Wash. Admin. Code § 246-976-300 - Ground ambulance and aid service - Equipment
Ground ambulance and aid services must provide equipment listed in Table A of this section on each licensed vehicle, when available for service.
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Note: "asst" means assortment |
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TABLE A: EQUIPMENT |
AMBULANCE |
AID VEHICLE |
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AIRWAY MANAGEMENT |
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Airway Adjuncts |
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Oral airway adult and pediatric |
asst |
asst |
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Suction |
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Portable |
1 |
1 |
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Vehicle mounted and powered, providing: Minimum of 30 L/min. & vacuum > 300 mm Hg |
1 |
0 |
|
Tubing, suction |
1 |
1 |
|
Bulb syringe, pediatric |
1 |
1 |
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Rigid suction tips |
2 |
1 |
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Catheters as required by local protocol |
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Water-soluble lubricant |
1 |
1 |
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Oxygen delivery system built in |
1 |
0 |
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3000 L Oxygen supply, with regulator, 500 PSI minimum, or equivalent liquid oxygen system |
1 |
0 |
|
300 L Oxygen supply, with regulator, 500 PSI minimum, or equivalent liquid oxygen system |
2 |
1 |
|
Cannula, nasal, adult |
4 |
2 |
|
O2 mask, nonrebreather, adult |
4 |
2 |
|
O2 mask, nonrebreather, pediatric |
2 |
1 |
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BVM, with O2 reservoir |
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Adult, pediatric, infant |
1 ea |
1 ea |
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PATIENT ASSESSMENT AND CARE |
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Assessment |
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Sphygmomanometer |
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Adult, large |
1 |
1 |
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Adult, regular |
1 |
1 |
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Pediatric |
1 |
1 |
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Stethoscope, adult |
1 |
1 |
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Thermometer, per county protocol |
1 |
0 |
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Flashlight, w/spare or rechargeable batteries & bulb |
1 |
1 |
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Defibrillation capability appropriate to the level of personnel |
1 |
1 |
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Personal infection control and protective equipment as required by the department of labor and industries |
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Length based tool for estimating pediatric medication and equipment sizes |
1 |
1 |
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TRAUMA EMERGENCIES |
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Triage identification for 12 patients per county protocol |
Yes |
Yes |
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Wound care |
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Dressing, sterile |
asst |
asst |
|
Dressing, sterile, trauma |
2 |
2 |
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Roller gauze bandage |
asst |
asst |
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Medical tape |
asst |
asst |
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Self adhesive bandage strips |
asst |
asst |
|
Cold packs |
4 |
2 |
|
Occlusive dressings |
2 |
2 |
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Scissors, bandage |
1 |
1 |
|
Irrigation solution |
2 |
1 |
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Splinting |
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Backboard with straps |
2 |
1 |
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Head immobilization equipment |
1 |
1 |
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Pediatric immobilization device |
1 |
1 |
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Extrication collars, rigid |
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Adult (small, medium, large) |
asst |
asst |
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Pediatric or functionally equivalent sizes |
asst |
asst |
|
Immobilizer, cervical/thoracic, adult |
1 |
0 |
|
Splint, traction, adult w/straps |
1 |
0 |
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Splint, traction, pediatric, w/straps |
1 |
0 |
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Splint, adult (arm and leg) |
2 ea |
1 ea |
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Splint, pediatric (arm and leg) |
1 ea |
1 ea |
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General |
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Litter, wheeled, collapsible, with a functional restraint system per the manufacturer |
1 |
0 |
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Pillows, plastic covered or disposable |
2 |
0 |
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Pillow case, cloth or disposable |
4 |
0 |
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Sheets, cloth or disposable |
4 |
2 |
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Blankets |
2 |
2 |
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Towels, cloth or disposable 12" x 23" minimum |
4 |
2 |
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Emesis collection device |
1 |
1 |
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Urinal |
1 |
0 |
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Bed pan |
1 |
0 |
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OB kit |
1 |
1 |
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Epinephrine and supplies appropriate for level of certification per MPD protocols |
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Adult |
1 |
1 |
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Pediatric |
1 |
1 |
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Storage and handling of pharmaceuticals in ambulances and aid vehicles must be in compliance with the manufacturers' recommendations |
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Extrication plan: Agency must document how extrication will be provided when needed. |
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Notes
Statutory Authority: Chapters 18.71, 18.73, and 70.168 RCW. 11-07-078, § 246-976-300, filed 3/22/11, effective 5/15/11; 00-08-102, § 246-976-300, filed 4/5/00, effective 5/6/00. Statutory Authority: RCW 43.70.040 and chapters 18.71, 18.73 and 70.168 RCW. 93-01-148 (Order 323), § 246-976-300, filed 12/23/92, effective 1/23/93.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
Ground ambulance and aid services must provide equipment listed in Table A of this section on each licensed vehicle, when available for service.
| Note: "asst" means assortment | ||
| TABLE A: EQUIPMENT | AMBULANCE | AID VEHICLE |
| AIRWAY MANAGEMENT | ||
| Airway Adjuncts | ||
| Oral airway adult and pediatric | asst | asst |
| Suction | ||
| Portable | 1 | 1 |
| Vehicle mounted and powered, providing: Minimum of 30 L/min. & vacuum > 300 mm Hg | 1 | 0 |
| Tubing, suction | 1 | 1 |
| Bulb syringe, pediatric | 1 | 1 |
| Rigid suction tips | 2 | 1 |
| Catheters as required by local protocol | ||
| Water-soluble lubricant | 1 | 1 |
| Oxygen delivery system built in | 1 | 0 |
| 3000 L Oxygen supply, with regulator, 500 PSI minimum, or equivalent liquid oxygen system | 1 | 0 |
| 300 L Oxygen supply, with regulator, 500 PSI minimum, or equivalent liquid oxygen system | 2 | 1 |
| Cannula, nasal, adult | 4 | 2 |
| O2 mask, nonrebreather, adult | 4 | 2 |
| O2 mask, nonrebreather, pediatric | 2 | 1 |
| BVM, with O2 reservoir | ||
| Adult, pediatric, infant | 1 ea | 1 ea |
| PATIENT ASSESSMENT AND CARE | ||
| Assessment | ||
| Sphygmomanometer | ||
| Adult, large | 1 | 1 |
| Adult, regular | 1 | 1 |
| Pediatric | 1 | 1 |
| Stethoscope, adult | 1 | 1 |
| Thermometer, per county protocol | 1 | 0 |
| Flashlight, w/spare or rechargeable batteries & bulb | 1 | 1 |
| Defibrillation capability appropriate to the level of personnel | 1 | 1 |
| Personal infection control and protective equipment as required by the department of labor and industries | ||
| Length based tool for estimating pediatric medication and equipment sizes | 1 | 1 |
| TRAUMA EMERGENCIES | ||
| Triage identification for 12 patients per county protocol | Yes | Yes |
| Wound care | ||
| Dressing, sterile | asst | asst |
| Dressing, sterile, trauma | 2 | 2 |
| Roller gauze bandage | asst | asst |
| Medical tape | asst | asst |
| Self adhesive bandage strips | asst | asst |
| Cold packs | 4 | 2 |
| Occlusive dressings | 2 | 2 |
| Scissors, bandage | 1 | 1 |
| Irrigation solution | 2 | 1 |
| Splinting | ||
| Backboard with straps | 2 | 1 |
| Head immobilization equipment | 1 | 1 |
| Pediatric immobilization device | 1 | 1 |
| Extrication collars, rigid | ||
| Adult (small, medium, large) | asst | asst |
| Pediatric or functionally equivalent sizes | asst | asst |
| Immobilizer, cervical/thoracic, adult | 1 | 0 |
| Splint, traction, adult w/straps | 1 | 0 |
| Splint, traction, pediatric, w/straps | 1 | 0 |
| Splint, adult (arm and leg) | 2 ea | 1 ea |
| Splint, pediatric (arm and leg) | 1 ea | 1 ea |
| General | ||
| Litter, wheeled, collapsible, with a functional restraint system per the manufacturer | 1 | 0 |
| Pillows, plastic covered or disposable | 2 | 0 |
| Pillow case, cloth or disposable | 4 | 0 |
| Sheets, cloth or disposable | 4 | 2 |
| Blankets | 2 | 2 |
| Towels, cloth or disposable 12" x 23" minimum | 4 | 2 |
| Emesis collection device | 1 | 1 |
| Urinal | 1 | 0 |
| Bed pan | 1 | 0 |
| OB kit | 1 | 1 |
| Epinephrine and supplies appropriate for level of certification per MPD protocols | ||
| Adult | 1 | 1 |
| Pediatric | 1 | 1 |
| Storage and handling of pharmaceuticals in ambulances and aid vehicles must be in compliance with the manufacturers' recommendations | ||
| Extrication plan: Agency must document how extrication will be provided when needed. | ||
Notes
Statutory Authority: Chapters 18.71, 18.73, and 70.168 RCW. 11-07-078, § 246-976-300, filed 3/22/11, effective 5/15/11; 00-08-102, § 246-976-300, filed 4/5/00, effective 5/6/00. Statutory Authority: RCW 43.70.040 and chapters 18.71, 18.73 and 70.168 RCW. 93-01-148 (Order 323), § 246-976-300, filed 12/23/92, effective 1/23/93.