Page FIRST RESPONDER PARAMEDIC APPARATUS STAFF, MEDICATIONS, EQUIPMENT, AND SUPPLIES APPROVED: EMS Medical Director EMS Administrator. Staff: One currently licensed and accredited paramedic.. Medications The following are approved medications to be carried on all San Mateo County First Responder ALS Apparatus. Each unit shall have at least the minimum quantity shown in order to remain in service. Medication Adenosine Albuterol 0.83% solution Aspirin: children's chewable Atropine.0 mg/5 ml preload Benadryl 50 mg/ ml Charcoal Slurry 5 grams/0 ml Calcium Chloride gm/0 ml preload Dextrose 50% 5 gm/50 ml preload Dopamine 400 mg vial Epinephrine :,000 mg/ml ampule Epinephrine :0,000 mg/0 ml preload 30 mg dose bottle 4 mg 00mg dose gm 50 gm 400 mg Epinephrine :,000 30 ml vial Glucagon mg/vial Glucola 8 oz. mg 4 mg mg Lasix 40 mg 0 mg Issue Date: April, 00 Effective Date: April, 00 Review Date: April 004
Page Medication Lidocaine 00 mg/5 ml preload Narcan.0 mg/ ml preload Nitroglycerine 0.4 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 carpujet Versed mg /cc vial, ampule or preload Medication Labels 400 mg.0 mg.4 mg bottles 0 meq 00 meq 0 mg 4 mg * At least one vial or ampule of valium should be carried for use with pediatric patients. IV Fluids Normal Saline 50 ml Normal Saline 000 ml Normal Saline 0 ml vial each each each 3. Restocking Of Medications And Iv Solutions 3. Medications (Uncontrolled Substances) and IV Solutions 3.. First responding vehicles will be restocked by the Medical Supply Coordinator of their respective geographic zone (North, Central, South or Coast). 3.. Medications and IV solutions used by first responder paramedics will NOT be replaced by the transporting unit. 4. Supplies And Equipment 4. Each First Responder ALS Apparatus shall have at least the minimum shown in order to remain in service. 4. Supplies and Equipment used by first responder paramedics will NOT be replaced by the transporting unit. Personal Protective Equipment Gloves: Issue Date: April, 00 Effective Date: April, 00 Review Date: April 004 Sterile (sizes 5-8) (each) Clean (pairs unisize) 4
Page 3 Personal Protective Equipment 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 Cardiac Monitoring Equipment Portable Cardiac Monitor (refer to Policy Equipment - 6) 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 3 sets Patient Cables Airway Management Equipment Laryngoscope Handle batteries (extra) Adult Blades, Sizes: Straight 4 3 Curved 4 Issue Date: April, 00 Effective Date: April, 00 Review Date: April 004
Page 4 Airway Management Equipment Pediatric Blades, Sizes: Straight 0 Curved ET Tubes (Sizes 5.0 and under are uncuffed) Size.5-5.5 (including / sizes) (each) 6.0-8.0 (whole sizes) ( minimum 8.0) 3 ET Tube hold down devices (tube tamers) Esophageal Intubation Detection Device (EDD) Esophageal Tracheal Airway Device (ETAD) / Combitube Lidocaine Jelly Cetacaine Spray Neosynephrine End Tidal CO Monitors Transtracheal Jet Insuflator (Optional) Adult Stylet IPPB Tubing with Mouthpiece IPPB Tubing with Facemask Magill Forceps: Adult Pediatric Cricothyrotomy Kit (Optional) Pleural Decompression Kit Soluble Lubricant (packets) Suction Catheters: Sizes: 6 4 0 8 Tonsil Tip Suction Tubing (spare) Portable Suction (battery powered) (Optional) (Note: squeeze syringes do not satisfy this requirement) Nasal Pharyngeal Airways: Sizes: 34 Issue Date: April, 00 Effective Date: April, 00 Review Date: April 004
Page 5 Airway Management Equipment 3 30 8 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 Oxygen Gaskets for Portable O Wrench Bandaging and Splinting Equipment Sterile Bandage Compresses Or Equivalent 6 Petroleum Gauze Pads Gauze Pads: Minimum Size 3" x 3" 6 Universal Dressings: 0" x 30" or Larger Triangular Bandages - 40" Roller Bandages 3 Bandage Shears Cervical Collar (Stiff) (sizes to fit all patients > year old) each size Rigid Splints Sterile Burn Pack " roll " roll Cold Packs Restraints (Optional) Issue Date: April, 00 Effective Date: April, 00 Review Date: April 004
Page 6 Bandaging and Splinting Equipment Irrigation Solution: Sterile saline: 500 ml Sterile water: 500 ml 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 Vacutainer or equivalent device Red-Top Blood Collection Tubes 4 Purple-Top Blood Collection Tubes 4 Infusion Sets: IV Cannulas: sizes: gauge 0 gauge 8 gauge 6 gauge 4 gauge Micro drip set Standard set (Macro) Blood set with pump Saline Locks 3 Syringes: 0 ml 5 cc TB Needles for Injection: 5 gauge: 5/8" 8 gauge: " Intraosseous Kits (Optional) Prep Razor Alcohol Wipes (box) Betadine Wipes (packets) 6 Tourniquets (IV) 3 Pressure Infuser (Optional) Needle Coffin Issue Date: April, 00 Effective Date: April, 00 Review Date: April 004
Communication Equipment Equipment 3 Page 7 Cellular Telephone Mobile Two-Way Fire Radio Installed In Vehicle Portable Two-Way Fire Radio Miscellaneous Items Trauma Bag or Box Triage Tags (Calif. Fire Chief's Association Tag) 0 ICS Vests: Medical Group Leader (Full Set of All) Optional Items Arm Boards: Short Long KED type device (optional) 0 Hot Packs 0 Polaroid-type Camera (capable of instant color prints) 0 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 004