Vehicle, Equipment and Supply Requirements for Critical Care Transport Ambulance Services [45 Pa.B. 2680]
[Saturday, May 30, 2015]Under 28 Pa. Code § 1027.3(c) (relating to licensure and general operating standards), the Department of Health (Department) has the authority to publish in the Pennsylvania Bulletin, and update as necessary, vehicle construction and equipment and supply requirements for emergency medical services (EMS) agencies based upon the types of services they provide and the EMS vehicles they operate. An EMS agency that is licensed to operate as a critical care transport (CCT) ambulance service by the Department under 35 Pa.C.S. § 8129 (relating to emergency medical services agencies), as well as an applicant for an EMS agency license to operate as a CCT ambulance service, shall maintain and have readily available in working order the following vehicle, equipment and supply requirements.
A. Vehicle Standards
CCT ambulances shall meet vehicle standards as published at 41 Pa.B. 2296 (April 30, 2011).
B. Equipment and Supply Standards
CCT ambulances shall meet equipment and supply standards for an advanced life support ambulance as published at 41 Pa.B. 2296.
C. Additional Equipment and Supply Standards
In addition to the equipment and supply standards referenced in section B, CCT ambulances also shall carry all of the following equipment and supplies. All equipment and supplies shall be carried and readily available in working order for use. All equipment that may be used in direct contact with patients must be reasonably clean and easily cleaned of blood and body fluids. No drugs or medication may be carried beyond an expiration date assigned to it. Some patients and crewmembers of an ambulance service may have allergies to latex. Latex free supplies are recommended, when possible.
1. One Bougie Gum elastic endotracheal introducer.
2. One video capable laryngoscope with appropriate sized blades.
3. One electronic wave-form capnograph, non-intubated patient, capable of wave-form display.
4. One portable transport ventilator which must have the capabilities that include, but are not limited to, controlling rate, volume, Fi02, I:E Ratio, PEEP and volume control, pressure control, SIMV and NPPV modes. Device must have both volume and pressure modes and low/high pressure warning alarms.
5. Two portable transport ventilator circuits appropriately sized for patient being transported.
6. Two 3 1/4" over the needle catheter in 10, 12 or 14 gauge.
7. One automated noninvasive blood pressure monitoring device.
8. One endotracheal cuff pressure manometer.
9. One 12 lead ECG with wireless transmission capability.
10. Invasive pressure monitoring, electronic waveform, two-channel capability.
11. One portable doppler with venous and OB probe.
12. One pelvic stabilization device.
13. Two blood administration sets only if agency provides or maintains blood products.
14. Per Statewide CCT protocols, approved medications that must be kept within expiration dates.
15. Three intravenous infusion pumps or one multi-channel unit capable of managing three simultaneous infusions.
16. Onboard oxygen with a capacity of a minimum of 7,000 liters.
17. Portable oxygen with a capacity of a minimum of 1,800 liters.
18. Inverter or generator capability of supporting all required equipment electrical needs.
Persons with a disability who require an alternate format of this notice (for example, large print, audiotape, Braille) should contact Richard L. Gibbons, Bureau Director, Department of Health, Bureau of Emergency Medical Services, Room 606, Health and Welfare Building, 625 Forster Street, Harrisburg, PA 17120-0710, (717) 787-8740. Speech or hearing impaired persons may use V/TT (717) 783-6154 or the Pennsylvania AT&T Relay Service at (800) 654-5984 (TT).
KAREN M. MURPHY, PhD, RN,
Secretary[Pa.B. Doc. No. 15-1023. Filed for public inspection May 29, 2015, 9:00 a.m.]
