a)
Ambulance Assistance Vehicles
Ambulance assistance vehicles are dispatched simultaneously
with an ambulance and assist with patient care prior to the arrival of the
ambulance. Ambulance assistance vehicles include fire engines, trucks, squad
cars or chief's cars that contain the staff and equipment required by this
Section. Ambulance assistance vehicles shall not function as assist vehicles if
staff and equipment required by this Section are not available. The agency
shall identify ambulance assistance vehicles as a program plan amendment
outlining the type and level of response that is planned. The ambulance
assistance vehicle shall not transport or be a primary response vehicle but a
supplementary vehicle to support EMS services. The ambulance assistance vehicle
shall be dispatched only if needed. Ambulance assistance vehicles shall be
classified as either:
1) Advanced
ambulance assistance vehicles shall be staffed with a minimum of one Paramedic,
PHRN, PHPA, PHAPRN, or physician and shall have all of the required
equipment;
2) Intermediate
ambulance assistance vehicles shall be staffed with a minimum of one EMT,
EMT-I, A-EMT, Paramedic, PHRN, PHPA, PHAPRN, or physician and shall have all of
the required equipment;
3) Basic
ambulance assistance vehicles shall be staffed with a minimum of one EMT,
EMT-I, A-EMT, Paramedic, PHRN, PHPA, PHAPRN, or physician and shall have all of
the required equipment; or
4) EMR
assistance vehicles shall be staffed with a minimum of one EMR, EMT, EMT-I,
A-EMT, Paramedic, PHRN, PHPA, PHAPRN, or physician and shall have all of the
required equipment.
b)
Non-Transport Vehicles
Non-Transport Vehicles are dispatched prior to dispatch of a
transporting ambulance and include ambulances and fire engines that contain the
staff and equipment required by this Section. The vehicle service provider
shall identify non-transport vehicles as a program plan amendment outlining the
type and level of response that is planned. Non-transport vehicles shall be
staffed 24 hours per day, every day of the year.
1) ALS Non-Transport Vehicles shall have a
minimum of either one System authorized Paramedic or one PHRN, PHPA, PHAPRN,
and one additional System authorized Paramedic, A-EMT, EMT-I, EMT, PHRN, PHPA,
PHAPRN, or physician, and shall have all of the required equipment.
2) ILS Non-Transport Vehicles shall have a
minimum of either one System authorized A-EMT, EMT-I, Paramedic or one PHRN,
PHPA, PHAPRN, and one additional System authorized EMT, A-EMT, EMT-I,
Paramedic, PHRN, PHPA, PHAPRN, or physician and shall have the required
equipment.
3) BLS Non-Transport
vehicles shall be staffed by two System authorized personnel, unless the
provider is functioning within the requirements of Section
515.830(i). The
vehicle shall be staffed by an EMT or higher on all responses and shall have
all of the required equipment.
c) Equipment Requirements
Each vehicle used as an alternate response vehicle shall meet
the following equipment requirements, as determined by the Department by an
inspection.
1) Functional portable
oxygen cylinder, with a capacity of not less than 350 liters
2) Dial flowmeter/regulator for 15 liters per
minute
3) Delivery tubes
4) Adult, child and infant masks
5) Adult squeeze bag and valve, with adult
and child masks
6) Child squeeze
bag and valve, with child, infant and newborn size masks
7) Airways, oropharyngeal - adult, child and
infant (sizes 0-5)
8) Airways,
nasopharyngeal with lubrication (sizes 12-30F)
9) Manually operated suction device
10) Triangular bandages or slings
11) Roller bandages, self-adhering (4" by 5
yds)
12) Trauma dressings
13) Sterile gauze pads (4" by 4")
14) Vaseline gauze (3" by 8") or vented chest
seal
15) Bandage shears
16) Adhesive tape rolls
17) Blanket
18) Long backboard (if required by the EMS
System protocols)
19) Cervical
collars - adult, child and infant
20) Extremity splints - adult/child,
long/short
21) Adult/child/infant
blood pressure cuffs and gauge
22)
Stethoscope
23) Burn sheet,
individually wrapped
24) Sterile
saline or water solution (1,000ml), plastic bottles or bags
25) Obstetrical kit, sterile - minimum one,
pre-packaged with the following minimal supplies: sterile towels, scissors or
retractable blade/scalpel, two umbilical cord clamps, maternal pads, placenta
bag, pair of gloves, mask with eye protection, drape sheet, gauze sponges,
underpad, disposable gown/apron, and bulb syringe. In addition, for newborns,
clear plastic wrap or plastic bag, and newborn cap.
26) Thermal absorbent blanket and head cover,
aluminum foil roll or appropriate heat reflective material - minimum
one
27) Cold packs
28) EMS patient care reports
29) Nonporous disposable gloves
30) Personal protective equipment (PPE),
including gowns, eye/nose/mouth protection or face shields
31) Flashlight
32) Equipment to allow reliable
communications with hospital
33)
ILS/ALS System-approved equipment
A)
Medication box
B) Airway equipment,
including laryngoscope and assorted blades
C) Monitor/defibrillator, equipped with
pediatric size defibrillation pads or paddles or an advanced AED unit with 3
lead capability, defibrillation override, and a cardiac rhythm
display
34) Opioid
antagonist, including, but not limited to, Naloxone, with administration
equipment appropriate for the licensed level of care
35) Automated external defibrillator (AED)
that includes pediatric capabilities
e) Registration of Non-transport Provider
Agencies
Each non-transport provider shall complete and submit to the
Department either the EMS non-transport provider application or EMS
non-transport application for an existing transport provider, available on the
Department's Division of EMS website.
f) Inspection of Non-transport EMS Providers
The Department will schedule initial inspections. Thereafter,
non-transport ambulance assist providers shall perform annual self-inspections,
using forms provided by the Department, and shall submit the form to the EMS
System for submission to the Department upon completion of the inspection. The
Department will perform inspections randomly or as the result of a
complaint.
g) Issuance and
Renewal of License
Upon payment of the appropriate fee, qualifying non-transport
providers shall be issued a provider license that lists a number for each level
of care approved. Licenses will not be issued for individual Non-Transport
Vehicles. Providers shall inform the EMS System and the Department of any
modifications to the application, using the System Modification forms
(sys-mod). Licenses will be issued for one year and will be renewed upon
completion of the self-inspection.
