PARAMEDIC EMERGENCY AMBULANCE STAFF, MEDICATIONS, EQUIPMENT, AND SUPPLIES
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1 Equipment Page PARAMEDIC EMERGENCY AMBULANCE STAFF, MEDICATIONS, EQUIPMENT, AND SUPPLIES APPROVED: EMS Medical Director EMS Administrator. Staff. One currently licensed and accredited paramedic and one EMT-I who has 0 hours of county approved advanced training or two paramedics.. During patient transport, the paramedic will remain with the patient.. Medications The following are approved medications to be carried on all San Mateo County Emergency Ambulances Medication Minimum Standard Adenosine 30 mg 60 mg Albuterol 0.83% solution dose doses Aspirin: children's chewable bottle bottles Atropine.0 mg/5 ml preload mg 6 mg Benadryl 50 mg/ ml 00 mg 00 mg Charcoal Slurry 5 Grams/0 ml dose doses Calcium Chloride gm/0 ml preload gm gm Dextrose 50% 5 gm/50 ml preload 50 gm 00 gm Dopamine 00 mg vial 00 mg 800 mg Epinephrine :,000 mg/ml ampule mg mg Epinephrine :0,000 mg/0 ml preload mg 8 mg Epinephrine :, ml vial Issue Date: April, 00 Effective Date: April, 00 Review Date: April 00
2 Medication Equipment Page Minimum Standard Glucagon mg/vial mg mg Glucola 0 oz. or Glucose Paste, tube Lasix 0 mg 0 mg 60 mg Lidocaine 00 mg/5 ml preload 00 mg 800 mg Narcan.0 mg/ ml preload.0 mg 8.0 mg Nitroglycerine 0. mg tab or Nitroglycerine metered spray Infant Sodium Bicarbonate 5 meq/0 ml preload Sodium Bicarbonate 50 meq/50 ml preload Morphine Sulfate 0 mg/ ml ampule w/ tubex carpuject. mg bottles 3 bottles 0 meq 0 meq 00 meq 00 meq 0 mg 50 mg Versed mg / cc vial, ampule, or preload mg 8 mg Medication Labels 0 0 Portable Medication Box IV Fluids Standard Normal Saline 50 ml each 8 Normal Saline 000 ml each 0 Normal Saline 0 ml vial each 0 3. Restocking Of Medications And Iv Solutions All emergency ambulance providers shall be responsible for restocking each ambulance with supplies and equipment.. Supplies And Equipment. Each emergency ambulance shall have at least the "minimum" shown in order to remain in service. Issue Date: April, 00 Effective Date: April, 00 Review Date: April 00
3 Personal Protective Equipment Gloves: Equipment Page 3 Sterile (sizes 5-8) (each) Clean (pairs unisize) Disposable Bags (Biohazard) HazMat kit Isolation Gown Isolation Mask Patient Assessment and Examination Equipment Glucometer Stethoscope Portable Blood Pressure Cuff (adult, thigh, pediatric) Pulse Oximeter 0 Pediatric Measurement Tape (Broselow) Oral Thermometer Airway Management Equipment Laryngoscope Handle batteries (extra) Adult blades, Sizes: Straight 3 Curved 3 Pediatric blades, Sizes: Straight 0 Curved ET Tubes (Sizes 5.0 and under are uncuffed) Size (including / sizes) (each) (whole sizes) ( minimum 8.0) ET Tube hold down devices (tube tamers) Esophageal Intubation Detection Device (EDD) Esophageal Tracheal Airway Device (ETAD)/ Combitube Lidocaine Jelly Issue Date: April, 00 Effective Date: April, 00 Review Date: April 00
4 Equipment Page Patient Assessment and Examination Equipment Issue Date: April, 00 Effective Date: April, 00 Review Date: April 00 Cetacaine Spray Neosynephrine End Tidal CO Monitors Transtracheal Jet Insuflator Adult Stylet IPPB Tubing with Mouthpiece IPPB Tubing with Facemask Magill Forceps: Adult Pediatric Cricothyrotomy Kit Pleural Decompression Kit Soluble Lubricant (packets) Suction Catheters: Sizes: Tonsil Tip Suction Tubing (spare) Portable suction (battery powered) (Note: squeeze syringes do not satisfy this requirement) Nasal Pharyngeal Airways: Sizes: Oral Pharyngeal Airways Sizes: 0-6 (each) (or equivalent metric sizes) Oxygen Nasal Cannula: Adult Pediatric Oxygen Mask Non-rebreather Adult Oxygen Mask-Child Oxygen Mask-Infant Bag-Valve-Mask with reservoir: Adult Pediatric Portable Oxygen with Regulator Oxygen supply must be sufficient to provide a patient with not less than 0 L/min for 0 minutes
5 Equipment Page 5 Patient Assessment and Examination Equipment Oxygen Gaskets for portable O Wrench Cardiac Monitoring Equipment Portable Cardiac Monitor (refer to Appendix "A") EKG paper (rolls) Electrodes: 3 per set Pediatric Electrodes: 3 per set Portable Defibrillator Adult Paddles (pads acceptable for hands-free defibrillation) Pediatric Paddles (pads acceptable for hands-free defibrillation) Conductive Gel or conductive pad sets 3 sets set set set container 6 sets Patient Cables Communication Equipment Cellular Telephone Mobile Two-Way EMS Radio Installed In Vehicle Portable Two-Way EMS Radio Mobile Two-Way Fire Radio Installed In Vehicle Bandaging and Splinting Equipment Sterile Bandage Compresses Or Equivalent Petroleum Gauze Pads Gauze Pads: Minimum size 3"x 3" Universal Dressings: 0" x 30" or Larger Triangular Bandages - 0" Roller Bandages 6 Bandage Shears Issue Date: April, 00 Effective Date: April, 00 Review Date: April 00
6 Bandaging and Splinting Equipment Equipment Page 6 Extremity Traction Splint (model optional) Cervical Collar (Stiff) (sizes to fit all patients > year old) each size Rigid Splints Cardboard Splint Arm Cardboard Splint Leg Spinal Immobilization Device W/Straps Head Immobilizer Sterile Burn Pack Tape: Arm Boards: Short Long /" roll " roll " roll Hot Packs Cold Packs Restraints (set) KED type device (optional) Irrigation Solution: Sterile saline: 500ml Sterile water: 500ml OB Kit: (To include gloves, umbilical cord clamp or tape, dressings, towels, bulb syringe, and clean plastic bags) IV, Saline Lock, and Blood Drawing Equipment Infusion Sets: IV Cannulas: sizes: gauge 0 gauge 8 gauge 6 gauge gauge Scalp Vein Needles: sizes: 5 gauge 3 gauge gauge Issue Date: April, 00 Effective Date: April, 00 Review Date: April 00 Micro drip set Standard set (Macro) Blood set with pump 3 way add-a-flow
7 Equipment Page 7 IV, Saline Lock, and Blood Drawing Equipment 9 gauge Saline Locks 6 Syringes: 60ml Cath Tip 35ml 0ml 3ml TB Needles for Injection: 5 gauge: 5/8" 8 gauge: " Intraosseous Kits Prep Razor Alcohol Wipes (box) Betadine Wipes (packets) 6 Tourniquets (IV) 3 Pressure Infuser for,000ml IV bags Needle Coffin Miscellaneous Items Portable Medication Box Trauma Bag or Box Triage Tags (Calif. Fire Chief's Association Tag) 0 Potable water gallon Polaroid-type Camera (capable of instant color prints) ICS Vests: Medical Group Leader Triage Officer Treatment Officer Transport Officer Other ambulance equipment and safety equipment as required by the California Highway Patrol and in Provider's contract with County. Issue Date: April, 00 Effective Date: April, 00 Review Date: April 00
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