Minimum Equipment Requirements ADMINISTRATIVE POLICY 4004
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1 NAPA COUNTY EMS AGENCY Minimum Equipment Requirements ADMINISTRATIVE POLICY 4004 The following list is applicable to all EMS providers within Napa County. This list is not all-inclusive and serves as a minimum required equipment list only. ALS s and ALS First Responder providers are required to carry both ALS and BLS equipment items. Defibrillator/Diagnostic ALS EQUIPMENT ALS ALS st Response Monitor-Defibrillator ECG cables -Lead cables ECG paper (extra) Electrodes (single) Defibrillator Patches Adult Pediatric 0 0 Adult Pediatric Waveform Capnography (In-line) Extra battery Glucometer Lancets 6 4 Length based resuscitation tape Pediatric Medication/Cardiac Arrest Reference ALS Airway/Oxygenation Size 3 (Small Adult) King LTD Size 4 (Medium Adult) Size 5 (Adult) Magill forceps Adult Pediatric Laryngoscope handle ^^ BLS LOSOP item (optional for ) Backboards must be padded. Adult Pediatric Extra batteries ( set for each) ** All needles shall meet the Cal OSHA Safer Sharps requirements Effective Date: Revised Date: Page of 7
2 ALS EQUIPMENT ALS ALS st Response (Adult) straight set set Laryngoscope blades (Adult) curved set set (Pediatric) straight set set (Pediatric) curved set set Extra bulbs (if applicable) IntuBrite Video Laryngoscopy Device Required on select EMS Response Vehicles #6.0, cuffed Endotracheal tubes: #7.0, cuffed #8.0, cuffed #9.0, cuffed Intubation stylet - Adult Endotracheal Tube Introducer (ETTI) Tube Tamer or equivalent (Adult) Cricothyrotomy Insertion Kit Pleural Decompression Kit Commercial Chest Seal Nebulizer (Hand-held) HHN CPAP Device (7.5 cm H 0) Large Mask Standard Mask Small Mask Nebulizer adaptor for CPAP Medications Adenosine (6mg vials) 30mg 30mg Albuterol 0.083% 5mg in 6mL NS 6 4 Amiodarone 450mg 450mg Aspirin, chewable (8mg) bottle bottle Atropine Sulfate MDV (multi-dose vial) Atropine Sulfate (mg pre-load) Benadryl, 50mg/mL vial Calcium chloride, Gm/0mL pre-load Page of 7
3 ALS EQUIPMENT ALS ALS st Response Dextrose 0% 3 Dopamine (400mg) vial or pre-mix Epinephrine :0,000, mg/0ml pre-load 6 4 Epinephrine :000, mg/ml (vial or ampule) Fentanyl 00mcg Total 00mcg Total 00mcg Hydroxocobalamin (CyanoKit) ++ Optional Optional Ipratropium (Atrovent) 0.5mg in 3mL NS Lidocaine 00mg Midazolam (Versed) 5mg/mL Total 0mg Total 0mg Nitroglycerin Paste Nitroglycerin, 0.4mg/sL tablets or spray, 0.4mg per dose bottle bottle Ondansetron 4mg tab 4 Ondansetron 4mg vial 4 Sodium Bicarbonate, 00 meq/50 ml Tranexamic Acid 00 mg /ml Gm Gm Controlled Substance and Administration logs current to date NS 00cc bag NS 000cc bag 4 NS Flush, 0cc 6 3 IV/IO/IM/IN Medication Administration gauge catheter, over the needle 0 gauge catheter, over the needle gauge catheter, over the needle gauge catheter, over the needle 4 gauge catheter, over the needle Drill Intraosseous (EZ-IO) (5mm) Needle (5mm) Needle (45mm) Needle Page 3 of 7
4 ALS EQUIPMENT ALS ALS st Response cc 8 4 3cc (twin-pak) 8 4 Syringes: 5cc (twin-pak) 4 0cc (twin-pak) cc 5 gauge IM Needles ** 4 Filter Needles** (required if carrying ampules) Saline locks with extension 4 Micro drip IV tubing (with luer lock connection) Macro drip IV tubing (with luer lock connection) IV Arm board (small) Miscellaneous "Sharps" container, large in rig 0 "Sharps" container, small box / bag Alcohol prep pads 0 0 Chlorhexidine prep pads 0 0 Automatic Implanted Defibrillator Magnet Defibrillator/Diagnostic Automated External Defibrillator (AED) AED Patches Adult Pediatric /CCT st Response Stethoscopes Manual Blood Pressure Cuffs Adult Pediatric Thigh cuff Thermometer Page 4 of 7
5 Medication: LOSOP/Standard Scope /CCT st Response Epinephrine auto-injector : mg Epinephrine auto-injector : mg Naloxone hydrochloride mg Mucosal Atomization Device (MAD) ^^ ^^ ^^ ^^ ^^ ^^ ^^ ^^ Oral glucose 5g BLS Airway/Oxygenation Oropharyngeal set set Nasopharyngeal (Sizes 8, 30, 3, 34) set set KY Jelly 8 4 Adult (non-rebreather) 4 Pediatric (non-rebreather) Adult (cannulas) 4 Pediatric (cannulas) Pulse Oximeter (Adult capable) Pulse Oximeter (Pediatric capable) Optional for BLS Optional for BLS Fixed vehicle O tank with regulator M N/A Portable D cylinder O with regulator O extension tubing Bag/valve mask with reservoir (Adult) Bag-Valve mask with reservoir (Pediatric) Bag-Valve mask with reservoir (Infant) Neonatal (Mask only) Portable (battery powered) Wall unit N/A Suction Equipment Suction liners/basins Connecting tubing Pharyngeal tonsil tip (rigid) French Catheter (Soft) Page 5 of 7
6 Bandaging/Trauma /CCT st Response Trauma Dressing (minimum 0x30) Abd Combine Pad (minimum 5x9) 4" x 4" sterile compresses 8 4 Petroleum gauze (4x4) QuikClot Gauze (Roll) Rolled gauze bandages " triangular bandages Bandage shears Tourniquet (CAT, SOF or the MAT ) " roll adhesive tape " roll adhesive tape Band-Aids (Box) Box Box Burn sheets, sterile Cervical collars, (X-Collar only) set set Cold packs 4 4 Traction Splint - Adult KED 0 TPOD Pelvic Binder Splints: (small, medium & large) each each Backboard, Scoop, or CombiCarrier II FASPLINT (Halfback) Optional Optional FASPLINT (Full body) Optional Optional RedVac or equivalent Optional Optional Spider Straps or equivalent Pedi-Board or equivalent with straps Optional Water, sterile, 000 cc Saline, sterile, 000 cc Page 6 of 7
7 Personal Protective Equipment /CCT st Response Masks Surgical 0 5 N95/P Gloves, disposable box (latex free) box of each size S M L XL each each Helmets with eye protection per crew member per crew member Leather palmed gloves (pair) per crew member per crew member High visibility vest (DOT approved) per crew member per crew member Transportation Stretchers gurney N/A Stair Chair or equivalent Optional Pillow 0 Linen Pillow cases 0 Blankets (Yellow/CHP) Sheet 0 Miscellaneous Triage tags DMS All Risk Tags) 5 5 Felt tip marker Clipboard VHF Radio programmed with local frequencies each each Bedpan and urinal 0 Unit access to current Napa County EMS Treatment Guidelines/Administrative Policies Emesis basins or equivalent Obstetrical kit, sterile Restraints (Hard or soft) set 0 Access to Napa County map Flashlight, six-volt or equivalent Triangle reflectors or 30-min flares set or 6 flares set or 6 flares Fire extinguisher Mechanical CPR Device Required on select EMS Response Vehicles Page 7 of 7
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