operations manual stratford emergency medical …

OPERATIONS MANUAL

STRATFORD EMERGENCY MEDICAL SERVICE

900 Longbrook Avenue Stratford, CT 06614 (203) 385-4060

http://www.townofstratford.com/ems

OPERATIONS MANUAL - 20-MAR-2007

SECTION: 8-1: MEDICAL EQUIPMENT - AMBULANCE DATE ISSUED

OR REVISED:

28-NOV-2005

PURPOSE: To establish a guideline for equipment and supplies to be carried on all

Department ambulances.

8-1.0 MEDICAL EQUIPEMENT - AMBULANCE The following equipment shall be standard on all

Department ambulances

8-1.1 Basic Life Support Equipment

8-1.1.1 Oxygen

1 1 M Cylinder Tank (not less than 500 lbs)

2 2 Spare D Cylinder Tanks

3 2 Wall Mounted Flowmeters

4 1 Vehicle Mounted Suction Unit

5 1 V-Vac Portable Suction Unit

6 6 Non-rebreather Masks

7 6 Nasal Cannulas

8 4 Oxygen Supply Tubes

9 4 Hard Suction Catheters

10 4 Soft Suction Catheters

11 4 Suction Canisters

12 Oral Airway (2 sets) #1, #2, #3, #4, #5, #6

13 1 Bite Stick

14 Adult Bag Valve Mask

15 Child Bag Valve Mask

16 Pediatric Bag Valve Mask

17 3 Masks Sizes BVMs

18 Oxygen Reservoir System

19 Pocket Mask

20 Airway management / Oxygen / Trauma bag

21 Paper Bags

8-1.1.2 Patient lifting/moving devices

1 1 Ambulance cot with three straps and shoulder harness

2 1 Kendrick Extrication Device with adjunct equipment

3 1 Short board

4 1 Stair chair with two straps

5 2 Long backboards with straps

6 1 Orthopedic (scoop) stretcher

7 1 Transfer sheet (optional � not state requirement)

8-1.1.3 Miscellaneous equipment

1 1 Complete poison kit & ½ gallon of water

2 1 Adult blood pressure cuff

3 1 Pediatric blood pressure cuff

4 1 Stethoscope

5 3 Cervical collars (assorted sizes)

6 1 Obstetrical kit

7 1 Emesis basin

8 1 Bedpan

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OPERATIONS MANUAL





9 1 Male urinal

10 2 Sets of linen

11 2 10lb fire extinguishers

12 2 Hand held lanterns

13 1 Tube of glucose

14 Emergency road markers

15 Disposable gloves, gowns, masks, and goggles

16 Vaseline gauze

17 2 Sterile burn sheets

18 Long and short splinting devices

19 Triangular bandages (restraint device)

20 6 Trauma dressings

21 Assorted dressing and bandages

22 1 Adult traction splint

23 1 Child traction splint

8-1.2 Advanced life support equipment

8-1.2.1 General equipment

1 Adult MAST pants

2 Pediatric MAST pants

3 Defibrillator

4 Spare battery

5 Simulator

6 Electrode patches (2 sets)

8-1.2.2 Intravenous Supplies

1 500ml Normal saline (2)

2 1000ml Normal saline (2)

3 Administration sets, minidrip(2),

4 Administration sets, macrodrip (2)

5 14 gauge catheters (4)




9 Vacutainer needles (4)

10 Vacutainer holders (4)

11 Red blood tubes (4)

12 Blue blood tubes (4)

13 Yellow blood tubes (4)

14 Purple blood tubes (4)

15 Red / green blood tubes (4)

16 Tegaderm patches (6)

17 Sterile gauze

18 Non-sterile gauze

19 ½� Adhesive tape (2 rolls)

20 1� Adhesive tape (2 rolls)

21 Provodine ointment

22 Alcohol wipes

23 Band-aids

24 Tourniquets (4)

25 Gloves (2 pair)


OPERATIONS MANUAL





SECTION: 8-2: MEDICAL EQUIPMENT � PARAMEDIC

AMBULANCE OR RESPONSE UNIT

DATE ISSUED

OR REVISED:

01-NOV-2004

PURPOSE: To establish a guideline for equipment and supplies to be carried on all

Department paramedic ambulances and paramedic intercept vehicles.

8-2.0 MEDICAL EQUIPMENT � PARAMEDIC AMBULANCE OR RESPONSE UNIT

8-2.1 Paramedic ambulances shall carry all the equipment and supplies per the

Medical Equipment � Ambulance policy

8-2.2 Additional, paramedic equipment and supplies that shall be carried are as

follows.

8-2.2.1 Intubation Equipment

1 Two (2) of each size ET tubes, to include both adult and

pediatric sizes.

2 Minimum of two (2) Stylets for ET tubes.

3 Laryngoscope handles, minimum one (1) ea. Adult and pediatric

sizes.

4 Complete set of laryngoscope blades; both Miller and Macintosh

styles.

5 10cc syringe available in ET kit.

6 NPA airway Set.

7 LMA airway set.

8 Equipment to secure ET Tube; either commercial device or

tape.

8-2.2.2 Intravenous Supplies

1 Catheter quantities per current paramedic checklist; shall have

catheters from 14g-24g.

2 Multiple syringes from 1cc-10cc � quantities per checklist.

3 Transfer needles.

4 IV Tourniquets.

5 Alcohol Prep Pads.

6 Iodine/Povidone Prep pads.

7 Sterile 4x4 bandages.

8 Saline PRN Flush bottle.

9 Roll of Tape.

10 IV Site Tape/�Tegaderm�-style devices.

11 PRN IV Access Points (AKA �Med Locks�)

12 Min. one (1) 1000 cc NSS Saline bag w/ Macro set.

13 Min. one (1) 500 cc NSS Saline Bag w/ Micro set.

8-2.2.3 Medications

1 All Medications per current checklist in accordance with State

regulations and JHPC requirements.

8-2.2.4 Miscellaneous

1 Glucometer or other method of assessing blood glucose levels.

2 Nebulizer w/ appropriate medications.

3 Broselow Tape

4 Sharps Container available in gear bag.

8-2.2.5 Cardiac Monitor


OPERATIONS MANUAL





1 Monitor with a functional battery and one (1) fully charged

spare.

2 Set of monitoring cables with one (1) spare set.

3 Packaged electrodes (quantity per checklist).

4 Tube of defibrillation electrolyte gel.

5 Therapy cable to facilitate hands-free defibrillation and

pacing;

6 Manual defibrillation paddles including pediatric paddles;

7 Extra roll of ECG Tracing paper;

8 Two (2) hands-free combination therapy pads.


OPERATIONS MANUAL





SECTION: 8-3: MEDICAL EQUIPMENT MAINTENANCE

AND CLEANING

DATE ISSUED

OR REVISED:

01-NOV-2004

PURPOSE: To establish a procedure for the general maintenance and cleaning

of Department equipment on EMS vehicles

8-3.0 MEDICAL EQUIPMENT MAINTENANCE AND CLEANING

8-3.1 General equipment that is covered by this procedure includes, but is not

limited to:

8-3.1.1 ambulance stretcher

8-3.1.2 stair chair

8-3.1.3 suction units

8-3.1.4 helmets

8-3.1.5 orthopedic (scoop) stretcher

8-3.1.6 backboards

8-3.1.7 Kendrick Extrication Device (KED)

8-3.1.8 Anti-shock trousers and accessories

8-3.1.9 blood pressure cuffs

8-3.1.10 bag masks

8-3.1.11 traction splint

8-3.1.12 cardiac defibrillators

8-3.2 Clean equipment at the start of the shift or at the completion of a patient

transfer, prior to placing the unit in service.

8-3.3 Section 19a-179-18, 4, (b), (3) of the Regulations Governing the Delivery of

Emergency Care states �all equipment including that used for invasive

therapies shall be cleaned and maintained between uses to assure protection

from infection in subsequent uses�.

8-3.3.1 Failure to clean equipment properly is a violation of this state

regulation.

8-3.4 Equipment that is damaged or inoperative shall be taken out of service and the

Administration notified.


OPERATIONS MANUAL





SECTION: 8-4: SUPPLIES AND RESTOCKING

PROCEDURE

DATE ISSUED

OR REVISED:

01-NOV-2004

PURPOSE: To establish a procedure for the restocking equipment and supplies

used on EMS Medic Units.

8-4.0 SUPPLIES AND RESTOCKING PROCEDURE

8-4.1 All Department equipment �shall be cleaned to assure protection from

infection in subsequent uses� in accordance with Section 19a � 179 � 18, 4, (b),

(3) of the Regulations Governing the Delivery of Emergency Care.

8-4.1.1 Failure to clean equipment properly is a violation of this state

regulation.

8-4.2 Backboards are restocked at receiving hospitals or in the storage area of the

Department headquarters garage.

8-4.2.1 All Department personnel should watch the area emergency room

for Department backboards and return the same to headquarters if

found.

8-4.3 All bandaging, oxygen, ALS catheters, fluids, immobilization collars, etc�, are

restocked at Department headquarters.


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