design transparent doors (3.11.3)
(xiv) Color, paint and finish
(xv) Color standards and
and markings (3.16.4)-substitute the following:
a. Front of vehicle-the word "AMBULANCE" in
block, reflectorized letters, not less than four inches high shall be mirror
image, centered above the grill.
Sides and rear of vehicle-the word "AMBULANCE" shall be in block, reflectorized
letters, not less than six inches high, centered on each side and rear of
of Life" (4.3)
(xix) Intended Use
(A) Oxygen administration apparatus
with 2 hours supply at 7 lpm flow rate, regulator controlled flow rate
permitting adjustment from a minimum of 2 lpm-10 lpm with visual indication of
flow rate. Adaptors so that a minimum of 2 patients may be provided
02 at the same time. A minimum of 2 each, nasal
cannulas and mouth/nose masks.
Portable oxygen administration apparatus with 30 minutes supply at 7 lpm flow
rate, which is operable totally detached from parent vehicle. Such unit shall
be capable of accepting attachment to a nasal cannula, mouth/nose mask or as
enrichment feed to a forced ventilation unit.
(C) Suction apparatus capable of drawing a
vacuum of 300mm of mercury. Such unit shall be operable completely independent
of parent vehicle for a minimum period of 15 minutes. Such suction apparatus
shall be compatible with both rigid and flexible catheters and a minimum of 1
catheter and 1 spare shall be carried.
(D) Mechanical forced resuscitation unit
which is either hand operated (bag mask) or cycled only by operator manual
control. Pressure cycles units are not acceptable. Such unit shall be
compatible with 02 apparatus carried in the subject
vehicle for purposes of oxygen enrichment. Such unit shall be compatible with
infant, child and adult masks which shall be made of transparent material and
shall be carried.
mouth-to-mouth, oropharyngeal airway maintenance devices in infant, child and
adult sizes. A minimum of 1 and 1 spare for each size.
(F) Bite stick for maintaining an open-jawed
position on an unconscious patient.
(G) A minimum of six large dressings of the
ABD or multi-trauma type.
Assorted dressings and bandages to facilitate hemorrhage control by direct
pressure bandage on any area of the human body regardless of severity of
(I) Aluminum foil,
sterile vaseline gauze or other air excluding dressing material to permit air
tight seal of wounds to the chest cavity.
(J) Two sterile sheets for isolating burn
patients from external sources of contamination.
(K) A splinting device suitable for providing
prolonged traction to a lower limb on a child or adult.
(L) Splinting material to permit
immobilization and protection to any portion of a child or adult limb in any
position. A minimum of 1 spare shall be carried for each size of
(M) Short extrication
device (e.g. short backboard with 2 straps minimum of 9' by 2?, forehead and
chin restraints) to permit the immobilization of suspected cervical fracture of
a child or adult patient during removal from a confined space while in a seated
position and during transport.
A long extrication device (long backboard with 2 straps minimum 9' by 2?) to
permit the immobilization and transport of a spinal column fracture without
vertical or horizontal expansion, contraction or twisting. A scoop stretcher is
not a suitable device for this requirement.
(O) 3 cervical immobilization collars of
assorted sizes (extrication type collars are recommended).
(P) Commercial stair chair to permit the
movement of a patient either up or down within a confined stairway.
(Q) Adult and pediatric blood pressure
manometer and cuff, and stethoscope for determining patient blood pressure both
outside and inside of vehicle.
Restraint devices of sufficient strength to restrain a violent adult and
sufficiently padded to prevent chafing or injury to patient.
(S) A poison treatment kit in addition to one
half gallon potable water.
obstetrical kit containing a minimum of 1 pair sterile gloves, scissors,
umbilical cord clamps or tapes, sterile vaginal dressings, 2 towels, large
plastic bag, and swaddling material.
(U) One emesis basis, 1 bed pan and 1
(V) Not less than 2 pillows
and 2 sets of linen to include 2 sheets 2 pillow cases, and 1 blanket per
(W) A minimum of 2 10 lb. ABC
UL fire extinguishers, 1 carried in driver compartment and 1 in patient
(X) At least two
battery operated, hand carried portable lights.
(Y) One wrecking bar minimum 24? in
(Z) At least one cot with 2
patient securing straps. Such cot shall be removable from the ambulance, and
provision shall be made for positive locking when the cot is positioned in the
(AA) Glucose in a form
easily ingested orally.
rebreathing device for use in treating hyperventilation syndrome.
(CC) Highway distress signalling devices,
either a minimum of 3 hours duration red burning flares, or four reflectorized
road marking triangles.
sets of sandbags.
procedure gloves, gowns, masks, and goggles.