N.M. Admin. Code § 7.27.10.18

Current through Register Vol. 35, No. 23, December 10, 2024

Section 7.27.10.18 - MINIMUM REQUIRED EQUIPMENT FOR TRANSPORT MEDICAL RESCUE VEHICLES

All transport medical rescue agencies shall stock and equip transport medical rescue vehicles with the minimum equipment and supplies required in this rule to be stocked in non-transport medical rescue vehicles by non-transport medical rescue agencies. Additionally, all transport medical rescue agencies shall stock and equip transport medical rescue vehicles with the following minimum equipment and supplies. Supplies shall be maintained in sufficient quantities to assure the safe and adequate provision of emergency medical services in response to one or multiple incidents.

A. Patient compartment:

(1) multi-level stretcher (may be power assisted, two-person);

(2) shoulder / chest and lower extremity straps (capable of securing adult and pediatric patients);

(3) pillow (disposable, with a vinyl cover or a rolled blanket);

(4) blankets;

(5) stretcher pad (bed) covers (e.g., sheets);

(6) patient restraints (two ankle and two wrist, leather or nylon);

(7) sharps container;

(8) emesis basins (emesis bags or equivalent); and

(9) body bags.

B. Pharmocological equipment for first response through ALS:

(1) appropriate medications with the contents established and approved by the service medical director, within applicable N.M. scopes of practice, with a list of contents and earliest expiration dates affixed to the outside of the kit; drug kits must be maintained in a temperate, controlled environment and shall not be left unsecured; and

(2) mark I plus kit.

C. Pediatrics:

(1) pediatric restraint system or car seat (may be a fold-down jumpseat with a child restraint system);

(2) obstetrical kit (sterile package), to include at a minimum: a receiving blanket, a sterile bulb aspirator, a wrapped sanitary napkin, a sterile pair of scissors or scalpel blade, four-inch gauze pads, one pair of sterile gloves, two cord clamps and a plastic bag for placenta; all items shall be kept in a container with an identifying label that specifies the contents;

(3) foil blanket; and

(4) pediatric drug dosage tape or chart.

D. Intravenous therapy:

(1) intravenous solution (normal saline) (1000 ml);

(2) intravenous catheters (various sizes);

(3) intraosseous needles;

(4) tubing/infusion kits;

(5) pediatric fluid volume control device (i.e., burretrol or volutrol); and

(6) arm boards (for pediatrics).

E. Immobilization devices:

(1) extremity immobilization devices (two full arms and two full legs, or equivalent);

(2) short spinal extrication device (KED or equivalent), infant or pediatric immobilization; equipment shall be identified for the safe transport of infant / pediatric patients, as approved by the EMS agency's medical director with guidelines and operating procedures provided by the agency / department;

(3) pediatric immobilization device (as approved by the department); equipment shall be identified for the safe transport of infant / pediatric patients, as approved by the EMS agency's medical director with guidelines and operating procedures provided by the agency / department;

(4) spine boards (long; at least 16" wide by 72" in length with a minimum of three straps);

(5) lateral cervical immobilization devices (commercial devices, foam blocks, blanket rolls);

(6) cervical immobilization collars (hard type, minimum two adult, two medium, two child); and

(7) traction splint (lower extremity, adjustable).

F. Rescue/extrication equipment:

(1) tarp or blankets;

(2) seatbelt cutter or trauma shears;

(3) spring loaded center punch / window punch;

(4) rescue ax or halligan tool;

(5) flathead screwdriver (minimum six inches);

(6) three-pound hammer;

(7) hacksaw with extra bimetal-type blades;

(8) duct tape;

(9) one ton "come-a-long" winch;

(10) rescue-rated chains or straps (minimum of two);

(11) hydraulic spreader / cutter / ram (combi-tool);

(12) air chisel-air cylinder, regulator, air hose (optional);

(13) air bags-air cylinder, regulator, air hose (optional);

(14) winch with recovery straps and blocking equipment; and

(15) stabilization equipment (cribbing, blocks, struts).

N.M. Admin. Code § 7.27.10.18

7.27.10.18 NMAC - N, 3/15/2010