SREMS Minimum Equipment Standards

Transcription

1 Ambulance AEMT EMT-CC EMT-P Standard Description Opt Req Opt Req Opt Req Opt Req Unit meets NYS minimum BLS equipment standards for X certification, per latest Part 800. Portable monitor-defibrillator with the following: Operates on batteries, independent of outside power source X X X Monitors patient s Lead II ECG via self-adhesive defibrillation X X X electrodes Cardiac monitoring in operator s manually-selectable choice of X X X standard limb leads I, II, and III, via a standard three- or fourelectrode patient monitoring cable and standard (dot) monitoring electrodes Continuous and/or intermittent real-time recording of the patient s X X X ECG on paper + highlight replay (Code Summary) Manual defibrillator AED mode X X X Self-adhesive defibrillation electrodes X X X Manually-actuated, synchronized cardioversion X X X Interconnectivity with biotelemetry transmitter X X X External transcutaneous pacemaker X X X Make & model of monitor defibrillator: Month & year purchased: Purchased: New Used Sets of adult-sized, self-adhesive, disposable defibrillation electrodes OR sets of defibrillation pads (for hand-held paddles) OR tubes/bottles of defibrillation paste or gel Sets of pediatric-sized self-adhesive defibrillation electrodes Sets of self-adhesive, disposable external pacing electrodes (may be same as ALS, if unit uses combination electrodes) Spare monitoring cable for monitor/defibrillator (not required if monitor has hands-free defib) Cardiac Monitor/Debibrillator AED ECG monitoring electrodes - -lead acquisition -Lead Transmission Continuos Waveform Capnography Pulse Oximeter CPAP BLS ALS Glucometer with test strips & lancets BLS Nebulizer Atomizer End Tidal CO Detector-Adult End Tidal CO Detector-Pediatric Revision Date January, 09 Page of 6

2 Ambulance AEMT EMT-CC EMT-P Standard Description Opt Req Opt Req Opt Req Opt Req Esophageal Detector Device Surgical Airway Device Arterial Tourniquet Gum Elastic Boogie Length-Based Resuscitation Tape Endotracheal Tubes (ID uncuffed?).5 mm (ID uncuffed?).0 mm (ID uncuffed?).5 mm (ID uncuffed?) 4.0 mm (ID uncuffed?) 5.0 mm (ID cuffed?) 6.0 mm (ID cuffed?) 7.0 mm (ID cuffed?) 8.0 mm (ID cuffed?) 9.0 mm Commercial ET Tube Securing Devices Water Soluble Jelly 0 cc Syringe for Endotracheal Tube Regionally Approved Alternative Airway Device >Adult Set >Pediatric Set Tube or Packets Adult Stylet (can be packaged with ETT) Pediatric Stylet (can be packaged with ETT) Infant-sized Stylet Laryngoscope Handle Laryngoscope Handle with "C" Batteries Laryngoscope Handle with "AA" Batteries Laryngoscope Blades Curved- Curved- Curved-4 Straight-0 Straight- Straight- Straight- Straight-4 Miller #0 Lighted Laryngoscope Blade Miller # Lighted Laryngoscope Blade Miller or Mac # Lighted Laryngoscope Blade Miller or Mac # Lighted Laryngoscope Blade Miller or Mac #4 Lighted Laryngoscope Blade Adult Magill Forceps Pediatric Magill Forceps Revision Date January, 09 Page of 6

3 Ambulance Standard Description Opt Req AEMT EMT-CC EMT-P Opt Req Opt Req Opt Req Suction Catheters 8 French 0 French French Yankauer 4 Gauge x" IV Catheter Orogastric Tubes 4 French 6 French 000 ml Normal Saline 00 ml Normal Saline Macrodrip IV Admin. Set Microdrip IV Admin. Set Large Bore Saline Lock Kit Protective IV Catheter 4G x /4" Protective IV Catheter 6G Protective IV Catheter 8G Protective IV Catheter 0G Protective IV Catheter G Protective IV Catheter 4G #4 gauge over-the-needle IV catheters #6 gauge over-the-needle IV catheters #8 gauge over-the-needle IV catheters #0 gauge over-the-needle IV catheters # gauge over-the-needle IV catheters #4 gauge over-the-needle IV catheters #8 gauge steel hypodermic needles # gauge steel hypodermic needles #5 gauge steel hypodermic needles Bone Marrow Needles 0 ml Luer-lock sterile disposable syringe 0 ml Luer-lock sterile disposable syringe 5 ml Luer-lock sterile disposable syringe ml Luer-lock sterile disposable syringe ml Luer-lock sterile disposable syringe Intraosseous Needle - Adult (powered device) Intraosseous Needle - Peds cc Syringe with 5G Needle cc Syringe 5cc Syringe 0cc Syringe 8G Hypodermic Needle (If packaged with a syringe, this G Hypodermic Needle (If packaged with a syringe, this Revision Date January, 09 Page of 6

4 Ambulance Standard Description Opt Req 0 ml Disposable Syringes without Needles Disposable Razors Disposable IV Tourniquests (If packaged with a saline lock kit, this AEMT EMT-CC EMT-P Opt Req Opt Req Opt Req Alcohol Prep Pads (If packaged with a saline lock kit, this Transparent Dressings (If packaged with a saline lock kit, this " x " Gauze Pads (If packaged with a saline lock kit, this Iodine Pads or Chlorhexidine Wipes Band-aids 9" Padded IV Armboard Spare Patient Monitor Cables EKG Electrode Set - Adult EKG Electrode Set - Pediatric AED Pad - Adult ** AED Pad - Pediatric ** Pacing/Defibrillation Pad - Adult Pacing/Defibrillation Pad - Pediatric Rolls /" or " Cloth Adhesive Tape Broselow Pediatric Emergency Tape Box Small Non-sterile Exam Gloves Box Medium Non-sterile Exam Gloves Box Large Non-sterile Exam Gloves Pairs of Splash-protective-type goggles/faceshields Disposable Surgical Face Masks OR N-95 or Greater Respirator for EACH Crew Member on Vehicle Disposable, Fluid-Impermeable Medical Gowns Mechanical IO Gun/Drill/Spring Loaded Device 00 ml Plastic Bags of Normal Saline.09% 000 ml Plastic Bags of Normal Saline 6 4 MEDICATIONS Adenosine 6 mg/ ml 6 6 Albuterol.5 mg/ ml Albuterol Premix 0.08% ( ml) 5 Amiodarone, vial, 50 mg ( ml) Aspirin, bottle, chewable 5 or 8 mg/tab 4 Atropine Sulfate mg/0 ml Syringe Atropine Sulfate.0 mg/0 ml Benadryl 50 mg/ ml (Diphenhydramine) Calcium Chloride 00 mg/ ml Dexamethasone (Decadron) 0 mg/ ml Dextrose 0% 5 grams/unit 50 ml Revision Date January, 09 Page 4 of 6

5 Ambulance AEMT EMT-CC EMT-P Standard Description Opt Req Opt Req Opt Req Opt Req Diltiazem 5 mg/ ml Diltiazem 5 mg/5 ml, may sub Lopressor Epi-Pen Autoinjector - Adult Epi-Pen Autoinjector - Pediatric Epinephrine :,000 mg/ ml (Ampule) Epinephrine :0,000 mg/ ml Epinephrine :0, mg/0 ml Etomidate mg/ml if authorized 6 Etomidate 0 mg/0 ml Vial Fentanyl 00 mcg/ ml Ampule Fentanyl 00 mcg Glugagon mg/ ml Vial Glucagon mg unit Glucose - Oral gm Glucose Paste (tube) Haloperidol 5 mg/ ml Ampule Haloperidol Ipratropium Bromide 500 up/.5 ml or Ipratropium & Albuterol Ipratropium (Atrovent)-May be premixed with albuterol Ketamine 00 mg/ ml Ketamine (paramedic only) 500 mg/5 ml Ketorolac 0 mg/ ml Vial Ketorolac (Toradol) Lidocaine 00 mg/5 ml Lidocaine % Magnesium Sulfate (Total 8 gm per vehicle) Magnesium Sulfate 5 gm Metoprolol 5 mg/5 ml Ampule Metoprolol 4 Midazolam 5 mg/5 ml 4 4 Midazolam (Versed) 5 mg 4 Morphine Sulfate 0 mg/ ml Morphine 0 mg Naloxone mg/ ml Naloxone (Narcan) mg Nitroglycerin 0.4 mg Tablet (bottle) and/or Nitroglycerin Spray Nitroglycerin 0.4 mg/tab, 5 tabs/bottle or Metered Dose Nitrous Oxide 50/50 Norepinephrine 4 mg/4 ml Norepinephrine 4 mg Ondansetron 4 mg/ ml Vial Revision Date January, 09 Page 5 of 6

6 Ambulance Standard Description Opt Req Ondansetron 4 mg Tablets or 4 mg Orally Disintegrating Tabs (ODT) Bottle or Unit Dose Packs Copy of Current Regional ALS Protocols (electronic is acceptable) All ALS equipment and supplies clean, sanitary, and/or sterile (where appropriate) Drugs, sharps and syringes securely locked in fixed cabinet(s) in vehicle **- AED PAD- Adult/Pediatric- may be combined if device supports pediatric levels in adult pad. AEMT EMT-CC EMT-P Opt Req Opt Req Opt Req Ondansetron (inj) 4 mg Ondansetron (PO) 4 mg tab Rocuronium 50 mg/5 ml Vial Rocuronium 0 mg (RSI Med Optional) Sodium Bicarbonate 44.6 meq Syringe Sodium Bicarbonate 50 meq/50 ml Succinylcholine 00 mg/5 ml Succinylcholine 0 mg (RSI Med Optional) Tetracaine Unit Dose Vecuronium 0 mg/0 ml Vial Vecuronium mg (RSI Med Optional) Mobile Vehicle Radio, at least 5 watts, with: Transmit/receive on MHz Transmit/receive on MHz Revision Date January, 09 Page 6 of 6