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R-E-01-A Vehicle Inspection Form - Ambulance
R-E-01-B Vehicle Inspection Form - Neonatal Ambulance
R-E-01-C Vehicle Inspection Form - Medical First Responder
R-E-01-D Vehilce Inspection Form - Air Ambulance

EMS Ambulance Requirements as outlined by the Georgia Administrative Rules and Regulations Code 290-5-30-.05 Licensure of Ambulance Services


Respiratory Equipment
1
MOUNTED ELECTRIC OR MANIFOLD OPERATED SUCTION ASPIRATOR.
1
PORTABLE SUCTION ASPIRATOR, being either a portable self-contained battery rechargeable suction unit or oxygen powered unit, having at least twelve (12) inches mercury negative pressure and flow for pharyngeal suction. The portable suction unit shall be fitted with large bore, nonkinking suction tubing and rigid or semi-regid pharyngeal suction tip (nonmetallic). If oxygen powered suction is used, at least one additional tank must be provided for use with this device.
4
STERILE SUCTION CATHETERS, assorted sizes.
2
IRRIGATION LIQUIDS, 1000 ml.
1
BAG-VALVE RESUSCITATOR, with transparent adult mask. The valve must operate in cold weather, and the unit must be capable of use with an oxygen supply. The unit must be capableof delivering 100% oxygen.
1
PEDIATRIC BAG-VALVE RESUSCITATOR with transparent child and infant masks. The valve must operate in cold weather, and the unit must be capable of use with an oxygen supply. The unit must be capable of delivering 100% oxygen.
2
2
2
2
2
OXYGEN SUPPLY TUBING.
1
Set OROPHARYNGEAL AIRWAYS, with adult, child and infant sizes.
1
Set NASOPHARYNGEAL AIRWAYS, with adult, child, and infant sizes.
1
ESOPHAGEAL OBTURATOR AIRWAY (This equipment may be deleted with proof of written approval to do so by the department in response to written request by the ambulance service medical director.)
1
OXYGEN: fixed system with at least two wall-mounted oxygen outlets and one flowmeter. The system shall also include a yoke, pressure reducer/gauge and an approved cylinder retaining device. The system shall be capable of delivering an oxygen flow of at least 15 liters per minute. If the oxygen source is of a size less than "M" cylinder, an additional full spare cylinder for the fixed system shall be carried in the ambulance.
1
OXYGEN: portable unit consisting of at least a "D" size cylinder, yoke, pressure gauge, flowmeter and cylinder wrench or hand wheel. The unit shall be capable of delivering an oxygen flow of at least 15 liters per minute. Cylinder holders with a quick-release fitting shall be furnished to allow the use of the portable unit outside the vehicle.
1
OXYGEN: full spare cylinder for use with the above portable oxygen unit.
BANDAGES/DRESSINGS
2
2
UNIVERSAL DRESSINGS, approximately 10 by 30 inches.
12
Sterile Gauze Pads, 4 inches by 4 inches.
3
2
BANDAGES, soft roller, self-adhering type, 6 inches by 5 yards.
3
ELASTIC BANDAGES, of assorted sizes.
4
STERILE INDIVIDUALLY WRAPPED VASELINE GAUZE PADS, 4 inches by 3 inches or 9 inches by 3 inches.
4
DIAGNOSTIC
1
ANEROID SPHYGMOMANOMETER, with pediatric, adult and obese size cuffs.
1
1
GLUCOSE MONITORING DEVICE or equivalent. (This requirement may be deleted with proof of written approval to do so by the department in response to written request by the ambulance service medical director.)
IMMOBILIZATION DEVICES
4
EXTREMITY IMMOBILIZATION DEVICES: 2 full arms and 2 full legs - one full arm and one full leg may be inflatable.
2
PNEUMATIC ANTI-SHOCK GARMENT, one adult and one pediatric. (This requirement may be deleted with proof of written approval to do so by the department in response to written request by the ambulance service medical director.)
1
SHORT SPINAL EXTRICATION DEVICE(KED or equivalent).
1
PEDIATRIC IMMOBILIZATION DEVICE OR SHORT SPINE BOARD, short spine board should be at least 16 inches by 32 inches, with 2 straps, with scalloped edges on the head section or equivalent.
2
SPINE BOARDS, long, at least 16 inches by 72 inches in length with 3 straps for each board.
2
LATERAL CERVICAL IMMOBILIZATIOiN DEVICES (Commercial devices, foam blocks, or sheet(blanket rolls).
6
CERVICAL IMMOBILIZATION COLLARS (HARD TYPE) 2 adult, 2 medium, 2 child.
1
TRACTION SPLINT, adult, lower extremity, adjustable.
MISCELLANEOUS
1
1
MULTI-LEVEL COT with at least two sets of straps.
2
2
WATERPROOF PATIENT COVERS (e.g., plastic sheets).
1
FLASHLIGHT, may be on ambulance or person.
1
FIRE EXTINGUISHER, 10 pounds A-B-C type or functional equivalent.
2
4
RESTRAINTS, 2 ankle and 2 wrist, leather or nylon.
1
SHEARS, may be on ambulance or person.
2
1
NONPOROUS INFANT INSULATING DEVICE, foil swaddler or equivalent.
1
OBSTETRICAL KIT: Receiving blanket, sterile bulb aspirator, wrapped sanitary napkin, sterile scissors or scalpel blade, 4-inch gauze pads, one pair of sterile gloves, 2 cord clamps and plastic bag for placenta. All items are to be in a container with identifying label showing contents.
1
IV SOLUTION KIT with the list of contents established and approved by the ambulance service medical director. The list shall be signed by the medical director and be available for inspection by the department. Providers in counties with less than 12,000 population and choosing not to have a medical director shall have an IV SOLUTION KIT containing the total volumes of each of the following: 500 ml. D5W; 2000 ml. Ringer's lactate solution; and 1000 ml. normal saline solution. IV fluids Will be in plastic containers. IV Kits will include drip sets and assorted needles and catheters for IV administration.
1
2
1
U.S. Department of Transportation EMERGENCY RESPONSE GUIDEBOOK current edition.
EXTRICATION EQUIPMENT
The following extrication equipment is required to be on each vehicle except where the provider has a letter from the regional EMS council stating that this equipment is immediately available from rescue sources within the zone.
1
1
RESCUE AX OR HALLIGAN TOOL, able to pry, cut, remove sheet metal.
1
6-INCH OR 8-INCH FLATHEAD SCREWDRIVER.
1
3-POUND HAMMER.
1
HACKSAW WITH 2 EXTRA BLADES, bimetal type blades.
1
ROLL DUCT TAPE.
1
ONE TONE COME-A-LONG AND TWO RESUCE-RATED CHAINS OR STRAPS.
1
PAIR "SAFETY" GOGGLES OR HELMET WITH SHIELD or equivalent eye protection.
1
PAIR GLOVES, work gloves or leather gloves.
ADVANCED LIFE SUPPORT (ALS)
When advanced life support is being provided, the ambulance must have all the above required equipment and the additional equipment as follows:
AIRWAY
Endotracheal tubes (assorted sizes, adult, child and infant), 10cc syringes,stylette,laryngoscope handle, blades (assorted sizes, small, medium and large).
CARDIAC
1
DRUGS
1
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