S.C. Code Regs. § ch. 61, 61-7, 61-7.2100

Current through Register Vol. 48, No. 10, October 25, 2024
Section 61-7.2100 - MEDICAL EQUIPMENT
A. The EMS Agency shall ensure the following equipment is maintained on all in-service vehicles in accordance with the response:

Required (R); Medical Control Option (MCO); Not Applicable (N/A)

Item, and Quantity

EMERGENCY RESPONSE

AMBULANCE

EMT-Basic

Paramedic

EMT-Basic

AEMT

Paramedic

Air/Critical

Care

Personal Protective Equipment

1.

Eye protection or face shield for each medical crew member

One (1)

R

R

R

R

R

R

2.

Labeled Non-sterile, latex-free exam gloves - two (2) sizes

Five (5) pairs each

R

R

R

R

R

R

3.

Mask/Face shield for each Crew Member One (1) each

R

R

R

R

R

R

4.

Protective clothes covering

R

R

R

R

R

R

Automatic External Defibrillator (AED)

5.

AED: secured and positioned for easy access to Attendants

One (1)

R

R

R

R

N/A

N/A

6.

Paddles or pads and cables, Adult and Pediatric, compatible with AED

R

R

R

R

R

R

Monitor/Defibrillator

7.

Four (4) lead wave form, twelve (12) lead/EKG, SpO2 waveform with numeric reading, waveform capnography, and invasive pressure ports for adult and pediatric, and neonate, if applicable. Printable and transmittable and secured and positioned so displays are visible to Attendants. All components are required, but not all on one device.

One (1)

N/A

R

N/A

N/A

R

R

8.

ECG Electrodes

Twenty (20)

MCO

MCO

MCO

MCO

R

R

9.

Extra roll of compatible printer paper

One (1)

N/A

R

N/A

MCO

R

R

10.

Internal rechargeable battery pack

One (1)

N/A

R

N/A

MCO

R

R

11.

Extra battery or AC adapter and cord

One (1)

N/A

R

N/A

MCO

R

R

12.

Defibrillator: May be integrated into cardiac monitor module.

One (1)

N/A

R

N/A

MCO

R

R

13.

Pads - Pediatric and Adult (Neonatal sizes if transports are conducted)

N/A

R

N/A

N/A

R

R

14.

Transcutaneous Pace - Adult and Pediatric capabilities (stand-alone unit or integrated into cardiac monitor modular)

N/A

R

N/A

N/A

R

R

Oxygen Delivery

15.

Nasal Cannulas - Adult

Two (2)

R

R

R

R

R

R

16.

Nasal

Cannula- Pediatric

Two (2)

MCO

MCO

R

R

R

R

17.

Non-Rebreather Mask

- Adult

Two (2)

R

R

R

R

R

R

18.

Non-Rebreather Mask

- Infant

Two (2)

N/A

N/A

N/A

N/A

N/A

R

19.

Non-Rebreather Mask

- Pediatric

Two (2)

R

R

R

R

R

R

20.

Disposable Nebulizer

Two (2)

MCO

R

MCO

R

R

R

21.

NPA 16 French through 34 French

(12, 16, 20, 24, 28, 32,

36)

One (1) each

MCO

R

R

R

R

R

22.

Nonmetallic oropharyngeal airways (OPAs): sizes 0-5.

One (1) each

R

R

R

R

R

R

23.

Positive Pressure

Airway device

One (1)

MCO

R

MCO

R

R

R

24.

Individual use circuit for Positive pressure device compatible with the device

Two (2)

MCO

R

MCO

R

R

R

25.

Portable Oxygen Cylinder (min 1000 PSI) with working regulator

One (1)

R

R

R

R

R

R

26.

Spare Portable Oxygen

Cylinder

One (1)

R

R

R

R

R

R

27.

On-Board Oxygen Cylinder (min 2000L) With working regulator

One (1)

N/A

N/A

R

R

R

R

Bag Valve Mask Ventilation Units (BVM)

28.

Adult BVM

One (1)

R

R

R

R

R

R

29.

Pediatric BVM

One (1)

R

R

R

R

R

R

30.

Neonate BVM

One (1)

MCO

MCO

R

R

R

R

Bandage Material

31.

ABD pad at least five by nine inches (5" x 9")

Two (2)

R

R

R

R

R

R

32.

Adhesive bandages

Five (5)

R

R

R

R

R

R

33.

Individually wrapped four by four inch (4" x 4") Sterile Gauze Pads

Fifteen (15)

R

R

R

R

R

R

34.

Individually wrapped Sterile Gauze bandage rolls two (2) different Sizes Required

One (1) each size

R

R

R

R

R

R

35.

Four by four inch (4" x 4") Commercial Sterile Occlusive Dressing or Chest Seal

Two (2)

R

R

R

R

R

R

36.

Hypoallergenic

Adhesive Tape - One inch (1")

One (1)

R

R

R

R

R

R

37.

Hypoallergenic

Adhesive Tape - Two

Inch (2")

One (1)

MCO

MCO

MCO

MCO

MCO

MCO

38.

Hypoallergenic

Adhesive Tape - Three

Inch (3")

One (1)

MCO

MCO

R

R

R

R

39.

Large Trauma Bandage Shears

One (1)

R

R

R

R

R

R

40.

Sterile Water or Normal Saline for irrigation

Minimum of 250 ml.

R

R

R

R

R

R

41.

Arterial Tourniquet

Two (2)

R

R

R

R

R

R

42.

Hemostatic Agent or Bandage (non-granular) Two (2)

MCO

MCO

MCO

MCO

MCO

MCO

Assessment Tools

43.

Thermometer

One (1)

MCO

MCO

R

R

R

R

44.

Sphygmomanometer, cuff, bladder, and tubing in sizes for each age and size (Minimum of 3 sizes)

One (1) each size

R

R

R

R

R

R

45.

Adult Stethoscope

One (1)

R

R

R

R

R

R

46.

Pediatric Capable Stethoscope

One (1)

R

R

R

R

R

R

47.

Pulse Oximeter with numeric reading with Adult and Pediatric capabilities

One (1)

R

R

R

R

R

R

48.

Penlight

Two (2)

R

R

R

R

R

R

Miscellaneous

49.

Commercial antimicrobial and waterless hand cleanser

R

R

R

R

R

R

50.

EPA recommended Germicidal/viricidal agent or sodium hypochlorite solution - ninety-nine (99) parts water and one (1) part bleach for cleaning equipment.

R

R

R

R

R

R

51.

Portable Suction

R

R

R

R

R

R

52.

Wall Mounted Suction

N/A

N/A

R

R

R

R

53.

Suction Tubing

MCO

MCO

R

R

R

R

54.

Rigid suction Tip

MCO

MCO

R

R

R

R

55.

Flexible Suction Tip

Four (4) sizes

MCO

R

R

R

R

R

56.

Naloxone

Administration Kit

MCO

MCO

MCO

MCO

MCO

MCO

57.

Epinephrine

Administration Kit

MCO

MCO

MCO

MCO

MCO

MCO

58.

Sharps container (fixed with locking mechanism)

One (1)

N/A

N/A

R

R

R

R

59.

Portable Sharps Container

One (1)

R

R

R

R

R

R

60.

Current color-coded Pediatric weight and length-based drug dose chart

One (1)

MCO

R

MCO

R

R

R

61.

Antiseptic pads for injection sites Twenty-four (24)

R

R

R

R

R

R

62.

18-20g needles at least one and one-half inch (1 1/2") length

Two (2) sets

N/A

R

N/A

R

R

R

63.

23g-25g needles at least one and one-half inch (1 1/2") length

Two (2) sets

N/A

R

N/A

R

R

R

64.

1 ml Syringes

Two (2)

N/A

R

N/A

R

R

R

65.

3-5 ml Syringes

Two (2)

N/A

R

N/A

R

R

R

66.

10-20 ml Syringes

Four (4)

N/A

R

N/A

N/A

R

R

67.

Sterile burn sheet

One (1)

R

R

R

R

R

R

68.

Triangular Bandages

Two (2)

R

R

R

R

R

R

69.

Traction-type, lower extremity splint (Bi-polar or Uni-polar type is acceptable) One (1)

MCO

MCO

R

R

R

MCO

70.

Padded splints: 15" x 3" (or other approved commercially available splints for arm or leg fractures)

Two (2)

R

R

R

R

R

MCO

71.

Padded Splints: 36" x 3" (or other approved commercially available splints for arm or leg fractures)

Two (2)

MCO

MCO

R

R

R

MCO

72.

Pelvic Splint

One (1)

MCO

MCO

MCO

MCO

MCO

MCO

73.

Long Spine Board: at least 16" x 72". (A folding backboard may be used as a substitute.) One (1)

MCO

MCO

R

R

R

MCO

74.

Cervical collars: Adjustable or available in sizes of short, regular, or tall. Adult and Pediatric

Minimum of one (1) each

R

R

R

R

R

MCO

75.

Commercially or

Premade Head

Immobilization Device -

Adult and Pediatric

One (1) each

MCO

MCO

R

R

R

MCO

76.

Nine (9) foot straps (one (1) set 10-point spider straps may be used) Minimum of three (3) each

MCO

MCO

R

R

R

R

77.

Triage Tag (Compatible with the state system)

R

R

R

R

R

MCO

78.

Patient Restraints one (1) set

N/A

N/A

R

R

R

R

79.

Obstetrical Kit: Sterile, latex free. (Contains the following: gloves, scissors or surgical blades, umbilical cord clamps or tapes, dressing, towels, perinatal pad, bulb syringe and a receiving blanket)

One (1)

R

R

R

R

R

R

80.

Glucometer or Blood Glucose Measuring Device

One (1)

R

R

R

R

R

R

81.

Emesis basin or bag

One (1)

R

R

R

R

R

R

82.

Bedpan and urinal

One (1) each

MCO

MCO

R

R

R

R

83.

ABC Fire Extinguisher (minimum of 5 LBS, properly mounted)

One (1)

R

R

R

R

R

R

84.

Battery Operated Flashlight (non-penlight)

Two (2)

MCO

MCO

R

R

R

MCO

85.

High Visibility vest or reflective clothing Two (2)

R

R

R

R

R

R

86.

Protective Work

Gloves

2 Pair

MCO

MCO

MCO

MCO

MCO

MCO

87.

Protective Helmet

Two (2)

MCO

MCO

MCO

MCO

MCO

R

88.

Flameless Flare, Glow Sticks, Cones, or Reflective Triangles

Three (3)

R

R

R

R

R

MCO

89.

Blankets/ Linen

Three (3) each

MCO

MCO

R

R

R

R

Advanced Airway and Ventilatory Support

90.

Laryngoscope handle with extra set of batteries and bulbs (Compatible with Blades)

One (1)

N/A

R

N/A

N/A

R

R

91.

Laryngoscope blades - 0-4 Miller, 1-4 Macintosh - Adult/ Pediatric/Neonate sizes (Compatible with handle)

One (1) each

N/A

R

N/A

N/A

R

R

92.

Video Laryngoscope

One (1)

N/A

MCO

N/A

N/A

MCO

MCO

93.

Disposable ET tube sizes 2.5 through 8mm with stylets sized for each tube

One (1) each

N/A

R

N/A

N/A

R

R

94.

Bougie type device

One (1)

N/A

MCO

N/A

N/A

MCO

MCO

95.

ET Placement Detector

One (1)

N/A

R

N/A

N/A

R

R

96.

Water soluble lubricating jelly Four (4) each

R

R

R

R

R

R

97.

Blind Insertion Airway Device (BIAD) - Age and weight sizes as defined by FDA. Syringe(s) needed to inflate bulbs shall be included in packaging, if not, appropriate size(s) carried by provider.

R

R

R

R

R

R

98.

Mucosal Atomizer

Device

One (1)

N/A

MCO

N/A

N/A

MCO

MCO

99.

Positive End-Expiratory Pressure (PEEP) valve (may be incorporated into BVMs) - age appropriate

R

R

R

R

R

R

100.

Mechanical ventilator and circuit - age/weight appropriate, including neonate, if applicable, includes measurement of: Fraction of inspired oxygen (FiO2); Tidal volume (Vt);

Respiratory rate (RR) or frequency; and PEEP.

N/A

N/A

N/A

N/A

MCO

R

101.

Continuous Positive Airway Pressure (CPAP), able to be incorporated within the mechanical ventilator mechanical and with appropriate setting and attachments for adult, pediatric, and neonate Patients, if applicable

N/A

N/A

N/A

MCO

MCO

R

102.

Bi-level Positive Airway Pressure (BiPap), able to be incorporated within the mechanical ventilator mechanical and with appropriate setting and attachments for adult, pediatric, and neonate Patients, if applicable

N/A

N/A

N/A

N/A

MCO

MCO

103.

Chest Decompression Kit

One (1)

N/A

R

N/A

N/A

R

R

104.

Printable waveform

End-tidal CO2 continuous monitoring capabilities. May be incorporated within cardiac monitor modular

N/A

R

N/A

N/A

R

R

Venous Access

105.

Intravenous catheters 14g-20g

Two (2) each

N/A

R

N/A

R

R

R

106.

Intravenous catheters 22g-24g for pediatric/neonate transport

Two (2) each

N/A

R

N/A

R

R

R

107.

Intraosseous needles - 15mm, 25mm, 45mm One (1) each

N/A

MCO

N/A

R

R

R

108.

Macro drip sets, 10-20 gtts/ml

Two (2)

N/A

R

N/A

R

R

R

109.

Micro drip set

One (1)

N/A

R

N/A

N/A

N/A

N/A

110.

IV start kits containing latex free tourniquet, antiseptic solution, and latex free catheter dressing.

Three (3)

N/A

R

N/A

R

R

R

111.

Intravenous fluids: may be combination of sizes100mL-1000mL variety such as Lactated

Ringers, Normal Saline, D5W. Capability to be administered warm. 4000 ml total

N/A

R (2000 ml total)

N/A

R

R

R

112.

IV Pressure Infuser

One (1)

N/A

MCO

N/A

MCO

R

R

B. The EMS Agency shall maintain the equipment used in the provision of Patient care clean, in good repair, and operating condition, within the manufacturer expiration date, and in accordance with Occupational Safety and Health Administration (OSHA) Standard 1910.1030.
C. Local Medical Control Option (MCO). The EMS Agency shall ensure all local MCO medical equipment is incorporated into its Protocols pursuant to Section 502.B.

S.C. Code Regs. ch. 61, 61-7, 61-7.2100

Added by State Register Volume 46, Issue No. 05, eff. 5/27/2022.